Recheck requested because he appeared lethargic; one episode of vomiting and episode of blood in stool reported on 10/14; coughing reported on 10/15 but none reported on walk this morning S/O -QAR, seemed quiet in cage earlier in the day but when taken out for exam, he appeared BAR -mm pk, sl tacky; CRT <2 sec -no nasal discharge, sneezing or coughing noted -eupnic -soft abdomen A Episode of v/d-none reported since 10/14 Coughing reported 10/15-none reported or noted today P Cerenia 60 mg PO SID x 2 days CTM for inappetance, lethargy, v/d, CIRDC signs

Recheck overall health, had episode of vomiting, diarrhea and appeared lethargic S/O BAR, very energetic and sweet no nasal discharge, coughing or sneezing noted appears eupnic no reports of v/d or other signs A appears healthy P no further tx

DVM Intake Exam Estimated age: 1 Microchip noted on Intake? n History : in house with two other dogs. Subjective: All three dogs have evidence of bite wounds. this dogs wounds are significant, scabs and cut on legs and facial area Observed Behavior -nervous, head down, allows full exam Evidence of Cruelty seen – n Evidence of Trauma seen – y Objective P = 80 R = wnl BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: enamel hypoplasia noted PLN: No enlargements noted H/L: NSR, NMA, , Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: 2 testes, MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment; bite wounds, enamel hypoplasia Plan: neuter after doh hold, clavamox for wounds. no treatment for teeth Prognosis: good SURGERY: Okay for surgery

Recheck bite wounds S/O does not appear to be taking clavamox in meatball BAR, a little shy but warms up quickly and allows all handling mm pk, moist soft sneezing, serous nasal discharge superficial excoriations from dog fight along head and front limbs appear almost resolved with appropriate tissue healing and no active discharge or swelling; two slightly deeper wounds present, one on R cheek and one under L side of face also healing appropriately eupnic A Bite wounds-resolving CIRDC P move to isolation d/c clavamox doxycycline 150 mg PO SID x 14 days

Noted to be lethargic, inappetant with persistant cough in isolation S/O QDR, much less energy for this dog mm pk, tacky; CRT 2 sec serous nasal discharge harsh expiratory cough with end gag eupnic in between coughing sedated with 0.5 ml torb/0.5 ml dexdomitor for radiographs CXR (2 view)-mild perivascular interstitial pattern in R caudal lung field; NOSF A CIRDC lethargy/inappetance P 300 ml SQF cerenia 1.5 ml SQ once, then continue at 60 ml PO SID x 3 days monitor appetite, energy level

Recheck CIRDC, Day 7 doxycycline; was noted to be lethargic, inappetant on 9/21 but CXR showed no signs of pneumonia; started LRS, cerenia S/O QAR, docile, sweet good appetite! mm pk, moist no nasal discharge, sneezing or coughing noted eupnic A CIRDC-appears resolved P okay to move from isolation finish doxycycline course

CIRDC cleared on 9/24, episode of coughing reported by ACS S/O QAR, shy, sweet no nasal discharge or sneezing no coughing noted or ellicited on tracheal palpation eupnic A Coughing-r/o CIRDC relapse vs isolated episode P Cerenia 30 mg PO SID x 2 days CTM for relapsed signs