1/4/2018

[LVT Intake Exam] Microchip Scan: negative, placed 981020021294410 Evidence of Cruelty: no Observed Behavior: allows handling but tense when face is approached and fearful of ecollar, will yelp and twisted on lead Sex: intact male Estimated Age: reported 6m Subjective: wound reported by owner, treatment at private DVM and Rx surrendered with pet, wound is in left axial area (harness laceration when caught on fence, drain in place, meds left with animal indicate poor adherence to dose schedule), otherwise seemingly healthy animal Eyes: clear Ears: clean Oral Exam: no staining, young Heart: WNL Lungs: WNL Abdomen: WNL Musculoskeletal: WNL BCS 5/9 Mentation: BARH Preliminary Assessment: wound healing, young dog Plan: oncall DVM rec continuing treatment plan from 12/31 (novalsan flush w/o indication of duration or frequency, rimadyl 75mg BIDx5d 4 pills brought in, cephalexin 500mg BIDx14d 11 pills brought in), scheduled drain removal/check

1/5/2018

DVM Intake Exam Estimated age: ~5-6 months Subjective: Observed Behavior - wagging tail/taking treats. Will growl, attempt to bite on any form of restraint Evidence of Cruelty seen -none Evidence of Trauma seen -none Objective P = 126 R =30 BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Male intact, 2 descended testicles MSI: Ambulatory x 4, skin free of parasites, no masses noted. In the L axillary region penrose drain with slight swelling, no discharge appreciated CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: NE Assessment Wound L axilla - drain in place Prognosis: Good Plan: Drain was due to come out at pDVM today. If not picked up/adopted today, plan to remove drain tomorrow SURGERY: Okay for surgery if not returned to owner

1/7/2018

Presurgical exam limited due to fractious/unpredictable behavior prior to sedation: - fearful, resists restraint and may bite BARH BCS 5/9 - no c/s v/d observed/reported - h/l nsf - amb x 4, tense abdomen - mentation appropriate - intact male, nsf A: ok for neuter Sx Notes: Routine Neuter => prescrotal incision made, both testes exteriorized and each spermatic cord ligated with a modified Miller's knot and a simple encircling ligature using 2-0 Monocryl; testicles were excised distal to ligatures; subcutaneous/intradermal layers closed with continuous pattern using 2-0 Monocryl; green-ink tattoo placed lateral to prepuce; surgical glue applied to skin incision and over tattoo site to assist with closure Drain from axial wound was removed; sutures intact with minimal swelling or drainage. Recommend skin sutures be left in for another 5-7 days to ensure completely healed. Also updated age to 10 mon, appears older than originally assessed.

1/10/2018

S/O -BAR, low growl initially but then appeared to warm up with praise -sneezing, mild huffing; excessive serous nasal discharge -appears eupnic -neuter site CDI -no significant scrotal swelling -wound on L side appears to be healing well A 1. CIRDC 2. Wound, healing well P -move to isolation -doxycycline 350 mg PO SID x 14 days -cerenia 60 mg PO SID x 4 days

1/8/2018

Pre Medication: Hydromorphone 2mg/mL injectable, 1.65mL IM, once. Acepromazine 10mg/mL injectable, 0.10mL IM, once. Induction: Telazol 10mg/mL injectable; 0.85mL IV, once. Anesthesia Notes: Size __10__fr. ET tube placed, maintained general anesthesia throughout procedure on variable isoflurane and variable O2. Used ( rebreathing) system with ___4_L bag. _18___g IVC placed in _L__cephalic vessel. Intraoperative IV LRS at 5-10mL/kg/hr (State IVF rate): __330___mL/hr NSAID: Rimadyl 50mg/mL injectable, _____1.65____mL, SQ, once post-operatively, for post-operative pain relief. Uneventful Anesthetist/Surgical Monitor (P#’s): ____1390__ /___1482___