MAYLIN – A1107904

MAYLIN – A1107904

FEMALE, TAN / WHITE, YORKSHIRE TERR MIX, 8 yrs
STRAY – STRAY WAIT, NO HOLD Reason STRAY
Intake condition EXAM REQ Intake Date 04/04/2017, From NY 10451, DueOut Date 04/07/2017,

Medical Behavior Evaluation GREEN
Medical Summary DVM Intake Exam Findings History Subjective Observed Behavior – calm, wags tail Evidence of Cruelty seen – n Evidence of Trauma seen – n Objective P = 80 R = wnl BCS 5/9 EENT: severe eye disease–uncertain in kcs is inciting cause (eye actually very moist)or eyelid irritation–crusts cover lids–corneas are edematous and red, as aer sclera. neovasc. limited vision, removed crusty manually. AD painful lesion on pinna, crusty-ulcerative Oral Exam: severe dental disease, oligodontia PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: intact female, genital area has hyperheratosis MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Rectal: Assessment perioocular dermatitis with severe eye disease and otitis severe dental disease Plan otibiotic and TAB daily x 14 days recc eventual dental recommend derm consult to rule out allergenic or autoimmune cause of skin disease clavamox for teeth and skin
Weight 10.4

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