[DVM Intake] DVM Intake Exam Estimated age: approx. 3-5 years Microchip noted on Intake? No History : Presents as stray. Friendly, allows all handling with minimal restraint. Subjective: Evidence of Cruelty seen – No Evidence of Trauma seen – No Objective P = 90 R = pant BCS 2/9 EENT: Eyes clear, Moderate brown waxy exudate AU , no nasal or ocular discharge noted Oral Exam: Adult dentition, Mild tartar, approx. 1.5 cm mass on mandible area of 301/401 PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: 2 descended symmetrical testicles MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, alopecia on right pinna CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: Underweight Otitis externa Gingival mass- r/o epuli vs neoplasia vs other Alopecia on pinna- r/o trauma vs other Prognosis: Good Plan: Clean ears and apply Claro AU Recommend 3x a day feeding Recommend dental radiographs with FNA / Biopsy of gingival mass SURGERY: Temporary waiver due to underweight

Your newly adopted pet is currently 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.

ACS reported bloody nasal discharge S/O: QARH. Allows all handling. Perks up when offered food, excellent appetite EENT: Eyes clear, no ocular discharge, mild muco-hemorrhagic, pink mm, gingival mass (fully described in previous exam), underbite, mild dental tartar and wear HL: Clear lung sounds, normal heart sounds, no coughing or sneezing, unable to elicit cough ABD: Soft, non tender MSI: Ambulatory x 4, thin BCS with barrel chest, possibly distended abdomen UG: Male A: R/O CIRDC vs other P: Starting on doxycycline 300mg PO q24 x 14 days. Blood work scheduled for tomorrow, +/- thoracic and abdominal radiographs. Open prognosis pending diagnostics

Progress exam-bloody nasal d/c Subjective: QAR. No c/s/v/d. Bloody nasal d/c noted yesterday but serous nasal d/c today. Objective EENT: serous nasal d/c, no ocular d/c PLN: No enlargements noted H/L: No c/s Assessment: CIRDC Underweight Otitis externa Gingival mass-approx. 1.5 cm mass on mandible area of 301/401- r/o epuli vs neoplasia vs other Alopecia on pinna- r/o trauma vs other Prognosis: Good Plan: Recheck day 7, 10 for CIRDC Trim nails CBC Chem T4 2 view CXR Recommend 3x a day feeding Recommend dental radiographs with FNA / Biopsy of gingival mass Continue doxycycline until 10/7 Move to MACC for isolation

Progress exam-bloody nasal d/c Subjective: QAR. No c/s/v/d. Bloody nasal d/c noted yesterday but serous nasal d/c today. 5% dehydrated. Objective EENT: serous nasal d/c, no ocular d/c PLN: No enlargements noted H/L: No c/s Assessment: CIRDC Underweight Otitis externa Gingival mass-approx. 1.5 cm mass on mandible area of 301/401- r/o epuli vs neoplasia vs other Alopecia on pinna- r/o trauma vs other Leukocytosis with monocytosis and neutrophilia Anemia Prognosis: Good Plan: Recheck day 7, 10 for CIRDC Trim nails, left HL dewclaw overgrown but not embedded. Dewclaw was hard and thickened around nail base. LRS SQ 20ml/kg SID x 3d. First dose given today. CBC-leukocytosis 26.28 (5.05-16.76) with monocytosis 1.63 (0.16-1.12) and neutrophilia 22.45 (2.95-11.64), anemia 26 (37.3-61.7) Chem-wnl T4-wnl 2 view CXR – mild to moderate bronchial pattern Recommend 3x a day feeding Recommend dental radiographs with FNA / Biopsy of gingival mass Continue doxycycline until 11/7 Move to MACC for isolation

Recheck CIRDC-day 7 doxycycline S/O -BAR -barking, appears friendly -sneezing, slightly mucoid nasal discharge -appears eupnic A CIRDC-active P cerenia 60 mg po sid x 3 days recheck in 3 days