PATCH – A1114657

BROOKLYN CENTER

PATCH – A1114657

NEUTERED MALE, WHITE / BLACK, DOMESTIC SH MIX,5 yrs
OWNER SUR – EVALUATE, HOLD FOR EVENT Reason MOVE2NYCHA
Intake condition UNSPECIFIE Intake Date 06/22/2017, From NY 11224, DueOut Date 06/22/2017, I came in with Group/Litter #K17-101797.
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age:5 Microchip noted on Intake? n History : o surrender Subjective: Observed Behavior – very affectionate, trilling. kneading, tail up, head butting, drooling Evidence of Cruelty seen – n Evidence of Trauma seen – n Objective P = 120 R = wnl BCS 6/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: clean teeth PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: neutered MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: healthy Plan no treatment Prognosis: good
Weight 12.2

Patch is a 5 year old unaltered male white and black DSH mix; he came to his home from a previous owner and was surrender due to the owner moving into an apartment that does not allow pets. He has no known health issues and injures no vet history.

Around strangers Patch is very friendly and outgoing and only lived in a home with one adult. He has been around other male cat and is friendly and playful with the other cat and has no bite history.

Patch isn’t bothered during a bath, and allows people to pet him and hold him with no issues. He struggles to go into the carrier and tries to run out. He was described as friendly, playful, and affectionate with a high activity level. He likes to play with balls, laser pointer, and cat dancer. He is free feed dry food and wet food and is litter box rained with an uncovered box with clumping litter. He has a vertical scratching post with rough rope and carpet.

Upon intake Patch was very friendly he was purring and licked the counselor’s hand, he was collared and a photo was taken.

MEDICAL:

6/25:

History: Patient is congested and producing eye discharge.

Obj

EENT- left eye is closed and producing alot of purulent discharge.

Skin- No ectoparasite seen

Abdomen- NAF

Ms- Normal muscle mas

Behavior BAR

Neuro- Ambulatory in all 4 limbs

Plan

move to isolation

0.5 inch erythromycin ointment BID OU for 10 days

1.1 ml doxycycline sid po for 10 days.

6/22:

DVM Intake Exam

Estimated age:5

Microchip noted on Intake? n

History : o surrender

Subjective:

Observed Behavior – very affectionate, trilling. kneading, tail up, head butting, drooling

Evidence of Cruelty seen – n

Evidence of Trauma seen – n

Objective

P = 120 R = wnl BCS 6/9

EENT: Eyes clear, ears clean, no nasal discharge noted

Oral Exam: clean teeth

PLN: No enlargements noted

H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic

ABD: Non painful, no masses palpated

U/G: neutered

MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat

CNS: mentation appropriate – no signs of neurologic abnormalities

Assessment: healthy

Plan no treatment

Prognosis: good

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