10/8/2026

DVM Intake Exam Estimated age: 5-8 years based on dentition Microchip noted on Intake? Scanned negative History: Stray Subjective: QAR Observed Behavior - tense but allows all handling Is there evidence of suspected cruelty? No Objective: T = P = WNL R = WNL BCS : 5/9 EENT: Dried mucoid ocular discharge OU, STT 3-5mm/60 sec OU, ears have thick yellow purulent discharge AU, no nasal discharge noted Oral Exam: Adult dentition, moderate tartar -- limited exam performed PLN: No enlargements noted H/L: NSR, grade V/VI left apical murmur with palpable thrill, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Externally WNL, intact male, 2 scrotal testes MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy but focally matted hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally WNL Wood's Lamp Exam: not performed Assessment: Moderate dental disease Otitis chronic AU KCS OU Grade V/VI heart murmur with palpable thrill- r/o MMVD vs. DCM vs. other Matted haircoat Intact male Prognosis: Fair Plan: Intake tasks + exam Clean ears Apply Simplera AU Clean eyes OU Optimmune BID indefinitely SURGERY: Permanent waiver due to heart murmur

10/13/2026

[Spay/Neuter Waiver - Permanent] Your newly adopted pet has been diagnosed with a Heart Murmur, and the staff veterinarians are issuing a PERMANENT waiver from the spay/neuter requirements of the City of NY. ACC does not have the facility to safely sterilize your pet with his/her current condition. However, your veterinarian will provide consultation on whether this procedure can or should be performed under their supervision. Follow up care at your regular veterinarian is recommended to ensure continued treatment and proper oversight of your pet's health. All costs for follow up care and subsequent surgery is at the expense of the adopter.

10/14/2026

disregard

10/14/2026

S; QAR originally, BAR after kennels were moved, P jumping on grates in cage, wagging tail. unsure if eating, coughing in kennel O: EENT: yellow-white mucoid ocular discharge OU, OS>OD. No nasal discharge. Negative ITC CV/Resp: grade V/VI heart murmur. Eupneic in between coughing. No crackles/wheezes ABD: soft, non-painful MS: ambulatory x4 - full orthopedic exam not performed UG: intact male Neuro: Alert and Appropriate. full neuro exam np A: V/VI heart murmur - ro mmvd vs. dvm vs other coughing - r/o cardiac vs. respiratory (CIRDC) Mucoid ocular discharge - r/o CIRDC vs. KCS vs. allergic vs. other P: move to medical for close monitoring add monitoring log recommend NH placement continue cyclosporine as previously prescribed ATT DVM recheck tomorrow 10/15

10/15/2026

DVM Progress Exam S: BARH, mm pink, eating a little - mostly high value. good activity levels O: EENT: mild mucoid ocular discharge OU. No nasal discharge. CV/resp: eupneic, intermittent coughing in kennel, hx V/VI hm A: V/VI heart murmur r/o mmvd vs. chf vs. other ocular dc r/o kcs vs. cirdc vs. allergies vs. other cough r/o infectious (early cirdc) vs. cardiac vs. collapsing trachea vs. other P: Start Doxycyline 10mg/kg - 100mg/ml (0.6ml) PO BID x10d

Dog was noticeably fearful inside the carrier. The dog might be blind as it didn't react to the leash, but began to thrash when it was leashed. It then tried to retreat back into the carrier. Staff was eventually able to remove the dog from the crate and pick it up. It allowed pick up and was placed into the kennel without issue.