[DVM Intake] DVM Intake Exam Estimated age: 3 year Microchip noted on Intake? No History : Surrendered as stray Subjective: BAR Hydr wnl Observed Behavior – Really good dog, complete exam happy and wagging tail Evidence of Cruelty seen – Scars Evidence of Trauma seen – Scars Objective T = NE P = 134 R = wnl BCS 4/9 EENT: no nasal or ocular discharge noted, OU chemosis, AU mild to mod malodorous yellow waxy flakes Oral Exam: mild hyperplasia/gingivitis PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: FI mod to severe hematuria w/straining MSI: Ambulatory x 4, skin free of parasites, no masses noted, underwgt, multifocal areas of linear to ovoid areas of alopecia, flakey coat, r lat hock circumscribed area of of thickened alopecic and erythematous skin CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: Hematuria r/o uti, calculi, pyo, +/- heat Alopecia r/o scars, other Otitis r/o yeast, bact primary vs 2nd to allergies OU r/o environmental other Prognosis: good pending definitive dx Plan: Rads: no obv pyo or ub calculi CBC/Chem: mild Neutrophilia 13.13 (2.95-11.64), Mild hypernatremia 163 (144-160) monitor skin for changes consistent w/ inf underwgt r/o nutritional, gi, parasites other Clavamox 250 mg 1 po bid x14 days Mometomax 8 drops au bid x 1 week Tx for ear clean In medical for observation overnight. SURGERY: Temporary waiver due to hematuria

Neutrophilia 13.13 (2.95-11.64) r/o inf, inflam, stress NA 163 (144-160) r/o artifact other other nsf

Pet (FI) observed to be straining to urinate on intake. Labwork shows mild neutrophilia, but no stone or pyometra on radiographic exam. Pet reported to be urinating overnight, although no further details provided. Reported to eat/defecate as well. Will schedule vet recheck 1 week after course of clavamox and ear medication started yesterday. No overt murmur/arrythimia/euhydrated prominent vulva and mg’s, although clean and dry

Hx: severe hematuria and straining noted on intake; radiographs were negative; started on clavamox, also on mometamax for otitis S/O -BAR, docile and friendly, adorable! allows all handling -mm pk, sl tacky; CRT <2 sec -no nasal discharge or sneezing -OU: mild conjunctivitis with episcleral injection -AU: mild erythema, crusting yellow discharge, mild pruritus -eupnic, heart/lungs WNL; mild nasopharyngeal stertor due to brachycephalic -soft abdomen, bladder too small to palpate -vulva enlarged, mild alopecia, no d/c -mild moth eaten dermatitis with dandruff and mild pruritus over dorsum A 1. Hematuria, suspect UTI 2. Dermatitis, mild-suspect mild allergies 3. Otitis externa P CWCT prognosis: good; suspect UTI as cause of hematuria

Hx: Severe hematuria and stranguria noted on intake. Pt started on Clavamox for presumptive UTI, and on Mometamax for otitis. Pt had normal urine in her kennel this morning, but had more bloody vulvar discharge – a large puddle of dark red fluid – today. S: Alert, calm, wiggly body, allows all handling O: BAR-H, MMs pink and moist, BCS 5/9 EENT: Medication visible AU. Mild episcleral injection OU. Clean nose. H/L: NSR, NMA. Quiet lung sounds, eupnic. Abd: Soft, nonpainful, no masses palpated M/S/I: Amb x4. Moth-eaten alopecia with dandruff on dorsum. UG: Female, developed vulva, no active discharge at this time Neuro: Alert and appropriate A: 1. Otitis – on treatment 2. Dark red vulvar discharge – R/O episodic hematuria secondary to neoplasia (TCC) vs. uterine discharge (neoplasia vs. hemometra vs. other) 3. Alopecia – R/O allergies vs. other P: 1. Collect urine for urinalysis 2. Try to collect bloody discharge for analysis 3. Recommend abd ultrasound 1088

Hx: presented with severe hematuria, radiographs negative for stones or obvious pyometra; started on clavamox but has persistent severe hematuria and straining to urinate S/O -BAR, very sweet and friendly, allows all handling -mm pk, sl tacky; CRT <2 sec -no nasal discharge, sneezing or coughing noted or reported -eupnic -soft abdomen A 1. Persistent hematuria-r/o uncontrolled UTI vs ectopic ureters vs other P -collect urine for urine culture -start baytril after urine collected; 136 mg tabs: 1.5 tabs PO SID x 10 days -rimadyl 75 mg PO SID x 7 days

Small amount of urine collected with blood present.

Upon intake, Natalya had a wiggly body and waggy tail. Allowed counselor to pet and collar. She had a relaxed body and laid down throughout intake when not looking for affection.

Date of intake:: 12/22/2017

Spay/Neuter status:: No

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

Date of assessment:: 12/24/2017

Look:: 1. Dog’s eyes are averted, with tail wagging and ears back. Allows head to be held loosely in Assessor’s cupped hands.

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

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

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

Summary:: Natalya approached the assessor in the assessment room with a soft body. She was social throughout the assessment, allowed all handling, and displayed no concerning behaviors.

Summary (1):: 12/27: When introduced off leash to a male dog, Natalya greets politely then engages in quick bouncy play.

Date of intake:: 12/22/2017

Summary:: Upon intake, Natalya had a wiggly body and waggy tail.

Date of initial:: 12/22/2017

Summary:: Natalya was social and allowed handling.

ENERGY LEVEL:: We have no history on Natalya so we cannot be certain of her behavior in a home environment. In the care center, she displays a medium level of activity.

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

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