KEILS – A1060133
Safe 12-12-2015 Brooklyn
SAFE 12/12/15
KEILS – A1060133
FEMALE, GRAY / BLACK, POODLE MIN MIX, 14 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date12/10/2015, From NY 11211, DueOut Date12/13/2015,
Medical Behavior Evaluation GREEN
Medical Summary Scanned negative; QARH – patient, allows all handling; N~14 years; Cataracts completely covering both eyes. Ears dirty – cleaned with Otic. No sign of infection; Nose, mouth clean; Teeth – heavy tartar, receding gums, halitosis. Small skin growths on base of neck, left shoulder; Coat dirty. No flea dirt or parasites noted. NOSF
RE-EXAM 12/11/15
BARH; EENT: ddz G4, hair in canals AU, severe cataract OU; MS: BCS 3.5/9–slightly thin; INT: full haircoat, L sided 1 cm dermal mass; H/L WNL; GU MN; LN WNL; ABD: snp
A: 1) severe cataracts r/o secondary glaucoma, KCS 2) severe ddz 3) dermal mass r/o benign v malignant
P: recc rescue with NH for optho consult and needs dental work, FNA of dermal mass
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