Humane Society of Boulder Valley Patient Chart

Humane Society of Boulder Valley Patient Chart2323 55th StreetBoulder, CO 80301303-442-4030

Printed: 10/29/2021 at 11:01a

CLIENT INFORMATION

Name Kate Ferrell (12067)Address 1636 Violet Spouse Mike

Boulder, CO 80304Phone 215 380-1519 Balance 0.00

PATIENT INFORMATION

Name Scarlett (4865080) Species CanineSex Female, Spayed Breed Labrador RetrieverBirthday 2/1/2008 Age 13yID 0A1074507D Rabies 18-012168Color Black Weight 65.00 lbsReminded 4/16/2012 Codes

Reminders for: Scarlett Last done

06/21 DHPP 3 Year 6/14/201806/21 Rabies Vaccination 3 Year 6/14/201805/20 Leptospirosis Annual Vaccine 5/28/201905/20 Heartworm Test 5/28/201905/20 Bordatella Intra-nasal (Annual 5/28/201905/20 Preventative Care Exam 5/28/2019

HEALTH HISTORY SUMMARY

Date Diagnosis

4/19/2015 OVERWEIGHT ideal 55#3/23/2009 DEMODEX, LOCALIZED11/3/2008 GIARDIA6/10/2008 COCCIDIOSIS6/10/2008 NAE New Adopt Exam - Healthy PetScarlett's weight history (in lbs)

5/28/2019 65.006/14/2018 65.0010/4/2016 58.709/22/2015 62.204/18/2015 65.804/8/2014 68.109/27/2013 65.609/17/2012 63.809/8/2012 63.109/4/2012 61.808/6/2012 61.306/29/2012 65.007/14/2011 64.8011/25/2009 62.3011/18/2009 62.2010/27/2009 61.507/16/2009 58.307/6/2009 60.00

Patient Chart for Scarlett Client: Kate FerrellDate: 10/29/2021, Time: 11:01a Page: 2

5/26/2009 59.103/23/2009 49.002/24/2009 55.1012/17/2008 51.7010/30/2008 47.506/18/2008 25.106/10/2008 23.506/4/2008 23.00

MEDICAL HISTORY

Date By Code Description Qty (Variance) Photo

10/22/2021 RLF EMAIL$ E-mail: Senility options in dogsSubject: Senility options in dogsTo: [email protected]:Options for treatment of canine cognitive dysfunction (senility):

Diet options: Hill's B/D, Purina Bright Mind, Purina NeuroCare

Enrichment/routine: predictable daily routine (gradual changes), puzzle toys, regular exercise/walks,play time

Supplements and medications for brain health:-Selegiline (Anipryl): selective monoamine oxidase-B inhibitor, which can enhance catecholamineneuronactivity and increases dopamine levels in dogs (fairly expensive)-Denosyl (NutraMax Labs): antioxidant supplement (contains SAMe); can also use Denamarin,which also contains silybin-Solliquin (NutraMax Labs): anti-anxiety supplement (contains L-theanine, Magnolia, Phellodendron,Whey Protein)-Anxitane (Virbac): calming supplement (contains L-theanine)-Essential Fatty Acids (omega 3s)- 50mg per pound of body weight of combined EPA/DHA: Welactin(NutraMax Labs) is a great product, but you can also use any over the counter fish oil product is fine-Cosequin or Dasuquin (NutraMax Labs): glucosamine/chondroitin sulfate supplent, helps witharthritis signs and brain health-Senilife (Ceva Animal Health): brain health supplement (contains phosphatidylserine, pyridoxine,ginko biloba extract, resveratrol, and d-alpha-tocopherol)

Medications for anxiety:-Trazodone, gabapentin, lorazepam, fluoxetine, and others

6/18/2019 CSR EMAIL Client Communications - Emailemailed vx info to [email protected] per G's request MAZ: 6/18/2019 at10:38a:

5/28/2019 NSD IVLSO Requisition 16780-1432396NTOINT NT Otic Ointment 6

Applied 3 mls in each ear(s)NT Ketoconazole / Triamcinolone Ointment

EARS Ear CytologyResult: 3+ yeast AUTechnician:NSD: 5/28/2019 at 3:58p:



5/28/2019 NSD HWT Heartworm TestResult:NEGATIVETechnician:cmf

ID: Serial: Expires: Type: Mfg: Admin: BORDCPV Bordetella CPiV Intra-nasal

Intranasal administrationIcludes Bb, CPiV, and CAV-2

Doctor's Instructions - *VAXINFO*

ID: Serial: 333964A Expires: 12MAY20 Type: MLV Mfg: ZOET Admin: INLEPTOA Leptospirosis Annual Vaccination

SQ Left rear limb

Doctor's Instructions - *VAXINFO*

ID: Serial: 317842 Expires: 3/10/20 Type: MLV Mfg: ZOET Admin: SQPEOV Physical Exam / Office Visit

Age: 11y Weight: 65.00

SUBJECTIVE SECTION

Vaccines due? lepto, bordCurrent medications, supplements, anything given other than food: no, frontlineAny v/d/c/s or change in appetite? noCurrent diet and amount fed: kirkland, 1 1/2 c BIDHeartworm status: needs testDental care at home? noOther notes: sheds a lotTechnician: cmf

OBJECTIVE SECTION

BARCV: HR= 100 BPM, normal rhythm, no murmurs ausculted, mm pink, CRT= 1 secR: RR= pant, eupneic, clear lungs in all fields, no nasal dcEE: clear OU. Marked brown debris AU, not able to vis TM due to debris. Cytology: +++ yeast AUMouth: no oral lesions, 2-3/4 dental calculus, 2/4 gingivitisLN: peripheral LNs wnlMS: BCS 7/9, ambx4ABD: no abdominal pain, no palpable masses/organomegalyInteg: full clean coat, no lesions/massesGU: normal external genitaliaNeuro: normal mentation, normal gait. Full neuro exam not performed

ASSESSMENT SECTION

NOTES

otitis externa AUdental disease



over weight

PLAN SECTION

NOTES

Not able to talk to G very well due to young children in exam room. G reiterated tha Scarlett does notlike the children and she felt that Scarlet was more anxious because kids were here. Took Scarlett totreatment area for examEars cleaned with EpiKlean. 3 ml NT applied to each ear. Recheck in 3 weeksG declines BWHWT: negativerecheck ears in 3 weeks

Nellie Damrauer, DVM5/28/2019 NSD CHECKIN Patient check-in

cpe, senior exam, hwt, borda, lepto MAZ: 5/6/2019 at 11:02a:

7/28/2018 CSR EMAIL Client Communications - Emaile-mailed vaccine record to [email protected] CLM: 7/28/2018 at 9:28a

7/25/2018 CSR FAX Client Communications - Fax

6/14/2018 NSD IVLSO Requisition 16780-1303347BORDCPV Bordetella CPiV Intra-nasal

Intranasal administrationIcludes Bb, CPiV, and CAV-2

ID: Serial: 254370 Expires: 7/5/2019 Type: MLV Mfg: ZOET Admin: INHWT Heartworm Test

Result:negTechnician:CL: 6/14/2018 at 3:45p:

ID: Serial: Expires: Type: Mfg: Admin: LEPTOA Leptospirosis Annual Vaccination

SQ Left rear limb

Doctor's Instructions - Your pet has received a vaccination today. Some pets may exhibit mildstiffness or lethargy for a day. If this persists for longer than 24 hours please call our office. Veryinfrequently pets may have a reaction to a vaccine, if any vomiting, diarrhea, swelling or hivesdevelop, please call immediately.

ID: Serial: 242149A Expires: 01/15/19 Type: MLV Mfg: ZOET Admin: SQRAB3 Rabies Vaccination (3-Yr exp), #18-01216

SQ Right rear limb


ID: 18-012168 Serial: 236501B Expires: 12/11/18 Type: KIL Mfg: ZOET Admin: SQDHPP3Y DHPP Vaccination (3-Yr exp)

SQ Right forelimb




ID: Serial: 251415 Expires: 04/23/19 Type: MLV Mfg: ZOET Admin: SQ6/14/2018 NSD PEOV Physical Exam / Office Visit


SUBJECTIVE SECTION

Vaccines due? Bord, Lepto, DHPP, RVCurrent medications, supplements, anything given other than food: NoAny v/d/c/s or change in appetite? NoCurrent diet and amount fed: Iams senior 1 Cup BIDHeartworm status: Test todayDental care at home? Not brushingWellness fecal? NoMicrochip scanned? Yes (Chip In)Lepto vaccination discussed? YesPhoto of patient in system? YesOther notes: NATechnician: DLB: 6/14/2018 at 3:05p:

OBJECTIVE SECTION

BARCV: During initial part of auscultation 2/6 systolic left sided heart murmur heard, however after a fewseconds it was no longer audible. Difficult to auscult very carefully due to high energy and panting. HR=100 BPM, normal rhythm, mm pink, CRT= 1 sec.R: RR= pant, eupneic, clear lungs in all fields, no nasal dcEE: clear ou and au,Mouth: no oral lesions, 2/4 dental calculus, 1/4 gingivitis.LN: wnl.MS: BCS 7/9, ambx4.ABD: no abdominal pain, no palpable masses/organomegaly.I: full clean coat, no lesions/masses.Pain score: 0/5

ASSESSMENT SECTION

NOTES

dental diseaseover weight

PLAN SECTION

NOTES

G brought up fact that Scarlett does not like toddlers in house at all. She is never aggressive but avoidsthem completely and therefore spends most of her time out doors. G concerned for Scarlett's quality oflife, however she is an anxious dog and G thinks that rehoming her would make her feel worse.



Disc teeth- recommend cleaning, not likely to need extractions but never know for sure until patientsare anesthetized and teeth cleaned and xrays taken. Recommend bw with pro bnp prior to anesthesiadue to heart murmur. G not able to do this right now due to finances but will consider

DHPP and Rabies vaccine given SC, Leptospirosis vaccine given SC, Bordatella vaccine given INHWT: negativeDoes not need preventative

Nellie Damrauer, DVM

6/14/2018 NSD CHECKIN Patient check-inpce, vaccines, hwt? BLN: 5/25/2018 at 11:08a:

11/27/2017 CSR EMAIL Client Communications - EmailPatient chart (vaccines only) emailed to client per request KB: 11/27/2017 at 1:48p:

11/16/2017 CSR EMAIL Client Communications - Emailvx chart emailed to [email protected] KAM: 11/16/2017 at 2:34p:

3/2/2017 CSR EMAIL Client Communications - Emailemailed vx chart to G and faxed to Cottonwood Kennels 303 541 9798 KAM: 3/2/2017 at 7:20a:

10/4/2016 RWM TRI LRG Triheart Large (Brown) 2Give 1 chewable tablet by mouth once monthly year round for heartworm prevention & intestinalparasite prevention.

BORDCPV Bordetella CPiV Intra-nasalIntranasal administrationIcludes Bb, CPiV, and CAV-2

ID: Serial: Expires: Type: MLV Mfg: ZOET Admin: INLEPTOA Leptospirosis Annual Vaccination

SQ Left rear limb


ID: Serial: 136064 Expires: 07/04/17 Type: MLV Mfg: ZOET Admin: SQPEOV Physical Exam / Office Visit

Age: 8y Weight: 58.70 Pulse: 160.00CRT: 1 secs. BCS: 6.00 / 9.00

SUBJECTIVE SECTION

Vaccines due? lepto and bordCurrent medications, supplements, anything given other than food: HWPAny v/d/c/s or change in appetite? didn't eat breakfast this morning- very unusual, otherwise normalCurrent diet and amount fed: CostcoHeartworm status: due for test, on HWP year-round



Dental care at home? ^Wellness fecal? ^Microchip scanned? yesLepto vaccination discussed? yes, getting todayPhoto of patient in system? ^Other notes: G concerned she is loosing her visionTechnician: MLE

OBJECTIVE SECTION

BAR, anxious, panting heavilyEE-clean and clear, no dc AU/OUTeeth/Oral - no lesions, grade 2 tartar 108 and 208, minimal gingivitisMS-amb x 4, dog would not allow extension of hind limbs but no lameness noted and good muscle tonepresentH/L- normal rate/rhythm, NMA, lungs clear/eupnic, hx of murmurs but difficult to auscult due to heavypantingPLN - normalIntegumentary - excellent coat, no lesions/massesAbdomen - NMP, soft, non-painfulNeuro - no deficits notedMM - Pink, moist, crt 1 sec

ASSESSMENT SECTION

NOTES

hx of heart murmurgrade 1 dental dz

PLAN SECTION

NOTES

Gave G dental estimate and recommended cbc, chem 10, HWT - O will do BW at time of dental butdeclined today.Rx. triheart plus brown sig: 1 / mo PO year round.Lepto SQ RIGHT hind (dog was guarding left side near owner)Bordetella INDisc. possible vax reactions, training dog to be accepting of 14 month old in house by using positiverewards and always being sure that child is safe and hasn't cornered dog. G says dog runs away fromchild at this time unless child is throwing food down to dog.Rec. recheck with chest rads and HWT if any coughing or exercise intolerance.Rebecca Monahan, DVM

10/4/2016 REL CHECKIN Patient check-insenior exam, lepto, bord KAM: 9/14/2016 at 2:33p:

12/11/2015 CSR EMAIL Client Communications - EmailBLN: 12/11/2015 at 10:46a: emailed vaccine info to [email protected]

11/18/2015 AMK RXOUT Rx Fill Sent to Outside PharmacyAMK: 11/18/2015 at 10:39a: Auth Iverhart plus refill 51-100lbs 6 pack - 1 refill - AMKKAM: 11/18/2015 at 2:58p: faxed to 1 800 600 8285, attached



9/22/2015 TEK BORDINA Bordetella Intra-nasal (Annual)Doctor's Instructions - Your pet has received a vaccination today. Some pets may exhibit mildstiffness or lethargy for a day. If this persists for longer than 24 hours please call our office. Veryinfrequently pets may have a reaction to a vaccine, if any vomiting, diarrhea, swelling or hivesdevelop, please call immediately.

ID: Serial: 00541334B Expires: 02/20/17 Type: MLV Mfg: SCHPL Admin: INLEPTOA Leptospirosis Annual Vaccination

SQ Left rear limb


ID: Serial: A414301A Expires: 6/21/16 Type: BAC Mfg: PFIZE Admin: SQTEKEX Technician Appointment / Nurse Visit


SUBJECTIVE SECTION

Appointment today for: bord and leptoWeight recorded: ^Additional notes or concerns? ^Technician: MLE: 9/22/2015 at 2:30p:

CHECKIN Patient check-inbord, lepto PNP: 9/16/2015 at 9:16a:

8/19/2015 CSR FAX Client Communications - FaxPNP: 8/19/2015 at 3:20p: faxed vax hx to Arapahoe Animal Hosp @303-447-2052

4/19/2015 RLF ZO0894 OVERWEIGHT ideal 55#

4/18/2015 RLF HWT Heartworm TestResult:negativeTechnician:MV

ID: Serial: Expires: Type: Mfg: Admin: DHPP3Y DHPP Vaccination (3-Yr exp)

SQ Right forelimb


ID: Serial: A409433 Expires: 2/09/16 Type: MLV Mfg: ZOET Admin: SQRAB3 Rabies Vaccination (3-Yr exp), #15-01148

SQ Right rear limb

Doctor's Instructions - Your pet has received a vaccination today. Some pets may exhibit mildstiffness or lethargy for a day. If this persists for longer than 24 hours please call our office. Veryinfrequently pets may have a reaction to a vaccine, if any vomiting, diarrhea, swelling or hives



develop, please call immediately.

ID: 15-011481 Serial: S408471C Expires: 01/26/16 Type: KIL Mfg: ZOET Admin: SQ4/18/2015 RLF PEOV Physical Exam / Office Visit


SUBJECTIVE SECTION

Vaccines due? YCurrent medications, supplements, anything given other than food: NAny v/d/c/s or change in appetite? NCurrent diet and amount fed: Costco kibble three to four cups dailyHeartworm status: year round, also does frontline May-Sept, has hwpDental care at home? bonesWellness fecal? ^Microchip scanned? YLepto vaccination discussed? YPhoto of patient in system? YOther notes: NTechnician: AT

OBJECTIVE SECTION

GEN: BAR, hydrated; very nervous/anxiousORAL: Grade 0/4 periodontal disease- very mild tartar; mm pink, CRT <2 secEYES: Clear and non-inflamed, no dischargeEARS: No debris or inflammationNOSE/THROAT: No discharge; normal tracheal palpationPLL: All normal size and shapeCARDIO: Panting heavily and very anxious- difficult to auscult heart (not able to appreciate a murmur);good pulsesRESP: Panting; clear lung fieldsINTEG: Normal skin and haircoat; normal nails and padsM/S: Normal gait on all four limbs- good ROM/no pain both hips; BCS = 6.5/9MASSES: No new or changed massesNEURO: Appropriate mentation; normal gaitABD: Soft, non-painful; no fluid or massesU/G: Normal, no dischargeRECTAL: External structures are normalPAIN: 0/5

ASSESSMENT SECTION

NOTES

Overweight BCS 6.5/9, ideal 55#History of heart murmur since puppy- not able to appreciate today (panting/anxious- not able to auscultheart very well)

PLAN SECTION

NOTES

1. RV 3yr SQ RPL2. DHPP 3yr SQ RTL



3. HWT: neg4. On HWP year-round5. UTD Lepto/bord

CC: Discussed not able to appreciate heart murmur today- monitor for signs of heart failure. Discussedweight- needs to lose 10#, cut back to 2.5 cups food daily and increase exercise.

-Becky Flemer, DVM4/18/2015 RLF CHECKIN Patient check-in

dhpp, rv MED: 4/6/2015 at 10:37a:

4/14/2015 AMK RXOUT Rx Fill Sent to Outside PharmacyAMK: 4/14/2015 at 8:50a: Auth Iverhart plus refill 51-100lbs 6 pack - needs hwt and exam prior tonext refill - AMKCLM: 4/14/2015 at 10:37a: Faxed and attached.

9/20/2014 JSB BNTOINT BNT Otic Ointment 6Applied 3 mls in each ear.

BORDINA Bordetella Intra-nasal (Annual)Doctor's Instructions - Your pet has received a vaccination today. Some pets may exhibit mildstiffness or lethargy for a day. If this persists for longer than 24 hours please call our office. Veryinfrequently pets may have a reaction to a vaccine, if any vomiting, diarrhea, swelling or hivesdevelop, please call immediately.

ID: Serial: 00541314C Expires: 03/11/16 Type: MLV Mfg: SCHPL Admin: INLEPTOA Leptospirosis Annual Vaccination

SQ Left rear limb


ID: Serial: A402648A Expires: 9/8/2015 Type: BAC Mfg: PFIZE Admin: SQPEOV Physical Exam / Office Visit

Age: 6y Pulse: 80.00CRT: <2 secs. BCS: 6.00 / 9.00 Other: BARH

SUBJECTIVE SECTION

Vaccines due? lepto/bordCurrent medications, supplements, anything given other than food: ^Any v/d/c/s or change in appetite? noCurrent diet and amount fed: ^Heartworm status: o gets HWP on-line, test due

OBJECTIVE SECTION

EENT: clear ou, mild brown debris AS - tympanum intact, moderate brown debris AD unable to seetympanum through debris, no redness, no nasal discharge, normal oral exam, teeth great, 0/4 T and0/4 GPLN: WNL



H/L: NMA, RR, SSPs, Lungs: C/E. NOTE: patient panting heavily today - unable to hear heart wellABD: SNP, NMPMSI: AmbX4, GHCNeuro: A&APain score: 1/9

ASSESSMENT SECTION

NOTES

Chronic intermittent otitis externahx HM (heard at ER visit and heard by me in 2011) - r/o physiologic, valvular vs CM - not appreciatedtoday

PLAN SECTION

NOTES

Discussed variety of options for ears, o elected BNT tx today - 3 mls infused into each ear.Lepto, bord IN given - discussed vaccine reactions.Recheck ears in 3 weeks.NOTE: computer record unavailable during appt. If needs HW test/etc. will do at recheck appt.Discussed running - ok to train and run for upwards of 10 miles as long as Scarlett is willing to go, noresp difficult, no weakness etc. If starts dragging, lame afterwards, etc. then may need to decreasedistance.

Jennifer Bolser, DVM9/20/2014 JSB CHECKIN Patient check-in

pce, vax MED: 8/25/2014 at 8:57a:

4/8/2014 CRM SUTURE Suture RemovalWound /Incision Site Appearance: healing wellSwelling?: minimalDischarge: noneComments:Technician: JH

TEKEX Technician Appointment / Nurse Visit


SUBJECTIVE SECTION

Suture removal

4/8/2014 TEK CHECKIN Patient check-ins/r CLM: 3/31/2014 at 4:26p

3/27/2014 TEK NOTE Additional NoteG called and wanted to get a Rx for Rimadyl for Scarlett. She declined 3/26 from ER clinic. Per JSBwe filled an Rx for 7 tabs. LMOM at 5:00 telling her it would be ready for pick up tonight or tomorrow.Also explained what side effects to look for with the Rimadyl. SD



3/27/2014 JSB RIM100TA DECLINED: Rimadyl 100mg chewable 7Give 1/2 tablet, by mouth, every 12 hours for 3-7 days for pain control. This is a non-steroidalanti-inflammatory medication.

Doctor's Instructions - Rimadyl is a non-steroidal anti-inflammatory drug (NSAID). Please check thatyou have received an informational handout regarding information on NSAIDs.

Are you purchasing this product by the bottle? You can save money with Rimadyl Rewards.https://www.rimadyl.com/rimadyl-rewards

PHONE Client Communications - PhoneJSB: 3/27/2014 at 12:07p: LMOM - re fax from ER - hope Scarlett is recovering well from bite woundtreatment. Please call with ?s or to schedule SR in 10-14 days.

3/22/2014 JSB RXOUT Rx Fill Sent to Outside PharmacyJSB: 3/22/2014 at 3:04p: Ok'd rx for Iverhart max 50-100 lbs 6 pack w/ 1 refill.CLM: 3/25/2014 at 10:55a: 1800 Pet Meds called to confirm RX ok, didn't see any record that wefaxed it to them, told them ok'd by JSB.

9/27/2013 AMK LEPTOA Leptospirosis Annual VaccinationSQ Left rear limb


ID: Serial: A29227C Expires: 07/01/14 Type: BAC Mfg: PFIZE Admin: SQBORDINA Bordetella Intra-nasal (Annual)


ID: Serial: 00541291A Expires: 09/11/14 Type: MLV Mfg: SCHPL Admin: INPEOV Physical Exam / Office Visit

Age: 5y Weight: 65.60 Respiration: 60.00 Pulse: 140.00CRT: <2 secs. BCS: 5.00 / 9.00 Other: Pink MM

SUBJECTIVE SECTION

Vaccines due? lepto and bord.Current medications, supplements, anything given other than food: hwpAny v/d/c/s or change in appetite? noCurrent diet and amount fed: kirkland, 1.5 c bidHeartworm status: currentDental care at home? bonesWellness fecal?Microchip scanned? okLepto vaccination discussed? naPhoto of patient in system?Other notes:Technician: gw



OBJECTIVE SECTION

General= Bright, Alert, Responsive, Hydrated. CRT <2 sec, very hyperEENT = eyes clear and bright, ears clean and non-inflamed, no nasal dischargeoral exam = mm pink and moist, no dental disease or oral lesions noted.PLN = normal size and shape in all palpableAbd palp = comfortable and compliant, no masses or other abnormalities palpatedIntegument = normal, good hair coat, no skin lesionsHeart & lungs auscultation = normal rate and rhythm, no murmurs ausculted, lungs auscult clear alllobes, eupneic. Strong synchronous pulsesMusculoskeletal = normal, ambulatory X4, normal strength and gait.Neuro= normal mentation and gait, no obvious neurologic deficienciesUrogenital= comfortable bladder and kidneys, normal exterior genitaliaPain score (out of 5)= 0Allison Kean DVM

ASSESSMENT SECTION

NOTES

Apparently healthy pet

PLAN SECTION

NOTES

Lepto 1 yearBordetella INAdvised of possible vaccine reactionsG to call with any concernsAllison Kean DVM

9/27/2013 AMK CHECKIN Patient check-inPCE, bord, lepto, ARV: 9/21/2013 at 4:05p:

6/17/2013 JSB RXOUT Rx Fill Sent to Outside PharmacyJSB: 6/17/2013 at 7:05p: Ok'd rx for Iverhart plus 6 pk brown 51-100 lbs w/ 1 refill.

9/17/2012 TEK SUTURE Suture RemovalWound /Incision Site Appearance:quiet, healing wellSwelling?:noDischarge:noComments:Technician:gw

TEKEX Technician Appointment / Nurse Visit


SUBJECTIVE SECTION

Appointment today for: suture removalWeight recorded:



If thyroid blood work, morning pill given at: Blood drawn at:Additional notes:Technician: gw

9/17/2012 TEK CHECKIN Patient check-inS/R ARV: 9/8/2012 at 11:55a:

9/8/2012 TEK DRAINRE Drain RemovalTEKEX Technician Appointment / Nurse Visit


SUBJECTIVE SECTION

Appointment today for: drain removalWeight recorded: 63.1Additional notes: area looks much better, g states there was bloody d/c for 2 days post-procedure, butimmediately began seeing positive results thereafter. swelling significantly better. recommended g con'twarm compresses & schedule exam for last suture removals; will also cont meds.Technician: cm

CHECKIN Patient check-indrain removal BE: 9/4/2012 at 3:10p:

9/5/2012 JSB FNOTE$ By: GW, Abscess TreatmentGW: 9/5/2012 at 3:06p:lmom

9/4/2012 JSB INST$ Invoice instructions for ScarlettThank you for letting us care for Scarlett. The wound on her left forelimb has been flushed and adrain placed to help continue the release of infected material. Please apply a warm compress to thearea three times a day to help release the drainage and to help reduce the swelling. The liquid willrelease from around the plastic drain, not through the middle of the drain. Please also clean anycrusts away that may accumulate around the drain twice daily.

Please schedule a drain removal appointment to be done in 3-5 days and a suture removalappointment in 10-14 days.

An antibiotic (Clavamox) and a pain medication (Rimadyl) have been sent home, please follow thelabeled instructions.

Please don't hesitate to call with any questions or concerns.

Dr. Bolser and staff

PHONE Client Communications - PhoneJSB: 9/4/2012 at 2:24p: TTO: procedure went well, no signs of fracture. Suspect cellulitis/swelling ofST only. Flushed, explored, drain place. Home w/ 2 pain meds and ab. Warm compresses at home.Rest is important.

TRAM 50 Tramadol 50mg 30Give 1.5 tablets, by mouth, every 8-12 hours for 5-7 days for pain control.This medication may cause sedation. Federal law prohibits the transfer of this drug to anyone otherthan the patient for whom it was prescribed.

CLAV375 Clavamox 375mg 14



Give 1 tablet, by mouth, every 12 hours for 7 days.

9/4/2012 JSB XRD2 Digital Xray two viewsXRDA Digital Xray Additional views

View(s): AP/lateral elbows - no fractures seenTechnicians: CM/RT

DHOSP Day Hospitalization - Drop OffAT Abscess Treatment

JSB: 9/4/2012 at 1:27p: Small puncture wound lateral/ventral forelimb just distal to the elbow. Sterileexplore of puncture wound, moderate dead space proximally and distally. Opened puncture woundslightly to digitally palpate for foreign material/sticks - none found. Removed mild amt of hairembedded in deeper tissue. Flushed site. Placed 1/4 in penrose drain with exit site distal to originalwound. Closed original puncture wound w/ 3-0 nylon cruciates.

PEN Penrose DrainRIM100TA Rimadyl 100mg chewable 10

Give 1/2 tablet, by mouth, every 12 hours for 7-10 days. This is a non-steroidal anti-inflammatorymedication.


DEXDANTI Dexdomitor/Antisdan0.45 mls Dexdomitor 0.5 mg/ml given IM.0.45 mls Torbugesic 10mg/ml given IM.0.4 mls Ketamine 5mg/ml given IM.Reversed with 0.45 mls Antisedan 5mg/ml given IM.

PEOV Physical Exam / Office Visit

Age: 4y Weight: 61.80 Temp: 102.00 Pulse: 90.00CRT: <2 secs. BCS: 5.00 / 9.00 Other: BARH

SUBJECTIVE SECTION

Chief complaint: Not weight bearing on front left pawDuration: Yesterday afternoonV/D/C/S? NChange in appetite? Greatly decreased, has not eaten or had water since incidentCurrent medications, supplements, anything given other than food: Heartworm preventative, FrontlineToxin exposure? NTravel history: NVaccinations current? YPrevious major medical history? Tore a nail last winterCurrent diet: Costco Natural BrandHeartworm status: On preventionRectal temperature:Microchip? YPhoto in system? YOther notes: NTechnician: ARV

OBJECTIVE SECTION

EENT: clear ou/au, no nasal discharge, normal oral exam, teeth good



PLN: WNLH/L: NMA, RR, SSPs, Lungs: C/EABD: SNP, NMPMSI: AmbX3, grade 4/5 left thoracic limb lameness, large swelling medial aspect of left elbow. Pads,digits wnl. Pain on mild manipulation of carpus, and shoulder, significant pain on manipulation of elbow.GHCNeuro: A&A,Pain score: 4-5/9

ASSESSMENT SECTION

NOTES

Left TL lameness w/ medial elbow swelling: r/o abscess vs fracture vs ST injury

PLAN SECTION

NOTES

Sedate for rads and hopefully abscess flush/drain placement.Discussed pre-op bw, o declined.

Jennifer Bolser, DVM9/4/2012 JLV CHECKIN Patient check-in

cpe, laceration on left leg from dog park yesterday RMA: 9/4/2012 at 8:27a:

8/6/2012 TEK LEPTOA Leptospirosis Annual VaccineSQ Left rear limb


ID: Serial: A280329 Expires: 07/13/13 Type: BAC Mfg: PFIZE Admin: SQBORDINA Bordetella Intra-nasal (Annual)


ID: Serial: 00541273A Expires: 04/14/14 Type: MLV Mfg: SCHPL Admin: INTEKEX Technician Appointment / Nurse Visit


SUBJECTIVE SECTION

Appointment today for: ^Weight recorded: ^If thyroid blood work, morning pill given at: ^ Blood drawn at: ^Additional notes: ^Technician: ^

CHECKIN Patient check-inbord, dhpp, hwt RMA: 7/31/2012 at 4:16p:



6/29/2012 AMK NE0PODOINeoPoly and Dex Ophthalmic OintmentApply 1/4 inch strip to right eye every 12 hours for 7 days - ak

FLOEYE Fluorescein Eye StainPEOV Physical Exam / Office Visit

Age: 4y Weight: 65.00 Respiration: 32.00 Pulse: 120.00CRT: <2 secs. BCS: 6.00 / 9.00 Other: Pink MM

SUBJECTIVE SECTION

Chief comlaint: Right eye, constant stream of yellowish discharge, g has been treating with artificialtears, but doesnt seem to help muchDuration: 1 weekV/D/C/S? NChange in appetite? NCurrent medications, supplements, anything given other than food: NToxin exposure? NTravel history: Pennsylvania (in may)Vaccinations current? NPrevious major medical history? NCurrent diet: Wellness, 3 cups per dayHeartworm status: Year-roundRectal temperature:Microchip? YPhoto in system? YOther notes: Rubs head (eye) against guardiansTechnician: ARV

OBJECTIVE SECTION

General= Bright, Alert, Responsive, Hydrated. CRT <2 secENT = ears clean and non-inflamed, no nasal dischargeoral exam = mm pink and moist, no dental disease or oral lesions noted.PLN = normal size and shape in all palpableAbd palp = comfortable and compliant, no masses or other abnormalities palpatedIntegument = normal, good hair coat, no skin lesionsHeart & lungs auscultation = normal rate and rhythm, no murmurs ausculted, lungs auscult clear alllobes, eupneic. Strong synchronous pulsesMusculoskeletal = normal, ambulatory X4, normal strength and gait.Neuro= normal mentation and gait, no obvious neurologic deficienciesUrogenital= comfortable bladder and kidneys, normal exterior genitaliaPain score (out of 5)= 1Allison Kean DVM

ABNORMALITIESEyesmucopurulent discharge from right eye, mild cleardischarge from left

ASSESSMENT SECTION

NOTES



Conjunctivitis Right eye

PLAN SECTION

NOTES

Corneal Stain - No uptake either eyeRx Neo\Poly\Dex ointment - Apply to right eye every 12 hours for 7 days call with any concernsAllison Kean DVM

6/29/2012 AMK CHECKIN Patient check-inCPE check eyes, lots of discharge KB: 6/28/2012 at 3:57p:

6/28/2012 CSR NOTE Additional NoteKB: 6/28/2012 at 4:00p: TTG - updated address, scheduled CPE for Scarlet. G informs that Scarletthad vax at another clinic, will have records sent, though likely cannot bring to visit at 8am tomorrowdue to time difference on east coast.

5/12/2012 *** RAB3 Rabies Vaccination 3 YearPa vet clinic, considered a 2 year vaccine


ID: Serial: Expires: Type: KIL Mfg: PFIZ Admin: SQDHPP3Y DHPP 3 Year

Pa vet clinic


ID: Serial: Expires: Type: MLV Mfg: PFIZ Admin: SQ

9/2/2011 *** HWT Heartworm TestResult: negativePA vet clinic

ID: Serial: Expires: Type: Mfg: Admin:

7/14/2011 JSB HC Health Certificate Visit

Age: 3y Weight: 64.80 Temp: 101.10 Pulse: 100.00CRT: <2 secs. BCS: 5.50 / 9.00 Other: BARH

SUBJECTIVE SECTION

Vaccines needed for travel: noTraveling to: philadelphiaDate of departure: within the next ten 10 daysTraveling via cargo space, letter of acclimation needed? yes



Does owner request sedation? noRectal temperature: yesMicrochip scanned? yesAny vomiting, diarrhea, coughing, sneezing? noOther questions or concerns today? noTechnician: kp

OBJECTIVE SECTION

EENT: clear ou/au, no nasal discharge, normal oral exam, grade 2-3/4 tartar, no gingivitisPLN: WNLH/L: Grade 1/6 left apical systolic HM, RR, SSPs, Lungs: C/E, pantingABD: SNP, NMPMSI: AmbX4, GHCNeuro: A&APain score: 0/9

ASSESSMENT SECTION

NOTES

Grade 1/6 HM: r/o transient, physiologic, valvular, CM, HWGrade 1 dental disease

PLAN SECTION

NOTES

Health certificate signed for travel. Letter of acclimation for 35F to 90F. Warned o that most airlines willnot allow over 85F regardless.O taking to vet in Philadelphia for vaccines (lepto and bord) that are due.discussed HM - very quiet, may not hear on repeat exam. Monitor for now. If persists- rec chest rads,bw, echo.Rec dental cleaning.


domestic HC, does not want vaxes today. RMA: 6/6/2011 at 1:41p:

6/25/2010 CSR FAX Client Communications - FaxFaxed MH to C at 215-753-1213 at her request; she has moved to Philadelphia. I made C inactive.RMA: 6/25/2010 at 11:36a:

5/22/2010 NSD LEPTO1 Leptospirosis 1st VaccineSQ Left rear limb

Doctor's Instructions - *GIAR1*

ID: Serial: A948548A Expires: 04/19/11 Type: BAC Mfg: PFIZE Admin: SQHC Health Certificate Visit

Age: 2y

SUBJECTIVE SECTION



Vaccines due? leptoCurrent medications, supplements, anything given other than food: hwp, frontlineAny v/d/c/s or change in appetite? noCurrent diet and amount fed: organix, 2 cups dailyHeartworm status: currentDental care at home?Wellness fecal?Microchip scanned?Lepto vaccination discussed? yes, would like first vxOther notes:moving to Philadelphia next Sunday, doing wellTechnician: GW

OBJECTIVE SECTION

BARCV: HR= 90 BPM, no murmurs/arrhythmias, mm pink, CRT= 1 sec.R: Eupneic, clear lungs, RR= pantEE: clear ou and au,Mouth: no oral lesions, 1/4 dental calculus, 0/4 gingivitis.LN: wnl.MS: BCS 5/9, ambx4.ABD: no abdominal pain, no palpable masses/organomegaly.I: full clean coat, no lesions/masses.

ASSESSMENT SECTION

NOTES

Apparently healthy

PLAN SECTION

NOTES

Healthy for travelLepto vaccine SC, boost in 3 weeks in Philadelphia. Should also ask vet there about other vaccinesshe may need (Lyme). CE: vaccine reactions

NSD5/22/2010 REL CHECKIN Patient check-in

Flying dog to Philadelphia--needs health certificate. CMM: 5/8/2010 at 10:30a:

12/3/2009 CSR NOTE Additional NoteDJR: 12/3/2009 at 1:48p: Small amount of bleeding at staple removal site, G may bring Scarlett infor a tech to take a quick look at foot

12/2/2009 TEK TEKEX Technician Appointment

Age: 22mCHECKIN Patient check-in

staple removal BE: 11/25/2009 at 10:30a:



11/25/2009 RLR RC Progress Recheck Exam

Age: 22m Weight: 62.30

SUBJECTIVE SECTION

Won't wear cone, leaving it alone for the most part. Still on ear meds, done with antibiotic.Eating/drinking normal.ASH: 11/25/2009 at 10:07a

OBJECTIVE SECTION

ABNORMALITIESSkin / Integumentaryskin laceration healing well, mild yeast dermatitis interdigitally

ASSESSMENT SECTION

NOTES

RULE-OUT NOTES:healing laceration

PLAN SECTION

NOTES

DIAGNOSTIC NOTES:Replace bandage. Can remove staples in 3-4 days. Keep bandage clean and dry.R.READ, DVM

CHECKIN Patient check-inrecheck DJR: 11/18/2009 at 11:28a:

11/20/2009 TEK PHONE Client Communications - PhoneVM: 11/20/2009 at 11:15a: lmom; how is Scarlett?

11/18/2009 JSB CONO1 Conozol Conofite lotion 1% -1ZO4OZ Zn 4.5 otic Maxi Guard 4 oz.

Apply a moderate amount into the right ear twice a day for 2-3 weeks.

11/18/2009 INST$ Invoice instructions for ScarlettThank you for letting us care for Scarlett today. She was a great patient! Please keep your pet quietuntil suture removal to protect the incision from coming apart. Short controlled leash walks are ok,but no running, jumping, or playing. Excessive activity can disrupt the healing. The bandage needsto be kept clean and dry, please use the plastic bag sent home when walking outside. If the bandagebecomes soiled, we need to change it as soon as possible. The bandage needs to be changed in5-7 days and then 7-10 days later the staples will need to be removed. Please schedule thebandage change and staple removal appointments today.

Please keep the e-collar on your pet at all times to discourage chewing at the bandage until sutureremoval. An antibiotic and a pain medication have been sent home, please follow the labeledinstructions.



Please don't hesitate to call with any questions or concerns.

Dr. Bolser and staff

11/18/2009 JSB ECOL Elizabethian CollarRIM100TA Rimadyl chewable 100 mg tab 5

Give 1/2 tablet, by mouth, twice a day for 3-5 days for pain control.


CLAV375 Clavamox 375 mg tablets 14Please give 1 tablet by mouth twice daily until gone (for 1 week).

CONO1 Conozol Conofite lotion 1%Apply a small amount into the right ear once a day for 2-3 weeks for treatment of yeast infection.

BDSMAL Bandage SmallLACS Laceration SimpleLA Local AnesthesiaEARS Ear Discharge Swab

AD: 2+ yeastAS: clean

CPE Comprehensive Physical Exam

Age: 21m Weight: 62.20 Pulse: 110.00CRT: <2 secs. BCS: 5.00 / 9.00 Other: BARH

SUBJECTIVE SECTION

MM: 11/18/2009 at 10:33a:Yesterday afternoon P went for a hike and lacerated top of R ft paw, cleaned with alcohol.No /s/v/d/cG has been cleaning R ear for the past week with OTC ear cleanser, G had noticed excessivedischarge and redness. Now seems better

OBJECTIVE SECTION

EENT: clear ou/au, no nasal discharge, normal oral exam, teeth overall goodPLN: WNLH/L: NMA, RR, SSPs, Lungs: C/EABD: SNP, NMPMSI: AmbX4, GHCNeuro: A&A,Pain score: 1/9

ABNORMALITIESEarsmild debris AD: 2+ yeastAS: clean

Skin / IntegumentarySuperficial (dermis only) 1 cm laceration right lateral metacarpus - small skin flap present with necroticwound edge. No active hemorrhage.



ASSESSMENT SECTION

NOTES

RULE-OUT NOTES:Small laceration right lateral metacarpusOtitis externa AD: malassezia

PLAN SECTION

NOTES

DIAGNOSTIC NOTES:Infused lidocaine/bupivaine around wound as local anesthetic. Trimmed necrotic skin flap (small pieceof tissue). Cleaned area with chlorhexidine solution. Closed dermal laceration with 4 skin staples.Placed telfa bandage covering.Rx Clavamox 375 mg PO BID x 7 days.Rx Rimadyl 100 mg tabs #5: sig 1/2 tab PO BID x 3-5 days.Bandage change in 1 week, then staple removal 1 week later.EcollarFor ears: O has ear cleaner at home to continue using. Tried to rx conofite - out of stock, thus Rx znotic AD BID x 14 days.


cpe, repair flap of skin on front right leg DJR: 11/17/2009 at 2:12p:

11/17/2009 TEK PHONE Client Communications - PhonePE: 11/17/2009 at 2:07p: Pt was running in field 15 minutes ago and has small laceration on Rforelimb penny sized. Site was initially bleeding but has stopped. Pt is e/d. No c/s, otherwise BAR. Gwould like to bring pt in tomorrow, but will call if incision starts bleeding again. As per RLR,instructed g by message to not use hydrogen peroxide, use only soapy water to clean.

10/27/2009 TEK TRI LRG Triheart Large (Brown)Please give 1 chewable tablet by mouth once monthly.

AGET Anal Gland Express by Tech Aptsee notes in medical condition


SUBJECTIVE SECTION

GW expressed anal glands, right side was empty, left side has partially full. I discussed talking with adoctor regarding possible food allergies, currently on a chicken source. G will try a novelle protein for afew months to see if there are improvements. AH

CHECKIN Patient check-inanal glands BE: 10/22/2009 at 11:16a:

7/23/2009 JSB PHONE Client Communications - Phone



JSB: 7/23/2009 at 11:07a: LMOM - fecal sample no parasites seen, Giardia test negative. Pleasecall if Scarlett is still having diarrhea to discuss.

7/22/2009 JSB FECALGI Fecal Screening with Giardia 85862JSB: 7/23/2009 at 11:06a: No o/p seen. Giardia ELISA negative.

7/16/2009 TEK AGET Anal Gland Express by Tech Apt


SUBJECTIVE SECTION

Anal glands expressed easily and had normal consistency. Has lost a couple of pounds since last visitbut dog's appetite has decreased. Diarrhea for the past few days. I recommended dropping off a fecalsample to send to Antech for o&p w/ giardia to find out if a parasite is causing diarrhea and addingpumpkin to diet for the next couple of days. I suggested a doctor's appt if diarrhea and inappetancecontinues. AH

CHECKIN Patient check-inanal gland express RA: 7/15/2009 at 12:01p:

7/6/2009 JLV EMER Emergency Office Visit


SUBJECTIVE SECTION

eating/drinking well, d x 7 days -brownish; no blood, no v; coughing and sneezing approx 3 x per day.Started licking R paw approx 7 days ago; licks paw for approx 30 minutes 3-4 x per day. No limping orfavoring paw. G is very active w/ pt and is concerned there might be foreign body. No other concerns.

OBJECTIVE SECTION

Mild redness interdigitally on plantar surface of front paws L>R.

ASSESSMENT SECTION

NOTES

RULE-OUT NOTES:Interdigital redness r/o contact dermatitis

PLAN SECTION

NOTES

DIAGNOSTIC NOTES:Dog was muddy. Rec that g clean paws after swimming and hiking. JLV

7/6/2009 RLR CHECKIN Patient check-inemergency, swollen paw BE: 7/6/2009 at 9:21a:

5/26/2009 JLV BORDINA Bordetella Intra-nasal (Annual)Doctor's Instructions - *GIAR1*



ID: Serial: 54183 Expires: 03/25/10 Type: MLV Mfg: SCHPL Admin: IN5/26/2009 JLV DHPP3Y DHPP 3 Year

SQ Right forelimb


ID: Serial: A836709 Expires: 4/27/10 Type: MLV Mfg: PFIZ Admin: SQRAB3 Rabies Vaccination 3 Year, #09-010402

SQ Right rear limb


ID: 09-010402 Serial: S834801A Expires: 03/13/10 Type: KIL Mfg: PFIZ Admin: SQWE Wellness Physical Exam

Age: 16m Weight: 59.10BCS: 5.00 / 9.00

SUBJECTIVE SECTION

Doing well at home. RV, DHPP, Bord. Dog pulls lots, G has harness--g notes hairloss under axilla.Discussed that rub can cause this. As long as no redness/irritation, no prob. gw

OBJECTIVE SECTION

EENT- clear, no dc AU/OU, oral exam normalMS-amb x 4H/L- normal rate/rhythm, NMA, lungs clear/eupnicPLN - normalIntegumentary - excellent coat, no lesions/massesAbdomen - NMP, soft, non-painful

ASSESSMENT SECTION

NOTES

RULE-OUT NOTES:apparently healthy

PLAN SECTION

NOTES

DIAGNOSTIC NOTES:Ok to vaccinate. Discussed pet insurance and weight control. 1 cup per 20lbs. G's currently feeding 5cups per day! JLV

CHECKIN Patient check-inw/e, rv, dhpp, bord DR: 5/18/2009 at 10:09a:

3/24/2009 RLR PHONE Client Communications - PhoneRLR: 3/24/2009 at 4:42p: LMOM, bw looks great, hw negative. if lesion is not getting worse and nomore areas of hairloss, let's recheck her in 4 weeks.



3/23/2009 RLR GOODWIN Goodwinol Ointment 1 ozApply to affected area once daily, avoid the eyes. Recheck skin scrape 14 days.

ZD2537 DEMODEX, LOCALIZEDNOTE Additional Note

No charge to g for exam or canine wellness, the blood drawn at last visit was never sent out. Gmade this appointment for blood draw purpose.

TRI LRG Triheart Large (Brown)Please give 1 chewable tablet by mouth once monthly.

CANWELL Canine Wellness 85424bw wnl, hwt negative

CPE Comprehensive Physical Exam


SUBJECTIVE SECTION

GS: 3/23/2009 at 2:27p: needs CAW, alopecia on chest, G would like it checked for ringworm. wouldlike to P/U triheart. E/D well, no V/D.

CHECKIN Patient check-incpe, blood draw, check spot for ringworm, wants ringworm vax DR: 3/12/2009 at 9:43a:

2/26/2009 CAG PHONE Client Communications - PhoneCAG: 2/26/2009 at 11:13a: No lab sheet filled out - no BW seen for this pt - LMOM for G - we mayneed to pull at recheck - no charge to G.

2/24/2009 CAG ENTE 7.5 Entederm ointment 7.5 mlPlace a thin layer on inside of right ear twice daily for 1 week.

CONO1 Conozol Conofite lotion 1%Place 3-4 drops in right ear twice daily for 14 days. We should recheck Scarlett around this time.

EPI8 Epi Otic Ear Cleanser 8 ozClean R ear once daily (as possible) for 1 week. Then clean ear every other day for 2 weeks.

EARS Ear Discharge SwabCANWELL Canine Wellness 85424CPE Comprehensive Physical Exam

Age: 12m Weight: 55.10 Pulse: 90.00BCS: 5.00 / 9.00 Other: BAR

SUBJECTIVE SECTION

GS: 2/24/2009 at 10:37a: red, smelly right ear. G gave a bath on Monday. G noticed ear sinceTuesday morning. E/D well, no vomiting. Had diarrhea yesterday, but G gave carrots that morning.Not on any medications. G is leaving tomorrow for 5 days and leaving Scarlett at a kennel.

OBJECTIVE SECTION

ENT: N no discharge MM pink, moist



0/4 ging, calc - mild tartar build up on molarsH: NMA L: Clr/ EuPLN : N, Integ: N - bright, healthy coatG/U : N Abd Palp: NSFM/S: Amb x 40/9 PCSAS -: N - unable to do otoscopic pe as dog is very wildAD: significant thickening and crusting of the ear, strong odor - EDA 4+ yeast, no WBC or bacteria

ASSESSMENT SECTION

NOTES

RULE-OUT NOTES:AD: OE - yeast

PLAN SECTION

NOTES

DIAGNOSTIC NOTES:CAW pending - we are out of Triht lg - so G will get another time. G to clean ears before she leavesand ask boarding facility to clean ears one other time - she understands this may be a setback for earinfection. Disc oral steroids for inflammation - do not rec today as dog will be at boarding facility - if weneed them in the future can do when G home (she is back on Monday). Conofite 3-4 drops AD BID x14D - Entoderm - thin layer on pinna BID x 7D - recheck in 2 weeks.

Cristina Gutierrez DVM2/24/2009 CAG CHECKIN Patient check-in

cpe, ear infection BE: 2/23/2009 at 3:37p:

1/7/2009 CSR FAX Client Communications - FaxDR: 1/7/2009 at 9:30a: Faxed ins. claim to PetCare, 866-369-7387

12/17/2008 JSB CO Patient Ready for CheckoutRABDUP Duplicate Rabies Tag, #08-011406

ID: 08-011406 Serial: Expires: Type: Mfg: Admin: HC Health Certificate Visit

Philadelphia, PA

Age: 10m Weight: 51.70 Pulse: 110.00CRT: <2 secs. BCS: 5.00 / 9.00 Other: BARH

SUBJECTIVE SECTION

doing well. traveling to philly.JSB: 12/17/2008 at 4:26p: O reports that previous diarrhea has resolved

OBJECTIVE SECTION

EENT: clear ou/au, no nasal discharge, normal oral exam, teeth greatPLN: WNLH/L: NMA, RR, SSPs, Lungs: C/E, panting



ABD: SNP, NMPMSI: AmbX4, GHC, mild thinning of fur ventral neck at level of collar, no erythema or papulesNeuro: A&A,Pain score: 0/9

ASSESSMENT SECTION

NOTES

RULE-OUT NOTES:Apparently healthy

PLAN SECTION

NOTES

DIAGNOSTIC NOTES:Health certificate signed. Duplicate rabies tag. Letter of acclimation for 0 to 85 - o says Scarlett wasoutside on recent 0 degree day and she did well for hours. Recommend sweater at 0 degreetemperature.Discussed no sedation, especially since in cargo. O report Scarlett is used to her crate.


HC AT: 10/24/2008 at 11:38a:

11/11/2008 JLV PUR C FF Purina Canine Forti FloraPHONE Client Communications - Phone

JLV: 11/11/2008 at 7:00p: TTg results. Dog still having loose stool. Rec that they try fortiflora.

11/10/2008 JLV FECALGI Fecal Screening with GiardiaJLV: 11/11/2008 at 6:58p: Negative, no o/p seen

11/8/2008 TEK PHONE Client Communications - PhoneGW: 11/8/2008 at 4:57p: ttg: Scarlett still has diarrhea. g did not notice any improvement w/metronidazole. Scarlett is feeling well otherwise. G to feed bland diet for 3 to 4 days and bring freshsample on Monday.

11/3/2008 TEK PHONE Client Communications - PhoneRC: 11/3/2008 at 12:16p: Called and LMOM for fecal results

11/3/2008 JLV ZG1146 GIARDIA

10/30/2008 JLV CO Patient Ready for CheckoutMETRO50 Metronidazole 500mg 16

Please give 1 tablet by mouth twice daily for 8 days.

FECALGI Fecal Screening with Giardiapositive for giardia

EMER Emergency Office Visit




SUBJECTIVE SECTION

Diarrhea for 1 1/2 weeks, did have coccidia at 4 months. No vomiting, possible blood in stool. G doesn'tthink she ate anything foreign. She does like to chew/tear up bedding and eat stuffing. Was at CampBow Wow, recently and goes to dog park, where she swims and drinks the water. No change in diet.

OBJECTIVE SECTION

MM - pink, moist, crt 1 secAbdomen soft, nonpainful, nmpPatient is incredibly BAR and ate treats voraciously

ASSESSMENT SECTION

NOTES

RULE-OUT NOTES:Diarrhea r/o infectious, inflammation, open

PLAN SECTION

NOTES

DIAGNOSTIC NOTES:Will send in fecal sample and start on metro. Rec bland diet for a few days. JLV

10/30/2008 JLV CHECKIN Patient check-incpe- diarrhea for 2 days, not eating, lethargic, bringing sample SH: 10/30/2008 at 10:24a:

7/10/2008 TEK PHONE Client Communications - PhoneG called. Left message. Puppy losing decidous teeth. G wants to know if it is normal. Puppy is 5months.

6/18/2008 RLR CO Patient Ready for CheckoutDHPPA DHPP Annual

SQ Right forelimb


ID: Serial: A725531A Expires: 06/16/09 Type: MLV Mfg: PFIZ Admin: SQRC Progress Recheck Exam

Age: 19w Weight: 25.10 Respiration: 26.00 Pulse: 100.00CRT: <2 secs. BCS: 5.00 / 9.00

SUBJECTIVE SECTION

No more diarrhea.No C/S/V. Good energy.Didn't eat her breakfast this a.m., but seems fine. Did get a lot of treats.

OBJECTIVE SECTION



BAR/H; mm=pk, moist; CRT <2 secEENT: normalOral: normal occlusion, adult incisors, dec canines and PMsH/L: no murmur/clearABD: no masses, non-painfulPLN: normalMS: normalNeuro: normalInt: normalU/G: normalPain Score: 0/10

ASSESSMENT SECTION

NOTES

RULE-OUT NOTES:appears healthy

PLAN SECTION

NOTES

DIAGNOSTIC NOTES:1 yr DHPP RF.Asked g to d/o fecal to be certain coccidia is resolved. Scarlett is going to kennel today and they saidshe needed another DHPP to be allowed to board. She had 2 DHPP about 4 weeks apart previously,today would be a 3rd booster 17 days since last DHPP. Though not ideal, it will not be harmful, and ifkennel is requiring it, then we will give it today.R.READ, DVM

6/18/2008 RLR CHECKIN Patient check-inrecheck BE: 6/10/2008 at 11:44a:G requested DHPP VAX also- boarding soon, SH: 6/16/2008 at 4:05p:

6/10/2008 CSR CLAIM Confirmation of ClaimDEDUCT NAE Deductable

6/10/2008 LHG ZC1248 COCCIDIOSISCHECKOU Patient Ready for CheckoutPARTST Parvo Test

Negative

ALB250 Albon 250 mg 9Give 2 tabs on day one and then 1 tablet once daily until gone.

NAE New Adoption Exam

Age: 18w Weight: 23.50 Temp: 102.60BCS: 5.00 / 9.00

SUBJECTIVE SECTION

Transfer from Vernal, UT (5/31/08) was stray. Adopted 6/3Active, has been on runs, playful. Good appetite. Progressive diarrhea---now seeing blood. Has had



frequent accidents in crate---diarrhea. Originally sched NAE for tomorrow, but concerned because ofworsening diarrhea.Diet---Science Diet Lg Breed Puppy

OBJECTIVE SECTION

EENT- clear, no dc AU/OU, oral exam normalMS-amb x 4H/L- normal rate/rhythm, NMA, lungs clear/eupnicPLN - normalIntegumentary - excellent coat, no lesions/massesAbdomen - NMP, soft, non-painfulParvo test --- neg,Fecal-- coccidia

ASSESSMENT SECTION

RULE-OUTSCOCCIDIOSIS

DIAGNOSESCOCCIDIOSIS

PLAN SECTION

NOTES

Albon. Bland diet----I/D, Sensitive Stomach or watery rice mixed with regular puppy diet. Transitionback to puppy diet after a few days.Has NAE scheduled in a few days to go over routine preventative care.If diarrhea persisting, treat with Marquis Paste

6/10/2008 LHG ZNAEH NAE New Adopt Exam - Healthy PetFECAL Fecal - Parasite Screening In House

Coccidia

6/4/2008 TEK VISIT Client Communications - VisitJH: 6/4/2008 at 3:44p: G stopped by b/c thought she'd seen a flea on herself. We checked Angel forfleas, no evidence of any fleas but g will try trial of Frontline. Told g to clean all of the bedding shehas been laying on.

CHECKOU Patient Ready for CheckoutFL44 Front Line Top Spot 23-44 card of 3

Apply one ampule between shoulder blades once per month for fleas and ticks. Do not bathe Angel2 days before or after this application.

6/4/2008 CSR WEIGH Medical Condition Record (weight)

Age: 17w Weight: 23.00HISTORYI Scanned Medical History - In House

6/1/2008 *** DHPPA DHPP AnnualDoctor's Instructions - *GIAR1*




6/1/2008 *** BORDINA Bordatella Intra-nasal (Annual)Doctor's Instructions - *GIAR1*

ID: Serial: Expires: Type: MLV Mfg: SCHPL Admin: IN

5/15/2008 *** RAB1 Rabies Vaccination AnnualDoctor's Instructions - *GIAR1*

ID: Serial: Expires: Type: KIL Mfg: PFIZ Admin: SQ

5/13/2008 *** BORD1 Bordatella Inj 1st VaccineDoctor's Instructions - *GIAR1*

ID: Serial: Expires: Type: AGX Mfg: PFIZ Admin: SQ

4/29/2008 *** DHPP1 DHPP Puppy 1SQ Right forelimb



Humane Society of Boulder Valley Patient Chart

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Transcript of Humane Society of Boulder Valley Patient Chart