JOVI – A1034374
Safe 12-20-2015 Manhattan
SAFE 12/20/15
JOVI – A1034374
**RETURNED 12/16/15**
NEUTERED MALE, WHITE / BROWN, SHIH TZU MIX, 1 yr, 4 mos
OWNER SUR – ONHOLDHERE, HOLD FOR ID Reason ALLERGIES
Intake condition EXAM REQ Intake Date 12/16/2015, From NY 10468, DueOut Date12/25/2015,
Medical Behavior Evaluation YELLOW
Medical Summary Sex: Male neutered Scan: Positive Estimated age: 1.5 years Fleas: No flea dirt. Hx: Adopted from ACC in May. S: Active, nervous, resists ear exam and tries to snap O: BAR-H, BCS 5/9, MMs pink and moist, CRT <2 sec EENT: Severe lichenification and ear canal stenosis AU, did not attempt to examine further. No discharge OU, nose. Clean teeth. PLNs: Not enlarged. H/L: NSR, NMA. Eupnic, quiet lung sounds. Abd: Soft, no pain on palpation, no masses palpated M/S/I: Amb x4. No lesions noted. UG: Male neutered A: Likely chronic ear infection Short-term prognosis: Excellent P: Clean ears q3 days, start Otibiotic, recheckin 1 week. Administered pyrantel 2 ml PO. 1088
Weight 19.5
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