6/9/2023

DVM Intake Exam Estimated age: 4-6yo based on dentition Microchip noted on Intake? scan neg History: Found stray Subjective: BARH Observed Behavior - Food motivated but alittle stiff and nervous. Put on muzzle as precaution. Gave a warning growl when palpating abdomen. Able to do exam and procedures while distracted with food. Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective BCS 5/9 EENT: Eyes clear, ears clean, moderately erythematous, no nasal or ocular discharge noted Oral Exam: moderate tartar on hind teeth PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Female, suspect intact - no spay scar, mature nipples MSI: Ambulatory x 4, skin free of parasites, no masses noted. Patchy alopecia and crusts/papules/pustules over dorsum and limbs. Mildly erythematous ventrum. Pododermatitis. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: NP, externally normal Wood's Lamp Exam: NP Assessment Moderate pyoderma Suspect allergies Reported heart murmur - none appreciated today Prognosis: fair Plan: Cephalexin 500mg PO q12 for 2 weeks Recheck in 2 weeks, continue as needed Recommend allergy management and work-up with placement SURGERY: Okay for surgery

6/14/2023

Hx: Diagnosed with pyoderma SO: BAR, comes to kennel door eyes clear, yellow nasal dc apparent eupneic, no coughing or sneezing appreciated during observation ambulatory x4 mentation alert and appropriate A: CIRDC P: move to isolation doxycycline 300mg 3/4 tablet PO SID x10d cerenia 30mg PO SID x4d monitor for progression of clinical signs

6/15/2023

Hx: Started on treatment for CIRDC yesterday SO: QAR, laying at back of kennel curled up eyes clear, gray mucoid nasal dc apparent eupneic, but continuous soft coughing appreciated not seen walking mentation alert and appropriate A: likely pneumonia P: move to medical isolation place IV catheter Start LRS at 120ml/hr enrofloxacin 100mg/m 2.1ml slow IV SID x5d cerenia 2.1ml IV SID x5d carprofen 1.9ml sc once nebulize 15 minutes SID x5d

6/16/2023

Hx: In medical on treatment for pneumonia. Has IV catheter in place and is receiving injectable antibiotics. SO: BAR, appears to have eaten all wet food with good appetite, ate some dry food. eyes clear, heavy white mucoid nasal dc apparent eupneic, occasional hacking cough appreciated ambulatory x4 mentation alert and appropriate A: CIRDC/pneumonia on treatment P: continue with current treatment plan if appetite remains good tomorrow consider weaning off fluids and starting oral medications

6/18/2023

QAR standing at cage door. IVC in right cephalic and e-collar on. Pet ate some wet food o/n. RR 60 EEN: Dried green discharge on nose. RESP: Tachypneic but not open mouth breathing. A: Pneumonia improving Prognosis: Fair P: Initiate Enrofloxacin 136 mg 1.5 tablets po sid until 6/24 LRS 500 mls SQ Discontinue IV enrofloxacin if eating oral meds.

6/20/2023

S: Alert in kennel Good appetite O: QAR in kennel, resting -No nasal or ocular discharge -Eupneic, no coughing or sneezing A: Improving pneumonia P: Okay to remove E-collar and move out of medical 1088

6/21/2023

S: Alert in kennel, relaxed O: Mild serous nasal discharge. Coughing when excited. A: Improving CIRDC/pneumonia P: Move out of medical 1088

6/23/2023

Hx: CIRDC/pneumonia resolving, still in medical due to space S: BAR, standing up right in kennel, whining, food eaten overnight O: EEN: Eyes clear, green mucoid nasal discharge apparent H/L- Eupneic, occasional dry cough appreciated + worsens when excited MSK- Ambulatory x4 Neuro- mentation alert and appropriate A: CIRDC/pneumonia on treatment until 6/24 P: Move out of medical when possible

6/24/2023

Hx: last day of pneumonia medications Hx: CIRDC/pneumonia initially resolving but now has worsened S: BAR, standing up right in kennel, whining, only some food eaten overnight (finnicky eater as of the last 48 hours) O: EEN: Eyes clear, green mucoid nasal discharge apparent H/L- Eupneic, persistent dry cough + worsens when excited MSK- Ambulatory x4 Neuro- mentation alert and appropriate A: CIRDC/pneumonia, last day of treatment today P: Extending Enrofloxacin 136mg, 1.5 tblts PO SID x5d Rx: Cerenia 60mg, 1 tablet PO SID x5d

6/25/2023

Issue list: - pneumonia - anorexia - weight loss - nasal discharge S: Q-BAR, did not eat overnight O: EEN: Eyes clear, green mucoid nasal discharge apparent H/L- coughing MSI- Ambulatory x4; muscle wasting Neuro- mentation alert and appropriate A: pneumonia; not doing well prognosis guarded P: CWSC LRS Fluids- 500ml SQ q 24 hrs x 4 d's

6/26/2023

Pet standing in cage. BAR EEN: green mucoid nasal discharge. RESP: Coughing with increased effort A: Recurrent CIRDC symptoms while on Enrofloxacin. Hyporexia Prognosis: Poor Plan Clindamycin 150mg 2 capsules po bid x 7d Entyce 30 mg/ml 2 mls po sid x 3 days Advise emergency placement

6/29/2023

Hx: In medical isolation on treatment for pneumonia SO: BAR, eager to come out of kennel. Has eaten all food in kennel overnight eyes clear, moderate mucoid nasal dc apparent eupneic, no coughing or sneezing appreciated ambulatory x4 mentation alert and appropriate A: CIRDC/pneumonia on treatment P: continue with current treatment plan as seems to be improving

7/1/2023

Hx: In medical isolation on treatment for pneumonia SO: BAR, eager to come out of kennel. Has eaten all food in kennel overnight eyes clear, moderate mucoid nasal dc apparent eupneic, no coughing or sneezing appreciated ambulatory x4 mentation alert and appropriate A: CIRDC/pneumonia on treatment P: continue with current treatment plan OK to move to isolation recheck at end of course

7/3/2023

Hx: has had pneumonia BAR H eating eent- no nasal discharge; no coughing or sneezing msi- amb x 4 A) No CIRDC-like/pneumonia signs P) Move out of ISO Placement

7/15/2023

Adding trazodone 150mg PO BID indefinitely for in shelter FAS

9/21/2023

Adding gabapentin 300mg PO BID indefinitely for in shelter FAS