Description
ACC NYC - Manhattan Center
Shorty 86256
Zip Code: 10460Intake Type: Owner surrenderMedical Behavior: BlueAge: 8YSex: FemaleSpayed/Neutered: YesWeight: 11 lbs.
Vet Notes: 8:55 AM
DVM Intake ExamEstimated age: 8yMicrochip noted on Intake? scanned positive
History: Owner surrender due to housing situation.
Subjective: BAR
Observed Behavior - Allowed all handling, warmed up quickly, head butting and purring throughout exam.
Evidence of Cruelty seen -noEvidence of Trauma seen -noObjective
P =wnlR =wnlBCS 7/9
EENT: Eyes clear, ears AD crumpled pinna from healed aural hematoma, no nasal or ocular discharge notedOral Exam: dental stainingPLN: No enlargements notedH/L: NR, NMA, Lungs clear, eupneicABD: Non painful, no masses palpatedU/G: female spayedMSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coatCNS: Mentation appropriate - no signs of neurologic abnormalitiesRectal: normal external
Assessment:otitis externa-chronicoverweight
Prognosis:good
Plan:intake tasksappeared wobbly momentarily during intake, but nails were very long and may have been caught on towelrecheck in 2 days after settlednail trim completed
SURGERY:already spayed
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