10/26/2026

DVM Intake Exam Estimated age: ~6-12 years based on dentition / condition Microchip noted on Intake? Scanned negative History: Stray Subjective: QAR Observed Behavior - Fearful / tense in den crouched in the back with mydriatic pupils, looking for escape --> sedated to allow for evaluation of wound Is there evidence of suspected cruelty? YES Objective: P = WNL (sedated) R = WNL (sedated) BCS 3/9 MCS 2/3 EENT: mild iris atrophy, ears clean, no nasal or ocular discharge noted Oral Exam: 103 severe gingivitis and calculus - fell out during oral exam, moderate staining of remainder of dentition with moderate calculus of maxillary carnassials PLN: No enlargements noted H/L: SEDATED - NSR, NMA, CRT < 2s, Lungs clear, eupneic, negative ITC ABD: Soft, nonpainful, no masses palpated U/G: Female - appears intact no tattoo or spay scar but small nipples MSK: Hunched in den reluctant to ambulate, no palpable orthopedic abnormalities on exam noted. Unclear if P is weight bearing on wounded LFL. INT: Multifocal superficial minor matting with fecal and urine staining ventral abdomen and HLs, all nails curling into paw pads but no penetration, no masses noted L axilla deep wound through dermis and subcutaneous tissue ~10cm x ~5cm with embedded yellow non break away collar - severe purulent yellow/white discharge with necrotic edges and 2 pinpoint necrotic areas at center of wound no brachial plexus exposure visible. 2 fly larvae found in cranial necrotic tissue edge --> post debridement and flush prolific healthy granulation tissue present CNS: prior to sedation -- Mentation appropriate - no signs of neurologic abnormalities Rectal: Normal externally Wood's Lamp Exam: Not performed Assessment: Embedded collar with infected wound L axilla with scant myiasis Matting with urine and fecal involvement - shaved at time of exam, resolved Moderate dental disease Underweight / muscle wasted r/o nutritional vs age related vs other FI mature adult DSH Prognosis: Guarded Plan: OK for appropriate intake tasks Pictures taken and submitting jotform Sedated with 0.05mL dexmedetomidine and 0.05 butorphanol to inspect wound (unaware of extent prior to sedation) --> due to severity of wound it was elected to induce GA to allow for thorough clip / clean / debridement IVC placed --> propofol to effect IV --> placed ETT, maintained on isoflurane for procedure Wound was clipped and cleaned with dilute chlorhexidine, then was copiously flushed with sterile saline to flush discharge Surgical debridement performed of necrotic tissue with 15 blade --> wound copiously flushed with sterile saline and medical grade manuka honey with silver was applied Elected to allow wound to heal by second intention due to severity of infection 1ary closure would likely fail Shaved matting at ventrum / HLs Zorbium applied transdermally Convenia 0.23mL (~8mg/kg) SQ ONCE Selarid applied re myiasis House in ICU with paper litter only DVM recheck 10/27 Pending holds recc seek placement given severity of wound - will take several months to heal by 2nd intention and not able to provide adequate care in shelter setting long term SURGERY: Permanent waiver for age

10/27/2026

Progress exam S: QARH - at back of kennel, fearful, but leans into cheek scratches, does not react to light palpation of LF to view wound. Limited exam to limit FAS. no c/s/v/d reported fair appetite for wet food O: EENT: No ocular or nasal discharge, corneas clear LUNG: Eupneic at distance MSK: Ambulatory x4 INT: Unkempt hair coat, L axilla wound is clean and dry with no fly larvae / necrosis / discharge, no pain response on light palpation CNS: Appropriate mentation Assessment: L axilla wound - improving HX Moderate dental disease Underweight / muscle wasted FI mature adult DSH P: CTM wound closely, next exam If poor BCS/MCS persist with adequate nutrition consider CBC/biochem/TT4/SDMA to assess for possible underlying medical cause

10/29/2026

recheck L axillary wound S/O BAR, in the back of the kennel but comes forward for head butts and chin scratches when coaxed, wet food empty, some dry food during, no c/s/v/d noted, formed stool in LB EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4, allows for brief manipulation of L axillary region, serous dc with some litter dried to the region, unable to tell if additional debris in the area. Sedated with 0.05mL dex/torb/ket IV - adequate sedation: L axillary wound - several pieces of litter on the edges, dried serous dc to the edges of wound, healthy appearance to granulation tissue. Region flushed with sterile saline to remove debris A. Axillary wound - improved from intake, p appears comfortable and not bothering the area P. Seek placement asap - wound is large and will take time to heal and not ideal in shelter environment CTM and recheck in 2 days