11/18/2025

[DVM Intake] DVM Intake Exam Estimated age: 5yrs based on dentition/conformation Microchip noted on intake? scans positive History: Picked up by agents Subjective: BAR Observed Behavior - active, tolerates all handling and tasks Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective P = 200 R = 24 BCS 4/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Adult dentition with diffuse staining PLN: No enlargements noted H/L: NSR, grade II/VI heart murmur, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 4, flea dirt present, no masses noted, dirty hair coat with fecal matter caked to tail and plantar aspect of hind paws, scabs around dorsal aspect of neck CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: raw, moist inflamed skin around perineum especially under base of tail, inflammation around anus with normal anal tone Wood's Lamp Exam: not performed Assessment Approx. 5yr MN DSH Diarrhea (r/o infectious vs inflammatory vs dietary indiscretion vs toxin vs neoplasia) Moist dermatitis around perineum (r/o secondary to diarrhea) Heart murmur (r/o physiologic vs underlying heart dz) fleas Prognosis: good Plan: Panleuk snap on intake (x) negative Soaked hind paws and tail in warm water to remove fecal matter; no wounds noted CBC/Chem to idexx Intake tasks fenbendazole 50mg/kg PO SID x 3 days forti-flora in food SID x 7 days Apply SSD to perineum (x) Monitor appetite and stool closely; DVM recheck tomorrow SURGERY: already neutered

11/19/2025

Recheck diarrhea, fecal scald, fleas S/O: QAR, comes forward with coaxing, leans into petting, hunched at back of kennel for most of the day; not eating today, offered HV foods and did not eat, no c/s/v, diarrhea FS 5-6 EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Unkempt/sparse haircoat, scabbing along neck; dermatitis at perineum/ventral tail - dry with no discharge CBC: Hct 27.7 (L), reticulocytes 97 (H); monocytes 1.146 (H), eosinophils 4.6 (H) CHEM: Creatinine 0.8 (L) TT4: wnl A: Moist dermatitis at perineum/ventral tail - improved Diarrhea Heart murmur Fleas - treated at intake Hyporexia vs anorexia Regenerative anemia Eosinophilia - ro allergies (flea +/- other) P: Continue fortiflora and panacur, monitor appetite closely and recheck tomorrow

11/20/2025

Recheck S/O: BAR, timid initially but warms and leans into petting, comes forward; not eating, no c/s/v/d noted. No stool in LB overnight or today. EENT: No active ocular discharge, crusts at medial canthi OU are improving; no active nasal discharge LUNGS: Mild congestion, otherwise eupneic MSI: Ambulatory x 4, rough haircoat with traumatic alopecia/barbering notable along caudal dorsum and medial limbs, skin is mildly erythematous and thickened in places, thick scabbing along dorsal neck ABD: Moderate amount of firm feces in colon RECTAL: diarrhea leaking from anus, perianal region has crusting with mild erythema A: Diarrhea + suspect constipation Rough haircoat, dermatitis - ro FAD vs other Fleas treated at intake Heart murmur Anorexia Regenerative anemia Eosinophila P: Start SQ LRS 100 ml SID x 3 days Start cerenia 1 mg/kg SQ SID x 3 days Start mirataz SID x 3 days Start medical feeding BID Consider rads + enema if not defecating

11/21/2025

recheck, possible constipated, FAD, HM, anorexia S/O BAR, comes to the front head butting and purring, no c/s/v/d appreciated, wet food moderately disturbed, noted to have several pieces of formed stool in kennel this morning EENT: no nasal dc, very mild erythema and scabbing at medial canthus, no active dc HL: eupneic GA/GU: npm, stool not palpable in colon MSI: amb x 4, good skin coat, scabbing around the color region A. Suspected constipation- resolved Anorexia- improved, ate most of the wet food this AM HM Dermatitis - appears to be improving P. Continue with current treatments and recheck in two days. If not constipated and still eating consider moving out of ICU

11/23/2025

checked, noted to sound congested S/O BAR, comes up to the front, audible congestion, noted to be eating well, food bowls empty, formed stool in litter box EENT: mild epiphora, mild serous nasal dc HL: eupneic, audible congestion MSI: amb x 4, good skin turgor, palpable stool in colon A. Dermatitis - resolution URI - mild aTT P. Move to med-iso for now start doxy 10mg/kg PO SID x 10 days (0.9mL) rechecks at 3 7 10 days consider moving regular iso if space

11/25/2025

Constipation reported S/O: BAR, great appetite, small ball of feces on shelf in kennel this AM, no c/s/v/d noted, mild congestion EENT: No active nasal or ocular discharge H/L: NMA, SSP; Eupneic ABD: Large amt of firm but malleable stool palpable in colon MSI: Ambulatory x 4, haircoat overall improved Sedated with dex/torb/ket - 0.1 ml IM of each. 2VAXR - Stool with sl inc diameter noted throughout colon, improved after enema A: Constipation Heart murmur - not appreciated today Diarrhea - resolved URI - mild P: Warm water + lube enema administered. Manually evacuated several large pieces of firm stool + many other smaller pieces. Start miralax 1/4 tsp PO BID Start SQ LRS 100 ml SID x 3 days Monitor defecation closely and recheck in 3 days

11/26/2025

Brief recheck - BAR, several pieces of feces in kennel (on bedding and on shelf). Continue current treatment plan and recheck as scheduled.

11/29/2025

S/O: BAR, great appetite, vomited partially digested stool this am no c/s/d noted, mild congestion urine seen in litter box, no stool EENT: No active nasal discharge. Dried ocular discharge otherwise eyes clear and comfortable H/L: NMA, SSP; Eupneic ABD: Large amt of firm stool palpable in colon and rectum. Fecal bll stuk at anal sphincter MSI: Ambulatory x 4, haircoat hypotrichosis generalized Sedated with dex/torb/ket - 0.1 ml IM of each. A: vomiting r/o secodnary to constipation vs URI vs doxycycline administration Constipation anemia HCT 27% Heart murmur r/o secondary to anemia URI no signs presently P: place IV catheter, continue on LRS 15ml /hr saline + lube enema administered 60mls through 10fr red rubber catheter 3 cm inserted into rectum under sedation continue miralax 1/4 tsp PO BID start lactulose 3ml PO BID indefinitely d/c doxycycline - no current signs of URI, pet is vomiting recheck tomorrow Monitor defecation closely and recheck in 3 days

11/29/2025

recheck for constipation no feces in kenel, food appears untouched s/o pet is BARH, IV catheter intact, slight fat paw abdominal palpation fecal material feels slightly more malleable p; enema 60mls saline/ lubricant adminsitederd with 10Fr inserted into anus 2 cm rewrapped IV catheter Cap off IV fluids recheck tomorrow

11/30/2025

Progress exam: URI day 7 recheck Subjective: BAR, no C/S/V/D. AS:1/2 ate some medication & wet food offered. No stool noted in litter box Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge present MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -CTM, recheck in 3 days

12/2/2025

Brief recheck - BAR, active and attention seeking at front of kennel, eating well, no c/s/v/d noted, mild congestion, otherwise eupneic; no feces in kennel - moderate amount of firm and malleable feces palpable in colon. PLAN: Continue current treatment plan and recheck as scheduled. Seek placement for additional treatment for constipation and long term plan.

12/3/2025

Progress exam: URI day 10 recheck Subjective: BAR, no C/S/V/D present. AS:1 nearly empty bowl present Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI appears resolved PLAN: Per standing orders -Per 1438 okay to move to ICU to CTM constipation closely

12/4/2025

Brief recheck - BAR, active and attention seeking at front of kennel, eating very well, no c/s/v/d noted; large amount of hard/dry feces passed overnight and during the day today! PLAN: Continue miralax and lactulose; CTM closely on rounds and recheck in a few days.