PERIWINKLE – 14855

Brooklyn Center

Periwinkle 14855, 4 weeks, Black DMH, Male, 1 lbs. 2 oz., Stray 11/29/17

Medical:

DVM Intake Exam

Estimated age: 4 weeks
Microchip noted on Intake? negative
History : stray
Subjective: BAR, ~~5% dehydrated. Sneezing and congested and no interest in food.
Observed Behavior – very sweet. Easily handleable. Did well for all medical handling and procedures
Evidence of Cruelty seen – no
Evidence of Trauma seen – no

Objective
P = wnl
R = eupneic
BCS 3/9
EENT: Eyes have severe purulent d/c with severe chemosis, wiped globes clean but unable to fully assess globes due to chemosis-may be ruptured, ears clean, purulent nasal discharge
Oral Exam: kitten dentition, no oral lesions noted
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic with audibly upper resp congestion
ABD: Non painful, no masses palpated
U/G: MI
MSI: Ambulatory x 4, skin free of parasites, no masses noted, unkempt hair coat
CNS: mentation appropriate – no signs of neurologic abnormalities

Assessment:
Underage
URI
Severe conjunctivitis-possibly ruptured globes
Dehydration
Not eating
Fleas

Plan: Continue to monitor while at BACC
Move to medical for close monitoring
LRS 20ml/kg SQ once-may need more tomorrow
Start doxycycline 10mg/kg PO SID x10d until 12/9-first dose given
Start terramycin OU BID x10d untul 12/9-first dose given
Cleaned eyes

Prognosis: Fair

SURGERY: temporary waiver due to illness and underage

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