9/11/2018

[DVM Intake] DVM Intake Exam Estimated age: 5 weeks Microchip noted on Intake? No Microchip Number (If Applicable): Subjective: BAR Observed Behavior -Friendly, easy to handle, eating well Evidence of Cruelty seen -No Evidence of Trauma seen -No Objective T = P =200 bpm R =eup BCS 5/9 EENT: Eyes clear, mild wax AU, no nasal or ocular discharge noted Oral Exam: Clean deciduous dentition PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated, pot belly U/G: M/I MSI: Ambulatory x 4, live fleas and flea dirt, severe crusting, scabbing and hair loss generalized (all over body, ears, nose and limbs) CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Clean externally Assessment: High suspicion for ringworm (lesions all fluoresce with Woods lamp) Fleas Secondary pyoderma Prognosis: Good Plan: Pulled ringworm PCR to send to lab Pull DTM culture Start lyme dips bi-weekly Start itraconazole PO x 30 days to start Start Clavamox BID x 14 days Applied Frontline spray SURGERY: Temporary waiver due to medical condition

9/12/2018

S/O – pt QAR. EENT - Mild blepharospasm. Mild serous/mucoid ocular dis-charge. Resp – WNL and Eupnic A – URI (Moderate) P + Move to Isolation + Doxycycline 10mg/kg PO suspension SID for 14 days + Cerenia 1mg/kg SID SQ for 2 days + Gentamycin Oph Drops OU BID for 7 days + Re-check in 5 days for resolvement

9/14/2018

Ringworm PCR: POSITIVE for microsporum canis NEGATIVE for trichophyton A:Ringworm confirmed on PCR DTM culture pending P:Continue with current tx plan

9/14/2018

Ringworm PCR: Microsporum spp. POSITIVE Microsporum canis POSITIVE Trichophyton spp. NEGATIVE