[DVM Intake] DVM Intake Exam Estimated age:10 Microchip noted on Intake? n History : stray Subjective:overgrown nails +++, very large sternal lipoma–somewhat irritated, reducible right sided inguinal hernia–feels fatty Observed Behavior -calm, allows exam Evidence of Cruelty seen -n Evidence of Trauma seen -n Objective T = P =60 R =wnl BCS 5/9 EENT: ou sclerosis, possible early cataracts, ears clean, no nasal or ocular discharge noted Oral Exam: advanced dental diseae PLN: No enlargements noted H/L: NSR, NMA, Lungs clear, eupnic ABD: Non painful, right side inguinal hernia, reducible, large sternal lipoma U/G: neutered MSI: coat falky and smells of malazezzia Ambulatory x 4–nails were causing discomfort–trimmed left front dew claw severely embedded, skin free of parasites,matted coat CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: inguinal hernia, overgrown nails, embedded, malasezzia, dental disease, large lipoma Prognosis: good Plan: dental recommended malaseb baths recommended inguinal hernia and sternal lipoma can probably be left alone clavamox bid for embedded nail

S/O -QAR, docile -good appetite -moist cough with end gag, mild sneezing -mm pk, tacky; CRT <2 sec -eupnic A CIRDC P move to isolation doxycycline 50 mg/ml: 2 ml PO SID x 14 days cerenia 16 mg PO SID x 3 days

Upon intake Escobar allowed minimal handling. He had a tense body and when touched he would growl a bit. He allowed counselor to collar and place him in a kennel. No further handling was performed.

Date of intake:: 12/5/2017

Spay/Neuter status:: Yes

Means of surrender (length of time in previous home):: Stray

Date of assessment:: 12/7/2017

Look:: 2. Dog’s eyes are averted, body posture is stiff and fearful, tail is low and not moving. Dog allows head to be held loosely in Assessor’s cupped hands.

Sensitivity:: 2. Dog stands still and accepts the touch, eyes are averted, tail is between legs, body stiff, mouth closed, lip long, ears likely back, may lip lick.

Tag:: 1. Dog follows at the end of the leash, body low and a bit fearful.

Paw squeeze 1:: 2. Dog quickly pulls back.

Paw squeeze 2:: 2. Dog quickly pull back.

Flank squeeze 1:: Item not conducted

Flank squeeze 2:: Item not conducted

Toy:: 1. Minimal interest in toy, dog may smell or lick, then turns away.

Summary:: Escobar approached the assessor in the assessment room slowly and a bit cautiously. He was a bit tense during the assessment and moved away from the assessor at times, but allowed all handling.

Summary (1):: 12/6-12/7: When introduced off leash to dogs, Escobar greets politely.

Summary (2):: 12/11: When introduced off leash to dogs, Escobar greets politely.

Date of intake:: 12/5/2017

Summary:: Escobar was tense, growled, and allowed minimal handling.

Date of initial:: 12/6/2017

Summary:: Escobar was calm and allowed handling.

ENERGY LEVEL:: We have no history on Escobar so we cannot be certain of his behavior in a home environment. In the care center, he displays a medium-low level of activity.

BEHAVIOR DETERMINATION:: EXPERIENCE (suitable for an adopter with some previous dog experience, especially with the behaviors outlined below)

Behavior Asilomar: TM – Treatable-Manageable

Recommendations:: No young children (under 5)

Recommendations comments:: No young children: Due to the behavior seen in the care center, we feel that Escobar may be intimidated by young children. He needs a slow approach and time to warm up. He should never be forced to interact with new people, and should be allowed to greet and initiate an interaction at his own pace. Older, gentle children should have an in-depth interaction prior to adoption.

Potential challenges: : Fearful/potential for defensive aggression

Potential challenges comments:: Fearful/potential for defensive aggression: Escobar is fearful at the care center. It is important to always go slow and give Escobar the option to walk away from any social interaction. Escobar should never be forced to approach anything that he is uncomfortable with or to submit to petting or handling. It should always be Escobar’s choice to approach a new person or thing. Escobar would do best in an initially calm and quiet home environment and should be given time to acclimate to his new surroundings.