SUZY – 31381

SUZY – 31381

Care Center Location: Brooklyn; ZIP Code From: 11385; Intake Type: Owner

surrender; Medical Behavior: Blue; Age: 11 years; Sex: Female; Weight: 32 lbs

DVM Intake Exam: Estimated age: 11 years. Microchip noted on Intake? Yes   Microchip Number (If Applicable): 103 571 124  History : Owner surrender- cannot afford veterinary care  Subjective: BARH. No csvd.  Observed Behavior – Timid, but allows all handling Objective: P = wnl R = wnl BCS 4/9 EENT: Cataracts OU, moderately thickened and erythemic pinnae AU with mild ceruminous discharge, no nasal or ocular discharge noted Oral Exam: Severe dental/peridontal disease- bottom incisors and lower canines appear loose. PLN: No enlargements noted. H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: spayed female, no discharge MSI: Ambulatory x 4 with mild LHL lameness; Left back paw mild to moderately swollen, erythemic and painful, Ulcerative/moist dermatitis noted within interdigital space of LB paw. fur matted around all four paws, roughened haircoat CNS: Mentation appropriate – no signs of neurologic abnormalities  Rectal: normal externally. Assessment: 1) Geriactric 2) Cataracts 3) Otitis Externa 4) Severe dental disease 5) Matted fur 6) Swollen left back paw- r/o skin disease (allergies, less likely parasites, immune-mediated, neoplasia) vs migrating fb (and ensuing cellulitis) vs orthopedic disease (microfracture, luxation)  Prognosis: fair  Plan: Start Rimadyl 2.2mg/kg PO BID x 5 days Start Clavamox 13.75mg/kg PO BID x 7 days Start foot soaks in chlorhexidine BID x 5 days If no improvement, recommend radiographs   Seek NH placement

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