11/18/2025

[DVM Intake] DVM Intake Exam Estimated age: 3yrs based on dentition/conformation Microchip noted on intake? scans negative History: stray Subjective: BAR Observed Behavior - loose and wiggly, highly treat-motivated Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective P = 120 R = sniffing, eupneic BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Adult dentition, mild tartar and staining along maxillary gingival margins PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MI; 2 testicles descended 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 Wood's Lamp Exam: not performed Assessment Approx. 3yr MI canine apparently healthy Prognosis: good Plan: intake tasks SURGERY: Okay for surgery

11/20/2025

Behavior team reports heavy panting, pacing, jumping on handlers, mouthiness. Start trazodone 10 mg/kg PO BID.

11/21/2025

Pre-surgical exam, anesthesia, and surgery performed by offsite vet. Medical record uploaded to Vet Documents. Green linear tattoo placed lateral to incision. GIVE: 1.5 tablet of Rimadyl 25 mg by mouth for 2 days starting the day after surgery.

11/22/2025

[Post Surgical Exam] Attitude/demeanor: BAR Appetite: eating well, readily taking treats C/S/V/D: none Incision site: moderate bruising around inguinum and scrotum; moderately large swollen scrotal hematoma present; incision appears intact with sutures in place, no swelling or visible SQ tissue, no active discharge Pain level: appears comfortable Licking, chewing, or biting surgical site noted: no Additional notes: *Lowering dose of trazodone slightly from 10mg/kg to 7mg/kg (200mg) PO q12h, continue while in shelter for FAS or for 2 weeks from now for mild sedation while recovers *Add gabapentin 30mg/kg (900mg) PO q12h for mild sedation and analgesia while recovers *Extend carprofen x 7 days *Must wear E.collar to prevent licking/chewing *Cold compress done today x 10 minutes *Start warm compresses for scrotum BID (if possible) x 3 days *Recheck in 2 days

11/24/2025

recheck scrotal hematoma S/O BAR, A+A, no c/s/v/d appreciated, takes treats, significant scrotal swelling and bruising, p hobbles rather than walks, pre-scrotal incision CDI with moderate erythema and bruising up the sides of the prepuce A/P Scrotal hematoma - per staff, doesn't appear improved from 2 days E-collar at all times ensure kennel is cleaned well- fecal staining present on paws and e-collar, concern for secondary infection Start amoxi-clav 13.75mg/kg PO BID x 10 days (375mg) CTM closely on round and recheck in 4 days

11/25/2025

Diarrhea present in kennel Subjective: BAR, no C/S/V. Diarrhea noted F/S: 7 Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge MUSCULOSKELETAL: Ambulatory x4 NEURO: Appropriate mentation ASSESSMENT: Presumed Diarrhea PLAN: Per standing orders - Start RC GI dietq12h x 5 days -Start psyllium husk 2 scoops PO q24h x5days, & proviable PO q24h x5days -Placed monitor log on kennel -CTM, recheck as scheduled

11/26/2025

Got e-collar off, having diarrhea - check scrotal hematoma S/O: BAR, no c/s/v, diarrhea all over kennel; surgery site healing appropriately (prescrotal), mild bruising ventrally along scrotum and prepuce, sides of scrotum proximally near body are coated in feces with moist erythema and scabbing beneath. A: Scrotal hematoma with scrotal dermatitis P: Cleaned feces off as well as possible, placed new e-collar Treatment for diarrhea started yesterday Kennel needs to be kept clean in order for lesions to heal. Recheck in 2 days as scheduled

11/28/2025

recheck dermatitis on scrotum S/O BAR, A+A, no c/s/v/d appreciated EENT: no ocular or nasal dc HL: eupenic MSI: amb x 4, fecal staining over the caudal end of the scrotum with mild erythema and sparse pinpoint scabbing, moderate swelling A. Scrotal hematoma - per staff appears slightly smaller P. Tried to clean off fecal matter Cont treatment for D+ Very important that kennel must be cleaned at all times while region heals- might have to be brought back into medical for areas to be dried off after walks recheck in 3-4 days

11/30/2025

Progress exam: Subjective: Diarrhea recheck Objective: FS:6 noted on log, some soft stool noted by staff. ASSESSMENT: Presumed Diarrhea PLAN: Per standing orders -Keeping on GI, extend psyllium husk PO q24h x5days & start panacur 50mg/kg PO q24h x5days -CTM, recheck as scheduled

12/2/2025

Recheck fecal scald, diarrhea, and scrotal hematoma S/O: BAR, active, no c/s/v noted, diarrhea still reported; e-collar in place Scrotum mildly swollen and firm with dried discharge/feces vs scabbing; fecal scald significantly improved, swelling also improved Surgery site has region of bruised/darker tissue, skin is apposed, mild sanguineous discharge A: Scrotal hematoma Fecal scald (improved) Delayed surgical healing Diarrhea P: Cleaned scrotum and surgery site with chlorhex Start clavamox 13.75 mg/kg PO BID Start rimadyl 4.4 mg/kg PO SID Restart psyllium husk Discontinue gabapentin for now to minimize oral meds (on many oral meds at this time) Keep e-collar on CTM closely and recheck in 4 days

12/4/2025

Fecal OPG - cystoisospora oocysts present, many (>30); cystoisospora antigen positive Interpretation: Coccidia - ro cause of diarrhea vs incidental finding (does not typically cause diarrhea in adult dogs, healthy dogs can shed) P: Patient is currently on multiple oral medications for diarrhea, fecal scald, scrotal hematoma (panacur, psyllium husk, clavamox, carprofen). CTM on rounds and recheck in 4 days, if diarrhea persists, consider ponazuril 20 mg/kg PO SID x 3 days for coccidia

12/5/2025

Recheck scrotal hematoma and diarrhea S/O: BAR, active, dried puddles (flat) of diarrhea in kennel this morning, no c/s/v noted UG: Focal area of erythema and sanguineous discharge at pre-scrotal region - approx 1.5cm; otherwise swelling and dermatitis resolved A: Scrotal hematoma - resolved Fecal scald - resolved Focal area of healing with discharge (sx site?) - stable Diarrhea P: Okay to d/c rimadyl, panacur, psyllium husk Start metronidazole 15-20 mg/kg PO BID and proviable 1 cap PO SID for persistent diarrhea Continue clavamox Keep e-collar on and recheck as scheduled

12/8/2025

recheck D+, currently on metro, proviable P BAR, A+A, kennel cleaned, no c/s/v noted, fecal score is very varied from 4 to 6 to 4 again more recently. A/P Recheck in 2 days - p would require high volume of ponazuril with the concentration had for tx, if still having D+ in 2 days, start once metro has completed.

12/10/2025

Recheck diarrhea, post op complication S/O: BAR, active, eating well, no c/s/v noted, stool in kennel is smashed but appears to be FS 5, log reports FS yesterday was 7 EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Ambulatory x 4, surgery site healed A: Post-op complication - resolved Diarrhea - persistent P: Extend metronidazole and proviable - diarrhea seemed slightly improved today Treat for coccidia if diarrhea persists

12/13/2025

Recheck persistent diarrhea S/O: BAR, active, recent fecal scores 4! Stool in kennel is smashed but does not appear particularly soft; no c/s/v/d noted. A/P: Diarrhea - improved vs resolved; CTM closely on rounds, recheck in 2 days for resolution.

12/15/2025

Progress exam: Subjective: Diarrhea recheck Objective: FS:4/5 seen in kennel. FS:4 noted on log ASSESSMENT: Presumed Diarrhea appears resolved PLAN: Per standing orders -Monitor log removed from kennel -Keeping GI indefinitely due to intermittent diarrhea. CTM closely on daily rounds

12/16/2025

Brief recheck: FS:6 present in kennel, per 1438 restart proviable PO q24h x3 wks. CTM, recheck as scheduled

12/22/2025

Reportedly has wound on ear from incident last night with other dog, brought into medical for exam S/O BAR, A+A, no c/s/v/d, takes treats EENT: no ocular or nasal dc, mm pm <2 HL: eupneic GA/GU: npm, MN, incision CDI MSI: amb x 4, no lameness lesions noted. Checked ears where lesion reported to be an some small areas of thinner hair but no fresh puncture wounds, scratches or lacerations appreciated Neuro: mentation appropriate A. APH P. DOH exam Removed e-collar, p had broken it and no need Recheck as scheduled

12/26/2025

recheck, still having D+? S/O BAR, A+A, FS vary between 3-7, formed stool in kennel. No ocular or nasal dc, eupneic A. Variable FS- formed stool in kennel Coccidia with cysts on fecal P. Only have liquid albon (50mg/mL) - given 55mg/kg PO once today, followed by 27.5mg/kg PO SID x 3-4 days Recheck log and fecal score in 3 days CTM while at QACC

12/29/2025

Progress exam: Diarrhea recheck Subjective/Objective: FS:3/4 present in kennel Assessment: Presumed Diarrhea appears resolved PLAN: Per standing orders -Monitor log removed from kennel -CTM closely on daily rounds while in QACC

12/31/2025

On 12/31/2025 Honeycomb was examined. The patient has appropriate mentation at this time (no neurological signs present) and has not exhibited any neurological signs while at QACC.

1/16/2026

Diarrhea present in kennel Subjective: BAR, no C/S/V. Diarrhea noted F/S: 6 Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge MUSCULOSKELETAL: Ambulatory x4 NEURO: Appropriate mentation ASSESSMENT: Presumed Diarrhea PLAN: Per standing orders - Continue RC GI diet -Start metronidazole 20mg/kg PO BID x5 days & panacur 50mg/kg PO SID x5days -Placed monitor log & TID log on kennel -CTM, recheck as scheduled

1/21/2026

Progress exam: Diarrhea recheck Subjective/Objective: FS:4/5 noted on log, no stool present in kennel. Assessment: Presumed Diarrhea appears resolved PLAN: Per standing orders -CTM on daily rounds while in QACC

2/9/2026

recheck, noted to have lost 3 pounds in 2 weeks, reweighed today - did indeed lose 3 pounds, not scale error. S/O BAR, A+A, no c/s/v/d appreciated, takes HVT, BCS 3.5/9, no ocular or nasal dc, eupneic, npm, no apparent lameness or lesions, good skin tent A. Weight loss- p has lost 12.5 pounds since intake 11/18 r/o second to D+ from persistent giardia infection vs open P. CBC/CHEM/T4 to lab- check for results tomorrow Last fecal performed 1/24- noted to be positive for many gianrdia cyst and Ag To disc among staff whether to retreat for giardia or hold off since asymptomatic aTT check for BW results tomorrow

2/10/2026

Blood work results: CBC: nsf CHEM: wnl TT4: wnl A. NSF on blood work to explain weight loss P noted to have FS6 in kennel, suspected to be reinfecting self with giardia due to feces, restarting on metro 25mg/kg PO BID x 5 days and panacur 50mg/kg PO SID x 3 days Monitoring log up Recheck in 1 week with weight CTM closely at QACC, should weight loss and diarrhea persist, consider additional diagnostics (AUS) with placement or adopts - suspect p continues to reinfect self

2/11/2026

Fecal OPG - giardia sp cysts present, many (>30), giardia antigen positive; cystoisospora antigen negative

2/11/2026

Fecal OPG results the same as 1/16 (giardia cysts and antigen)

2/11/2026

ACS reported and showed photo of large amt of diarrhea with significant hematochezia this morning in kennel; bloodwork performed two days ago unremarkable, currently on metronidazole and panacur for persistent giardia on fecal OPG. S/O: BAR, active, soft body, leans into petting, allows all medical handling; great appetite, jumps up on counter and searches for food, no c/s/v noted EENT: No ocular or nasal discharge H/L: NMA, SSP; eupneic MSI: Ambulatory x 4, BCS 4/9 RECTAL: unremarkable, feces on glove is soft FS 5 and does not have hematochezia CNS: Appropriate mentation PCV/TS: 48/6.6 A: Episode of significant hematochezia this AM Diarrhea - intermittent in shelter Underweight/weight loss in shelter Giardia P: Extend panacur to 5 day course, continue metronidazole Okay to d/c GI diet - patient has been on this for a long time and has lost weight, has also continued to have intermittent diarrhea. CTM closely for resolution of d+, h+, recheck in 4 days Recheck weight in 2 weeks

2/12/2026

Brief recheck - BAR, no v/d/c/s noted, no hematochezia noted. Continue current treatment and recheck as scheduled.

2/15/2026

Recheck, last day of giardia tx S/O BAR, at the front of the kennel, A+A, FS7 painted throughout kennel, no hematochezia, takes HVTs, no c/s/v EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4 A. D+ - chronic with intermittent hematochezia despite multiple treatments and GI diets P. Start tylosin powder SID x 7 days D+ has been nonresponsive to treatments so far. Consider possible reinfection d/t shelter environment recheck in 3 days

2/18/2026

Recheck diarrhea S/O: BAR, active, no c/s/v noted, diarrhea FS 5-6 smeared all over kennel floor, no hematochezia noted. A: Persistent diarrhea in shelter P: Extended tylosin, made note to hide well as it tastes bad. CTM closely on rounds.

2/22/2026

Recheck, p has had persistent giardia and diarrhea, non-responsive to treatments so far. S/O BAR, no c/s/v, D+ (F7) smeared in kennel, no ocular or nasal dc, eupneic A. Giardia - last fecal on 1/24, positive for cysts Was on: panacur 12/1-12/5/25 metro 25mg/kg 12/5-12/15/25 ponazuril (has coccidia once) 12/26-12/29/25 metro 25mg/kg 1/16-1/26/26 panacur 1/16-1/26/26 metro 2/10-2/15/26 panacur 2/10-2/15/26 Tylan 2/15-3/1 P. To collect additional fecal for OPG- last fecal 1 month ago and still very clinical Recheck as scheduled Seek placement - p needs to leave shelter and have more space so can stop self reinfection with giardia CTM while at QACC

2/25/2026

Reweigh and let DVM know 60.8#

2/25/2026

Recheck weight, chronic/intermittent diarrhea in shelter, history of giardia S/O: BAR, active, no appetite concerns reported, no c/s/v noted, diarrhea FS 6 smeared all over kennel floor, walls, door; no ocular or nasal discharge, eupneic. Weight today 60.8 lbs - gaining. A: Chronic, intermittent diarrhea - ro giardia +/- stress +/- dietary +/- other P: Start GI Biome diet only Submitted fecal sample to lab CTM closely on rounds, adjust treatment plan pending lab results

2/25/2026

Behavior team reports excessive jumping and slamming body into kennel door. Feces smearing noted numerous times on rounds. Currently on trazodone, add clonidine 0.02 mg/kg PO BID.

2/26/2026

Recheck, fecal result; care staff noted blood on head S/O: BAR, hyperactive in kennel, allows all handling, feces smeared all over kennel floor and walls, FS 6-7; no c/s/v noted EENT: No ocular or nasal discharge; ears have mild ceruminous discharge with no obvious inflammation, small bleeding wounds at distal pinnae AU LUNGS: Eupneic MSI: Ambulatory x 4, no notable lameness; feces staining on paws/limbs CNS: Appropriate mentation Fecal OPG: giardia cysts present, many (>30), giardia antigen positive; cystoisospora antigen positive A: Wounds/lesions on pinnae - ro secondary to hyperactivity vs otitis (no notable signs) vs other Diarrhea Persistent giardia infection, cysts persistently present on fecal samples despite multiple treatments Coccidia - antigen positive; ro previous exposure/infection vs current Arousal/hyperactivity in kennel P: Placed quikstop on lesions at pinnae AU Add gabapentin 10 mg/kg PO BID for FAS in kennel Continue GI biome diet Not re-starting treatment for giardia at this time - treatment is not effective in shelter setting. Seek placement outside shelter ASAP - patient FAS in kennel worsening, unable to effectively treat giardia in shelter due to defecating in kennel