5/28/2019

[DVM Intake] DVM Intake Exam Estimated age: 2 yo Microchip noted on Intake? no Microchip Number (If Applicable): no History : owner surrender Subjective: very BAR Observed Behavior - very excitable, food motivated, body relaxed during examination Evidence of Cruelty seen - none Evidence of Trauma seen - none Objective T = P = 120 R = panting, normal effort BCS - 6/9 EENT: Eyes clear, no nasal or ocular discharge noted, moderate amount of debris in ears bilaterally more severe on the left Oral Exam: no gingivitis or calculus noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, pink mm Lungs clear, eupnic ABD: Non painful mildly tense on abdominal palpation, no masses palpated U/G: intact male, 2 descended testicles MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, small area of alopecia (1cm x 1cm) with scab and on dorsal aspect of left paw. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: not performed Assessment: Apparently healthy Prognosis: good Plan: No medical treatment necessary at this time, medically clear for surgery SURGERY: Okay for surgery

6/1/2019

S/O pt BAR EENT – mod clear serous nasal dis-charge, reported sneezing; no ocular discharge, mild nasal congestion, intermittent sneezing Assessment - Suspected CIRDC “typical kennel cough” Plan - + Move to isolation + Enrofloxacin 10 mg/kg SID for 14 days + Cerenia 2mg/kg PO SID for 4 days + Proviable x 5 days SID PO + Recheck in 7 days for resolvement and return to general population PROGNOSIS EXCELLENT

8/11/2019

BAR Clear OU, moderate nasal discharge bilateral Sniffling and intermittent sneezing No coughing noted A: -CIRDC P: -Move to iso -Doxycycline 300 mg PO SID x 14 days -Enrofloxacin 204 mg tabs-Give 1 and 1/3 tablet PO SID x 14 days -Cerenia 30 mg PO SID x 4 days -Proviable 1 capsule PO SID x 7 days -Recheck day 7 and 14 -Needs DVM intake exam and tasks -Good prognosis

8/13/2019

DVM Intake Exam Estimated age: ~2yrs based on Pe. History : O surrender due to not being able to keep in apartment. Diagnosed with CIRDC on 8/11 Subjective / Observed Behavior - BAR, loose body and allowed all handling. P is wiggly and whines for attention when left alone. Reported dog reactive. Does fine when walked briskly outside of the kennel room. Evidence of Cruelty seen - none Evidence of Trauma seen - none Objective BCS 5/9 EENT: Eyes clear, ears clean, serous nasal discharge and sniffling during exam. Oral Exam: dc 1/5; pd 1/5 PLN: No enlargements noted H/L: No murmur ausculted; CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: neutered male. MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal. Assessment CIRDC dental disease Prognosis: excellent Plan: move to ISO SURGERY: neutered

8/18/2019

Hx: has had on CIRDC; day 7 eent- neg ocular and nasal dc; no coughing and sneezing eating A) seems to be resolving P) re check in 3 d's

8/21/2019

SO Recheck CIRDC day 7. P is BAR in kennel, hard barking and running back and forth between kennels EN -- eyes and nose are clear. No discharge. no sneezing or coughing A CIRDC -- apparently resolved P ok to move out of ISO continue antibiotics to completion

8/28/2019

Unable to weigh due to behavior visual BCS, appears to be 5/9

9/7/2019

Per request for trazodone, trazodone 100mg 1 1/4 tablets PO bid indefinitely. 1752

9/10/2019

BCS- 6/9

9/19/2019

SO Reported to have intermittent loose stool, sometimes with blood P is BAR in kennel, barking and running back and forth. A intermittent loose stools r/o dietary, intestinal parasites P proviable 1 capsule q24h x 7 days

9/24/2019

BCS 6/9

It seems like Mitch allowed all handling, he allowed counselors to collar.