2/4/2020

[DVM Intake] DVM Intake Exam Estimated age: ~ 4 years Microchip noted on Intake? Negative History: Stray. Came in with Scooter 87676. Subjective: BAR Observed Behavior -Hard barking in kennel, growling and lunging. Bit control pole and would not let go. Sedated for exam. Evidence of Cruelty seen -No Evidence of Trauma seen -No Objective T = P =wnl R =wnl BCS 6/9 EENT: Eyes clear, mild wax AU, no nasal or ocular discharge noted Oral Exam: 1/4, swollen lower right lip with mild to moderate bleeding from biting control pole, 2-3 small superficial wounds in this area (also from control pole) PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: F, suspect spayed, she has a large ventral midline incision MSI: Ambulatory x 4, skin free of parasites, no masses noted, dried blood on forelimbs and paws, diarrhea on all 4 paws CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Clean externally Assessment: -Swollen lower right lip from biting control pole -Diarrhea Prognosis: Good Plan: -Sedated with torb (10 mg/mL) 0.6 mL IM, dexmedetomidine (500 mcg/mL) 0.4 mL IM and ketamine (100 mg/mL) 0.2 mL IM, had to give another dexmedetomidine 0.2 mL IM and ketamine 0.2 mL IM about 20 minutes after initial sedation -Half dose Antisedan for reversal -Cleaned all dry blood off of her -Rimadyl 50 mg/mL-Gave 1.8 mL SQ -Proviable 1 capsule PO SID x 7 days -Trazadone 150 mg PO BID until otherwise directed to help reduce FAS SURGERY: Already spayed

2/6/2020

BAR. Barking and wagging tail at back of kennel. Formed stool on floor of kennel. Vomit of tan liquid and semi digested food on kennel floor as well. Transfer door only sign visible. EENT: No nasal or ocular discharge. RR & RE wnl Presumed spay because long ventral midline incision seen while sedated at intake. A: Vomiting r/o side effect of trazodone vs food sensitivity vs other Plan decrease trazodone to 100mg bid Try wet food only

2/11/2020

S: Alert in kennel, at front O: Mild serous nasal discharge especially at the corners of the nose, occasional coughing A: CIRDC likely P: Move to isolation 1. Doxycycline 200 mg PO SID x14 days 2. Enrofloxacin 204 mg PO SID x14 days 3. Cerenia 45 mg PO SID x4 days 1088

In admissions office, dancing bear was wagging and wiggling body. She allowed all petting and approached counselor and put head on leg for petting. Allowed scanning for microchip and collaring and taking picture. Seems to know the command sit. Had to be carried up second flight of stairs because was pulling away on leash and would not go for treats or calling.Allowed counselor to pick up with no resistance and place into kennel.