FOXY – A1113620
Safe - 6-3-2017 Staten Island
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FOXY – A1113620
MALE, RED, SHIBA INU, 8 yrs
OWNER SUR – RESCUEONLY, NO HOLD Reason PERS PROB
Intake condition GERIATRIC Intake Date 06/02/2017, From NY 10301, DueOut Date 06/02/2017,
Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Estimated age: 8 years Microchip noted on Intake? scan negative History : owner surrender; history of chronic skin condition, discharge from eyes, and bloody diarrhea if he eats dog food Subjective: Observed Behavior – tolerated exam well Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective BCS 4/9 EENT: OU- corneal opacity, vascularization, green mucoid dicharge, conjunctival hyperemia, normal to delayed menace response; AU- erythema, swelling, tan debris; no nasal discharge noted Oral Exam: mild/moderate dental calc PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MI, 2 descended testicles MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: wnl, no blood on glove Assessment severe dermatitis- R/O atopy vs food allergy vs mites vs other otitis externa keratoconjunctivitis- R/O KC vs other Plan STT: 0 OU skin scrape: negative cleaned ears and applied osnuria, repeat in 1 week start simplicef 50 mg PO SID x 4 weeks start prednisone 5 mg PO BID x 5 days, then 5 mg PO SID x 5 days, then 5 mg PO EOD x 5 doses feed z/d diet only Prognosis: fair SURGERY: Temporary waiver due to dermatitis
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