3/20/2023

Started on trazodone 150 mg PO Q12h for FAS. Estimated weight at 40 lbs.

3/22/2023

It is possible that this dog was exposed to parvovirus and due to the vaccination status, may be at a higher risk for infection. The veterinarian is issuing a Temporary waiver for spay/neuter surgery. Surgery can be scheduled 30 days after pick up from the shelter or with your veterinarian. Symptoms of Parvo included: Vomiting, diarrhea, lethargy and lack of appetite. Please keep this dog separated from any dog in your home that is not up to date on vaccines.

3/22/2023

DVM Intake Exam History : Stray Estimated age: Approx 3-5 years Microchip noted on Intake? Negative Subjective: BAR, very tense, trembling, looking for the door, does not take treats, allows handling and exam and does not escalate and does not warm Evidence of Cruelty seen - none Evidence of Trauma seen - none Objective: P = wnl R = wnl BCS = 5/9 EENT: Eyes clear, no ocular discharge; ears clean; no nasal discharge noted Oral Exam: mm pink and moist, CRT <2; scant tartar PLN: No enlargements noted H/L: NMA, SSP; Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Female intact 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: Apparently healthy Prognosis: Good Plan: CTM while at BACC SURGERY: Okay for surgery

3/27/2023

Progress Exam – coughing/sneezing reported S/O: BAR, no c/s/v/d noted, coughing/sneezing reported EENT: Eyes clear, mild serous nasal discharge noted H/L: Eupneic, normal respiratory rate/effort ABD: No obvious distention CNS: Mentation appropriate Assessment: CIRDC - mild Plan: Monitor in place, no treatment at this time Placed UTW sign and monitoring log, recommend kennel cover Recheck CIRDC day 10 +/- antibiotic if progressing CTM while at BACC

3/29/2023

Monitor appetite - appetite log indicates she ate well last night and ate some today. CTM closely on rounds.

3/30/2023

CIRDC progressing, low appetite noted - BAR with interaction, eating kitten food well, noted to eat oral meds well in spam. Intermittent coughing, moderate serous nasal discharge, eupneic. Plan: Start enrofloxacin 10 mg/kg PO SID x 10 days, start medical feedings BID x 4 days. Recheck CIRDC day 7, monitor and switch to injectable if not eating pills.

3/31/2023

Recheck Exam - reportedly not eating, lethargic, coughing excessively during walk. QAR-BAR in kennel, mod serous nasal discharge, no coughing/sneezing during interaction; ate entire medical feeding and pills and eats canned cat food during interaction. Plan: Continue to monitor closely on rounds, switch to injectable meds if stops eating pills

4/2/2023

Reason for Recheck: Eating? Doing ok? S/O: Dog is QAR/depressed (head hung low) EENT: coughing/gagging; mucopurulent nasal discharge Oral Exam: NE H/L: Not auscultated; RR rate not increased Abd: Not palpated; no obvious distention MSI: Amb x 4 Mentation: depressed, otherwise appropriate A: Approx 3yr old female intact medium mixed breed CIRDC Anorexia Lethargy P: SQ Fluids: 250mls SQ once Cerenia (10mg/ml): 2ml SQ once Enrofloxacin (100mg/ml): 2ml SQ once Vet Check 4/3 to assess appetite/hydration; extend injectables vs continue oral meds?

4/3/2023

Patient QAR- sternal with head up. Mild to moderate serous nasal discharge present. No coughing noted at time of exam but coughing reported on monitoring log. Respiratory rate and effort WNL. Reported to eat all food last night but did not eat pills in treats this morning. Plan: Start enrofloxacin 10 mg/kg IM q24 until 4/10 Discontinue oral enrofloxacin Extend medical feedings until 4/6 CTM closely on daily rounds

4/5/2023

Recheck appetite - QAR, coughing/hacking, eating high value foods well. Continue with current treatment plan and CTM on daily rounds.

4/6/2023

Recheck appetite Patient QAR but brighter than during last few exams; sitting upright and comes to front when approached. Reported to have improving energy and to eat treats but not wet food. RR and RE WNL. No coughing at time of exam. Mild mucoid nasal discharge present. Plan: Extend medical feedings until 4/10 Continue enrofloxacin 10 mg/kg IM q24 until 4/10 CTM on daily rounds, recheck 4/10

4/10/2023

Patient brighter today! Eating dry food well. Mild serous nasal discharge present. Occasional cough. Plan: Extend enrofloxacin 10 mg/kg IM q24 until 4/14- continue injectable as patient is only eating dry food well OK to discontinue medical feedings today CTM on daily rounds, recheck 4/14

4/13/2023

CIRDC day 17- QAR, resting on bed, eventually stands and comes forward with coaxing; eats kitten food, but not eating pills, appetite noted as 2 today. Moderate to severe mucopurulent nasal discharge, no c/s noted, eupneic. Plan: Extend enrofloxacin 10 mg/kg IM SID until 4/20, restart medical feedings BID; recheck appetite in 2 days

4/15/2023

Today 4/15-Progress exam, recheck appetite SO: Q-BAR comes to the front of the kennel seeking attention. No s/v/d, occasional coughing noted. Ate peanut butter and treats with coaxing, no interested in sausages that are offered. EENT: No ocular discharge. Mild mucoid nasal discharge appreciated today. H/L: Eupneic, normal respiratory rate/effort CNS: Mentation appropriate A: CIRDC Hyporexia P: CTM while at BACC Continue baytril 10mg/kg IM SID until 4/20 Continue medical feedings BID until 4/20 Scheduled for 1x cerenia 1mg/kg SQ and LRS 22ml/kg SQ Monitor appetite and overall condition closely on daily rounds

4/17/2023

Patient QAR to BAR, comes forward to eat tossed treats. Reported to be eating well. Mild serous nasal discharge present. Plan: Continue current treatment plan Recheck 4/20

4/21/2023

Observed patient on walk: BAR with improved energy. Eating well (both wet and dry food). Occasional coughing and mild serous nasal discharge. Extend enrofloxacin x 5 days OK to switch to PO as patient is now eating well Recheck in 5 days

4/23/2023

Reason for recheck: wound reported Patient BAR and friendly. Taking treats well. Reported to be eating well. Wound is on caudal right thigh and approximately 1.5 in in diameter. Consists of two semi-circular areas with intact skin in between. Wound is full-thickness through skin. Exposed tissue is pink and moist but has no discharge. Area surrounding wound is firm. Patient stoic- no reaction to gentle palpation. No known trauma or interactions with other dogs A: Wound- suspect secondary to enrofloxacin injections (now on oral meds) CIRDC P: Start Rimadyl 4.4 mg/kg PO q24 x 3 days for likely discomfort associated with wound Continue enrofloxacin PO Recheck wound in 3 days

4/25/2023

PROGRESS EXAM: History: Previously treated for CIRDC - last day of enrofloxacin today S: QAR, curled in ball on bed O: Cageside exam performed EENT: No ocular or nasal discharge GI: No feces seen in cage MSI: Ambulation not assessed, adequate body condition, healthy hair coat; healing wound on R hip Mentation: WNL A: CIRDC resolved - move out of iso Wound on R hip - continue to monitor, switch to smaller cone as patient is having difficulty eating with cone P: Move out of iso and continue to monitor, switch to smaller cone as patient is having difficulty eating with cone

4/26/2023

History: history of open wound on the right hip, suspect secondary to enrofloxacin injection S/O: EENT: Eyes clear, no ocular or nasal discharge noted; ears clean Oral Exam: mm pink, CRT <2; H/L: NMA, SSP; Lungs clear, eupneic ABD: Non painful, no masses palpated MSI: Ambulatory x 4, no notable lameness; open wound on the right hip, no active drainage or discharge, tissue firm on palpation, mild scabbing starting CNS: Mentation appropriate A: Open wound right hip: injection site reaction vs other P: Recheck in 2 days to monitor progress Consider surgical repair if persistent or not healing appropriately

4/27/2023

Recheck wound - BAR, active, eating well. Wound at right hip is circular, approx 6-7cm diameter, with firm raised edges, central depression with granulation tissue and mild serous exudate. Healthy skin around lesion allows for adequate closure without tension. A: Wound - suspect injection site reaction P: Wound debridement and surgical closure today

4/27/2023

Surgical Report: History: Patient presented for surgical repair of healing open wound on R hip Surgical notes: Patient was positioned in left lateral recumbency and the wound bed (approximately 2.5 inches in diameter) was shaved and aseptically prepared routinely. An elliptical incision was made around the wound bed in an vertical/oblique pattern in an attempt to stay as parallel as possible to tension lines on the lateral thigh. A combination of sharp and blunt dissection was used to dissect the wound bed away from underlying tissues. Hemostasis was maintained as needed by tying off bleeding vessels with 4-0 PDS in an encircling ligature. A small (approximately 1 inch) laceration was made into a lateral muscle belly, which was repaired with 2-0 PDS in a simple continuous fashion. The underlying subcutaneous tissue was dissected around the incision to allow for closure of the skin. Approximately 5 horizontal mattress walking sutures were applied to bring the skin to a close (using 2-0 PDS). A second subcutaneous closure was performed with 2-0 PDS in a simple continuous pattern, and the skin was closed with 2-0 PDS in an intradermal pattern. Recommendations: Keep an e-collar on for the next 2 weeks, as well as cage restriction to hopefully prevent tension/dehissence. Recheck wound in 2, 5, 10 and 14 days.

4/29/2023

Progress exam-recheck incision SO: BARH, no c/s/v/d. E/d well. E-collar intact. Hyper but sweet and allows handling. EENT: No ocular/nasal discharge. L: Eupneic, normal RR/effort ABD: No obvious distention MSI: Ambulatory x 4 with no appreciable lameness, laceration repair at R hip healing well, good skin apposition. Mild swelling and erythema appreciated. Dried purulent discharge and some scabs appreciated at incision edges. Overall healing nicely CNS: Mentation appropriate A: Wound-healing well P: CTM while at BACC Removed purulent discharge and scabs and cleaned wound with dilute chlorhexidine. Applied small amount of entederm to areas that had purulent discharge Keep e-collar on and strict cage rest Recheck wound day 5, 10, and 14 days.

4/30/2023

S: Patient had a surgical repair of a LHL wound on 4/27. Wound opened during a walk on 4/30 Patient was positioned in left lateral recumbency and the wound bed was shaved and aseptically prepared. The SQ suture that was in the wound bed was cut and removed and the wound was flushed copiously with sterile saline. The edges of the wound were freshened with a 10 blade. 4 horizontal mattress sutures were placed in the subcutaneous layer with 2-0 PDS. The skin was closed in an intradermal pattern with 2-0 PDS. The closure of the skin was reinforced in a cruciate pattern with 2-0 PDS. Plan: Daily rechecks Strict cage rest

5/1/2023

Patient BAR, vocal in kennel. Incision c/d/i aside from very mild dried blood. Plan: Increase trazodone to 200 mg PO q12 indefinitely for FAS Recheck incision in 2 days

5/3/2023

Recheck wound Patient BAR and eating well. Comes to the front for treats immediately. E-collar on. Small (~1 cm) area in middle of wound is not closed- suspect suture popped. Exposed area has healthy granulation tissue with no discharge noted. Rest of suture line is C/D/I. CTM, brief recheck in 3 days

5/5/2023

S: Patient had a surgical repair of a LHL wound on 4/27. Wound opened during a walk on 4/30 and was surgically repaired a second time. Central aspect of wound was noted to be open on 5/3. O: EENT: Eyes clear, no ocular or nasal discharge noted; ears clean Oral Exam: mm pink, CRT <2; H/L: NMA, SSP; Lungs clear, eupneic ABD: Non painful, no masses palpated MSI: Ambulatory x 4, no notable lameness; healthy hair coat, 3cm central aspect of incision open, healthy granulation tissue present, proximal and distal aspects of incision still closed, healing appropriately, CDI CNS: Mentation appropriate A: Wound on HL, central dehiscence - healthy granulation tissue present P: Allow central aspect of incision to heal by second intention, leave sutures in place at proximal and distal aspects of incision Recheck in 3 days CTM daily on rounds

5/8/2023

Recheck wound Patient BAR, friendly, and eating well. Middle of repaired hip wound open as previously noted. Healthy granulation tissue with no discharge present. CTM on daily rounds, recheck in 4 days

5/11/2023

Recheck wound - multiple sutures loose Patient BAR, friendly, and eating well. Middle of repaired hip wound open as previously noted. Healthy granulation tissue with no discharge present. Loose cruciate sutures removed, two deeper loose sutures trimmed to reduce irritation. CTM on daily rounds, recheck in 4 days

5/19/2023

Recheck wound - healing well, wound is approx 2cm x 1cm with no swelling/discharge. Recheck in one week.

5/24/2023

Start gabapentin 15 mg/kg PO BID for FAS in shelter

5/26/2023

Recheck wound - continues to heal, sutures sticking out were trimmed today, mild serosanguinous discharge at ventral portion of lesion where suture present. Recheck in one week. New mass noted - approx 3-4cm SQ mass at left dorsal flank. Soft and moveable, nonpainful. Monitor.

6/2/2023

S: Wound recheck on hip, healing appropriately, no evidence of infection, discharge or drainage. A: Wound - healing appropriately P: CTM while in care

4/19/2025

DVM Intake Exam Estimated age: approx 3-7 years based on dentition and conformation Microchip noted on Intake? scanned positive History: agency Subjective: BAR Observed Behavior - enters with lose body, wagging tail, allows Is there evidence of Cruelty? Y Is there evidence of Neglect? Y Is there evidence of Trauma? N Objective T = np P = wnl R = wnl BCS 2/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: moderate wear and staining to visible dentition with calculus PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: F suspected intact, no OVH scar or tattoo MSI: Ambulatory x 4, skin free of parasites, no masses noted, linear scarring over the L hip extending down the lateral aspect of the RHL, areas of scarring and alopecia along the tail CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment Scar - hx of prior wound in SB Dental dz approx 2-3/4 Prognosis: good Plan: intake exam and tasks see jotform TID feedings x 2 weeks recheck with recheck weight in 1 week awaiting sort SURGERY: Okay for surgery: N Temporary waiver due to emaciation

4/19/2025

Your newly adopted pet has been diagnosed with emaciation 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.

4/27/2025

Recheck TID feeding pup S/O BAR, A+A, gained 3 pounds since intake, food trays emptied, eupneic, amb x 4, no ocular or nasal dc A/P Gained weight, still underweight Con't with TID feedings Recheck as scheduled

5/6/2025

Brief recheck - BAR, active at front of kennel, barking; no c/s/v/d noted, eupneic; BCS 3-4/9. Okay to continue TID feeding, monitoring weight, and CTM while at QACC.

5/16/2025

Behavior team reports lunging at delivery person and hard barking in kennel. Adjusting medications - trazodone 9 mg/kg PO BID and clonidine 0.02 mg/kg PO BID.

5/30/2025

Request to increase behavior psychopharm doses based on enrichment note from 5/29 - Suzie was very vocal, pulling on lead, panting heavily on her way out of the care center. Toy motivated and engaged in fetch with handler once outside. While carrying a soft toy in her mouth back into the shelter she did not vocalize or pull on her lead as she had on the way out. Currently on both trazodone and clonidine - continue at current doses. Recommend walking with toy as it seems to help with undesired behaviors. CTM while at QACC.