4/13/2026

DVM Intake Exam Estimated age: ~5-7 years based on dentition / condition Microchip noted on Intake? Scanned negative History: Agency Subjective: BARH, pink moist mm, CRT <2s Observed Behavior - Friendly, soliciting attention, flails for medical restraint but no signs of aggression Is there evidence of suspected cruelty? No Objective: P = WNL R = WNL BCS 3.5/9 EENT: Ears clean, no nasal discharge noted OD globe rupture, severe blepharospasm and chemosis OS ~3mm circular corneal defect (HX fluorescein stain positive at offsite vet), severe blepharospasm and chemosis Mildly brachycephalic Oral Exam: Moderate calculus and staining of dentition, type 3 dental malocclusion, multifocal epilus PLN: No enlargements noted H/L: NSR, NMA, CRT < 2s, Lungs clear, eupneic, negative ITC ABD: Soft, nonpainful, no masses palpated U/G: Female - ventral midline scar present but no tattoo MSI: Ambulatory x 4, full orthopedic exam not performed 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: Not performed Assessment: Multifocal epilus Moderate dental disease with type 3 dental malocclusion OD globe rupture OS corneal ulcer FS mature adult mixed breed Prognosis: Fair Plan: OK for appropriate intake tasks OK to pull IVC Carprofen 4.4mg/kg given SQ at time of exam Fasted AMH to idexx 4/14 (ventral midline scar r/o cesarean scar vs spay scar) ADD Carprofen 100mg (~4.4mg/kg) PO SID x14d (start tomorrow PM tx) ADD Gabapentin 600mg (~28mg/kg) PO BID x14d (for analgesia) ADD Ofloxacin OS BID x14d DVM recheck comfort 4/14 Recheck corneal ulcer 3d - if worsening recc add serum Recc OD enucleation with placement Closely monitor OS SURGERY: Susp already altered, sending AMH to confirm. If AMH shows unaltered OK for surgery.

4/14/2026

Cageside progress exam S: BARH - barking / rambunctious at front of kennel pink moist mm at distance No c/s/v/d reported O: EENT: OD globe rupture and OS corneal defect persist but chemosis and blepharospasm OU greatly improved MS: Ambulatory x4 CNS: Normal mentation A: OD globe rupture OS corneal ulcer Improved comfort on analgesics P: Fasted AMH sent to IDEXX CWCP, recheck as scheduled

4/14/2026

Blood collected for AMH testing at reference laboratory. // Completed

4/16/2026

recheck exam S/O BAR, examined when coming back from walk, A+A, no c/s/v/d appreciated, excellent appetite reported. EENT: OD: globe rupture with scant mucohemorragic and hemorrhagic dc, no blepharospasmm OS: no ocular dc, no blepharospasm appreciated no nasal dc HL: eupneic MSI: amb x 4 A. Globe rupture OD - Corneal ulceration OS- appears to be healing, comfortable AMH pending P. Add clavamox d/t mucohemorrhagic dc from OD- ~ 13.75mg/kg PO BID x 7 days Recheck in 2 days P will require enucleation OD- pending stray hold, do with OHE (AMH pending still) vs encleation prior

4/18/2026

Progress exam S/O: BAR, allows handling, A+A, Excellent appetite continued. P appears comfortable, ambulating normally. eupneic, no nasal discharge. OD - globe rupture stable, scant discharge OS - corneal defect present but no blepharospasm or conjunctivitis A: globe rupture OD Corneal ulceration OS - healing, comfortable Ventral midline abdominal scar P: Continue with all current treatments *Schedule enucleation +/- OHE once interpret AMH results (not available today) *Recheck in 2 days

4/20/2026

Recheck exam- AMH testing still pending S/O BAR, comes to the front of the kennel, no c/s/v/d appreciated or noted, A+A, excellent appetite EENT: OD: globe rupture stable, no active dc aTT, no bleph OS: no bleph, no dc no nasal dc A. OD: globe rupture, no active dc at this time, appears comfortable OS: corneal defect, no active dc or bleph, appears comfortable P. Con't with current treatment plan brief recheck in 2 day and check for AMH testing results

4/22/2026

DVM Progress Exam Estimated age: 6 years History: Presented on 4/13/26 with OD globe rupture, severe blepharospasm, and chemosis. An off-site veterinarian noted a fluorescein stain positive 3mm circular corneal defect OS. Also noted with moderate dental disease, type 3 dental malocclusion, moderate calculus, and multifocal epulis. BAR MM pink, moist, CRT <2 sec Objective: EENT: Moderate amount of purulent, crusted discharge from both eyes. OD globe is ruptured. OS has a healing corneal ulcer. Sneezing and licking nose, suggestive of nasal discharge. Oral Exam: Moderate dental disease with type 3 malocclusion noted. PLN: No enlargements noted H/L: NSR, no apparent murmur, CRT < 2, Lungs clear, eupneic with mild signs of brachycephalic syndrome. ABD: Non painful, no masses palpated U/G: FS (ventral midline scar observed, no tattoo) MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat. Bloody discharge of unknown origin noted on the inner surface of the E-collar. CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: *OD Globe Rupture*: Stable, awaiting enucleation. *OS Corneal Ulcer*: Healing. *Suspect Upper Respiratory Tract Infection*: Based on sneezing, nasal licking, and bilateral purulent ocular discharge. *Moderate Dental Disease*: With type 3 malocclusion. *Mild Brachycephalic Syndrome* Prognosis: Fair Plan: *Diagnostics*: AMH test results pending, expected 4/29/26. *Procedures*: Scheduled for future OD enucleation. May perform exploratory laparotomy with spay if found to be intact. *Treatments*: Continue E-collar. Monitor for worsening respiratory signs and for source of bloody discharge on E-collar. *Medications*: - Gabapentin 600 mg PO BID until 4/27/26. - Carprofen 100 mg PO SID until 4/24/26. - Clavamox 312.5 mg (1.25 tabs of 250mg) PO BID, extended for 3 additional days. - Ofloxacin ophthalmic solution: Revised to 2 drops OU (both eyes) BID. - Consider adding Doxycycline if respiratory signs persist or worsen. *Follow-up*: Recheck scheduled for 4/26/26 to reassess clinical status, check AMH results, and adjust medication plan as needed. Brief recheck scheduled for 4/24/26.

4/23/2026

Per staff - not tolerating topical eye meds, becoming aggressive when attempting to apply. Discontinue at this time.

4/24/2026

AMH result: Canine/Feline AMH 0.59 ng/ml Anti-Mullerian hormone level is consistent with the presence of ovarian tissue. *Okay for surgery and enucleation, schedule as soon as possible

4/24/2026

Brief recheck: BAR, no c/s/v/d, sniffling noted, no nasal/ocular discharge. AS:3 noted by staff to eat normal wet/dry mix & ate treats when offered. -CTM, recheck 4/25

4/25/2026

Progress exam: CIRDC signs noted on rounds Subjective: BAR, no C/S/V/D. Sniffling noted Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mild clear serous discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed CIRDC -mild PLAN: Per standing orders -Move to iso signage placed on kennel ( already has monitor log) -Start doxycycline PO SID x10 days -CTM, recheck in 3 days

4/27/2026

Progress exam S: BARH - hyperactive pink moist mm at distance No c/s/v/d reported O: EENT: OD globe rupture as prior OS no blepharospasm and corneal defect appears improved at distance. Attempted to look at OS more closely / perform fluorescein stain but P lunged and snapped MS: Ambulatory x4 CNS: Normal mentation A: OD globe rupture - stagnant OS corneal ulcer - appears improved at distance, unable to perform fluorescein stain due to behavior Improved comfort on analgesics P: ADD Trazodone 175mg (~8mg/kg) PO BID TFN EXTEND / INCREASE Gabapentin to 600mg (~29mg/kg) PO BID TFN (for analgesia / FAS) Notify DVM if overly sedate OD enucleation / spay scheduled 4/29 -- fluorescein stain OS while under sedation to recheck corneal ulcer

4/28/2026

Brief recheck: BAR, no active nasal discharge, no ocular discharge. Sneezing & AS:1 noted on log untouched wet/dry food in bowl. -Start medical feedings PO BID x5days -CTM, recheck as scheduled

4/29/2026

Pre-Op Exam S/O: QAR, no v/d noted, mod spontaneous cough noted EENT: OD as prior, crusted nasal discharge noted Lungs: normal respiratory rate/effort ABD: No obvious distention MSI: Ambulatory x 4, no notable lameness CNS: Mentation appropriate A: Appears to NOT be suitable candidate for anesthesia, ASA status III P: NOT Accepted for surgery, reschedule enucleation and spay when health improved can consider temporary waiver

4/30/2026

P noted to not be eating meds well ADD Entyce 2.1mL (~3mg/kg) PO SID x5d Recheck appetite 5/1

5/1/2026

Recheck CIRDC, appetite S/O: QAR, kibble spilled but empty med tray and med feeding tray, coughing, no v/d/s noted EENT: Crusted nasal planum with mild serous nasal discharge; eyes as previously described LUNGS: Eupneic CNS: Appropriate mentation A: CIRDC Improved appetite Ocular disease P: Continue current treatment plan and recheck as scheduled CTM appetite/eating meds closely

5/4/2026

Progress exam: CIRDC recheck Subjective: BAR, no C/S/V/D. Sniffly. AS:1 noted on log, eats chicken when offered Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mod. crusted/dry discharge covering nostrils MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed CIRDC PLAN: Per standing orders -Extend medical feedings PO BID x3days -CTM, recheck as scheduled

5/4/2026

Recheck CIRDC, appetite S/O: QAR, fair appetite (ate medical feeding and medications but not kibble), no v/d noted, cough/sneeze persist despite doxycycline course (day 10) EENT: Crusted nasal planum with moderate serous nasal discharge; eyes as previously described LUNGS: Eupneic CNS: Appropriate mentation A: CIRDC - persists despite doxycycline course Fair appetite Ocular disease as prior P: DISCONTINUE Doxycycline ADD Enrofloxacin 204mg (~10mg/kg) PO SID x10d DVM recheck CIRDC 5/6

5/6/2026

Recheck CIRDC and eyes S/O: QAR-BAR, eating well, eats meds, occasional cough, no v/d/s noted; e-collar has been in place for weeks, cleaned intermittently but always has dried food/feces EENT: Mild serous nasal discharge, dorsal nasal planum crusted; OD ruptured/irregular as previous; OS stable with visible corneal opacity ~2-3mm but no discharge or signs of inflammation LUNGS: Eupneic MSI: Ambulatory x 4 A: Ruptured OD - unchanged Hx corneal ulceration OS - clinically resolved CIRDC - mild signs Dental disease P: Remove e-collar at this time and monitor for any self trauma to eyes/face Unable to re-stain OS due to behavior, but clinically appears stable Continue trazodone, gabapentin, medical feedings, enrofloxacin Recommend placement for enucleation, CTM while at QACC