OREO – A1111607
Urgent - Brooklyn
SUPER URGENT 05/18/2017
OREO – A1111607
FEMALE, BLACK / WHITE, JACK RUSS TERR, 9 yrs
OWNER SUR – EVALUATE, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 05/18/2017, From NY 11207, DueOut Date 05/21/2017,
Medical Behavior Evaluation BLUE
Medical Summary Estimated age: 9 yrs Microchip noted on Intake? No. Brought in by owner. Has had chronic skin problems and allergies, owner unable to financially handle the skin condition at this point. Has been on Cephalexin and Apoquel, but no recent veterinary records or exam findings presented. Shy, trembling, allows all handling. Evidence of Cruelty seen – No. Evidence of Trauma seen – No. Objective: QARH. mm=pink, moist, CRT<2 s. HR=116, RR=20. BCS=4/9. ORAL: Mild calculus. EENT: No oculonasal discharge. Mild crusting AD, minimal discharge. PLN: No enlargements noted. H/L: Lungs clear, no murmurs/arrhythmias. ABD: Non painful, no masses/organomegaly palpated. U/G: Female, unable to determine if spay scar is present due to skin disease. MS: Ambulatory x 4, no lameness. INTEG: Multiple areas with hair loss, marked erythema, crusting, scabbing, papules and pustules along ventral neck, axillae, ventral thorax and abdomen. Also has small scabs on dorsum fof head, patchy thin fur over dorsum of thorax with crusting. Dorsum of distal limbs and all four paws – erythema, mild swelling, slight moisture. NEURO: WNL. A: Chronic dermatitis, superficial and deep pyoderma. DDx: allergic skin disease (food, atopy), immune mediated skin disease, MRSPI, other. P: Administer Convenia 80 mg/ml 0.6 ml SQ. Rec. placement and continued workup including: skin biopsy, culture/sensitivity, possible allergy testing. Fair prognosis. Permanent waiver from OVH surgery due to age and chronic skin condition.
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