3/29/2019

Pre-surgical exam, anesthesia, and surgery performed by ASPCA. Green linear tattoo placed lateral to incision. Start 1 tablet carprofen 100 mg sid po x 2 days. As per ASPCA, 0.2 ml Phenylephrine given to the incision.

12/13/2025

DVM Intake Exam Estimated age: 9-15 y/o based on dentition Microchip noted on Intake? scan positive History: owner surrender Subjective: urinated several times in room, very dilute urine visible, otherwise very active and alert, readily taking treats Observed Behavior - very food motivated; eating all treats offered. Friendly and seeking interaction, allowed all handling Is there evidence of Cruelty? YES Is there evidence of Neglect? YES Is there evidence of Trauma? no Objective P = wnl R = wnl BCS 2/9 EENT: Nuclear sclerosis OU, moderate erythema in canals AU, no nasal or ocular discharge noted Oral Exam: severe dental disease and black/brown discoloration to all teeth; halitosis PLN: No enlargements noted but easily palpable H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: male neutered MSI: Ambulatory x 4, skin free of parasites, no masses noted, dull haircoat; multiple pink fleshy small dermal masses; small mass on lower lid of right eye; dirty malodorous coat; stiff on ambulation and crepitus in hips, stifles and distal joints CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal USG of urine on floor: 1.006 Assessment: ~12 y/o MN LMB Geriatric Multiple fleshy skin masses Mass on lower lid of right eye Underweight (with excellent appetite) Severe dental disease and staining Polyuric, hypothenuric Suspected osteoarthritis Prognosis: Guarded Plan: Ok for intake tasks Editing age to 12 y/o based on current condition *Keep in Medical ICU *Send blood to Idexx for analysis - recommend EHR if evidence of underlying disease *If no significant disease and P continues to eat well, place on ARL for continued care/hospice or elect to proceed with EHR if deteriorates SURGERY: n/a

12/14/2025

recheck with recheck BW: S/O BAR, no c/s/v/d, food bowls empty EENT: no ocular or nasal dc , nuclear sclerosis OU- + tapetal reflex, mm pm <2 sec HL: eupneic MSI: amb x 4, muscle wasting over the epaxials, scattered small fleshy dermal masses Blood work results: Eosinopenia (0.03) sl H BUN (28) sl hypochloremia A. Geriatric Masses Dental dz Underweight Suspected OA mild azotemia r/o second to dehydration sl electrolyte disturbances r/o dehydration P. Third feedings Seek placement- p is geriatric and would benefit from a rapid shelter exit Recheck in 2 days- if doing well consider leaving ICU

12/16/2025

Recheck geriatric, underweight dog. Bloodwork performed twice - in house on 12/13 and sent to lab 12/14 (results dated 12/15). S/O: BAR, comes forward and wags tail when approached, eating well, no c/s/v/d noted EENT: No ocular or nasal discharge, eyelid nodule as noted in prev exams LUNGS: Eupneic MSI: Ambulatory x 4, underweight CNS: Appropriate mentation Results from more recent bloodwork that was sent to lab- CBC: Hct 38.1 (L), eosinophils 0.069 (K) CHEM: Glucose 130 (H), chloride 101 (L) T4: wnl A: Geriatric Underweight with great appetite Dental disease, severe Masses Suspected OA Elevated BUN on in house bloodwork - resolved on bw to lab Hyperglycemia - likely transient/physiologic response Hyposthenuria noted at intake P: Collect urine for UA No treatment - CTM for appropriate weight gain in shelter Consider dental procedure with placement when weight stable Patient will need senior/geriatric care with placement

12/17/2025

Collect urine for UA to idexx Free catch done. Sample moved to IDEXX fridge.

12/18/2025

Recheck geriatric underweight dog, UA results S/O: BAR, comes forward in crate when approached, excellent appetite, no c/s/v/d noted, no ocular or nasal discharge, eupneic. UA: USG 1.014, pH 8.0 A: Geriatric with suspected underlying condition Underweight with great appetite Dental disease Dermal masses Suspected OA Elevated BUN on in house bloodwork 12/13 - resolved on bw to lab 12/15 Hyperglycemia - likely transient/physiologic response Hyposthenuria noted at intake, low USG on UA P: Seek placement outside shelter for either fospice/palliative care vs additional diagnostics and medical treatments Stable and eating well at this time, no treatments in shelter CTM while at QACC

12/21/2025

Reweighed at 41 lbs. // done

12/21/2025

recheck geriatric dog, due for reweigh today Reweigh: gained 2 pounds S/O BAR, A+A, no c/s/v/d appreciated, takes treats EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4 A. Underweight - gaining but still underweight Dental dz Dermal masses Hx of hyposthenuria Suspected OA P. Con't to monitor - p is gaining weight but appears slowly Seek placement- p is geriatric and has suspected underlying medical conditions. Would benefit work up with full service vet hospital vs fospice recheck next week with weight