ACC NYC - Manhattan Center
Shorty 86256
Zip Code: 10460
Intake Type: Owner surrender
Medical Behavior: Blue
Age: 8Y
Sex: Female
Spayed/Neutered: Yes
Weight: 11 lbs.
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Vet Notes: 8:55 AM
DVM Intake Exam
Estimated age: 8y
Microchip noted on Intake? scanned positive
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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 -no
Evidence of Trauma seen -no
Objective
P =wnl
R =wnl
BCS 7/9
EENT: Eyes clear, ears AD crumpled pinna from healed aural hematoma, no nasal or ocular discharge noted
Oral Exam: dental staining
PLN: No enlargements noted
H/L: NR, NMA, Lungs clear, eupneic
ABD: Non painful, no masses palpated
U/G: female spayed
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate - no signs of neurologic abnormalities
Rectal: normal external
Assessment:
otitis externa-chronic
overweight
Prognosis:
good
Plan:
intake tasks
appeared wobbly momentarily during intake, but nails were very long and may have been caught on towel
recheck in 2 days after settled
nail trim completed
SURGERY:
already spayed