7/2/2026

DVM Intake Exam Estimated age: 1-2 years based on dentition Microchip noted on Intake? Scanned negative History: Agency Subjective: BAR Observed Behavior - loose wiggly body, jumps up on handlers socially, pulled hard on leash and passed out 2x in intake room, did well with less is more restraint, likes cheese Is there evidence of suspected cruelty? No Objective: T = P = WNL R = WNL BCS: 4/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Adult dentition, minimal tartar at gingival line -- limited exam performed PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Externally WNL, intact female, no OHE scar or tattoo noted MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally WNL Wood's Lamp Exam: not performed Assessment: Lean body condition Otherwise apparently healthy Intact female Prognosis: Good Plan: Intake tasks + exam Await sort Placed harness on Harness walks only FAST TRACK CANDIDATE SURGERY: Okay for surgery

7/7/2026

Per offsite surgery cancelled: Slightly pale mucous membranes, mild dental calculus, hair thinning, HRW signed (all during exam) Confirm that a pre-surgical examination has been performed and that the patient is rejected for surgery due to being pale post exam (Only ACE and Hydro Given)

7/7/2026

S: rejected from Sx due to pale MM QAR O: MM pale EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: NSF PLN: No enlargements noted H/L: NSR, Grade 2/6 murmur, CRT<2, Lungs clear, eupneic, pulses strong and synchronous ABD: Non painful, no masses palpated U/G: FI MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: At the beginning of the blood draw she has what was described as a short syncopal episode where she stiffened, lay on her side, pedaled a bit, was fully conscious, and popped right back up as though nothing happened A: pale MM, new murmur 4DX - negative PCV 16% TS 6.5 clear serum P: send out full CBC/Chem place in main medical for now.

7/8/2026

RR = 32 EEN: Clear nasal discharge. E&E wnl PLN: WNL CV/RESP: HR 130 Grade 2/6 murmur NR. occasional coughing. RE wnl. Lungs clear. ABD/UG: SNP NMP. Female intact MSI: Ambul x 4 NEURO: QAR BG 101 SDMA 12 bun 14 creat 0.6 wnl TP 6.4 g/dl wnl Albumin 2.2 g/dl low Globulin 4.2 g/dl high ALT 8 low ALP 47 wnl Tbili 0.1 mg/dl wnl T4 1.7 ug/dl CBC HCT 14% microcytic Retics 241 k/ul high WBCs 48k high Neuts 43k high Monos 3.3 k high Neuts 1.6k wnl Platelets 629k high saline agglutination test negative Radiographs without sedation: No fluid or masses in chest Stomach filled with food. No obvious radiopaque foreign body visible. (only lateral view available) POCUS No free fluid in abdomen A: 7th day in shelter Reasonable energy and still eating. No melena, hematuria or bruising observed. Anemia: severe, regenerative with leukocytosis Hx. syncopal episode Heart murmur r/o secondary to anemia Suspect early CIRDC r/o blood loss (slow GI bleed due to parasites?) vs extravascular IM hemolysis vs tick born disease (babesia?) vs other Zinc toxicity unlikely given no coins seen on radiographs. Lead and rodenticide unlikely given lack of common symptoms usually associated with exposure to these items. Prognosis: Poor to fair Plan ordered path review of CBC Fecal DX profile to lab Fenbendazole 222mg/g 4 grams po sid x 3 days Doxycycline 100mg 2 tablets po sid x 10d +/- PCR testing for babesia +/- blood transfusion +/- coagulation profile Advise placement in veterinary clinic for monitoring while performing further diagnostic testing.

7/9/2026

Fecal Dx sent to IDEXX