GARY – A1114785

Brooklyn Center

Gary A1114785, 6 Weeks Old, Gray and White DSH, Male, 1.5 lbs, Stray 06/09/17

Medical::

06/09/17:

Scanned negative

FELV/FIV negative

QAR – may be mildly dehydrated. Prefers resting to exploring, a bit listless. Allows all handling

M~ 6 weeks

Eating on own.

Mildly underweight for frame

Ears waxy – cleaned, no sign of ear mites

Eyes, nose, throat clear

Teeth white – gums slightly pale.

**patches of alopecia behind ears, at shoulders, along hind legs. No lesions seen – strongly urge scan with Woods Lamp**

Coat dirty and bedraggled – flea dirt and fleas seen. Alopecia due to FAD?

Ambx4

NOSF

06/10/17:

DVM Intake Exam

Estimated age: 6weeks

Microchip noted on Intake? no

History : stray

Subjective:

Observed Behavior – sweet kitten

Evidence of Cruelty seen – no

Evidence of Trauma seen – no

Objective

T = P = >200 R = 44 BCS 4/9

EENT: Eyes clear, ears clean, no nasal discharge noted

Oral Exam: deciduous dentition

PLN: No enlargements noted

H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic

ABD: Non painful, no masses palpated

U/G: male intact

MSI: Ambulatory x 4, admitted with fleas, rough dirty haircoat, area of alopecia on medial portion of RFL at carpus – Woodslamp positive over limbs, ventrum, top of head

CNS: mentation appropriate – no signs of neurologic abnormalities

Rectal:

Assessment

demratophytosis

underage

underweight

Plan

woodslamp positive

DTM culture

lime sulfur dip 2x week for 4-6 weeks

0.7ml Terbinafine SID x 14days, then extend for an additional 14-28days

recommend recheck DTM in 2 weeks

Prognosis:

good

SURGERY: Temporary waiver due to underage and deramtiphytosis

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