2/10/2018

DVM Intake Exam Estimated age: adult, ~ 1-2 yrs Microchip noted on Intake? scan negative Microchip Number (If Applicable): placed 981020023003739 History: stray, abandoned Subjective: BARH Observed Behavior - excited/ravenous appetite, allowed handling, but resists restraint (somewhat feral) Evidence of Cruelty seen - no Evidence of Trauma seen - no Objective P = tachy. R = wnl BCS 4/9 - ravenous appetite EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: nsf PLN: No enlargements noted H/L: tachycardic, gallop arrhythmia, CRT < 2; Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: intact male MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Assessment: poss. arrhythmia, underweight Prognosis: good - open Plan: rec' recheck heart rate/rhythm +/- gen BW if indicated SURGERY: Okay for surgery, recheck heart

2/12/2018

Brief recheck Day 1 vomiting, and eating vomit, reported on Monitoring Board on 2/11 during Rounds. p is BAR, no C/S/D, no URI signs, no vomit or nausea noticed in cage during exam, mm pink and moist, euhydrated. A: vomit one time today P: CTM if vomiting continues. If so, consider abdominal rads vs cerenia trial, and SQ LRS

2/15/2018

Tachycardia and intermittent gallop rhythm noted on intake; recheck to okay for sx S/O -QAR, docile and friendly, sweet boy! -good appetite -no nasal discharge or sneezing noted or reported -eupnic, clear lung sounds -no murmurs or arrhythmias noted, HR 120-140 -soft abdomen A 1. Previous gallop arrhythmia/tachycardia-suspect stress related on intake, appears resolved P -okay to neuter

2/18/2018

S/O -QAR, docile, good boy but seems slightly lethargic -good appetite -persistent soft sneezing, excessive serous nasal discharge -mm pk, sl tacky; mild hypersalivation -eupnic -neuter site healing well with no scrotal swelling or irritation A 1. URI P -move to isolation -submit resp PCR swab to Idexx -150 ml SQF SID x 3 days -cerenia 0.4 ml SQ SID x 2 days -suspect viral URI so will not add antibiotics unless PCR positive for mycoplasma, mucoid nasal discharge develops or course is noted to be prolonged/severe

2/20/2018

Diagnosed with URI but was suspected to be viral so no antibiotics added yet, resp PCR panel pending S/O -QAR -good appetite -mucoid nasal discharge, nasopharyngeal congestion -OU: mild blepharospasms -eupnic A 1. URI, possibly bacterial P -add doxycycline 0.8 ml PO SID x 10 days

2/22/2018

Respiratory PCR panel positive for active herpesvirus infection S/O -QAR, docile and allows handling, mews a lot -moderate appetite -mm pk, tacky -significant nasopharyngeal congestion -OU: mild blepharospasm -eupnic A 1. URI, herpesvirus P -d/c doxycycline -LRS 100 ml SQ SID x 3 days -cerenia 0.4 ml SQ SID x 2 days -nebulize SID x 4 days -recheck in 3 days