7/27/2025

DVM Intake Exam Estimated age: 6-10 years based on the condition of teeth and eyes Microchip noted on Intake? Negative History: Owner surrender Subjective: Q-BAR H pink 1 sec Observed Behavior - Body relaxed; easily examined; hissing Evidence of Cruelty seen - No Evidence of Trauma seen – No Evidence of Neglect- No Objective P = 200hr R = 40rr BCS 3-4/9 EENT: Eyes- nsf, ears clean, slight ocular discharge noted Oral Exam: 2/4 dental issues PLN: No enlargements noted; fractured right upper K-9 H/L: NSR, 3/6 systolic heart murmur, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MC MSI: Ambulatory x 4, skin free of parasites, no masses noted, dorsal muscle wasting; dull hair coat; underweight CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment heart murmur dental disease and fractured 104 Prognosis: Fair Plan: Intake procedures CBC/CHEM/T4/UA(cysto)/cardiopet BNP- pending

7/28/2025

Blood and Urine results: CBC/CHEM/T4/UA- nsf Cardiopet BNP- 412 pmol/L (normal 0-100) suggesting increased stretch and stress on the myocardium. recommend cardiac work up (e.g. chest rads, echocardiogram, etc.) Spay/Neuter Waiver - Permanent Your newly adopted pet has been diagnosed with a heart murmur and the staff veterinarians are issuing a PERMANENT waiver from the spay/neuter requirements of the City of NY. ACC does not have the facility to safely sterilize your pet with his/her current condition. However, your veterinarian will provide consultation on whether this procedure can or should be performed under their supervision. Follow up care at your regular veterinarian is recommended to ensure continued treatment and proper oversight of your pet's health. All costs for follow up care and subsequent surgery is at the expense of the adopter.