Maggie Rumfeld 701 Center Ridge Drive Austin, TX 78753

Medical Summary Report

Treating Your .PetLike Family'
Banfield, The Pet Hospital 12901 N 1-35 Bldg 7, Suite 700 Austin, TX 78753 (512) 252-7070

Care Provided at . Austin NE TX on

August 03,2010 5:43PM

Cefpodoxime Tresaderm

Proxetil100mg

- Tab - Completed

Ear Cleaning 2) - Completed Free Exam/Office Visit - 1st Time Clients - YeliowPages.com - Con

Solution Bottle (15ml) - Completed

Additional Medical Notes documented for this visit/hospitalization:

(Reported by most recent date first) Date
08/03/2010

Type
6:27 pm
Plan

Note

Doctor

PetNurse

CSC
Williams,

Hospital
L. 1185 Austin NE

Butler, L. Holland, B. Patient: Hadley (Canine) Client: Maggie Rumfeld Prescription Filled On: 8/3/2010 Prescription #: 1185-10113833 Rx: Tresaderm Solution Bottle (15mO Manufacturer: Instructions: Apply 10.00 Drops Twice Daily Providing Doctor: Lauren Butler Quantity: 1.00 Expiration Date: 1/30/2011 Number of Refills: None

08/03/2010

6:13 pm
Subjective Butler, L. Holland, B. Williams, L. 1185 Austin NE pt presents for 0 finding blood on fur near vulva. also is straining frequently to urinate. 0 not sure if spayed. o adopted a few days ago. no vx history provided. 0 says pt was bathed recently and treated for fleas. 0 got dog off craig's list. Butler, L. Molland,J3. Williams, 1;:. 1185 Austin NE eent: heavy brown debris and inflamm AU, cis: flea dirt, nails very long, mats behind ears, ried blood near vulva, oral-mod. tartar, BCS 3/5, pln:wnl, abd:palpates normally, lI:wnl, u/g: vulva appears normal sized, teats appear sl. large Butler, L. Holland, B. Williams, L. 1185 Austin NE otitis externa ear mites cystitis dental calculus Butler, L. Holland, B. Williams, L. 1185 Austin NE rec. u/a-o declined due to finances, requested to start w/abs. rx: cefpodoxlme 100mg: 1/2 tab daiy x x 14d #7 tabs ear swab: ear mites cleaned ears w/F2/0 and applied tresaderm AU rx: tresaderm 15ml BID AU x 14d need to apply spot-on flea control every 2 weeks for one month to kill ear mites that have moved out of ears-o declined and said flea prevention was applied last week clipped mat behind right ear-pt very wiggly, didn't atternprte-clip mat behind left ear for fear of cutting pt
f'

Objective

Assessment

..
Plan(Notesl

rec. bring'ing in vax records at recheck and updating her wlall other preventative care

1 Prognosis: fair need to treat all dogs and cats in home w/ear mite meds, importance of doing uta, flea tx for ear mites, ear cleaning, signs of bladder infection, may need to do abdominal rads and bloodwork to rIo bladder stones due to hematuria, abs may not clear up bloody urine if it's not due to a bladder infection. monitor vulva for swelling and heat cycles. offered to shave and check for spay scar-o declined provided 0 with copy of medical records at her request. 3 Recheck: 2 weeks 4 Follow-Up Therapy: otoscopic exam/uta Lauren Butler, DVM ***********************************************************************

2 Client Eaucation:

08/03/2010

6:13 pm
Plan Butler, L. Holland,
Hospital #1185

B.

Williams,

L.

1185 Austin NE
Page 4 of 5 Date Printed: August 03, 2010

Report ID: MedSumrpary_US Time Printed: 6:41PM