Weight: 15.6 lbs

9/02/2018

[DVM Intake] DVM Intake Exam Estimated age:10y Microchip noted on Intake?n Microchip Number (If Applicable): History :stray Subjective:dribbling urine throughout exam Observed Behavior -calm Evidence of Cruelty seen -neglect Evidence of Trauma seen -n Objective T = P =80 R =wnl BCS 7/9 EENT: ou sclerosis, stenotic ears, heavy brown d/c, no nasal or ocular discharge noted Oral Exam:severe dental disease. At least two large growths in the gum (epulitides) PLN: SMLN enlarged H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: intact, dribbling urine MSI: Ambulatory x 4, skin free of parasites, severe matting, skin very irritated esp face. blisters noted CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: urinary incontinence, matting, severe otitis, severe dental disease. dermatitis. multiple gum growths Prognosis:guarded. individual issues mat be treatable. rule out bladder stones etc. will need surgery for gum growths Plan: abdominal rads will need shave down. cleaned ears and applied gentizol—multiple cleanings will be required SURGERY: Permanent waiver due to age

9/02/2018

rads: bladder stone seen. UTI inferred (urine dipstick had some blood protein anf high ph) recc ch placement

9/02/2018

[Spay/Neuter Waiver – Age] It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.

10/02/2018

S/O: QAR, ate some wet food the night previous. Urinary incontinence during abdominal palpation. t= 99.7 hr= 120 rr- WNL Oral cavity; Exophytic lesions Ddx: Fibrous Gingival Hyperplasia, Epulides, Fibrosarcoma Plan: Urine microscopic examination, urinalysis If placed recommend: – biopsy oral exophtic lesions – medical/surgical treatment of urinary stone(s) – place on a urinary care soft veterinary rx food

10/02/2018

Microscopic urine examination – no bacteria present – alot of urinary debris – +1 Suspected Struvite crystals Assessment: Suspect Struvite Crystalluria Recommendations for placement: Continue on current tx plan and make an appointment with a veterinarian to discuss options for urinary stones. If confirmed as a struvite your veterinarian may recommend: 1) feeding a prescription diet to dissolve the stone(s), such as Hills C/D, for one month and re-check with an xray. If the urinary stone has not dissolved then 2) non-surgical removal by urohydropropulsion or 3) surgical removal.

9/02/2018

Two view abdominal rads taken and reviewed by DVM’s Dwyer and Deegan. Shave (groom) rescheduled for 02/10/2018.

10/02/2018

UA BLD/HGB 1+ BIL Neg UBG Normal KET Neg GLU Neg Pro 3+ LEU 2+ pH 7

10/02/2018

Shaved entire body, legs and ears with 10 blade then cleaned ears with TrizUltraKeto saved hair for cruelty evaluation

Upon intake Nino allowed all handling. He allowed being collared and allowed being placed in a kennel. Due to his condition no further handling was performed.