4/10/2026

[Spay/Neuter Waiver - Temporary] 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.

4/10/2026

[DVM Intake] DVM Intake Exam Estimated age: 5-7 yrs based on tartar on teeth Microchip noted on Intake? neg History: brought in by police - stray Subjective: BARH Observed Behavior - nervous, very food motivated and can be distracted by food, tense but able to do all exam Is there evidence of suspected cruelty? no Objective: T = P = wnl R = eup BCS = 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: marked tartar, moderate tooth wear PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: male, 2 sst, prescrotal area clear MSI: Ambulatory x 4, skin free of parasites, no masses noted, dermatitis - lichenified skin and alopecia with some areas of erythema, did not seem pruritic CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally clean Wood's Lamp Exam: negative Assessment: Mature adult MI MMB Generalized dermatitis - r/o allergies vs infxn vs other Dental dz 4/4 Prognosis: good Plan: Routine intake tasks. Skin scraping - neck 2 places and LRL - negative for mites Cefpodoxime 200 mg 1 po daily x 7 days Recheck in 5 days SURGERY: Okay for surgery

4/16/2026

recheck dermatitis S/O BAR, A+A, no c/s/v/d appreciated EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4, moderate interdigital erthyema and lichenification of skin under the neck A. Dermatitis - r/o second to allergies P. Extend cepfo x 7 days Add apoquel ~0.6mg PO BID x 2 days recheck in 1 week, consider adding in topical if still appears to be prominent CTM while at QACC

4/17/2026

Progress exam: Sneezing reported on rounds board Subjective: BAR, no C/S/V/D sniffling noted Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mild clear serous discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed CIRDC mild PLAN: Per standing orders -Move to iso, ppe sign & monitor log placed on kennel -Start doxycycline 10mg/kg PO q24h x10days -CTM, recheck in 3 days

4/24/2026

Progress exam: CIRDC day 7 recheck Subjective: BAR, no C/S/V/D. Sniffling noted, AS:3 ate medications Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mild clear serous discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed CIRDC PLAN: Per standing orders -CTM, recheck in 3 days

4/25/2026

Progress exam Has been on: -cefpodoxime x 14 days, end 4/23 -Apoquel BID x 14 days, end 4/30 -doxycycline x 10 days, end 4/28 S/O: BAR, very friendly and licking bars for attention when approached. Mild amount of serous nasal discharge. Reported to be eating well. Pink mm. Integ: generalized mild erythema and lichenification and mild scabbing. Lesions appears quiet, no discharge or ulceration present. Appears comfortable, not overtly pruritic. A: Generalized dermatitis r/o underlying allergies, stable CIRDC - continued, stable P: Continue with Apoquel BID until 4/30 Scheduled Apoquel SID from 5/1 x 30 days Once recovers from CIRDC, recommend bathing 1-2x weekly with Malaseb to provide antifungal component. *Seek placement out of shelter

4/28/2026

Progress exam: CIRDC day 10 recheck Subjective: BAR, no C/S/V/D. Coughing & AS:3 noted on log, ate medications Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mild clear serous discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed CIRDC PLAN: Per standing orders -Start enrofloxacin PO SID x5days -CTM, recheck in 3 days

4/30/2026

Behavior staff requesting behavior modification medication due to FAS (mouthing, mounting, and grabbing at clothes). P not currently on any behavior modification medications. ADD Trazodone 225mg (~8mg/kg) PO BID TFN

4/30/2026

Progress exam - dermatitis S/O: BAR - soliciting attention but turns / jumps with medical handling, wary of restraint / less is more EENT: No ocular or nasal discharge INT: generalized lichenification and mild scabbing worst at cranial thorax. Lesions appears quiet, no active discharge or ulceration present. Appears comfortable, not overtly pruritic. Yeast malodor. REPRO: Frank blood leaking slowly from penis (few drops in ~10min), penis in sheath, MI MSK: Ambulatory x4 CNS: Appropriate mentation A: Frank blood leaking from penis r/o prostatitis vs UTI vs penile trauma vs other Generalized dermatitis r/o underlying allergies, stable CIRDC - clinically resolved P: P not tolerant of in depth exam of genetalia or rectal exam due to behavior - recc examine penis +/- rectal exam at time of neuter AFAST - Bladder WNL (wall thickness appropriate, hypoechoic lumen with no shadowing), subjectively large heterogenous prostate (soft tissue echogenicity), no evidence of mineralization Not able to scan other organs dt behavior Neuter ASAP (scheduled tomorrow 5/1) P already on enrofloxacin for CIRDC, continue for suspect prostatitis CONTINUE Apoquel SID from 5/1 x 30 days Consider bathing 1-2x weekly with Malaseb to provide antifungal component - not able to perform dt behavior and will be neutered tomorrow / unable to be bathed, consider with placement *Seek placement out of shelter

5/1/2026

Pre-op Exam Hx: Intake 4/10/26 - Dermatitis, tx with simplicef x 1 wk 4/16 dermatitis persists - extend simplicef x 1 wk, add apoquel 4/17 CIRDC, doxy x 10 d 4/28 CIRDC persists - baytril added 4/30 CIRDC signs resolved, blood from prepuce - possible prostatitis S/O) No s/v/d noted. Cough when pulling on lead but no cough elicited on tracheal palpation. BAR-H EENT: Eyes/ nose clr. Oral Exam: MM pk H/L: NSR, NM. Lungs clr bilat, eupneic, normal respiratory rate/ effort. Abd: No obvious distension, soft. UG: MI, 2 sst MSI: Amb x 4, no lameness noted. Good body condition + HC. Surgery site epidermis clean. CNS: Mentation appropriate. T=101.8 A) Okay for surgery. Dermatitis improved but persists - r/o allergies CIRDC resolved P) Surgery today

5/1/2026

[Surgery Template - Dog Neuter] Was this dog a cryptorchid? no If so describe - Pre scrotal Incision Spermatic Cord Ligation with: 2-0 Securocryl Miller's ligature Sub Q closure: 2-0 Securocryl cruciate sutures Skin closure? 2-0 Securocryl simple continuous Green Linear Tattoo Placed near Midline Surgeon: 0587 Additional Note:

5/3/2026

[Post Surgical Exam] Attitude/demeanor: BAR Appetite: eating well C/S/V/D: C/S, nasal discharge Incision site: no swelling, bruising, or bleeding; sutures appear intact Pain level: appears comfortable Licking, chewing, or biting surgical site noted: no Additional notes: n/a

5/4/2026

Staff report serous nasal discharge and mild intermittent frank blood dripping from penis persist EXTEND / INCREASE Enrofloxacin 408mg (~14mg/kg) PO SID x7d for susp prostatitis and CIRDC If bleeding worsens or if not resolved at end of course recc thorough examination of genitalia +/- abdominal imaging / UA (P will likely need to be sedated) P recently neutered, will also help if underlying cause of bleeding is prostatitis DVM recheck 5/11, sooner if bleeding worsening

5/6/2026

Large amount of frank blood in kennel, actively bleeding from penis; neutered 5 days ago. S/O: BAR, active and food motivated, no c/s/v/d noted. Tenses when attempting to restrain to examine prepuce and penis - sedated with dex/torb 0.6 ml IM of each. EENT: Moderate stenosis, waxy yellow/tan discharge, and erythema AU; crusting along dorsal nasal planum, no active nasal discharge LUNGS: Eupneic MSI: Ambulatory x 4 with no notable lameness; crusting, erythema, lichenification in multiple regions - most notable along pressure points, axillae, and groin. UG: MN, neuter site healing appropriately; frank blood/mild hemorrhage from tip of penis - extrudes normally from prepuce, mild urethral prolapse appreciated (2-3mm prolapsed tissue) with small blood clot caught distally A: Urethral prolapse Dermatitis Otitis externa Allergies likely - ro atopy +/- food +/- flea P: Cleaned ears, start mometamax AU SID x 7 days Scrubbed crusted regions of skin with chlorhex and applied duoxo mousse (sink not working, unable to bathe today) Recommend HA diet trial with placement, regular medicated baths Increase trazodone to 10 mg/kg PO BID and add gabapentin 20 mg/kg PO BID for sedation to prevent arousal and bleeding from urethral prolapse. **Urethral prolapse is mild at this time, if worsens then Merlin may need surgery. Seek placement for calmer, controlled environment.

5/8/2026

[Post Surgical Exam] Attitude/demeanor: QAR Appetite: eating well C/S/V/D: none Incision site: no swelling, bruising, or bleeding; sutures appear intact, appears red Pain level: appears comfortable Licking, chewing, or biting surgical site noted: no Additional notes: None