11/19/2025

DVM Intake Exam Estimated age: 6-10 years Microchip noted on Intake? scanned neg History: stray Subjective: bar Observed Behavior -quiet but sweet, very compliant for exam and tasks Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective BCS 4/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: fractured canine, multiple discolored teeth PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: intact male MSI: Ambulatory x 4, skin free of parasites, multiple skin growths, skin has diffuse, coalescing ulcerations in various stages of healing on ventral abdomen, head, and distal limbs; wound on right hip that is bleeding/purulent that is associated with multiple skin masses CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: grossly normal Assessment Dental disease grade 3-4 Pyoderma cbc/chem: lymphopenia, otherwise nsf Prognosis: fair Plan: DVM intake and tasks awaiting sort Dex 2 mg/ml 0.3 mls IM Meds: Animax, start Douxo mousse tomorrow, Cefpodoxime 200 mg 1.5 tabs po sid x 14 days SURGERY: Temporary waiver due to skin infections

11/19/2025

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.

11/21/2025

recheck skin S/O Q-BAR, leashed and brought out into medical, no c/s/v/d appreciated, noted to be eating some EENT: no ocular dc, scant serous nasal dc, AU clear HL: eupneic, nma, clear bilat MSI: amb x 4, diffuse coalescing ulcerations, some scabbing encompassing the entire body but appear worse on the trunk, ventral abdomen, distal limbs, some papules and pustules scattered, one large (approx 1 inch in diameter) firm raised mass by the R hip, some scabbing, moderate-severe diffuse erythema- worst on the ventral abdomen with lichenification and skin thickening A. Pyoderma r/o second to allergy (food vs environment) Start on gaba ~15mg/kg for pain relief/comfort continue with cefpo P would benefit from medicated bath but not sure if behavior will allow for it - appears nervous, timid when out start HA diet trial- signage hung recheck comfort and skin in 3 days - if no improvement consider adding in carpro (not given aTT bc given steroid on intake) seek placement - p is older and skin disease is severe, will require ongoing treatment and follow up care