BOY BOY aka BRUCE WAYNE – 26357

BOY BOY aka BRUCE WAYNE – 26357

Location: Brooklyn; Intake Date: 4/27/18; Intake Type: Stray

Medical Behavior: Green; Sex: Male; Age: 8 years; Weight: 15 lbs

Original Location: 11207

DVM Intake Exam: Estimated age: 6-8yrs Microchip noted on Intake? no Microchip Number (If Applicable):  History: Stray Subjective: Dog is BARH Observed Behavior – immediately social and friendly despite severe eye problem (most likely has limited to no site), allows all handling with minimal restraint, relaxed body Evidence of Cruelty seen – yes (neglect of eye issue). Evidence of Trauma seen – no. Objective: T = NA P = 120 R = pant BCS 5/9 EENT: Eyes – bilateral exophthalmos, corneas are dry with crusted mucopurulent discharge (STT <5mm/min OU), ears – moderate erythema with yellow waxy discharge and lichenification, no nasal discharge noted. Oral Exam: Grade 1+/4 dental dz. PLN: No enlargements noted. H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic. ABD: Non painful, no masses palpated. U/G: male intact, both testicles descended. MSI: Ambulatory x 4, skin free of parasites, no masses noted, hair coat unkempt/matted   CNS: Mentation appropriate – no signs of neurologic abnormalities. Rectal: not performed Assessment: Exophthalmos and KCS OU; Otitis externa, AU  Prognosis: Good for general health; Poor for vision Plan: Adding LVT ACR to clean and medicate ears. Recommend rescue placement due to severity of ocular issue. Starting artificial tears – thin strip OU q12h (indefinitely). Recommend ophtho consult ASAP on placement.  SURGERY:  Okay for surgery

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