MINDY – A1107611
Safe - 4-6-2017 Manhattan
[email protected] and they will help answer any questions you may have.
MINDY – A1107611
SPAYED FEMALE, BLACK / BROWN, YORKSHIRE TERR MIX, 6 yrs
OWNER SUR – EVALUATE, HOLD FOR ID Reason PET HEALTH
Intake condition DISEASE Intake Date 04/01/2017, From NY 10029, DueOut Date 04/01/2017
Medical Behavior Evaluation BLUE
Medical Summary Friendly but nervous, allows handling Scan positive BAR, shaking Deep divit center cornea OD that takes up only very faint stain, clear OS, yeasty AU, nndc OP 2/4 tartar PLN wnl H/L reg, no obvious murmur but shaking a lot, ssp, lungs clear/eupenic, no coughing or sneezing ABD snp MSK amb x 4, grade 2/4 medially luxated patella left hind limb Integ generalized severe thicekened tissue/lichenification, alopecia, looks like dried white/grey calcified scabbing, not itchy BCS 3/9 UG f/s, has green tattoo Neuro alert and appropriate A:Dermatitis-looks like demodex vs. less likely sarcoptic mange (not itchy) vs. immune-mediated disease vs. other Desmetocele (deep corneal ulcer) right eye Yeasty otitis externa AU P:Stained right eye-faint uptake in divit center cornea Hold on skip scrape-will start treatment for mites (ivermectin will get demodex and sarcoptic mange) and antibiotics for secondary pyoderma Gave ivermectin 1% solution-2 units PO once today Continue ivermectin and increase to 100 mcg/kg PO SID on 4/2, 150 mcg/kg PO SID on 4/3, 200 mcg/kg PO SID 4/4, 300 mcg/kg PO SID 4/5, 400 mcg/kg PO SID 4/6, 500 mcg/kg PO SID 4/7, 600 mcg/kg PO SID 4/8 until skin has completely healed Monitor for neuro signs/ivermectin toxicity for first 7 days of treatment Start clavamox drops PO BID x 14 days Start TAB opthalmic ointment BID x 14 days, recheck eye in 2 days Start otobiotic BID x 14 days If eyes not getting better, recommend NH so can see ophthalmologist Fair prognosis for desmetocele, consider starting serum Good prognosis for skin but will take time
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