GRAYSON – A1114763

Brooklyn Center

Grayson A1114763, Stray, 8 Weeks Old, Male, Gray Tabby 1.3 lbs.

Medical::

06/09/17

DVM Intake Exam

Estimated age: 5weeks

Microchip noted on Intake? none

History :

Subjective:

Observed Behavior – docile, allows handling

Evidence of Cruelty seen – no

Evidence of Trauma seen – no

Objective

P = 180 R = 24 BCS 5/9

EENT: scant serous nasal d/c, moderate purulent d/c from eyes, mild conjunctivitis, mild dark aural d/c from ears

Oral Exam: pink gums, deciduous dentition

PLN: No enlargements noted

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

ABD: Non painful, no masses palpated, slightly enlarged abdomen

U/G: MI, testicles palpable

MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, approx. 2cm area of mild crusting on L ventral abdomen

CNS: mentation appropriate – no signs of neurologic abnormalities

Assessment

URI with conjunctivitis

suspect for ringworm- wood’s lamp positive

AU: r/o ear mites

Plan

tresaderm AU BID x14

lime dip 2x/week

DTM sample taken, if confirmed, add on terbinafine PO

doxycyline 50mg/ml: 0.15ml PO SID x10days

erythromycin OU BID x10days

Prognosis: good

SURGERY:

Temporary waiver due to underage, URI, ringworm

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