LILY aka MIA – 10989

28/10/2017

DVM Intake Exam Estimated age: ~5 year Microchip noted on Intake? negative History : stray Subjective: BARH Observed Behavior – very sweet. Easily handleable. Did well for all medical handling and procedures Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective P = wnl R = eupneic BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: adult dentition with dental disease and some fractured teeth, no oral lesions noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FI, no MGTs, developed mammary tissue, no vulvar d/c MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Dental disease Plan: Continue to monitor while at BACC Rec dental Prognosis: Excellent SURGERY: ok to schedule for surgery

1/11/2017

Monitor CIRDC Intake 10/28-dental disease, otherwise apparently healthy S/O: BAR. No c/s/v/d EENT: No nasal or ocular d/c L: Eupneic A: Dental disease P: CTM while at BACC Excellent prognosis

1/11/2017

CIRDC noted on pre-op exam S/O: BARH. Active, attention seeking, allows all handling. EENT: Eyes clear, moderate serous nasal discharge, ears wnl, mild dental tartar/wear HL: Coughing and sneezing, lungs clear, normal heart sounds ABD: Soft, non tneder INTEG: WNL MS: Ambulatory x 4 UG: Female A: CIRDC P: Temporarily waived from spay due to CIRDC. Rec doxycycline 200mg PO q24 x 14 days. Excellent prognosis

2/11/2017

Hematochezia noted on rounds board Intake 10/28-dental disease, otherwise apparently healthy S/O: BAR. No c/s/v/d EENT: No nasal or ocular d/c L: Eupneic A: Dental disease One episode hematochezia P: CTM while at BACC Monitor for hematochezia tomorrow Excellent prognosis

3/11/2017

Monitor for hematochezia S/O: BAR. Active, attention seeking. No signs or reports of hematochezia EENT: Eyes clear, no ocular discharge, very mild seromucoid nasal discharge HL: No coughing, occasional sneeze, normal RR/RE A: On treatment for CIRDC, R/O stress colitis P: No additional treatment indicated at this time. Excellent prognosis

6/11/2017

New CIRDC noted on rounds-was diagnosed on 11/1 and started on doxycycline but was never moved to iso Subjective: BAR. good appetite. Is sneezing in the cage but no c/v/d. Objective EENT: serous nasal d/c bilaterally, no ocular d/c ou H/L: sneezing, eupneic Assessment: CIRDC Plan: Continue Doxycycline 10mg/kg PO SID until 11/14 Recheck at day 7, 10 post dx Move to iso Prognosis: Good

11/11/2017

Day 10 of doxy, recheck CIRDC S/O: BAR. Very active, attention seeking. Eating well EENT: Eyes clear, mild serous nasal discharge HL: Sneezed once, no coughing, normal RR/RE A: CIRDC resolved P: OK to move out of isolation for remainder of treatment. Excellent prognosis

19/11/2017

Diarrhea and sneezing noted on rounds board S/O: BAR. At the front of the cage seeking attention. No c/s/v/d noted in kennel EENT: No nasal or ocular d/c L: Eupneic A: Diarrhea P: Start metronidazole 15mg/kg PO BID x5d until 11/24 Recheck in 5 days CTM for CIRDC Good prognosis

24/11/2017

Day 5 of treatment, recheck diarrhea S/O: BAR. Active, attention seeking. Clean run. No signs or reports of diarrhea EENT: Eyes clear, no ocular or nasal discharge HL: No coughing or sneezing A: No concerns on exam P: Continue with current treatment and monitoring plan. Excellent prognosis

28/12/2017

Monitor for v/d-ate a bone on a walk S/O: BAR. Active, attention seeking. Clean run. No signs or reports of diarrhea or vomtiing EENT: Eyes clear, no ocular or nasal discharge HL: No coughing or sneezing A: No concerns on cage exam P: CTM while at BACC Excellent prognosis

7/01/2018

Progress exam-blood noted in cage on rounds. Subjective: BARH. No csvd. Small amount of serosanguineous fluid noted in kennel. Objective: BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted PLN: No enlargements noted H/L: eupneic, normal RR/RE ABD: Non painful, no masses palpated U/G: FI, no MGTs, serosanguineous vulvar d/c MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, all 4 paws appear normal CNS: mentation appropriate – no signs of neurologic abnormalities Assessment: Apparently healthy In heat Plan: CTM while at BACC Excellent prognosis

10/01/2018

Hx: Volunteer noted blood in kennel; not sure where it is coming from, but would like paws checked. S/O: Dog is BARH, exuberant. BCS 4-5/9. EENT – normal serous nasal discharge. Heart/lungs auscult wnl. Bloody vulvar discharge consistent with heat. All four paws clean, no irritation. A: In Heat, otherwise Apparently Healthy P: Okay for surgery. Scheduled for spay at Glendale tomorrow.

22/01/2018

o reports coughing “labored breathing” s/o: excitable , bar, barking at other dogs no nd no overt signs of illness a: questionable cirdc p: doxycycline 200mg sid x 14d

15/02/2018

DVM Intake Exam Estimated age: ~3-5yrs Microchip noted on Intake? Yes 981020023017952 History : Return Subjective: BARH Observed Behavior – Very active but allows all handling Evidence of Cruelty seen – no Evidence of Trauma seen – no Objective P = WNL R = WNL BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Missing lower incisor (402), slab fracture of upper incisor (102), otherwise teeth in good condition, clean, pink mm PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Spayed MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: Minor dental disease Prognosis: Excellent Plan: Continue to monitor while at BACC

Upon intake Lily was barking while in the lobby, when counselor approached she had a loose body and wiggly tail. She allowed for all handling was scanned and collared. Lily pulled hard on leash and owner noted she required a harness for walks.