SUGAR – A1108859
Safe - 4-16-2017 Manhattan
SAFE 4/16/17 — 1 yr old Sugar was surrendered for allergies – he has a small umbilical hernia – already neutered – needs a new home!
SUGAR – A1108859
NEUTERED MALE, BROWN / BLACK, DOMESTIC SH MIX,1 yr
OWNER SUR – EVALUATE, NO HOLD Reason ALLERGIES
Intake condition EXAM REQ Intake Date 04/14/2017, From NY 10472, DueOut Date 04/17/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age:1yr Microchip noted on Intake? none History : Subjective: Observed Behavior – docile, friendly, allows all handling Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective T = not taken P = 150 R = 60 BCS 6/9, large framed, robust cat EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: pink gums, euhydrated, scant gingivitis PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated, small, non painful reducible umbilical hernia U/G: MC MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: not performed Assessment umbilical hernia reducible Plan ok for adoptions fast track if going under for ax, can consider umbilical hernia repair, otherwise can monitor- doesn’t necessarily need correction, but if ever enlarges or causes pain definitely needs to be corrected Prognosis: good SURGERY: doesn’t need sx
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