ZORRO – 21128

ZORRO – 21128

Care Center Location: Staten Island,  ZIP Code From: 10301,  Intake Type: Stray

Medical Behavior: Blue  ,  Age: 2 years,  Sex: Male,  Weight: 76 lbs

DVM Intake Exam; Estimated age: 2 years; History : stray; Subjective: Observed Behavior – friendly; Objective ; BCS 5/9; EENT: Eyes clear, AU- severe erythema, thickening, tan debris, no nasal or ocular discharge noted; Oral Exam: minimal dental calc; PLN: No enlargements noted; H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic; ABD: Non painful, no masses palpated; U/G: MI, 2 descended testicles; MSI: Ambulatory x 4, skin free of parasites, no masses noted, erythema and mild swelling in interdigital area, alopecia and crusting at head, neck, and dorsum; CNS: Mentation appropriate – no signs of neurologic abnormalities; Assessment; severe otitis externa; dermatitis- R/O underlying atopy vs food allergy vs mites vs other; Prognosis: good; Plan: skin scrape: negative; applied osurnia, repeat in 1 week; start simplicef 250 mg PO SID x 2 weeks; start diphenhydramine 50 mg PO BID x 2 weeks; SURGERY: Okay for surgery

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