[DVM Intake] DVM Intake Exam Estimated age: 2-3 Microchip noted on Intake? n History : stray Subjective: bar Observed Behavior – sweet and friendly, wanted to be pet and hugged Evidence of Cruelty seen -n Evidence of Trauma seen -n Objective T = P = 100 R = wnl BCS 5/9 EENT: Eyes clear, ears mild wax debris, no nasal or ocular discharge noted Oral Exam: slab fracture right maxillary carnassial PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: mi x 2 MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, but dirty CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: na Assessment: 2-3 yr mi pit dental fracture Prognosis: excellent needs to have fractured tooth extracted Plan: ok for sx and adoption rec: dental to remove fractured rt max carnassial tooth SURGERY: Okay for surgery

Post-op neuter, was brought to medical by volunteer dog-walker for recheck due to scrotal swelling: S/O: BARH BCS 4/9 T: 102.3 – mild serous nasal discharge, sneeze and mod. hacking cough – scrotum is mod. swollen with mod. amount of bruising around prepuce and scrotum; does not feel warm to touch and no discharge at this time; allowed palpation and did not seem too uncomfortable at this time – amb x 4, snp abd. A: early CIRDC vs other – mod. scrotal hematoma vs other P: Doxy 300 mg PO SID x 14 days – Cerenia 60 mg PO SID x 3 days — cont. post-op pain meds, e-collar on + warm compress on scrotum + recheck

Notes entered for 1088. Neuter incision: scrotal hematoma 8×15 cm, appears soft, no necrotic tissue seen. Extend Rimadyl from the 10th to the 18th for a 10 day pain management treatment, add BID hot compresses x7 days. 1088

Currently being treated for scrotal hematoma at the ASPCA

Hx: Neutered on 11/7/17 at the ASPCA, developed CIRDC on 11/8/17 and was diagnosed with a scrotal hematoma that same day. Pt was sent back to ASPCA for initial treatment of the hematoma; he came back here today. S: Energetic, tail wagging, very friendly O: BAR-H, MMs pink and moist EENT: Mild SND, clean eyes/ears H/L: Sniffling and sneezing, not ausculted M/S/I: Amb x4, scrotum large and erythematous/purple A: 1. Scrotal hematoma 2. CIRDC P: Continue treatments as scheduled – Rimadyl, doxycycline, warm compresses 1088

Brief recheck — CIRDC and scrotal hematoma Day 8 on doxycycline. Mild coughing during exam, no visible ocular or nasal discharge. Normal RR/RE. Scrotal hematoma still present. Left side of hematoma is soft and flucctuant, right side is more firm. P: cont doxy, until 12/22 cont rimadyl, until 12/18 restart warm compressing scrotal hematoma BID recheck 12/22

Upon intake Gnocchi allowed all handling. Officers stated that he was somewhat shy and growled once. When greeted he had a loose body and wagging tail. He allowed all handling, was receptive to head and body touches, stood on top of the counselors lap to be petted on his head and allowed counselor to collar him.

Date of intake:: 12/2/2017

Spay/Neuter status:: No

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

Date of assessment:: 12/3/2017

Look:: 1. Dog leans forward or jumps up to lick the Assessor’s face with tail wagging, ears back and eyes averted.

Sensitivity:: 1. Dog leans into the Assessor, eyes soft or squinty, soft and loose body, open mouth.

Tag:: 2. Dog is not fearful, but is unresponsive when touched. Approaches the Assessor when the game ends (may need coaxing to approach). Dog is focused on stimuli other than the Assessor.

Paw squeeze 1:: 1. Dog gently pulls back his/her paw.

Paw squeeze 2:: 1. Dog gently pulls back his/her paw.

Flank squeeze 1:: Item not conducted

Flank squeeze 2:: Item not conducted

Toy:: 1. No interest.

Summary:: Gnocchi approached the assessor in the assessment room with a soft body. He solicited attention by placing his head in the assessor’s lap. He allowed all handling and displayed no concerning behaviors.

Summary:: Based on observation made in our care, slow introductions are recommended between Gnocchi and respectful dogs. Gnocchi’s history around other dogs is unknown due to arriving as a stray.

Summary (1):: 12/3: When introduced off leash to the female greeter dog, Gnocchi is completely avoidant of any approach.

Summary (2):: 12/6: Gnocchi is polite when greeting a calm male dog.

Date of initial:: 12/2/2017

Summary:: Gnocchi was sweet and social.

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

IN SHELTER OBSERVATIONS:: Gnocchi consistently displays highly social behavior with his human caretakers outside of his kennel. He maintains a loose wiggly body throughout interactions and solicits attention from handlers.

BEHAVIOR DETERMINATION:: AVERAGE (suitable for an adopter with an average amount of dog experience)