10/18/2026

[DVM Intake] DVM Intake Exam Estimated age: approx 10-15 years based on dentition and conformation Microchip noted on Intake? scanned positive History: stray Subjective: BAR Observed Behavior - allowed for handling and tasks Is there evidence of suspected cruelty? N Objective: T = np BCS 4/9 EENT: OS lenticular sclerosis, + tapetal reflex, OD: neg tapetal reflection, episcleral injection, ears clean, no nasal or ocular discharge noted Oral Exam: severe wear and staining to visible dentition with copious calculus PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FS, green linear tattoo MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: Ocular abn OD r/o uveitis vs open lenticular sclerosis Dental dz- severe Geriatric - suspect chronic condition Prognosis: fair pending BW Plan: intake exam and tasks CBC/CHEM/t4- check for results tomorrow suspect p will require enucleation OD and would benefit from dental with adopts/placement recheck comfort in 4 days awaiting sort SURGERY: Prior altered

10/19/2026

Brief recheck: BAR, some food appears to be eaten in kennel, no c/s/v/d, appear OD: reduction in episceral injection, PLR sluggish but intact, no no blepharospasm or proptosis IOPs: 14, 10, 19 (wnl) Blood work results: CBC: monocytosis (1.47) r/o inflam thrombocytosis (434) r/o reactive/inflam CHEM: mild hypochloremia (106) H TP (7.6) with sl H globulins (4.1) r/o second to dental dz, inflammation TT4 wnl update px: fair Start: carpro 4.4mg/kg PO SID x 5 days (25mg) gaba 15mg/kg PO BID x 5 days (0.8mL) artificial tears OD BID x 5 days recheck comfort in 4 days seek placement- p would benefit from ophthalmology consultation

10/23/2026

Progress Exam Subjective: BARH - sweet / friendly. Very tolerant of eye testing. pink moist mm, CRT <2s fair appetite for dog food, great appetite for spam and potted meat Objective: EENT: OS lenticular sclerosis, + tapetal reflex, OD: neg tapetal reflection, episcleral injection, ears clean, no nasal or ocular discharge noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate. Mild L sided head tilt with mild ataxia. No nystagmus, CPs WNL x4. Assessment: OD uveitis - underlying cause open lenticular sclerosis Dental dz- severe Geriatric - suspect chronic condition Head tilt / ataxia r/o idiopathic vestibular disease vs otitis media / interna induced vestibular disease vs intracranial disease (structural vs infectious vs inflammatory vs other) vs other Plan: Tonovet (avg 3 readings) = OS 12mmHg, OD 3mmHg ADD neopolydex OD BID x7d Added to ARL - P needs ophthalmology / neurology consult which is not possible in a shelter setting

Upon intake Betty was friendly and tolerant of all handling. She allowed counselors to scan for microchip, collar and pick up/carry. She was taken back to medical for vaccinations and placed into her kennel. All done without any concerns.