NENE – 21692

Manhattan Center

Nene 21692

Care Center Location: Manhattan

ZIP Code From: 10455

Intake Type: Owner surrender

Medical Behavior: Blue

Age: 18 years

Sex: Neutered Male

Weight: 9 lbs

DVM Intake Exam

Estimated age: 18y
Microchip noted on Intake? neg
Microchip Number (If Applicable):

History : O surrendered Nene , other cat Spikey, and dog Dre. O got evicted.

Subjective: BAR. Vocalizing alot in carrier and throughout exam. Difficult to hold, does not like being restrained, resists and wiggles. Ok for PE, growling a bit during med handling. Before exam, p was clawing a lot in his carrier, causing his front paws to bleed a little.

Observed Behavior –

Evidence of Cruelty seen – n

Evidence of Trauma seen – n

Objective

T =
P = wnl
R = wnl
BCS 3/9

EENT: Eyes clear, ears clean, no nasal or ocular discharge noted
Oral Exam: edentulism
PLN: No enlargements noted
H/L: Grade III/VI HM. NSR, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: MN
MSI: Ambulatory x 4, skin free of parasites, no masses noted. Unkempt haircoat, urine soaked, front paws bleeding slightly. Thin BCS, muscle wasted.
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: normal externally

Assessment:
geriatric
HM
thin BCS
edentulism
trauma front paws
suspect hyperthyroidism

Prognosis: fair

Plan:
ctm at macc until transfer/adoption
recommend echocardiogram and blood work (including T4) post placement. attempted to collect for cbc, chem, t4, but p would not cooperate.

SURGERY: neutered

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