10/23/2026

DVM Intake Exam Estimated age: 2-3 year old based on dentition Microchip noted on Intake? Scanned negative History: Owner surrender Subjective: BAR Observed Behavior - loose wiggly body, food motivated, allows all handling for exam. Sedated using 0.6 ml Dexmedetomidine (500mcg/ml) + 0.6 ml Butorphanol (10mg/ml) IM for diagnostic imaging and tasks Is there evidence of suspected cruelty? No Objective: T = P = WNL R = WNL BCS: 4/9 EENT: Eyes clear, AS clean, AD pinna and canal palpates thickened and has brown debris, no nasal or ocular discharge noted Oral Exam: Adult dentition, mild tartar PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Externally WNL, intact male, 2 scrotal testes MSI: Ambulatory x 3, non-weight bearing on RFL but appears to be secondary to position of RFL. Pet appears unable to place in normal anatomical position to completely bear weight. Disuse atrophy of RFL scapula. Skin free of parasites, no masses noted, healthy hair coat. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally WNL Wood's Lamp Exam: not performed Assessment: Chronic otitis AD Lameness RFL, reported to have been an old fracture that healed per O Disuse muscle atrophy of RFL Intact male Prognosis: Fair to good Plan: Intake tasks + exam Cleaned ear AD Applied Simplera AD Radiographs: boney lesion on RFL ulna (r/o bone cyst vs. non-aggressive lesion vs. aggressive lesion) In-house bloodwork SURGERY: Ok for surgery, consult with orthopedic surgeon to see if RFL amputation is indicated

10/23/2026

CBC HCT 32.9% (37.3-61.7) Hgb 11.4 g/dL (131.-20.5) WBC 7.36 K/uL - mild basophilia 0.13 K/uL CHM - nsf A: Mild basophilia- r/o parasites vs. other P: Monitor

10/25/2026

THORAX AND THORACIC LIMBS October 23, 2026: Opposite lateral and ventrodorsal views are provided, for a total of 7 images submitted. FINDINGS: • Cardiovascular: The cardiac silhouette is normal in size and no abnormalities of the pulmonary vasculature are seen. • Lungs: A mild bronchial pattern is noted diffusely throughout the lungs. There is no evidence of bronchopneumonia or pulmonary nodules. • Trachea/Bronchi: The trachea and lobar bronchi are normal. • Esophagus: No abnormalities of the esophagus are detected. • Mediastinum/Thoracic Lymph Nodes: The mediastinum is normal in size and no masses are detected. No thoracic lymphadenopathy is identified. • Pleural space: The pleural space is within normal limits. • Cranial abdomen: The cranial abdomen is within normal limits. • Thoracic limbs: There is a large, expansile osteolytic lesion of the right ulna extending from the level of the mid diaphysis proximally to the olecranon. This lesion results in diffuse bony destruction with a loculated/septated appearance, and associated soft tissue swelling. There is atrophy of the right thoracic limb musculature in comparison to the left. Mild osteophytosis of the shoulder and elbow joint is present bilaterally incidentally. CONCLUSIONS: Aggressive lesion of the right proximal ulna. This is primarily concerning for neoplasia including a round cell tumor. A primary bone tumor is also possible. No signs of pulmonary metastatic neoplasia are seen. Mild bilateral shoulder osteoarthrosis and elbow osteoarthrosis. RECOMMENDATIONS: Histopathology or cytology of the bone lesion is needed for definitive diagnosis neoplasia to help guide further treatment. ADDENDUM 10/24/26 07:08 PM Changes of the left thoracic limb are further elaborated in this addendum. Mild osteophytes are present on the caudal aspect of the left shoulder joint. The left elbow joint is congruent. There is mild osteophytosis of the left radial head, humeral condyle and proximal ulna. The medial epicondyle of the left ulna has an irregular caudal contour, consistent with chronic enthesopathy. Subchondral sclerosis is noted in the trochlear notch of the left ulna. No osseous abnormalities of the left carpus and manus are seen. There are no aggressive bone lesions of the left thoracic limb detected. AMENDED CONCLUSIONS: Mild left shoulder osteoarthrosis. Left elbow osteoarthrosis there is consistent with elbow dysplasia, likely due to medial coronoid process disease. A: RFL lameness with aggressive bony lesion r/o neoplasia left elbow dysplasia prognosis: Guarded to poor given concerns for poor QOL post amputation and likelihood of neoplasia in RFL Plan Consider humane euthanasia

10/26/2026

FAS meds, repeatedly barking in crate when the hall is not active and towards dogs that pass. Waiting for orthopedic consult re: RFL. Rx: trazodone 150 mg PO BID indef

10/27/2026

Staff note pet is whining on walks. R/O discomfort given joint issues Plan Gabapentin 300mg 2 capsules po bid indefinitely

10/30/2026

Sniffling on walk when passing medical computers S: QAR O: EENT: Eyes clear, clear nasal discharge noted H/L: Eupneic, sniffling/wet audible congestion ABD: Relaxed MSI: Ambulatory x 3, non-weight bearing on RFL, healthy hair coat. CNS: Mentation appropriate/alert A: CIRDC P: Doxycycline 200mg PO SID x10d Recheck at end of course Discuss case with NH as this pup really needs to leave shelter ASAP if group is committing

10/30/2026

Despite short walk sign, due to pet's location in shelter, he is too going for too long of a walk given his limited mobility. P: Moving to medical to facilitate ease of shorter walks Monitor comfortability NH working on

10/31/2026

SO: In medical, on short walks for boney lesion in forelimb BAR, wiggly and seeking attention eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4, but with marked lameness R forelimb neuro: mentation alert and appropriate A: bone lesion RF limb r/o cyst v neoplasia v other P: adding 75mg carprofen PO SID x7d if doing well, consider extending