2/11/2026

DVM Intake Exam Estimated age: geriatric - ~10yo based on ocular changes and graying fur Microchip noted on Intake? negative History: eviction hold Subjective: BARH Observed Behavior - friendly, tail wagging, soft bodied, seeks attention, able to examine with minimal restraint Is there evidence of Cruelty? n Is there evidence of Neglect? n Is there evidence of Trauma? n Objective BCS 5/9 EENT: Eyes clear, nuclear sclerosis OU, ears moderate purulen discharge AU, stenotic ear canals and crusting, no nasal or ocular discharge noted Oral Exam: No obvious lesions, staining and yellowing throughout PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Female suspect intact, no scar. Multiple firm mammary masses on caudal nipples, irregular, lumpy-bumpy and of various sizes. MSI: Ambulatory x 4, skin free of parasites, Multifocal round hairless dermal masses ~1cm each (one on left thorax, one on right carpus), healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Ext normal Wood's Lamp Exam: NP Assessment Geriatric medium mixed breed Multiple mammary masses, r/o neoplastic Multiple skin lesions Chronic otitis with stenotic ear canals Prognosis: Guarded Plan: Routine intake procedures Send out cbc/chem/t4 Clean ears and apply claro AU If considering placing, recommend 3 view chest rads. Placement may consider radical mastectomy and send out to pathology for grading. Ear canals are narrow and suspect has had history of ear infections. Likely end stage aural disease that will need to be surgically addressed if no improvement with medical management. Can consider sedated ear flushing. SURGERY: Permanent waiver due to age

2/11/2026

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.

2/12/2026

Recheck, bloodwork results S/O: BAR, wiggly and wagging tail in kennel, no c/s/v/d noted EENT: No ocular or nasal discharge, ears note examined LUNGS: Eupneic MSI: Masses visible at left side of thorax, RF paw, caudal mammary glands CNS: Appropriate mentation CBC: Hct 36.5 (L), platelets 516 (H) CHEM: Globulin 4.3 (H), ALT 136 (H), cholesterol 408 (H) T4: wnl A: Geriatric MGTs Dermal masses Chronic otitis with stenotic ear canals Mild anemia - ro chronic dz/inflammation vs other Hyperglobulinemia - mild Mild ALT elevation P: Recommend continued veterinary care with placement. Ideally, 3VCXR and surgery to remove/biopsy massses. Will also need follow up for chronic otitis. CTM while at QACC

2/21/2026

Recheck geriatric dog with comorbidities S/O: BAR, soft body, sweet girl, allows all handling; good appetite, sniffling, no c/s/v/d noted EENT: Mild mucoserous nasal discharge, no ocular discharge, nuclear sclerosis OU; ears - chronic otitis with stenosis and hardened canals palpable AD>AS ORAL: mm pink and moist, CRT <2; staining and wear throughout teeth with some mild crown fractures LUNGS: Eupneic MSI: Ambulatory x 4 with stilted/stiff gait; 2cm spherical hairless nodule at left thorax, 1cm round nodule at dorsal right front paw; multilobular mammary gland tumor - some parts palpate firm, some parts cystic, and one section looks like a skin tag CNS: Appropriate mentation A: CIRDC Geriatric Mammary gland tumors - irreglar, cystic, multilobular Dermal mass at left thorax Dermal mass at RF paw Chronic otitis AD>AS Dental wear/staining Suspect OA P: Start doxycycline 10 mg/kg PO SID x 10 days Recheck CIRDC day 10 Attempted to clean ears, but canals severely stenotic and unable to administer cleaning solution Seek placement for surgical consult for TECA and MGT removal CTM closely while at QACC

2/23/2026

Hx: noted during rounds to be lethargic; not eating well; also, has several other comorbidities QAR did not eat overnight eent- no mucoid nasal discharge; no coughing on presentation hl- eupneic msi- amb x 4 A) r/o pneumonia vs other P) SQ fluids- LRS 500 ml over 2-3 hours B vits- 0.6 ml SQ

2/24/2026

Noted to be acting lethargic on 2/23, had been dx with CIRDC and started on doxycycline on 2/21. Received supportive care 2/23. Placement had requested CXR S/o: Patient is BAR as she walks towards medical, seeking attention from handlers. EENT: Mild serous nasal discharge, no ocular discharge. H/L: No murmurs or arrhythmias, light wheeze on ventral lungs, no crackles. Normal RR and RE (~24BPM) MSI: Ambulatory x4, stiff gait; 2cm round nodule on left thorax, 1cm round nodule on dorsal RF paw, multilobular mammary gland tumor associated with caudal mammary glands. Neuro: Appropriate mentation A. CIRDC - apparent improvement from noted clinical signs yesterday Geriatric Mammary gland tumor Dermal mass L thorax Dermal mass RF paw Chronic/end stage otitis Dental wear Suspect OA P. Sedated with 0.3ml dex/0.3ml torb 3 view chest rads: Possible increased opacity over hilar region, subjective R sided heart enlargement. No apparent masses/mets or free fluid. Reversed with 0.3ml antesedan IM - recovered uneventfully Continue doxycycline for ~10 days +/- supportive care Recommend placement to follow up with rDVM to consider surgical removal of masses.