Your newly adopted pet is underweight and the staff veterinarians are issuing a temporary waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment. Your veterinarian will advise you if surgical sterilization is appropriate.

[DVM Intake] DVM Intake Exam Estimated age: 1 year Microchip noted on Intake? n History : surrender Subjective: BAR, very attentive Observed Behavior – Very friendly, allowed all handling Evidence of Cruelty seen – n Evidence of Trauma seen – n Objective T = P = 128 R = panting BCS 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: wnl PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: questionable spay scar, small mammary glands, normal vulva MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: Assessment – underweight Prognosis: good Plan: reweight and check for spay scar in two weeks SURGERY: Temporary waiver due to underweight

CIRDC and hematuria noted on rounds History : surrender 10/21-underweight otherwise apparently healthy Subjective: QAR. Coughing. No s/v/d. Objective EENT: serous nasal d/c, no ocular d/c H/L: Coughing, no sneezing noted, eupneic Assessment: CIRDC Underweight Hematuria Prognosis: good Plan: 2 view AXR tomorrow 2 view CXR tomorrow CBC tomorrow Chem tomorrow UA tomorrow Start doxycycline 10mg/kg PO SID x14d Move to iso Recheck day 7, 10

CIRDC and hematuria noted on rounds History : surrender 10/21-underweight otherwise apparently healthy. Diagnosed with CIRDC 11/1 and hematuria noted on rounds board 11/1. Currently on doxycycline. S/O: BAR. Coughing. No s/v/d. Appears to be in heat EENT: Serous nasal d/c. Serous ocular d/c L: Coughing. Harsh BV sounds bilaterally. NMA, RR UG: Serosanguineous vulvar d/c, no spay scar seen or palpated. No MGTs Assessment: CIRDC Underweight Serosanguineous vulvar d/c r/o in heat (likely) vs UTI Prognosis: good Plan: 2 view AXR-nsf 2 view CXR-mild diffuse interstitial pattern with consolidation of right middle lung lobe CBC-Hematocrit 33.2 (37.3 – 61.7 %), leukocytosis 36.69 (5.05 – 16.76 K/µL ) with neutrophilia 28.44 (2.95 – 11.64 K/µL), monocytosis 4.24 (0.16 – 1.12 K/µL), and basophilia 0.19 (0 – 0.1 K/µL) Chem-mild hyperglobulinemia 5 (2.5-4.5) UA -blood 250, pH 7, USG 1.000 Continue doxycycline Add baytil 10mg/kg IM SID x5d Sedated with dexdomitor 10mcg/kg IV + butorphanol 0.2mg/kg IV + antisedan IM reversal

Upon intake Angel was very friendly and displayed a wiggle body. Angel does harsh grab at treats, and seems to be dog reactive, while in the lobby several dogs passed by and she started barking at them. She allowed the counselor to collar and take a photo.