12/26/2019

DVM Intake Exam Estimated age: 6.5 years Microchip noted on Intake? negative History: os, seeking help in June for skin condition but unclear if she has being seeing a vet Subjective: BARH. Observed Behavior -nervous, tense, whale eyes, muzzled after exam Evidence of Cruelty seen - no Evidence of Trauma seen - no Objective P = wnl R = wnl BCS = 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: adult dentition with mild tartar, no oral lesions PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FI, no MGTs, no vulvar d/c MSI: Ambulatory x 4, skin free of parasites, no masses noted, hypotrichosis, pruritus, erythema of caudal dorsum, shoulders, and legs CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: Dermatitis suspect secondary to allergies Prognosis: Good Plan: CTM while at BACC Start prednisone 1mg/kg PO SID x3d then 0.5mg/kg PO SID x3d then 0.5mg/kg EOD for 3 days Start simplicef 10mg/kg PO SID x7d until 1/2 Start medicated baths twice a week (scheduled until next week) Recheck skin in 1 week, will likely need longterm care and allergy management. Recommend diet trial +/- dermatology consult with placement Skin scrape negative SURGERY: Temporary waiver due to dermatitis

12/26/2019

Your newly adopted pet has been diagnosed with dermatitis 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.

1/2/2020

History 12/26/19 os intake: dermatitis, suspected allergies; started pred taper, cefpodoxime, medicated baths. Skin scrape negative. 1/2/20 today: recheck exam, sneezing noted by ACS S/O: BARH, active and allows handling, e-collar in place. EENT: Eyes clear, moderate serous nasal discharge and sniffling noted H/L: No coughing, eupneic, normal respiratory rate/effort ABD: SNP, NMP MSI: Ambulatory x 4, BCS 5/9, caudal dorsum alopcia and scaling skin, but erythema resolved. Mild erythema, alopecia, scaling around neck (circumferentially) CNS: Mentation appropriate Assessment: CIRDC Dermatitis - improving Allergies - ro atopy +/- food +/- FBD Plan: Move to iso Start baytril 10 mg/kg PO SID x 10 days Start doxycycline 10 mg/kg PO SID x 10 days Recheck CIRDC and skin in 7 days Okay to dc cefpodoxime, remove e-collar Recommend follow up with vet at placement, likely will need longterm care and management of suspected allergies

1/6/2020

History 12/26/19 os intake: dermatitis, suspected allergies; started pred taper, cefpodoxime, medicated baths. Skin scrape negative. 1/2/20: started doxycycline and baytril for CIRDC 1/6 today: ACS noted worms in stool S/O: BAR, active, no c/s/v/d noted. EENT: Eyes clear, mod serous nasal discharge noted H/L: Eupneic, normal respiratory rate/effort ABD: No obvious distention MSI: Ambulatory x 4, no notable lameness CNS: Mentation appropriate A: GI parasitism Dermatitis - improved Allergies - ro atopy +/- food +/- FBD P: Start panacur 50 mg/kg PO SID x 3 days, repeat in 2 weeks Continue baytril 10 mg/kg PO SID until 1/12 Continue doxycycline 10 mg/kg PO SID until 1/12 Recommend follow up with vet at placement, will likely need longterm care and management of suspected allergies

1/9/2020

Vet Notes: 11:45 AM History 12/26/19 os intake: dermatitis, suspected allergies; started pred taper, cefpodoxime, medicated baths. Skin scrape negative. 1/2/20: started doxycycline and baytril for CIRDC 1/6: ACS noted worms in stool- started on panacur, repeat in 2 weeks 1/9: recheck cirdc d7 S: BARH. Mild sneezing. No cvd. Eyes: Unremarkable OU Ears: Unremarkable AU. Nasal Cavity: Mild serous nasal discharge Lungs: Eupneic Musculoskeletal: Ambulatory x 4 with no appreciable lameness. BCS = 5/9 Neuro: Appropriate mentation. A: GI parasitism Dermatitis - improved Allergies - ro atopy +/- food +/- FBD P: repeat panacur on 1/20 Continue baytril 10 mg/kg PO SID until 1/12 Continue doxycycline 10 mg/kg PO SID until 1/12 Recommend follow up with vet at placement, will likely need longterm care and management of suspected allergies

1/12/2020

Progress Exam History: 12/26/19 os intake: dermatitis, suspected allergies; started pred taper, cefpodoxime, medicated baths. Skin scrape negative. 1/2/20: started doxycycline and baytril for CIRDC 1/6: ACS noted worms in stool- started on panacur, repeat in 2 weeks Today, 1/12: Day 10 CIRDC Subjective: BAR, no coughing/sneezing/vomiting/diarrhea. Appetite good Objective: Cageside exam performed. Eyes: Clear bilaterally, no discharge Nasal Cavity: No nasal discharge. Lungs: Eupneic Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Integument: Patchy alopecia on dorsum, no erythema noted. Neuro: Appropriate mentation. Assessment: -CIRDC (resolved) -Dermatitis -Allergies (r/o atopy vs food vs FBD) Prognosis: Fair, will require long term management for allergies Plan: -Continue enrofloxacin 10 mg/kg PO q24h x 14d until 1/16 -Continue doxycycline 10 mg/kg PO q24h x 14d until 1/16 -Move out of isolation -Continue medicated baths -Recommend dermatology consult with placement

1/13/2020

Per canine behavior, start trazodone 5mg/kg PO BID for shelter anxiety.

1/19/2020

Starting second course of panacur 50 mg/kg PO q3d until 1/21

1/28/2020

History 12/26/19 os intake: skin condition for at least 6 months; noted dermatitis/pruritis likely secondary to allergies, started pred taper, simplicef, and medicated baths. Placed e-collar. 1/2/20: started doxycycline and baytril for CIRDC (resolved 1/12), dc simplicef and e-collar 1/6: started panacur for intestinal parasites 1/13: started trazodone for shelter anxiety 1/19: started second course of panacur 1/28 today: progress/long stay exam S/O: BARH, active and slightly tense, but allows all handling EENT: Eyes clear, no nasal discharge noted Oral Exam: mm pink, CRT <2 H/L: NMA, SSP; Lungs clear, eupneic ABD: Tense, non painful, no masses palpated U/G: Female intact, MSI: Ambulatory x 4, no notable lameness, hypotrichosis/alopecia at caudal dorsum without erythema, ventrum clear for spay CNS: Mentation appropriate A: Dermatitis - improved Suspect allergies - ro food +/- atopy +/- FBD P: Continue trazodone 5 mg/kg PO BID indefinitely Continue medicated baths CTM while at BACC Recommend dermatology consult with placement, will likely need lifelong management for allergies SURGERY: Okay for surgery

1/29/2020

Hx: 12/26/19 os intake: skin condition for at least 6 months; noted dermatitis/pruritis likely secondary to allergies, started pred taper, simplicef, and medicated baths. Placed e-collar. 1/2/20: started doxycycline and baytril for CIRDC (resolved 1/12), dc simplicef and e-collar 1/6: started panacur for intestinal parasites 1/13: started trazodone for shelter anxiety 1/19: started second course of panacur 1/28: improvement to dermatitis Today, 1/29: Pre op exam, scheduled for in house sx. SO: BARH, no c/s/v/d. NPO'd this morning for sx. Active and hyper, allows all handling. P = wnl R = wnl BCS = 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: adult dentition, mild dental plaque/tartar, no oral lesions. MM pink, moist, CRT <2s. PLN: No enlargements noted H/L: No murmurs or arrythmias ausculted. Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FI, no MGTs, no vulvar d/c MSI: Ambulatory x 4, skin free of parasites, no masses noted, hypotrichosis/alopecia noted at caudal dorsum with minimal to no errythema noted, ventrum WNL CNS: Mentation appropriate - no signs of neurologic abnormalities A: Dermatitis (improved!) Suspect underlying allergies r/o food +/- atopy +/- FBD P: CTM while at BACC Continue trazodone 5mg/kg PO BID indefinitely Continue medicated baths Recommend dermatology consult with placement, will likely need lifelong management for allergies Sx: Ok for sx

1/29/2020

Was this dog in heat, pregnant or have a pyometra? No Ventral Midline Incision Ovaries Ligated with: Modified millers knot using 0 PDS Uterine Body Ligated with: Modified millers knot using 0 PDS Abdominal Closure: Body wall was closed with 3 cruciate patterns using 0 PDS Skin closure: Sub cu was closed in a simple continuous pattern using 2-0 PDS. Skin was closed using an intradermal pattern using 2-0 PDS Green Linear Tattoo Placed near Midline Surgeon: 1708

Upon intake, Athena was very friendly. She did however appear head shy and cowered when my hands went over her head (for instance, to scan for a microchip or to put a collar on). She tolerated all handling but was only fearful of things above her. She approached all intake staff with a loose, wiggly body.