DVM Intake Exam Estimated age: 2 years old based on dentition and overall appearance Microchip noted on Intake? Scanned neg – MC placed during exam History : Stray, no health hx available Subjective: Alert, calm Observed Behavior – Sweet girl! Relaxed body, allows all handling. Jerks away from ear exam. Objective BAR-H, MMs pink and moist, BCS 6/9 EENT: AS severe erythema, mild discharge. AD moderate erythema, mild discharge. Caudal to both ears, the skin is severely erythematous and alopecic, slightly excoriated. OU moderate conjunctival erythema and mild mucoid discharge. No nasal discharge noted. Oral Exam: Very clean adult teeth! Left maxillary canine is chipped about halfway down; right maxillary canine is chipped near the base. Multiple incisors and premolars have attrition or abrasion as well. PLN: Mandibular and popliteal lymph nodes are subjectively enlarged, soft, symmetrical. H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Soft, non painful, no masses palpated U/G: Female, appears intact, developed nipples with some mammary development or fat deposits at the base of the nipples, scant yellow serous fluid expressed. Vulva is small, no discharge. MSI: Ventral abdomen is erythematous, with thin fur and multiple excoriations, as well as a few small papules in the inguinal region. Interdigital spaces are all erythematous; a few paw pads have small ulcerations. Ambulatory x 4, skin free of parasites. CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: Normal externally Assessment 1. Multiple teeth chipped and abraded – R/O excessive chewing on bones or other ultra-hard objects, vs. long-term kenneling and pt chews kennel bars as stress relief 2. Allergic conjunctivitis, peripheral lymphadenopathy, interdigital dermatitis and mild pyoderma on ventrum – suspect allergies, R/O environmental vs. food Prognosis: Good, with regular dental care and if client is able to develop and stick to a treatment plan for pt’s skin (with pt’s long-term veterinarian) Plan: 1. Benadryl 37.5 mg PO BID x14 days – if effective, this can be continued indefinitely 2. Bathe with Mal-a-Seb shampoo twice weekly 3. I do not recommend any more weight gain 4. Cephalexin 375 mg PO BID x14 days 5. Recommend dental exam with X-rays of teeth to determine if any fillings or extractions are necessary SURGERY: Temporary waiver due to dermatitis 1088

[Spay/Neuter Waiver – Medical Condition] Your newly adopted pet has been diagnosed with allergic dermatitis 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.

S/O -reportedly did not eat yesterday -BAR, energetic and friendly -sneezing, excessive serous nasal discharge -appears eupnic -dermatitis noted along ventrum on intake, not rechecked today A 1. CIRDC 2. Dermatitis P move to isolation doxycycline 200 mg PO SID x 14 days cerenia 1.7 ml SQ tonight, then continue 60 mg PO SID x 3 days

[Spay/Neuter Waiver – Medical Condition] Your newly adopted pet has been diagnosed with dermatitis 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.