CLIENT INFORMATION: PATIENT CHART

Name: Iuiri (Yuri) Amazonas Spouse:

Address: 613-5112 Elbow Dr SW
, Balance: $ 0.00
Phone: H: (587) 435-7409 W: ( ) - ext:

PATIENT INFORMATION:
Name: Maya
Sex: FS Species: Feline
Birthday: 08/30/2018 Breed: American Shorthair
ID B Age: 4 years and 1 month old
Color Grey Rabies Tag:
Weight: 4.28kg.
REASON FOR VISIT: _____________________________________________________________________________
Reminders for: Maya Last Done
Rabies
FVRCP
Leukemia
Annual Exam - Feline
Panleukopenia
Senior Wellness Exam
Dental

MEDICAL HISTORY:
Date By Code Description Qty Amount
History, Physical Exam Findings, Assessment, and Recommendations

Performed: 09/14/2022
OBSERVATIONS:
History
Record from Shaker Square AH in Cleveland, OH from Apr 8&9/19 for anorexia - no work up and treated with SQ
fluids, vit b12 and mirtazapine.
She had FVRCP and Rabies in 2019 at South Euclid Humane Society
Yuri is in.They are moving back to Brazil in November.

Any vomiting - no
Appetite - normal
Diarrhea/normal bowel movement - no
Change in energy level - no
Coughing/breathing change -no
PU/PD - no
Litter box habits - normal
Itch/licking - no
Lump - no
Limp - no
Diet - Friskees and Whiskas.
Ongoing Medications - none
Supplements - no
Travel/hike/camp - no
Daycare/kennel/groom - no
New medical conditions - no

Patient Physical Examination

Maya is a very gentle girl.
Temperature: 38.2 (normal=38.0 - 39.5 C)
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Heart Rate: 210 (normal dog=70 - 120, normal cat=120 - 140)
Respiration: Sniffing (normal dog=18 - 34, normal cat=16 - 40)
Body Condition:
Your pet's body condition and weight are a bit heavy. 6/9
Ears: Both the ear canal and pinna are normal.
Eyes: Your pet's eye(s) are normal. The eyeball, eyelids and associated structures appear normal. Your pet
appears to have normal vision.
Nose/Throat: Your pet's nose and throat are normal. Air flows freely through nostrils, no discharge is noted and
there are no difficulties with vocalizing or swallowing.
Mouth/Teeth/Gums: 207 has a resorptive lesion with gum coming onto the crown. Slight tartar otherwise.
Lymph nodes/Thyroid gland: Your pet's external lymph nodes (submandibular, pre-scapular, axillary and
popliteal) all palpate normally.
Musculoskeletal: Your pet's muscles are in good condition. The skeleton is observed to be normal with no
lameness noted.
Nervous System: Your pet's nervous system is normal. There are no observable defects in the nerves, spine
cord or brain function.
GI/Abdominal Palpation: Your pet's abdominal palpation is normal. This means the kidneys, intestines, liver
and other abdominal organs that are palpable are normal (no masses, lumps, fluid, pain).
Heart/Cardiovascular: Your pet's heart is normal. The heart sounds are clear with no murmurs or arrhythmia
heard. The pulses are normal.
Lungs/Trachea: Your pet's lungs sound normal with no fluid, crackles or wheezes. The trachea sounds normal
and palpates normal.
Skin/Haircoat: Your pet's haircoat and skin are normal. The fur is shiny with a soft texture. There are no signs
of parasites or inflammation of the skin.
Urinary/Reproductive: Your pet's urogenital system is normal. The urinary system is functioning normally.
The reproductive organs examined are normal.

FINDINGS:
Developing resorptive lesion of 207.
A bit heavy, but otherwise healthy and OK to vaccinate.

RECOMMENDATIONS:
The dental process was reviewed. We will call you after the dental x-rays and oral exam are completed (while
they are under anesthesia) and let you know what the concerns are and treatment for the dental disease would be.
Would not do anything unless you told us it was OK to do so.
The anesthesia risk was reviewed and is expected to be low.

Increase the exercise and decrease food intake by 15% to help with weight loss.

Alprazolam 0.5 mg - Give 1/2 to 2 tablets 1 hour before leaving for the airport. Try the dose at home first. Start at the
low end of the dose and titrate up. This may make them sleepy. Rarely hyperactivity or aggression can occur.

Kent Morley vaccinated and reviewed reactions:

Vaccines may cause tenderness over the site of injection, decreased appetite or energy for 24-48 hours. If you are
seeing more than this or you note swelling of the face which can be seen up to 4 hours after vaccination, please call
us or contact the CARE Centre at 403-520-8387 if we are closed.
Felocell 3 left hind leg ser 538725B exp06/06/23
Defensor 3 SQ over the right hind leg ser 581525 exp12/09/23

Kent Morley, DVM

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For any questions on Maya's health, please call the clinic.

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