9/28/2026

DVM Intake Exam Estimated age: ~6wks based on dentition / condition Microchip noted on Intake? Scanned negative History: Stray Subjective: BAR, pale pink mildly tacky mm, CRT <2s Observed Behavior - Friendly, soliciting attention Is there evidence of suspected cruelty? No Objective: P = WNL R = WNL BCS 3/9 EENT: OS corneal rupture with copious seropurulent white discharge and moderate periocular swelling, OD mild blepharospasm with no discharge, ears clean, no nasal or ocular discharge noted Oral Exam: Clean deciduous dentition up to maxillary premolars PLN: No enlargements noted H/L: NSR, NMA, CRT < 2s, Lungs clear, eupneic, negative ITC ABD: Soft, nonpainful, no masses palpated U/G: Female - appears intact no tattoo or spay scar MSI: Ambulatory x 4, full orthopedic exam not performed INT: Healthy hair coat, no masses noted, live fleas CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Normal externally Wood's Lamp Exam: Negative Assessment: OS corneal rupture with infection Mild dehydration Flea infestation - treated at time of intake FI juvenile DSH Prognosis: Fair to Guarded Plan: OK for appropriate intake tasks First doses given at time of exam: ADD Capstar 1/2 tab PO ONCE ADD LRS 15mL SQ ONCE ADD vitB12 0.25mL SQ ONCE ADD Simbadol 0.06mL (~0.24mg/kg) SQ ONCE ADD Convenia 0.06mL SQ ONCE ADD Gabapentin 0.09mL (~15mg/kg) PO BID TFN (recc continue until 2 weeks post enucleation for analgesia) ADD Ofloxacin OU BID x7d ADD Meloxicam 0.01mL (~0.03mg/kg) PO SID x7d House in med ISO DVM recheck 9/29 Recc OS enucleation with placement ADD to ARL for OS corneal rupture / not of appropriate age / weight for surgical intervention in shelter SURGERY: Temporary waiver for age and corneal rupture

9/29/2026

Recheck OS rupture S/O: BARH - friendly, pale pink moist mm, fair appetite, no c/s/v/d reported Subjective improvement in ocular discharge, P more comfortable on light palpation of area A/P: CWCP, ok to continue to seek placement DVM recheck in 48hrs