9/11/2025

It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.

9/11/2025

DVM Intake Exam Estimated age: approx 8-10 years Microchip noted on Intake? scanned negative History: agency Subjective: BAR Observed Behavior - high energy, nervous, whining, allowed for handling and some tasks, sedated for closer exam of mass and ears Is there evidence of Cruelty? N Is there evidence of Neglect? N Is there evidence of Trauma? N Objective T = np P = wnl R = wnl BCS 7/9 EENT: Eyes mild lenticular sclerosis, moderate erythema and dark brown ceruminous dc AU, no nasal or ocular discharge noted Oral Exam: moderate wear and staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: F suspected intact, developed MGT MSI: Ambulatory x 4, skin free of parasites, button shaped raised reddish mass with some serosang dc and dried blood surrounding mass, approx 2 inches in diameter, freely movable, well circumscribed, on R side of body CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment Otitis externa AU Mass r/o histocytoma vs open (benign or malignant) dental dz moderate overweight Prognosis: fair Plan: intake exam and tasks sedated for bloodwork and ear cleaning with 0.8mL dex/torb- adequate sedation achieved, reversed with full vol antisedan ears cleaned, simplera applied AU Attempted FNA - mass very vascular, both slides contain only RBCs- non-diagnostic seek placement- p is older and would require further work up and evaluation of mass awaiting sort signage for medical is aware of mass check for blood work results tomorrow recheck in 3 days SURGERY: Okay for surgery: N Permanent waiver due to age

9/12/2025

FNA slide from mass stained and sent off for cytologic interpretation- check for results in 4 days

9/13/2025

Bloodwork results: CBC: neutrophils high 12.15, monocytes high 0.885, eosinophils low 0.045 Biochemistry: elevated AST 114 TT4: 2.9 WNL A: r/o inflammatory, otherwise bloodwork is relatively unremarkable, recommend recheck in 3-6 months to monitor AST P: Continue with current treatment plan, wait for results of FNA

9/17/2025

Behavior team reports whining, panting, pacing during handling assessment. Start trazodone 8 mg/kg PO BID.

9/19/2025

recheck and cytology interpretation S/O BAR, A+A, at the front of the kennel, no c/s/v/d appreciated or noted EENT: no ocular or nasal dc HL: eupeic MSI: amb x 4, large dermal mass on the R side of the thorax with scant dried bloody dc A. Mass - as prior described, no change in size/shape P. CTM and wait for cytology

9/19/2025

Cytology interpretation: INTERPRETATION: Round cell neoplasia, most consistent with poorly granulated mast cell tumor; please see comments COMMENTS: Findings are most suggestive of a poorly granulated mast cell tumor; however, since only pre-stained slides are provided, it is unclear if these are only poorly granulated due to Diff-Quick stain which does not reliably stain mast cell granules. For confirmation, removal of the mass and submission for histopathology is recommended. If this is a cutaneous mast cell tumor, then histopathology will allow for tumor grading. If this is a subcutaneous mast cell tumor, while the grading system would not apply, histopathology will allow for assessment of other factors (mitotic activity, invasion, etc.) that may affect prognosis. If truly poorly granulated, this raises some concern for a higher grade neoplasm, but the cytologic appearance of mast cell tumors does not always correlate to their histologic grade and biologic behavior. Evaluation for evidence of metastasis (draining lymph nodes, abdominal and thoracic imaging, etc.) should be considered. Overall assessment: suspected neoplasia r/o mast cell tumor, unknown grade P. Seek placement asap, p is in need of surgical consultation/eval to determine if and how tumor can be removed. CTM and weekly rechecks

9/22/2025

noted to be C+ on rounds S/O BAR, A+A, comes to the front of the kennel, tap dancing, C++ EENT: no ocular d/c, moderate active serous nasal dc HL: eupneic MSI: amb x 4, mass as previously described A. CIRDC P. Move to iso- signage hung Start doxy 10mg/kg PO SID x 10 days recheck as scheduled

Upon intake dog was very friendly and outgoing. She greeted staff with a wagging tails, a loose wiggly body and by leaning her head against legs for attention. Staff was easily able to leash, scan for MC, collar, pet and walk down the halls to her kennel.