6/13/2025

DVM Intake Exam Estimated age: 8-10y Microchip noted on Intake? scanned negative History: Reported found stray but finder did not want to leave any details. Subjective: BAR Observed Behavior - Wiggly and seeking attention. Allows all handling for exam and tasks. Evidence of Cruelty seen -no Evidence of Neglect seen-no Evidence of Trauma seen -no Objective T = P =wnl R =wnl BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: adult dentition with tartar and missing teeth PLN: No enlargements noted H/L: NR, NMA, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: female spayed, green linear tattoo present MSI: Ambulatory x 4, skin free of parasites, no masses noted, matted hair coat with feces dried into matts around anus CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: normal external Wood's Lamp Exam: not performed Assessment dental disease matted hair coat Prognosis: good Plan: intake tasks new home Sedated using 0.1ml dexmedetomidine 500mcg/ml and 0.1ml butorphanol 10mg/ml IM for matt shave provided light, but adequate sedation and all matts were shaved. SURGERY: already spayed

6/25/2025

S: Has been on trial adoption and has noticed hacking cough. Stopped eating 3 days ago. Was able to encourage eating some boiled chicken and chicken broth O: eent: mms pink and tacky, eyes clear, no ocular or nasal dc apparent h/l: heart ok no murmur detected, lungs harsh, persistent soft coughing abd: abd palp nad soft and non painful lns: all pln wnl int: healthy hair coat, no external parasites noted ms: ambulatory x4 neuro: mentation alert and appropriate A: pneumonia suspected P: 70ml LRS sc SID x5d 0.3ml cerenia sc SID x5d 0.3ml enrofloxacin 100mg/ml diluted with equal volume sterile water sc

6/26/2025

Hx: return from TA due to anorexia ~3 days, coughing/hacking S: QAR in kennel, when door opens she's eager to go out for walk. O: EENT: Eyes clear, no nasal or ocular discharge noted H/L: Eupneic, but coughing and sneezing repeatedly U/G: Externally WNL, spayed female, surgery site view is limited but appears CDI CNS: Mentation appropriate/ alert A: Anorexia CIRDC/pneumonia P: CWCT Offer various foods throughout the day to promote appetite

6/26/2025

Eating some baby food

6/27/2025

SO: In medical on treatment for suspected pneumonia BAR, comes to kennel door wagging tail and seeking attention. Does not appear to have eaten overnight, but was reported eating some baby food yesterday eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, repeated soft coughing appreciated msi: ambulatory x4 neuro: mentation alert and appropriate A: pneumonia P: continue injectable treatments adding entyce 0.3ml PO SID x3d

6/29/2025

Ate corned beef in AM, less interested in dog food

6/29/2025

SO: In medical for suspected pneumonia BAR, comes to kennel door wagging tail and seeking attention. Eats mix of wet food/chicken when hand-fed, not eating on his own. EENT: clear OU, no nasal dc, no sneeze OP: does not tolerate oral exam, no ptyalism H/L: eupneic, no cough noted, harsh lung sound on MSI: ambulatory x4, 3/4 MPLs bilaterally NS: mentation appropriate A: pneumonia P: CWCT hand-feed

6/30/2025

Pet standing at door coughing. Food dishes untouched. A: Poor appetite Prognosis: Poor Plan Clindamycin 25 mg/ml 1.3 mls PO bid x 7d LRS 15 mls/hr IV chem/cbc in house

6/30/2025

Not tolerating catheter placement well. 0.1ml dexmedetomidine 500mcg/ml and 0.1ml butorphanol 10mg/ml IM Adequate sedation to allow for catheter placement

6/30/2025

Placed IVC and placed on IVF at 15 ml/hr as per Dr. 1752. Drew blood for in house chem/cbc.

7/1/2025

Pet is standing at kennel door coughing. Food dish untouched overnight. RESP: increased respiratory effort. harsh lungs. coughing. A: Pneumonia Anorexia Prognosis: Guarded P: Enrofloxacin 100mg/ml 0.3 ml IV diluted to 3 mls with sterile water sid x 3days. LRS 15 mls/hr IV during day Advise at risk placement to go to outside vet clinic for continued intravenous therapy