8/8/2025

DVM Intake Exam Estimated age: 5-8yo Microchip noted on Intake? scan negative History: brought in by exterminator; stray Subjective: QAR, ~5% dehydrated, delayed skin tenting Observed Behavior - Quiet, allows handling, slowly tries to slink away but allowed exam and procedures with light restraint Is there evidence of Cruelty? n Is there evidence of Neglect? n Is there evidence of Trauma? n Objective BCS 2/9 EENT: Eyes clear, ears white crusty debris AU, no nasal or ocular discharge noted Oral Exam: moderate staining and tartar. pale mm PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Male intact, 2 testicles MSI: Ambulatory x 4, generalized alopecia, especially over dorsum and neck with excoriations caudal to ears. Flea dirt noted. Kyphotic posture with some discomfort upon palpation of T13-L1-2 spine but no crepitus noted. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally normal Wood's Lamp Exam: negative Assessment ~7yo MI DSH Suspect flea allergy dermatitis Pale r/o anemia, secondary to fleas vs other disease Kyphotic posture r/o spinal injury vs pain vs other Underconditioned BCS r/o chronic illness Prognosis: guarded Plan: Routine intake procedures Selarid Capstar 0.24ml convenia SQ once 100mls LRS, continue x 3 days In house CBC Recheck in 2 days, consider sedation for spinal rads. If better hydrated, consider send out chemistry panel (not enough blood obtained today) SURGERY: Temporary waiver due to illness

8/8/2025

CBC/Chem/T4 in house CBC - Hct 15.2 (L!!) - MCV 24.3 (L!!) - MCHC 40.3 (H!!) - Reticulocytes 3.2 (low normal) - Lymphocytes 0.43 (L) - Plt 72 (L), but aggregates noted Chemistry - Creat 0.5 (L) - BUN 15 (L) TT4 WNL A. Moderate non-regenerative anemia r/o iron deficiency vs chronic disease vs chronic blood loss (r/o flea anemia) vs immune mediated P. Consider recheck CBC (send out) in 1 week to assess improvement

8/8/2025

Your newly adopted pet is Anemic 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.

8/10/2025

recheck, anemia and kyphotic posture noted on intake S/O QAR, no c/s/v/d, ate most of the wet food, some of the dry, in the back of the kennel, tolerated handling with towel EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4, diffusely thin coat and alopecia, allowed for palpation but very tense A. Suspect FAD with secondary flea bite anemia Kyphotic posture - not appreciated on exam today Poor coat and body condition P. P quite anemic and doesn't appear to be in any spinal pain aTT- CTM in medical. Recheck condition in 2 days- if can still appreciated any spinal abnormalities aTT consider rads Recheck blood work in 1 week with recheck PCV CTM while at QACC

8/12/2025

Recheck anemia, poor haircoat/dermatitis, flea dirt noted at intake. Gained >1 lb since intake 4 days ago. S/O: QAR at back of den, low and quiet growl when approached, eating very well, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Poor haircoat as prev noted CNS: Appropriate mentation A: Severe anemia (Hct 15) Poor haircoat, excoriations - ro FAD vs other Dental disease Underweight P: Scheduled recheck CBC/PCV tomorrow No additional treatment at this time, patient stable/eating well Recheck tomorrow

During intakes no handling was done, taken right to medical.