8/26/2026

DVM Intake Exam Estimated age: approx 3-7 years based on dentition and conformation Microchip noted on Intake? scanned negative History: agency- reported finder said two dogs were fighting and had to be separated Subjective: QAR Observed Behavior - reluctant to walk into exam room, timid, allowed for handling, sedated for wound explore and clean Is there evidence of suspected cruelty? Y Objective: T = np P = wnl R = wnl BCS 6/9 EENT: Eyes clear, moderate dark brown ceruminous debris AU with mucopurulent dc at the edges of the pinna and appearance of draining into external canals , no nasal or ocular discharge noted Oral Exam: mild - moderate wear and staining to visible dentition PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: F suspected intact MSI: Ambulatory x 4, multiple wounds to either side of the face and ears with 4 apparent punctures on the left, 2 full thickness puncture to AS- one at the edge and full thickness approx 1/2 cm extending through the distal end of the pinna- moderate- severe erythema with diffuse scabbing and dried serous dc along either side of the face, suspected approx 5 days old based on mucopurulent dc and thickness of skin, no active bleeding, no palpable areas of fluid accumulation under the skin. R side approx 2-3 punctures with moderate-severe erythema and scabbing, no active bleeding, copious dried serous dc. Diffuse scarring along the neck and front legs, focal puncture wounds at various stage of healing (3 days to scarring) on the carpi, also extending up RFL. CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: Bite wounds Prognosis: fair Plan: intake exam and tasks sedated with 0.6mL dex/torb/ket IM - maintained on O2, adequate sedation wounds soaked with dilute chlorohex, flushed and probed copious with sterile saline, clipped both sides of face, ears cleaned Carpro 4.4mg/kg SQ once today (2.4mL), then PO SID x 7 days (125mg) Methadone 0.2mg/kg IM BID x 3 days (first dose given during exam) Gaba ~ 15mg/kg PO BID x 7 days (300mg) Amoxi-clav 13.75mg/kg PO BID x 12 days (375mg) house in med-icu CBC/CHEM/T4 pulled check for BW results and recheck comfort DOH report awaiting sort SURGERY: Okay for surgery: N Temporary waiver due to bite wounds

8/26/2026

Your newly adopted pet has been diagnosed with BITE WOUNDS and the staff veterinarians are issuing a TEMPORARY waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment through to the resolution of the issue. At the time of a full recovery you may choose to have your veterinarian perform the spay/neuter surgery, or make provisions to return the pet to ACC for sterilization.

8/27/2026

Recheck wounds, bw results S/O: QAR-BAR, ate well overnight, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Amb x 4; multifocal to coalescing wounds at face/head/neck and forearms; significant fluctuant swelling at right side of face with purulent to sanguineous discharge; wound at ear canal AD with purulent discharge within canal CNS: Appropriate mentation CBC: 32.9 (L), WBC 20.2 (H), neutrophils 17.705 (H), monocytes 1.232 (H) CHEM: Albumin 2.3 (L), globulin 4.2 (H), AG ratio 0.5 (L); ALP 188 (H), cholesterol 376 (H) Sedated for wound care with dex 0.5 ml IV. Already received methadone as tx this AM. -Two full thickness wounds at right side of face, one at caudal border of wounds and the other more rostral. -Caudal wound has mild pocketing, rostral wound has deep pocketing and more discharge -Flushed both with copious sterile saline -Cleaned and flushed superficial wounds as well -Cleaned AD with saline + gauze -Full antisedan reversal, smooth recovery A: Numerous wounds to face/head/neck and front limbs consistent with fighting Leukocytosis, neutrophilia, monocytosis - ro inflammation/infection (wounds) Hypoalbuminemia, hyperglobulinemia - ro inflammation/infection (wounds vs other P: Continue methadone, carprofen, gabapentin, clavamox CTM on rounds and recheck in 3-5 days

8/28/2026

Staff report refusing to go on walks, pancaking, fearful. PLAN: Start trazodone 7.5 mg/kg PO BID.

9/1/2026

Recheck wounds S/O: BAR, active and wiggly, allows handling, no c/s/v/d noted EENT: No ocular or nasal discharge, scabbing and swelling at AD outer canal LUNGS: Eupneic MSI: Swelling at right side of face present, no fluctuant regions appreciated; numerous healing/scabbed wounds at face, head, neck, forelimbs - most notable wounds focused on right side of head/face, no active discharge appreciated CNS: Appropriate mentation A: Bite wounds as described above Leukocytosis, neutrophilia, monocytosis - ro inflammation/infection (wounds) Hypoalbuminemia, hyperglobulinemia - ro inflammation/infection (wounds vs other P: Continue gabapentin, carprofen, clavamox, and trazodone CTM on rounds and recheck wounds in 5 days

9/4/2026

Behavior staff requesting behavior modification medication due to persistent signs of FAS (persistent panting / pacing, inability to focus). P on trazodone ~7.5mg/kg PO BID. INCREASE Trazodone 275mg (~10mg/kg) PO BID TFN ADD Clonidine 0.6mg (~0.024mg/kg) PO BID TFN

9/5/2026

On 09/05/2026 Mac was examined. The patient has appropriate mentation at this time (no neurological signs present) and has not exhibited any neurological signs while at QACC.

9/5/2026

Progress Exam – CIRDC signs noted on rounds S/O: BAR, sneezing/sniffling, no c/s/v/d noted EENT: Eyes clear, mild mucoserous nasal discharge noted H/L: Eupneic, normal respiratory rate/effort MSI: Mild-mod facial swelling and healing wounds at right side of face, but improved from previous exam CNS: Mentation appropriate Assessment: CIRDC Plan: Move to iso Placed monitoring log D/c clavamox - on for wounds Start doxycycline 10 mg/kg PO SID x 10 days Recheck CIRDC day 10 CTM while at QACC