SMOKEY PORKCHOP – 19017

DVM Intake Exam

Estimated age:2-3y
Microchip noted on Intake?n
Microchip Number (If Applicable):

History : previous o stated cat was “running in circles and hitting his head”. cat has severe ear mites/otitis so this may be the cause but another neuro episode is possible

Subjective:

Observed Behavior -friendlt and social until ear cleaning, this began resisting and hissing

Evidence of Cruelty seen -n

Evidence of Trauma seen -n

Objective

T =
P =160
R =wnl
BCS 6/9

EENT: Eyes clear, au old scarred hematomas and otitis-no ear mites seen but they were probably source of otitis. no nasal or ocular discharge noted
Oral Exam:clean teeth
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G:2 testes
MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat
CNS: Mentation appropriate – no signs of neurologic abnormalities

Assessment: chronic otitis/ear mites and old hematomas

Prognosis:good

Plan:ivermectin 0.15ml sq given
rx ear cleaning and tresaserm

if other “episodes” occur like o described, neuro causes should be examined

SURGERY:
Okay for surgery