Marso has been doing well since the last clinical visit when microfilaricidal treatment (milbemycin) was administered. There has been no coughing, dyspnea, vomiting, diarrhea, or PU/PD. His activity level has been good.
Physical Examination
Cardiovascular: Heart rate 100 bpm with no arrhythmias or murmurs; good and synchronous femoral pulses; no jugular venous distension or pulses. Mucous membranes are pink with normal CRT.
Integument: Dull hair coat.
EENT: No abnormal findings.
Abdominal palpation: No hepatomegaly or masses, smooth bowel loops.
Lymph nodes within normal limits.
Clinical Diagnosis
Heartworm disease — post therapy
Comments
Difil test: Negative for microfilaria.
Plan: Monthly preventative may be administered; recheck antigen test in 3 months.