6/23/2025

Liquid diarrhea noted in kennel, patient BAR, collected sample for parvo testing

6/24/2025

Your newly adopted pet is UNDERWEIGHT 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.

6/24/2025

[DVM Intake] DVM Intake Exam Estimated age: 2yrs based on dentition/conformation Is this an orphan kitten? no Microchip noted on intake? scanned negative History: Stray; found tied up by precinct Subjective: BAR, noted to have diarrhea (FS 7) in kennel Observed Behavior - low growling in kennel, once out, loose and wiggly, solicits attention and loves treats Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? yes possible traumatic injury to LHL Objective P = 130 R = sniffing, eupneic BCS 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted, erythema on bridge of nose Oral Exam: Adult dentition, mild diffuse staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MI; 2 testicles descended MSI: Ambulatory x 4 but plantigrade stance in LHL with proximal soft tissue swelling along caudal aspect of left stifle, paw pads sloughed on right hind paw, skin free of parasites, no masses noted, dirty haircoat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment Approx. 2yr MI canine Emaciated Diarrhea Sloughed paw pads RHL (r/o secondary to trauma such as vehicular trauma) Plantigrade stance LHL with proximal swelling caudal to stifle (R/o ruptured calcaneal tendon vs other) Prognosis: good Plan: Intake tasks Submit CBC/Chem/T4 Start TID feedings with gastrointestinal diet Clean RH paw with dilute chlorhex BID; did not bandage due to concern that diarrhea would soil bandage Gabapentin 15mg/kg PO BID for pain Proviable in food SID x 14 days Place in medical; recheck tomorrow; if diarrhea improves consider add on NSAID for pain related to lameness Bath in 48hrs Rec seek placement ASAP as will need surgical repair of tendon SURGERY: Temporary waiver due to underweight

6/25/2025

Bloodwork - lavender top was sent for CBC but serum sample was not submitted. CBC: Hct 37.7% (ref 38.3-56.5%), retics 22 k/ul WBC 13.6 k/ul - monos borderline elevated at 1.183 k/ul, other cell lines unremarkable Plt 246 k/ul ASSESSMENT: Mild nonregenerative anemia

6/25/2025

Hx: Stray dog with severe diarrhea, RHL paw pad sloughing and plantigrade stance in LHL Large puddle of explosive tan diarrhea - thick liquid, FS 7/7 S: Alert, walking around, wagging tail, stood calmly for exam O: BAR-H, MMs pink and moist, BCS 2/9 EENT: No discharge OU, AU, nose. Cropped ears. Erythema on dorsal nose. Integ: All four feet, trunk and hind legs are entirely coated in liquid diarrhea. Pt is leaving bloody and diarrhea footprints as he walks. M/S of LHL: Emaciated. Has plantigrade stance, can extend/flex hock easily with stifle in fully flexed position. Superficial ulceration to right hind paw pads with mild bleeding. M/S of RHL: Emaciated. Right thigh muscles are thicker and firmer than left thigh muscles, and pt moves away from my pressure to RHL mid-femoral region. A: 1. Foot ulceration - R/O trauma 2. Plantigrade stance in LHL with ability to flex/extend hock while stifle is flexed - R/O calcaneal tendon rupture secondary to trauma 3. Apparent pain on palpation of LHL metatarsals and RHL femur - R/O soft tissue injury vs. other 4. Emaciation R/O underfeeding vs. GI parasites vs. other 5. Severe diarrhea R/O heat/stress vs. diet-related vs. GI parasites vs. IBD vs. other P: 1. Send out chemistry sample today 2. BATHE 3. Rads of hind legs and pelvis 4. Pending bloodwork results and diarrhea, consider adding on NSAID tomorrow 1088

6/25/2025

Sedated rads of hind legs - 0.35 ml Dexdomitor IM + 0.35 ml butorphanol IM Reversed with 0.35 ml Antisedan IM Sedated exam: -Ulcerations noted to paw pads of all four feet -LHL: laxity in calcaneal tendon, but tendon is not totally absent Rads: Decrease in muscle mass of left thigh muscles visible on rads No fractures or dislocations noted to coxofemoral joints or any hind limb joints

6/26/2025

recheck exam, emaciated pup with partial calcaneal tear to LHL and paw pad ulcerations, diarrhea S/O BAR, no c/s/v, FS7 reported, poor appetite EENT: no ocular dc, mild serous nasal dc, -ITC HL: eupneic MSI: amb x3, intermittent non-weight bearing lameness to the LHL, dropped hock, ulcerations to the RH paw pad. A. Diarrhea persists Paw pad ulcerations Partial calcaneal tear P. CHEM rerun in house: wnl TT4: wnl No NSAID started aTT d/t diarrhea Start metro 20mg/kg PO BID x 5 days Short walks only- inside if p having trouble or with belly band Recheck diarrhea and comfort level tomorrow Fecal collection signage hung seek placement asap- p has multiple comorbidities and would benefit from a rapid shelter exit

6/26/2025

Needs rads of hips and hind legs and serum sample sent out for blood completion ///Done

6/28/2025

recheck exam with fecal results S/O BAR, comes up to the front of the kennel, fair appetite noted, no c/s/v, still having D+ EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4, dropped hock to the LHL, slight ulceration to RHL paw pad A. Diarrhea persits- OPG negative Partial calcaneal tear- improvement in walking today Ulceration to RH paw pad- improved from prior exam P. Start on GI diet- signage hung Start psyllium husk 2 scoops PO SID x 5 days CTM and recheck as scheduled

6/30/2025

IVC removed