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July 2, 2023 08:44
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Hades visit 1
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| Patient History Report | |
| Client: Batiz, Andrea (23583) Patient: HADES (23583-1) | |
| Phone: (254) 251-8121 Species: FELINE Breed: DOMESTIC | |
| SHORTHAIR | |
| Address: 4306 Fremont Drive Age: 5 Mos. 3 Wks. 4 | |
| Days | |
| Sex: Neutered Male | |
| Killeen, TX 76549 Color: black | |
| Date Type Staff History | |
| 5/4/2023 TC 157 call back - TENTATIVE | |
| 5/3/2023 C 1 *Report Card: Exam (URI) - FINAL May 05/2023 | |
| PATIENT: HADES Batiz 23583-1 | |
| AGE: 5 Mos. 2 Wks. 4 Days | |
| SEX: Neutered Male BREED: DOMESTIC SHORTHAIR | |
| DATE: 5/3/2023 | |
| REASON FOR VISIT: Exam | |
| PATIENT INFO: Family Pet. | |
| DOCTOR: Daniel Nowland, DVM TECH: Darian | |
| S (Subjective/Tech Admission Notes): Recently adopted from shelter. Pet was sneezing after being brought home from | |
| shelter, progressively getting worse over the last few weeks, ocular discharge and wet nose. Indoor only. update vaccines. | |
| Current medications: None | |
| Heartworm and Flea Prevention: None | |
| O (Objective/Doctor Exam): | |
| 5/3/2023 | |
| 1:47 PM | |
| Vital Sign 1 | |
| Weight 8.1 pounds | |
| BodyScor | |
| e9 | |
| 5 - Ideal - 5 | |
| Dental 0 - Excellent | |
| Temp 101.4 | |
| HR 180 | |
| Resp 40 | |
| Appetite 4 - Normal | |
| Alert BAR | |
| Pain 1 - No Visible Pain | |
| B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, | |
| I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, | |
| R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs | |
| Springtown Veterinary Hospital Page 1 of 4 Date: 5/10/2023 11:17 AM | |
| Patient History Report | |
| Client: Batiz, Andrea (23583) Patient: HADES (23583-1) | |
| Phone: (254) 251-8121 Species: FELINE Breed: DOMESTIC | |
| SHORTHAIR | |
| Address: 4306 Fremont Drive Age: 5 Mos. 3 Wks. 4 | |
| Days | |
| Sex: Neutered Male | |
| Killeen, TX 76549 Color: black | |
| Date Type Staff History | |
| 1) Weight | |
| Current Weight = 8.1 lb | |
| Normal range | |
| 2) Diet: Hills science diet dry food for indoor kittens and | |
| nulo wet food for kittens. For treats he gets bursts from the | |
| brand Blue. | |
| Good | |
| 3) Attitude | |
| Bright, Alert, and Responsive | |
| Personality: Very sweet and wiggly | |
| 4) Coat & Skin | |
| Appears Normal | |
| 5) Eyes | |
| Mucoid ocuilar discharge - bilateral | |
| Inflamed eyelids | |
| 6) Ears | |
| Appears Normal | |
| 7) Nose & Throat | |
| Nasal Discharge | |
| Sneezing | |
| Enlarged submandibular lymph nodes | |
| 8) Mouth, Teeth, & Gums | |
| Minimal dental tartar present | |
| Grade 1/4 dental disease | |
| 9) Neuromuscular | |
| Appears Normal | |
| 10) Heart | |
| Appears Normal | |
| 11) Abdomen/Gastrointestinal System | |
| Appears Normal | |
| 12) Lungs | |
| Appears Normal | |
| 13) Urogenital System | |
| Appears Normal | |
| 14) Lymphatic System | |
| Appears Normal | |
| PROBLEMS: Eye Discharge, Inflamed Conjunctiva, Sneezing, Nasal Discharge | |
| A (Assessment): | |
| DIAGNOSES: Conjunctivitis, Feline Upper Respiratory Infection, Herpes Virus, Mycoplasma Infection | |
| P (Plan/Treatments): | |
| Labs | |
| FIV/FeLV: Negative | |
| Vaccinations | |
| Rabies: Deferred due to illness | |
| B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, | |
| I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, | |
| R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs | |
| Springtown Veterinary Hospital Page 2 of 4 Date: 5/10/2023 11:17 AM | |
| Patient History Report | |
| Client: Batiz, Andrea (23583) Patient: HADES (23583-1) | |
| Phone: (254) 251-8121 Species: FELINE Breed: DOMESTIC | |
| SHORTHAIR | |
| Address: 4306 Fremont Drive Age: 5 Mos. 3 Wks. 4 | |
| Days | |
| Sex: Neutered Male | |
| Killeen, TX 76549 Color: black | |
| Date Type Staff History | |
| FVRCP: Deferred due to illness | |
| Leukemia: Deferred due to illness | |
| RX: | |
| Item Description Quantity Directions | |
| Famciclovir 125mg Tablets 30.00 GIVE ONE TABLET BY MOUTH TWICE DAILY UNTIL ALL ARE | |
| GONE. WE MAY REFILL THIS MEDICATION DEPENDING ON | |
| RESPONSE. | |
| Erythromycin Ophthalmic | |
| Ointment 0.5% | |
| 1.00 APPLY A 1/2 INCH STRIP TO BOTH EYES 3 TIMES PER DAY FOR 2 | |
| WEEKS. | |
| Azithromycin Susp. | |
| 40mg/ml (30ml) | |
| 1.00 GIVE 1 ML BY MOUTH ONCE DAILY FOR 2 WEEKS. SHAKE WELL | |
| AND REFRIGERATE. | |
| Plan: | |
| • The Feline Leukemia and Feline AIDS tests were both negative. Give the medications as directed and please let us | |
| know if you aren't seeing improvement within one week. If he is improving but still not well after two weeks, we may | |
| consider refilling medications and treating longer. | |
| • If Hades is improved and seems well after 2 to 3 weeks, you can bring him back to get the rest of his vaccines. I also | |
| recommend starting him on Revolution Plus as soon as possible (pamphlet enclosed). | |
| 5/2/2023 TC 171 Previous Records - TENTATIVE | |
| 1/17/23 FVRCP | |
| 12/14/22 FVRCP | |
| Microchip # 982091071882169 | |
| 5/2/2023 TC 171 Tx consent - TENTATIVE | |
| B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, | |
| I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, | |
| R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs | |
| Springtown Veterinary Hospital Page 3 of 4 Date: 5/10/2023 11:17 AM | |
| Patient History Report | |
| Client: Batiz, Andrea (23583) Patient: HADES (23583-1) | |
| Phone: (254) 251-8121 Species: FELINE Breed: DOMESTIC | |
| SHORTHAIR | |
| Address: 4306 Fremont Drive Age: 5 Mos. 3 Wks. 4 | |
| Days | |
| Sex: Neutered Male | |
| Killeen, TX 76549 Color: black | |
| Date Type Staff History | |
| 5/2/2023 TC 171 NCWF - TENTATIVE | |
| B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, | |
| I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, | |
| R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs | |
| Springtown Veterinary Hospital Page 4 of 4 Date: 5/10/2023 11:17 AM |
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