JULIEN – A1113054
Safe - 5-27-2017 Brooklyn
SAFE 5/27/17 —- 6-Week Old Kitten – JULIEN – at BACC! With Small Corneal Ulcer Needs You!
Brooklyn Center
Julien A1113054 – 6 week female brown tabby:
05/24/17
DVM Intake Exam
Estimated age: 6 weeks.
Microchip noted on Intake? No.
History : Stray kitten, no medical concerns noted except for eye lesion.
Subjective:
Observed Behavior – Shy and fearful. Allows all handling.
Evidence of Cruelty seen – No.
Evidence of Trauma seen – No.
Objective: BARH. mm=lt pink, moist, CRT<2 s. HR>240, RR=24. BCS=4/9.
ORAL: All deciduous teeth erupted, no oral lesions.
EENT: OS – small superficial corneal scratch with neovascularization visible ventrally. No discharge or chemosis. No nasal discharge or sneezing
PLN: No enlargements noted.
H/L: Lungs clear, no murmurs/arrhythmias, no dyspnea.
ABD: Non painful, no masses/organomegaly palpated.
U/G: Female.
MSI: Ambulatory x 4, no lameness. Small scabbed abrasion on left upper lip. Otherwise full, dirty haircoat. No fleas.
CNS: Mentation appropriate – no signs of neurologic abnormalities.
A: Approx. 6 week old kitten with small corneal ulcer, likely secondary to trauma such as a scratch or foreign material injuring eye.
P: Applied erythromycin ointment. Continue BID x 7 days.
Offered food – excellent appetite.
Excellent prognosis. Rec. placement.
Temporary waiver from OVH surgery due to young age.
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