ALFREDO – 35823
Safe - 7-29-2018 Brooklyn
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SAFE 07/29/18
ALFREDO – 35823
Care Center Location: Brooklyn, ZIP Code From: 11208, Intake Type: Stray
Medical Behavior: Green, Age: 8 years, Sex: Male
Weight: 12 lbs
DVM Intake Exam; Estimated age:8-10y; Microchip noted on Intake?n; History :stray; Subjective:severe malasezzia dermatitis and otitis, typical KCS signs; Observed Behavior -docile allows all handling; Objective ; T =; P =60; R =wnl; BCS 5/9; EENT: OU thick ropey purulet dc, hyperpigmented corneas, au hyperkeratosis, dc; Oral Exam:heavy tartar accumulation; PLN: smln enlargement; H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic; ABD: Non painful, no masses palpated; U/G:2 testes; MSI: Ambulatory x 4, skin thickened, strongly yeasty odor, erythematous, few moist lesion on dorsum, many on ventrum; CNS: Mentation appropriate – no signs of neurologic abnormalities; Rectal: Assessment: KCS (dry eye), severe malasezzia dermatitis and otitis, dental disease; Prognosis:good, but will require chronic care; Plan; clavamox 62.5 mg bid x 14 d; ketoconazole 50mg sid x 28d; malaseb baths long term; optimmune ou bid long term; tab ou bid x 10d; SURGERY: Permanent waiver due to skin, age
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