11/3/2017

[DVM Intake] DVM Intake Exam Estimated age: 12 weeks Microchip noted on Intake? n History : stray Subjective: Observed Behavior -qar Evidence of Cruelty seen -n Evidence of Trauma seen -n Objective T = P =200 R =wnl BCS 4/9 EENT: OS sealed shut with dc, heavy nasal dc Oral Exam: wnl PLN: right SMLN very enlarged H/L: NSR, NMA, 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 Assessment uri/conjunct Prognosis:good Plan:doxy 10mg/kg, erythromycin SURGERY: Temporary waiver due to uri

11/6/2017

Swelling along R mandible noted by ACS S/O -QAR, somewhat unsocialized but allows handling -mm pk, sl tacky; no obvious gingival abnormalities along R side -firm, approx 1 inch in diameter SQ swelling to R of mandible; feels too superficial to be lymph node -mild mucoid nasal discharge -eupnic -soft, doughy abdomen -sl unthrifty, dirty hair coat A swelling along mandible-r/o abscess vs lymphadenopathy vs other URI P -sedated, lanced swelling and recovered mild to moderate amount of purulent discharge -clavamox 62.5 mg/ml: 0.3 ml PO BID x 10 days -onsior 0.1 ml SQ once -simbadol 0.14 ml SQ SID x 3 days -monitor swelling to ensure it resolves

11/6/2017

URI, abscess along R mandible expressed yesterday; on simbadol, doxycycline and clavamox drops S/O -QAR -great appetite -normal bowel movement in box followed by episode of diarrhea -mm pk, sl tacky -mild mucoserous nasal discharge -swelling along R mandible still present but significantly reduced today; mild edematous drainage along mandible -eupnic, purring with slightly harsh lung sounds -soft, doughy abdomen -erythema, rectal irritation A Diarrhea-r/o parasites vs other Abscess along mandible-improving URI P panacur 100 mg/ml: 0.6 ml PO SID x 5 days

11/7/2017

Hx: URI, abscess along right mandible, possibly in right mandibular LN. Lanced and drained on 11/5, abscess appeared to be improving yesterday. Today pt is BAR-H in kennel, leans away from exam but purring, good appetite this morning. No nasal or ocular discharge, but pt is sneezing. Abscess is still present and not insignificant in size. Skin in this area is shaved - no superficial wounds noted. Consider placing a drain tomorrow. 1088

11/8/2017

S/O -QAR, docile, allows all handling -mm pk, tacky; moderate hypersalivation -mucoserous nasal discharge, mild nasal discharge -OU: mild blepharospasm, mild epiphora -eupnic -previous SQ firm swelling along R mandible significantly improved; small pea sized, firm residual swelling near TMJ joint; nonpainful on palpation; mild SQ emphysema palpable around swelling -slightly underweight, unthrifty A URI Facial swelling-improving, suspect wound/abscess; appears too superficial to be lymph node P add cerenia 0.2 ml SQ SID x 3 days continue doxycycline, clavamox prognosis:good

Upon intake, Whiskey allowed all handling and was receptive to petting.