2/19/2026

DVM Intake Exam Estimated age: 10 yr Microchip noted on Intake? positive History:owner died, brought in by agency Subjective:owner died Observed Behavior -makes eye contact but otherwise aloof, not willing to move Is there evidence of Cruelty?none Is there evidence of Neglect?none Is there evidence of Trauma?none Objective QAR depressed, head ventroflexed seemingly from ear pain P = WNL R = WNL BCS 6/9 EENT: Eyes mild nuclear opacity OU, left ear severely stenotic, purulent discharge erythematous canal exit. right ear mild stenosis, cobblestone appearance , drak brown debris, malodor no nasal or ocular discharge noted Oral Exam: moderate dental tartar generalized PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: distended, cranial organomegaly, malleable U/G:spay scar seen, hyperplastic teats ( dermatitis?) no discharge MSI: Ambulatory x 4, carpl laxity, generalized limb muscle atrophy especially hindquarters all nails overgrown, and interfere with gait patchy hypotichosis over tail base, roguh unkempt coat skin free of parasites,multple nodular warts throught trunk and limbs CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal:not performed Assessment senior dog with probable Cushings chronic active end stage otitis Prognosis:fair may need TECA and life long medical treatment Plan: bathe nail trim- only a few nails done due to behavior flush ear canals with warmed saline start mometamax AU SID x 10 days seek new hope placement due to life long medical care pet ate chicken tenders well however refused dog food first fecal sample was a mix of normal stool andmelena started Sucralfate 500mg PO BID x3 days CBC WNL HCT 42.1%, NEUT 8.23, PLT 448 chem AST 367, GGT 132, ALKP >2000- greatly elevated liver lytes WNL T4 WNL BG 118

2/21/2026

Recheck geriatric dog with comorbidities S/O: QAR-BAR, eating well, no c/s/v/d noted EENT: Nuclear sclerosis OU, no ocular or nasal discharge; ears have stenosis and greasy discharge (recent medication application), AS pinna is crinkled ORAL: mm pink and moist, significant staining and tartar visible LUNGS: Eupneic ABD: Distended and taut, non-painful MSI: Ambulatory x 4 with significant bilateral hindlimb muscle atrophy and stilted HL gait; patchy alopecia across hindlimbs, caudal dorsum, tail; overgrown claws more significantly on front paws CNS: Appropriate mentation A: Geriatric with comorbidities Suspect hyperadrenocorticism - distended abdomen, alopecia, otitis, severe ALP elevation Otitis, chronic Alopecia Suspect osteoarthritis, pelvic limb lameness and muscle atrophy Dental disease Overgrown claws P: Seek placement for additional diagnostics. Recommend LDDST, AUS, +/- other diagnostics Will also need follow up medical care for otitis and general geriatric care CTM closely while at QACC

2/21/2026

Hematochezia noted with FS 5-6. Rule out stress vs dietary change vs other. No treatment at this time - monitor closely for now.

2/23/2026

sleeping for most of the day has serious co-morbidities affecting her QOL dog appears older than initially assessed closer to 12 years recommend EHR if no placement