4/21/2026

[DVM Intake] DVM Intake Exam Estimated age: 5yrs based on dentition/conformation Microchip noted on intake? scans negative History: Stray found running on the highway. Reported to have had a possible bite incident when EMTs attempted to rescue her. Was taken to offsite ER clinic and was noted to have superficial abrasions as well as a corneal ulcer on the right eye. Started on Clavamox, Gabapentin, Rimadyl, TAO ophthalmic ointment. Bloodwork at that time was WNL. Transferred to ACC last night. Subjective: BAR Observed Behavior - comes out of kennel easily, squirmy for handling but does not escalate, will take some treats (cheese). Is there evidence of suspected cruelty? no Objective: P = 140 R = 24 BCS 4/9 EENT: Eyes clear with no blepharospasm and bilaterally symmetrical pupils, mild crusting periocular area around OS, ears clean, no nasal discharge noted Oral Exam: adult dentition with diffuse staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: F; suspect spayed based on presence of midline abdominal scar and lack of development of mammary glands/vulva. No tattoo. No vulvar discharge or MGTs MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, scabbed wounds on plantar aspect of LH paw and tarsus, weight-bearing normally, both antebrachium shaved with small focal scabs CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment: Approx. 5yr FS canine Wounds LHL and forelimbs (r/o trauma vs other)- healing well Hx of corneal ulcer OD diagnosed at offsite vet- currenly under treatment with TAO opthalmic ointment + now has discharge OS Prognosis: good Plan: intake tasks Continue TAO opthalmic OU BID x 5 days (given presence of discharge OS, electing to treat both eyes as long as she tolerates the handling) Continue clavamox 250mg PO BID x 5 days Continue gabapentin 300mg PO BID x 5 days Start trazadone 7mg/kg PO BID indefinitely D/C rimadyl at this time unless she seems painful DVM recheck tomorrow then PRN SURGERY: spayed

4/22/2026

DVM Progress Exam Estimated age: 5 years History: Patient arrived on 4/21/26 with wounds on multiple limbs and a history of a corneal ulcer in the right eye diagnosed by an external veterinarian. BAR MM pink, moist, CRT <2 sec Objective: EENT: Mild crusting noted periocularly around the left eye. History of corneal ulcer OD, currently under treatment. Ears clean, no nasal discharge noted. Oral Exam: NSF PLN: No enlargements noted H/L: NSR, no apparent murmur, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FS MSI: Ambulatory x 4. Scabbed, healing wounds noted on the plantar aspect of the left hind paw and tarsus. Shaved areas on both forelimbs with small, focal scabs present. CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: *Healing Wounds*: Left hindlimb and forelimbs, secondary to suspected trauma. *Ocular*: History of corneal ulcer, OD. Mild crusting noted, OS. Prognosis: Good Plan: * Continue current medications until 4/25/26: * Clavamox 250 mg PO BID * NeoPolyBac ophthalmic ointment 1/4" strip OU BID * Gabapentin 300 mg PO BID * Continue Trazodone 100 mg PO BID indefinitely. * Patient is wearing an E-collar. * Recheck scheduled for 4/25/26. * At recheck, perform fluorescein stain on both eyes. * If stain is negative, discontinue all medications except Trazodone. Discontinue E-collar. * Skin wounds are healing appropriately and do not require a specific recheck.

4/23/2026

Does not tolerate topical eye meds - discontinued. Recheck as scheduled.

4/25/2026

Progress exam S/O: BAR, active. No nasal discharge. Pink mm. OU - no discharge, eyes are clear. OS shows no conjunctivitis or chemosis. Wounds on limbs appear to be healing well. A/P: No fluorescein stain required as no clinical indication to do so, no additional treatments needed

4/29/2026

On 04/29/2026 Shiny was examined. The patient has appropriate mentation at this time (no neurological signs present) and has not exhibited any neurological signs while at QACC.

4/30/2026

Progress exam: Nasal discharge noted by care staff Subjective: BAR, no S/V/D. Spontaneous coughing noted Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed CIRDC PLAN: Per standing orders -Move to iso, ppe sign & monitor log placed on kennel -Start doxycycline 10mg/kg PO q24h x10days -CTM, recheck in 3 days

5/4/2026

AS:1 noted on log for 3 days, adding medical feedings PO BID x5 days. CTM, recheck as scheduled

5/6/2026

Anorexia reported on log for at least 3 days - recheck; lost ~7 pounds S/O: QAR, persistent huffing cough noted this morning, occasional cough this afternoon, not eating, meds untouched. Diarrhea FS 6 in kennel, no v/s noted EENT: Mild serous nasal discharge LUNGS: Eupneic MSI: Ambulatory x 4 A: CIRDC, suspect pneumonia Anorexia with significant weight loss Diarrhea P: D/c doxycycline Start SQ LRS 300 ml SID Start cerenia 1 mg/kg SQ SID Start enrofloxacin 10 mg/kg SQ SID Start entyce 3 mg/kg PO SID Continue medical feedings and recheck in 2 days

5/7/2026

Progress exam: CIRDC day 7 recheck Subjective: BAR, no S/V/D. Coughing/Huffing present. AS:1/2 ate some baby food from medical feeding Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mild mucoid discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed CIRDC PLAN: Per standing orders -CTM, recheck in 3 days

5/8/2026

Recheck CIRDC, pneumonia, anorexia S/O: QAR, continued anorexia reported, huffing cough, no v/d/s EENT: Mild serous nasal discharge LUNGS: Eupneic at rest MSI: Ambulatory x 4 CNS: Appropriate mentation A: CIRDC, suspect pneumonia Anorexia P: Move to med iso for closer monitoring Start clindamycin 11 mg/kg SQ BID Continue SQ LRS, cerenia, entyce, enrofloxacin CTM on rounds, recheck in 2 days

5/11/2026

Cageside progress exam S: BARH - st front of kennel barking pink moist mm no c/s/v/d reported today great appetite yesterday and today O: EENT: No ocular or nasal discharge LUNGS: Eupneic at distance MSI: Ambulatory x 4 CNS: Appropriate mentation A: CIRDC, suspect pneumonia - clinically improving Anorexia - resolved @tt P: CWCP DVM recheck 5/13 at end of injectables - if still eating well consider transition to orals / move to gen pop

5/12/2026

Recheck CIRDC +/- pneumonia, anorexia; staff report difficulty administering injectables lately, much higher energy, thrashing, etc S/O: BAR in kennel, ate well overnight, eats meds in HV foods, no c/s/v; stool smashed and smeared all over kennel from hyperactivity - unable to tell if diarrhea EENT: No active nasal or ocular discharge LUNGS: Eupneic A: Anorexia - resolved CIRDC/pneumonia - improved P: Oral enrofloxacin and clindamycin given this AM Switch to oral enrofloxacin, okay to d/c clindamycin at this time Continue trazodone for FAS Okay to move out of med iso, recheck CIRDC/pneumonia for resolution in 3 days CTM closely to ensure eating meds

5/14/2026

Progress exam: CIRDC recheck Subjective: BAR, no C/S/V/D. AS:3 eating great Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed CIRDC appears resolved PLAN: Per standing orders -Move out of iso -CTM on daily rounds while in QACC