Professional Documents
Culture Documents
Species: CANINE Breed: MIX Provider: MW - Record: 128499 - Date: JUL 29 14 - Page: 1
Gender: Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 0 lbs 0.00 kgs
Current Identifications
Type Identification
Rabies Tag: 210019
Reminder Items
RmItem RmDesc RmDate RmDue
50125 DHPP 3 YEAR MAY 4 17 MAY 4 20
51002 RABIES VACCINATION CANINE 3YR MAY 4 17 MAY 4 20
01001 EXAM CANINE FEB 20 20 FEB 20 21
Patient: ANGEL
Species: CANINE Breed: MIX Provider: MW - Record: 128499 - Date: JUL 29 14 - Page: 2
Gender: Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 0 lbs 0.00 kgs
Species: CANINE Breed: MIX Provider: MW - Record: 128499 - Date: JUL 29 14 - Page: 3
Gender: Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 0 lbs 0.00 kgs
Attachment - 1 Page 1 of 1
Charges
ITEM DESCRIPTION QTY DATE STATUS
vetoryl GENTOCIN TOPICAL SPRAY 1.00 JUL 29 14 Accepted
72173 DR.WELTZ/PS 1.00 JUL 29 14 Accepted
Presenting Problem(s)
CODE DESCRIPTION LOCATION
PRURIT DERMATITIS - PRURITIC
SKIN RASH ON LEFT FORELIMB ; SEASONAL?; SHAKING HEAD; SEEMED TO HAVE SKIN ISSUE LAST SUMMER
BUT UNDER CHIN
Exam Detail
BODY SYSTEM STATUS FINDINGS
EENT: Normal NORMAL EARS
Notes
Charges
ITEM DESCRIPTION QTY DATE STATUS
Treatment Notes
GENTICIN SPRAY- 1 PUMP BID X 7 D'S
Patient: ANGEL
Species: CANINE Breed: MIX Provider: MW - Record: 128540 - Date: SEP 5 14 - Page: 4
Gender: Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12.5 lbs 5.67 kgs
Presenting Problem(s)
PE-check rash on elbow. Dr. MW only FM
Presenting Problem(s)
CODE DESCRIPTION LOCATION
PRURIT DERMATITIS - PRURITIC
Exam Detail
BODY SYSTEM STATUS FINDINGS
EENT: Normal
PLN: Normal WNL
H/L: Normal 120 HR, REG, NM, S/S FP, C AND E, RR NR
ABD: Normal B-9
UG: Normal
MSI: Normal HEMORRHAGIC CRUST ON L FL (SEE PICTURE)
NEURO: Normal NSF
Normal T
Normal
Notes
Charges
ITEM DESCRIPTION QTY DATE STATUS
Treatment Notes
GENTOCIN SPRAY- APPLY BID X 7 D'S
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: DEC 16 14 - 10:09am REGO PARK, NY 11374
Record No: 136551 212-363-0232
Provider: NANCY BATTINO
Patient: ANGEL
Species: CANINE Breed: MIX Provider: MW - Record: 136551 - Date: DEC 16 14 - Page: 5
Gender: Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 11.7 lbs 5.31 kgs
Presenting Problem(s)
CHECK MOUTH; SEEMS TO BE MAKING STRANGE LIP MOVEMENTS ("MAKING FUNNY FACES")
Exam Summary
BAR H PINK 1 SEC 101.2
EENT- UNDERBITE (BREED CHARACTERISTIC); R CARNASSIAL TOOTH FX
PLN- WNL
HL- 120 HR REG NM SS FP C AND E
ABD- B-9
UG- MI 2 DOWN
MSI/NEURO- NSF
Notes
CARNASSIAL (R-SIDED) FX
Charges
ITEM DESCRIPTION QTY DATE STATUS
Treatment Notes
CONSIDER EXTRACTION
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: JAN 13 15 - 11:41am REGO PARK, NY 11374
Record No: 138587 212-363-0232
Provider: ALPHY CORNIELLE
Patient: ANGEL
Species: CANINE Breed: MIX Provider: - Record: 138587 - Date: JAN 13 15 - Page: 6
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 11.7 lbs 5.31 kgs
Presenting Problem(s)
nt- VH
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: FEB 15 15 - 1:50pm REGO PARK, NY 11374
Record No: 140796 212-363-0232
Provider: GEORGE ANDRADE
Patient: ANGEL
Species: CANINE Breed: MIX Provider: GK - Record: 140796 - Date: FEB 15 15 - Page: 7
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12 lbs 5.44 kgs
Presenting Problem(s)
pe, blood coming from penis area. earliest o could come in. PS
Exam Summary
blood on penis. no v/d/c/s/. alert. moving well
eent mm pink moist crt < 2sec slab fracture upper right pm4 with pulp exposure
pln enl
cv/tesp hr120 ssp lungs clear
abd/gu small bladder blood on prepuce. brown urine via ucath. stool wnl in rectum
msi bcs 3/5 skin clear ambulxr4
neuro bar
Species: CANINE Breed: MIX Provider: GK - Record: 140796 - Date: FEB 15 15 - Page: 8
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12 lbs 5.44 kgs
Labs - Antech - PRE-OP CBC,PT,PTT - SA050, ADD220 Rec: FEB 16 15 08:53 continued---
Protein - Urine protein:creatinine ratio testing is recommended (if the sediment is inactive)
to help determine the clinical significance of proteinuria.
Notes
acute hematuria
fractured upper right pm4 with pulp exposure
hx back pain last week that resolved without treament.
hyperechoic debris in bladder on u/s
pcv 49%
rad: no stones seen in blader
r/o coagulopathy secondary to rat poison (ate mouse that might have been poisoned) vs
crystalluria vs uti +/- prostatitis(sterile or bacterial) +/- bph
plan
preop chem/cbc/pt/ptt to antech.
advise extraction of fractured tooth.
vitamin k 50mg 1/2 tab po today disp 1/2 only.gk
Patient: ANGEL
Species: CANINE Breed: MIX Provider: GK - Record: 140796 - Date: FEB 15 15 - Page: 9
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12 lbs 5.44 kgs
Treatments
ITEM NO DESCRIPTION DATE TIME INI
SA05001 PRE-OP CBC,PT,PTT, ADD ON UA
PRE OP, CBC, PT,PTT
ADD ON Urine via u-cath
BO
Charges
ITEM DESCRIPTION QTY DATE STATUS
72088 VITAMIN K GEL CAPSULES 0.50 FEB 15 15 Accepted
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: JUN 29 15 - 6:35pm REGO PARK, NY 11374
Record No: 152341 212-363-0232
Provider: GEORGE ANDRADE
Patient: ANGEL
Species: CANINE Breed: MIX Provider: GK - Record: 152341 - Date: JUN 29 15 - Page: 10
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12.6 lbs 5.71 kgs
Presenting Problem(s)
EXAM PER O √ LUMP ON NOSE AREA PQ hematuria in february gk
Exam Summary
101
eent hemorrhagic crust dorsal muzzle. shaved hair and pink bump present oral wnl
ears wnl
pln wnl
cv/rsp hr 120 ssp lugns clear
abd/ug snp nmp testicles descended
msi bcs 3/5 skin clear ambulx4
neruo wnl
Notes
bump on nose r/o trauma from fight with other dog vs trauma from brush vs insect bite vs other
plan
neosporin bid on nose x 7d
if rubbing alot, advise simplicef 50mg sid x 7d and ecollar gk
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: AUG 27 15 - 1:30pm REGO PARK, NY 11374
Record No: 157705 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 157705 - Date: AUG 27 15 - Page: 11
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12.6 lbs 5.71 kgs
Presenting Problem(s)
PE-check anal glands Dr. JS only FM
Presenting Problem(s)
vaccinated last feb
hx of ear wax
no v/d/c/s
no difficulty urinating
no blood in urine
Exam Summary
Wt. - 12.1
Temperature: 101.5 F
bcs 5/9
hydrationok
Exam Detail
BODY SYSTEM STATUS FINDINGS
Oral Normal mm pk
teeth good teeth with cracked upper right pm4 with root exposture
EENT Normal Ad mild wax
au clean on otoscopic
OU clear
no nasal/ocular d/c
H&L Normal heart no murmur
lungs clear
ABD Normal wnl
INTEGUMENT Normal small scratch over nose on left side
MS/NEURO Normal wnl
UG Normal mi
both test desc
rectal enlarged prostate symmetrical and not painful
Notes
bph
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 157707 - Date: AUG 27 15 - Page: 12
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 0 lbs 0.00 kgs
Charges
ITEM DESCRIPTION QTY DATE STATUS
Treatment Notes
meds disp:
vaccines:
clean ears and demonstrate to o
tnt
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: NOV 2 15 - 3:55pm REGO PARK, NY 11374
Record No: 163369 212-363-0232
Provider: NANCY BATTINO
Patient: ANGEL
Species: CANINE Breed: MIX Provider: MW - Record: 163369 - Date: NOV 2 15 - Page: 13
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12.6 lbs 5.71 kgs
Presenting Problem(s)
PE/ NOT EATING BV JS ONLY 11/2 O CALLED TO R/S APPT FOR THIS TIME OKD TO SEE DR
MW
Labs - Antech - VET ALOE & OATMEAL SHAMPOO - SA030 Rec: NOV 3 15 08:05
CODE DESCRIPTION RESULT LOW HIGH STATUS
SA035 CBC **********
10 WBC 8.7 4.00 15.50
11 RBC 8.2 4.80 9.30
12 Hemoglobin 18.2 12.10 20.30
13 Hematocrit 56 36.00 60.00
14 MCV 68 58.00 79.00
15 MCH 22.2 19.00 28.00
16 MCHC 32.5 30.00 38.00
25 Platelet Count 177 170.00 400.00
26 Platelet EST Adequate
28" Rela Neutrophils 72 60.00 77.00
30" RelateBands 3.00
31" Rela Lymphocytes 19 12.00 30.00
32" Rela Monocytes 6 3.00 10.00
33" Rela Eosinophils 3 2.00 10.00
34" RelateBasophils 1.00
41 Absolute Neutrophils 6264 2060.00 10600.00
43 Absolute Bands 300.00
44 Absolute Lymphocytes 1653 690.00 4500.00
45 Absolute Monocytes 522 840.00
46 Absolute Eosinophils 261 1200.00
47 Absolute Basophils 150.00
Species: CANINE Breed: MIX Provider: MW - Record: 163369 - Date: NOV 2 15 - Page: 14
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12.6 lbs 5.71 kgs
Labs - Antech - VET ALOE & OATMEAL SHAMPOO - SA030 Rec: NOV 3 15 08:05 continued---
11067 Comment
Treatments
ITEM NO DESCRIPTION DATE TIME INI
12017 VET SCREEN/CBC
Serum, Lavender
Presenting Problem(s)
V/LOSS BM'S AND ODD COLOR
VOMITUS HAS BILE AND MAYBE BLOOD
(O BROUGHT IN PAPER TOWEL WITH V-- LOOKS LIKE THE COLOR OF BILE)
LETHARGY
ANOREXIA
Exam Detail
BODY SYSTEM STATUS FINDINGS
EENT: Normal DDZ; EARS-DISCHARGE; N FUNDICS
PLN: Normal WNL
H/L: Normal 200 120 HR, REG, NM, S/S FP, C AND E, RR NR
ABD: Normal B-9
UG: Normal F/S
M/C
MSI: Normal OVERWGHT
NEURO: Normal
Normal
Normal
Notes
Charges
ITEM DESCRIPTION QTY DATE STATUS
Treatment Notes
O DECLINES ATH FOR FLUID RX AND ABD RADS AND SUPPORTUVE CARE
CBC SMA
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: JAN 31 16 - 12:01pm REGO PARK, NY 11374
Record No: 170556 212-363-0232
Provider: ALPHY CORNIELLE
Patient: ANGEL
Species: CANINE Breed: MIX Provider: - Record: 170556 - Date: JAN 31 16 - Page: 15
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12.6 lbs 5.71 kgs
Presenting Problem(s)
nail trim, as per o nail is split but not too deep. srp
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: AUG 12 16 - 5:19pm REGO PARK, NY 11374
Record No: 187000 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 187000 - Date: AUG 12 16 - Page: 16
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12.5 lbs 5.67 kgs
Presenting Problem(s)
PE-check ears Dr. JS only FM
Exam Summary
12 lb 8 oz
t= 100.6
mm pk
mild dental dz
ou clear
ad clean
as erythematous and swollen
mild yeast
H&L no murmur
lungs clear
abd wnl
bcs 5/9
hydrarionok
Notes
otitis
Charges
ITEM DESCRIPTION QTY DATE STATUS
21012 MOMETAMAX 15G 1.00 AUG 12 16 Accepted
Treatment Notes
clean ear
reck in one week
may need oral meds
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: APR 20 17 - 10:15am REGO PARK, NY 11374
Record No: 209197 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 209197 - Date: APR 20 17 - Page: 17
Gender: M Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12.5 lbs 5.67 kgs
Presenting Problem(s)
follow up / check anal area - JS ONLY - nail trim . bv
Exam Detail
BODY SYSTEM STATUS FINDINGS
Eyes Normal
Otic Normal
Oral Normal
Cardio/Resp Normal
Integument Normal
GI Normal
Temp and BP Normal
Neuro Normal
Other Signific Normal
Presenting Problem(s)
doing well
Exam Summary
Temperature: 102.1
bcs 5/9
hydration ok
Exam Detail
BODY SYSTEM STATUS FINDINGS
Oral Normal mmpk
teeth broken upper pm4 severe gingivitis
EENT Normal AU clean
OU clear
no nasal/ocular d/c
H&L Normal heart no murmur
lungs clear
ABD Normal wnl
INTEGUMENT Normal left flank 1mm diameter dermal mass
MS/NEURO Normal wnl
UG Normal mi
both test desc
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 209200 - Date: APR 20 17 - Page: 18
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.6 lbs 6.17 kgs
Notes
dental dz
Charges
ITEM DESCRIPTION QTY DATE STATUS
Treatment Notes
meds disp:
vaccines:
o will come back for vaccines since dog did not eat today
anal glands from outside palpation feel minimally full
no redness or swelling or pain
trim dewclaws
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: MAY 4 17 - 11:19am REGO PARK, NY 11374
Record No: 210503 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 210503 - Date: MAY 4 17 - Page: 19
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.6 lbs 6.17 kgs
Presenting Problem(s)
VAX- VH
Exam Summary
Weight: 13.75#
Temperature: 101.4
Exam Detail
BODY SYSTEM STATUS FINDINGS
Oral Normal mm
teeth
EENT Normal AU
OU
no nasal/ocular d/c
H&L Normal heart
lungs
ABD Normal
INTEGUMENT Normal
MS/NEURO Normal
UG Normal anal glands minimally full
Notes
healthy
Charges
ITEM DESCRIPTION QTY DATE STATUS
Treatment Notes
meds disp:
vaccines:
rv right rear sq 3year
merial imrab 3tf ser# 18304 exp 06jul 17
da2pp left rear sq 3 year
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: JUN 16 17 - 5:42pm REGO PARK, NY 11374
Record No: 214615 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 214615 - Date: JUN 16 17 - Page: 20
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.6 lbs 6.17 kgs
Presenting Problem(s)
PE-limping Dr. JS only FM
Exam Summary
Temperature: 101
weight: 14.4 lbs
Exam Detail
BODY SYSTEM STATUS FINDINGS
Oral Normal mm
teeth
EENT Normal AU
OU
no nasal/ocular d/c
H&L Normal heart
lungs
ABD Normal
INTEGUMENT Normal
MS/NEURO Normal
UG Normal
Charges
ITEM DESCRIPTION QTY DATE STATUS
70043 RIMADYL 25 MG TABLETS/CHEW 1.00 JUN 16 17 Accepted
Treatment Notes
meds disp:
vaccines:
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: SEP 1 17 - 11:55am REGO PARK, NY 11374
Record No: 222260 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 222260 - Date: SEP 1 17 - Page: 21
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.6 lbs 6.17 kgs
Presenting Problem(s)
Check right ear and mole on back area. am (Dr. JS only)
Exam Summary
wt 14 # 2oz
t 101
mm pk
upper pm4 cracked pm4 right
mod dental dz
as outer red canal and selling
inside no debris
left rthoax 2mm diameter dermal mass
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: SEP 28 17 - 11:49am REGO PARK, NY 11374
Record No: 224450 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 224450 - Date: SEP 28 17 - Page: 22
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.6 lbs 6.17 kgs
Presenting Problem(s)
recheck & bloodwork. js only. PS
Exam Summary
Weight: 13.8#
Temperature: 100.2
bcs 5/9
hydrationok
Exam Detail
BODY SYSTEM STATUS FINDINGS
Oral Normal mm pk
teeth upper pm 4 cracked mild dental dz
EENT Normal As erytthematous adn swollen and yeasty
ad clean
OU clean
no nasal/ocular d/c
H&L Normal heart no murmur
lungs clear
ABD Normal wnl
INTEGUMENT Normal left rear paw between digits 3 and 4
MS/NEURO Normal wnl
UG Normal mi
both test desc
Notes
otitis
dental dz
Charges
ITEM DESCRIPTION QTY DATE STATUS
Treatment Notes
meds disp:
vaccines:
clean ears gently
start on pred taper
do not clean until monday and then start meds
reck in one week
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: OCT 6 17 - 12:49pm REGO PARK, NY 11374
Record No: 225272 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 225272 - Date: OCT 6 17 - Page: 23
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.6 lbs 6.17 kgs
Presenting Problem(s)
RE√ DR JS ONLY PQ
Exam Summary
Temperature: 100.4
Ears seems to be bothering Angel less. Legs biting has decreased. Switched to
merrick- chicken and sweet potato.
Exam Detail
BODY SYSTEM STATUS FINDINGS
Oral Normal mm
teeth
EENT Normal AU
OU
no nasal/ocular d/c
H&L Normal heart
lungs
ABD Normal
INTEGUMENT Normal
MS/NEURO Normal
UG Normal
Charges
ITEM DESCRIPTION QTY DATE STATUS
72136 TRIZ EDTA 4 0Z 1.00 OCT 6 17 Accepted
Treatment Notes
meds disp:
vaccines:
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: MAY 4 18 - 12:38pm REGO PARK, NY 11374
Record No: 243370 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 243370 - Date: MAY 4 18 - Page: 24
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.9 lbs 6.30 kgs
Presenting Problem(s)
pe, check growth on tail. ps
Exam Summary
Wt. - 12 lbs. 11 oz.
Temperature: 101.4 F
BCS 5/9
HYDRATIONOK
Exam Detail
BODY SYSTEM STATUS FINDINGS
Oral Normal mm PK
teeth MILD TARTAR
UPPER RIGTH PM SLBA FX
EENT Normal AU CLEAN
OU CLEAR
no nasal/ocular d/c
H&L Normal heart NOMURMUR
lungs CLEAR
ABD Normal WNL
INTEGUMENT Normal DERMAL MASS AT BASE OF TAIL
MS/NEURO Normal WNL
UG Normal MI
BOTH TEST DESC
Notes
Charges
ITEM DESCRIPTION QTY DATE STATUS
Treatment Notes
meds disp:
vaccines:
ASPIRATE MASS ON TAIL
SEB ADENOMA
NO NEED TO SEND IN
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: OCT 4 18 - 11:38am REGO PARK, NY 11374
Record No: 257571 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 257571 - Date: OCT 4 18 - Page: 25
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 12.11 lbs 5.49 kgs
Presenting Problem(s)
pe, scratching the ear. DO
o called to r/s for this day and time-ma 9/28 @ 839 o called to r/s appt for this
day & time w/ DR JS ONLY 212 363 0232 PQ
Exam Summary
Weight: 12.6#
Temp: 100.6
mm pk
upper right slab fx
mod dental dz
as swollen and mild redness and some lichenification
mild yeast
ad mod yeast no swelling
ou clear
H&L no murmur
lungs clear
abd wnl
bcs 5/9
hydration ok
Notes
Charges
ITEM DESCRIPTION QTY DATE STATUS
72136 TRIZ EDTA 4 0Z 1.00 OCT 4 18 Accepted
14007 DR. SMITH/KOO 1.00 OCT 4 18 Accepted
Treatment Notes
clean ears
trim nails
o has posatex au sid for 2 weeks
disp triz with keto
clean au eod for 2 weeks
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: MAR 5 19 - 11:59am REGO PARK, NY 11374
Record No: 270206 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 270206 - Date: MAR 5 19 - Page: 26
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.06 lbs 5.92 kgs
Presenting Problem(s)
PE- discharge from penis- seems reddish- BH JS ONLY
Exam Summary
W-13.06
T-101.5
mm pk
upper right arcade pm3 and 4 gum recession with ging and root exposure
upper left pm4 heavy tartar adn gum recession with infection
ad mild yeast
as clean
ou clear
H&L no murmur
lungs clear
abd wnl
mi both test desc
rectal enlarged symmetrical prostate non painful
mass at right perirectal area app 1cm diamtere
Species: CANINE Breed: MIX Provider: JS - Record: 270206 - Date: MAR 5 19 - Page: 27
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.06 lbs 5.92 kgs
Treatments
ITEM NO DESCRIPTION DATE TIME INI
12016 URINALYSIS TO ANTECH
Urine VIA CYSTO
12007 CYTOLOGY
SLIDE
MASS AT RIGTH SIDE OF RECTUM DORSALLY
SQ APP 31CM DIAMETER
Charges
ITEM DESCRIPTION QTY DATE STATUS
Treatment Notes
u/s of bladder and prostate
cystic areas of prostate
bladder nomasses noted
no stones noted
advise o consider dental and neuter +/- mass removal pending cytology
fna of perirectal mass
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: JUN 4 19 - 11:53am REGO PARK, NY 11374
Record No: 277006 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 277006 - Date: JUN 4 19 - Page: 28
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.06 lbs 5.92 kgs
Presenting Problem(s)
PE - Mass on rectum has grown.
Doesn't seem to be bothering "Angel". O is unsure about sx because of age. -KS
Exam Summary
wt13# 12oz
t 101.8
mm pk
lower left lip seb adenoma
severe dental dz uper pms upper right pm cracked
ou clear
au clean
H&L no murmur
lungs clear
abd wnl
bcs 5/9
mi
both test desc
large perianal mass at 12 to 3 o'clock area(previou aspirate perainal adenoma)
Notes
perianal adneoma
cystic mass on lip
dental dz
Charges
ITEM DESCRIPTION QTY DATE STATUS
01001 EXAMINATION CANINE 1.00 JUN 4 19 Accepted
14007 DR. SMITH/BH 1.00 JUN 4 19 Accepted
Treatment Notes
can compress cystic lip mass
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: DEC 5 19 - 12:25pm REGO PARK, NY 11374
Record No: 290264 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 290264 - Date: DEC 5 19 - Page: 29
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.06 lbs 5.92 kgs
Presenting Problem(s)
DR JS ONLY EXAM PER O √ GROWTH ON BACK AREA (ITS BIGGER) & √ HIND LEGS / LIMPING
POSS XRAYS PQ
left rear limping for 1 day
now resolved
Exam Summary
wt 13.10
t 101.8
o says growth on right hind leg is bigger p was limping p is eating and drinking
stool is good
mm pk
severe dental dz esp at upper pms
some teeth chattering
ou clear
au clean
H&L no murmur
lungs clear
abd wnl
large mass at 1.5 inch diameter at right side of dorsal perianal area lobulated
mi
both test desc
Charges
ITEM DESCRIPTION QTY DATE STATUS
01001 EXAMINATION CANINE 1.00 DEC 5 19 Accepted
03011 NAIL TRIM 1.00 DEC 5 19 Accepted
14007 DR. SMITH 1.00 DEC 5 19 Accepted
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: FEB 20 20 - 12:09pm REGO PARK, NY 11374
Record No: 295070 212-363-0232
Provider: DR.CAROLINA MONTOYA
Patient: ANGEL
Species: CANINE Breed: MIX Provider: CMO - Record: 295070 - Date: FEB 20 20 - Page: 30
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.06 lbs 5.92 kgs
Presenting Problem(s)
exam, soft stool GA
Exam Summary
Main Complaint: bump on tail
eating rice and turkey
owner changed foo recently and started getting soft stool
v/c/s/d: none
Prevention:
Medication:
BAR, Euhydrated, BCS: 5/9 MCS: 3/3 MM: pink/ moist CRT:< 2 sec
T:13.4
wt:101.8
Exam Detail
BODY SYSTEM STATUS FINDINGS
EENT Not Checked clean Au
clear no dc OU
no nasal dc
severe dental calculus on M bilateral, and some gingivitus
Cardio/Resp Not Checked no hm , no arrhythmia
clear eupeniec
Abdomen Not Checked soft normal non pianful
MSK Not Checked ambx 4
Neuro Not Checked wnl
Integument Not Checked perinanal adenoma on right side of anus, not obstructing the
rectum
can feel prostate easily during rectal
anal gland soft and easily expressibly left side and right side
was
empty
LN Not Checked no pln
U/G Not Checked
Charges
ITEM DESCRIPTION QTY DATE STATUS
01001 EXAM CANINE 1.00 FEB 20 20 Accepted
14061 DR. MONTOYA 1.00 FEB 20 20 Accepted
Treatment Notes
A:
perianal ademona right side
PDD grade 3
P:
exam
nt
Patient: ANGEL
Species: CANINE Breed: MIX Provider: CMO - Record: 295070 - Date: FEB 20 20 - Page: 31
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.06 lbs 5.92 kgs
Charges continued---
regulate diet keep same, chicken turkey and rice and or baby food , if tstool regulates then
most likely food related
offered bw to do today, if stool abnormal and hes cocnerned with it can do AUS
interespted in doing dental procedure in future
ASTORIA VETERINARY GROUP Medical Records Report
23-54 Steinway Street
Astoria, NY 11105 Patient: ANGEL
718 777 0100 ORESTE TORRES
92-29 QUEENS BOULEVARD APT 5C
Exam Date: FEB 25 20 - 4:38pm REGO PARK, NY 11374
Record No: 295437 212-363-0232
Provider: JODIE SMITH DVM
Patient: ANGEL
Species: CANINE Breed: MIX Provider: JS - Record: 295437 - Date: FEB 25 20 - Page: 32
Gender: MI Color: GOLDEN/WHITE DOB: DEC 13 09 Age: 4 Yrs 7.5 Mns Weight: 13.06 lbs 5.92 kgs
Presenting Problem(s)
exam, not eating as much , growth on Tail. GA