10/1/2026

DVM Intake Exam Estimated age: ~6wks based on dentition / condition Microchip noted on Intake? Scanned negative History: Stray Subjective: BARH, pale pink moist mm, CRT <2s Observed Behavior - Friendly, soliciting attention Is there evidence of suspected cruelty? No Objective: P = WNL R = WNL BCS 4/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Clean deciduous dentition up to maxillary premolars, no palate defects or ulcers PLN: No enlargements noted H/L: NSR, NMA, CRT < 2s, Lungs clear, eupneic, negative ITC ABD: Soft, nonpainful, no masses palpated U/G: Male - intact, two symmetrical scrotal testicles MSI: Ambulatory x 4, LHL distal to mid tibia/fibula missing with wound with healthy granulation tissue present and wound beginning to contract, non-painful on light palpation no discharge INT: Healthy hair coat, no masses noted, no ectoparasites seen CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Normal externally Wood's Lamp Exam: Negative Assessment: LHL partial amputation (susp traumatic) with healing wound - appears chronic MI juvenile DSH Prognosis: Fair Plan: OK for appropriate intake tasks House in ICU for monitoring, paper litter only ADD Gabapentin 0.1mL PO BID x14d for analgesia Added to ARL - P wound may take several months to completely heal and will need close monitoring to ensure healing appropriately If wound does not heal and/or if P is having trouble getting around, consider LHL amputation SURGERY: Temporary waiver for age / wound

10/7/2026

Progress Exam S/O: BAR, active, fair appetite reported, no c/s/v/d noted; gaining weight EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Amb x 3; distal aspect of LHL is erythematous and moist CNS: Appropriate mentation A: Missing distal LHL - ro congenital vs previous trauma Wound at distal LHL P: Continue gabapentin for pain Seek placement for continued care, will need amputation if wound does not heal; unable to provide ideal husbandry conditions and nursing care in shelter setting. CTM closely on rounds