You are a recent graduate from veterinary school and have just started as a new associate in a rural veterinary hospital. You are the only doctor at the clinic today for this mixed animal practice – everyone else is out on farm calls. A long-time client of the practice (for both small and large animals) brings in her family’s resident farm dog, Junior, who is also her kids’ best friend and sleeps with the kids every night. You try to find Junior’s chart but are unsuccessful, as many charts have been misplaced during the clinic’s transition to electronic based records.
Initial Case Presentation:
Junior is a 4-year-old, male, neutered, Golden Retriever.
Junior presents to your animal hospital with a history of “itching” that has been present for at least the past year and a half according to his owner Joyce. Recently, the kids have been complaining that Junior’s scratching has been making it difficult for them to fall asleep. On a scale from 1-10 (with 1 being mild pruritus and 10 being severe) Joyce grades Junior’s pruritus as a 7. The pruritus is year-round (non-seasonal), and since the kids started complaining Joyce has noticed that Junior has scabs and bumps on his skin. This was Joyce’s main concern today.