2/3/2018

Estimated age: 4 Microchip noted on Intake? n Microchip Number (If Applicable): n History : Stray Subjective: BAR Observed Behavior - shy, gentle, sweet Evidence of Cruelty seen - n Evidence of Trauma seen - n Objective T = - P = 100 R = WNL BCS = 4.5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: mild tartar on canines PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: vulva UR, no spay scar suspect intact MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: UR Assessment: Healthy Prognosis: Excellent Plan: OH SURGERY: Okay for surgery

2/8/2018

Noted to be coughing and sneezing on leash prior to transport to ASPCA for surgery S/O -BAR, sweet and friendly girl! -mm pk, moist -serous nasal discharge, soft sneezing -eupnic, clear lung sounds A 1. CIRDC P -move to isolation -doxycycline 200 mg PO SID x 14 days -cerenia 60 mg PO SID x 4 days

2/8/2018

[Spay/Neuter Waiver - Upper Respiratory Illness] Your newly adopted animal is in treatment for an upper respiratory illness. The veterinarian is temporarily waiving this animal from the spay/neuter requirements of the City of NY until such time as the illness has resolved and the pet has sufficiently recovered. At that time, this animal must come into compliance with the spay/neuter requirements.

2/19/2018

DVM Intake Exam Estimated age: 4 years per our previous estimation - exam is consistent with this Microchip noted on Intake? Scanned POSITIVE - MC placed here earlier this month Microchip Number (If Applicable): 981020019274246 History : Seen here earlier this month. Diagnosed with CIRDC about 13 days ago; has 1 more day of doxycycline. Subjective: Alert, energetic Observed Behavior - Friendly, relaxed, moves around exam room to investigate things Evidence of Cruelty seen - None Evidence of Trauma seen - None Objective BAR-H, MMs pink and moist, BCS 6/9 EENT: Mild serous nasal discharge. Eyes clear, ears clean, no ocular discharge noted. Oral Exam: Mild tartar. PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Sniffling. Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Female, intact - no SS palpated MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Normal externally Assessment: CIRDC not resolved Prognosis: Good Plan: 1. Place pt in isolation 2. Extend doxycycline 200 mg SID for additional 5 days SURGERY: Temporary waiver due to URI. 1088

2/20/2018

Diagnosed with CIRDC on 2/8 and went home with adopter; was returned on 2/19 and still had some mild signs of CIRDC so doxycycline was extended by 7 days, recheck today S/O -BAR, appears energetic and friendly -barking excessively for attention -mild serous nasal discharge, no sneezing; heard possibly one mild dry cough -appears eupnic and healthy otherwise A 1. CIRDC, resolving P -continue doxycycline, recheck in 2 days

2/21/2018

Recheck CIRDC, day 3/7 of extended doxycycline course S/O -BAR, appears energetic and friendly; barking for attention -no nasal discharge, coughing or sneezing noted -appears eupnic A 1. CIRDC-appears resolved P -okay to move from isolation

2/23/2018

Noted clear nasal dc on rounds, barking excessively and dysphonia with mild cough. A: Hx CIRDC- resolved 2D ago. P: Considering patient hx of prolonged treatment and otherwise doing well ok to monitor for now.

2/24/2018

S/O: Observed in the kennel to have green mucoid nasal dis-charge and clear ocular dis-c, lethargic A: CIRDC Plan: Move to Iso Submit Nasal Swab for IDEXX PCR Respiratory Disease Panel 1) Doxycycline 10mg/kg SID for 14 days 2) Cerenia 1mg/kg SID for 4 days

Upon intake, Liberty had a loose and wiggly body. Liberty was jumping up on Counselor's lap for attention. Liberty appreciated all handling and petting. Liberty sat when asked to sit and walked well on a leash.