GIZMO – 20944
Safe - 2-20-2018 Manhattan
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GIZMO – 20944
Care Center Location: Manhattan; ZIP Code From: 10473
Intake Type: Owner surrender ; Medical Behavior: Blue; Age: 10 years ;
Sex: Neutered male; Weight: 17 lbs
DVM Intake Exam: Estimated age: Reported 10 years old – exam is consistent with this. Microchip noted on Intake? Scanned POSITIVE on intake History : Surrendered, was presumed healthy but hadn’t seen a vet in a few years Subjective: Vocalizes when left alone. Alert. Observed Behavior – Allows most handling but evades eye and ear exam. Objective: BAR-H, MMs pink and moist, BCS 7/9 EENT: Mucoid ocular discharge OU, immature cataract in OD. Ears clean, no nasal or ocular discharge noted. Oral Exam: Moderate tartar. PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated. U/G: Male neutered. MSI: Seborrhea sicca on dorsum. Ambulatory x 4, skin free of parasites, no masses noted. CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: Normal externallyAssessment: 1. Dental disease 2. Mucoid ocular discharge OU – R/O allergies vs. KCS vs. other 3. Seborrhea – R/O allergies vs. poor nutrition vs. other cause. 4. Overweight. Prognosis: Good Plan: 1. Recommend dental cleaning 2. Clean eyes and do Schirmer tear test – if negative, try a course of Benadryl 3. Recommend weight loss of 2-5 lbs and fatty acid supplementation 4. If seborrhea does not resolve, rec consult with dermatologist
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