7/26/2026

DVM Intake Exam Estimated age: approx 5-7 years based on dentition and conformation Microchip noted on Intake? scanned negative History: stray, reported to be found in apartment Subjective: BAR Observed Behavior - staff able to leash and bring into intake room, solicits attn, wagging tail, sedated for wound cleaning Is there evidence of suspected cruelty? N Objective: T = np P = wnl R = wnl BCS 4.5/9 EENT: Eyes clear, copious light brown ceruminous debris AU, no nasal or ocular discharge noted Oral Exam: missing upper incisors, rostral dentition significantly worn down with moderate wear and staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MI, two scrotal testes MSI: Ambulatory x 4, skin free of parasites, no masses noted, diffuse matting esp over the limbs, facial region, pinna, wound to the left cranial shoulder region with appearance of healthy granulation tissue, no d/c or swelling CNS: Mentation appropriate - no signs of neurologic abnormalities In house BW: Assessment: Wound Matting Dental dz approx 2-3/4 Prognosis: good Plan: intake exam and tasks sedated with 0.2mL dex/torb adequate sedation, woke up abruptly at the end of procedure - staff reported growling and snapped wound cleaned with sterile saline, dilute chlorohex, edges debrided, manuka honey applied ears cleaned start amoxi-clav 13.75mg/kg PO BID x 10 days (125mg) start carpro 4.4mg/kg PO SID x 5 days (1/2 75mg tab) recheck in 2 days jotform/pics awaiting sort SURGERY: Okay for surgery: N Temporary waiver due to wound

7/26/2026

Your newly adopted pet has a wound and the staff veterinarians are issuing a TEMPORARY waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment through to the resolution of the issue. At the time of a full recovery you may choose to have your veterinarian perform the spay/neuter surgery, or make provisions to return the pet to ACC for sterilization.

7/26/2026

in house BW: CBC: H WBCs (26.7) H neut (23.04) H monos (2.08) L eos (0.05) CHEM: Creat L (0.4) TT4: wnl A. Stress vs inflam leukogram all other results nsf P. Okay for carpro CTM and recheck as scheduled

7/28/2026

S: Recheck wound, comfort O: EENT: No ocular or nasal discharge MSI: shaved, wound on left shoulder scabbed over, does not seem to bother him Mentation: BAR A: Severe matting - resolved Wound on shoulder - scabbed over, healing; appears comfortable P: Continue abx and carprofen Recheck wound in 5 days; OK to D/C Clavamox at 7 days or continue for full 10 days?

8/3/2026

S: Recheck wound, on Day 7 of clavamox Reported to be eating well, no c/s/v/d. O: BAR, readily comes to front of the kennel to interact. EENT: No ocular or nasal discharge MSI: ~2cm circular wound on L cranial should that has healthy granulation tissue with mild scabbing around edges. No erythema or discharge noted. Mentation: BAR A: Severe matting - resolved L cranial should wound - appears to be healing well by second intention. P: Wound is healing well. As it is healing by second intention, will require more time to fully scar over/heal. Plan to continue clavamox for full 10 day course. Recheck scheduled at end of Clavamox course (8/6) to evaluate and determine if OK to move to small dog adoptions.

8/6/2026

S: Recheck wound, on Day 10 of clavamox Reported to be eating well, no c/s/v/d. O: BAR, readily comes to front of the kennel to interact. EENT: No ocular or nasal discharge MSI: ~1.5cm circular wound on L cranial shoulder. No erythema or discharge noted. Scar tissue starting to form over granulation tissue. Mentation: BAR A: Severe matting - resolved L cranial should wound - healing. P: Wound is healing well and appears to be scarring over at this time. Plan to d/c clavamox as scheduled. OK to move to adoption floor.

8/6/2026

S: DOH hold due to bite. Visual exam only O: EENT: No ODC or NDC, clear eyes Normal appetite, no c/s/v/d. MSI: Ambulatory x4 Mentation: BAR, appropriate mentation. No evidence of neurologic disease Integ: healing shoulder wound A: Healing wound Neurologically appropriate P: DOH hold for bite quarantine

8/13/2026

Progress exam: CIRDC signs noted on rounds Subjective: BAR, no C/V/D. Sneezing present Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mild clear serous discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed CIRDC PLAN: Per standing orders -Under the weather sign & monitor log placed on kennel -Start doxycycline 10mg/kg PO q24h x10days -CTM, recheck as scheduled

8/15/2026

Progress exam: CIRDC day 3 recheck Subjective: BAR, no V/D. Coughing & sneezing present. AS:2 may have eaten some wet food Objective: EYES: OU crusted shut (unable to clean & administer eye meds due to behavior) LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mucopurulent discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed CIRDC PLAN: Per standing orders -Start medical feedings PO BID x5 days -CTM, recheck as scheduled

8/16/2026

DOH release from observation / cageside progress exam S: QAR - sitting in back of kennel tongue flicking spontaneous wet productive cough and intermittent productive sneeze witnessed vomit bile in kennel once during exam no d reported P ate meds in food but did not eat remainder of meal O: EENT: Moderate crusting yellow ocular discharge with moderate blepharospasm OU, severe mucopurulent nasal discharge, corneas clear. Visually tracking with no nystagmus Oral: No ptyalism, pink moist mm at distance MSK: Ambulatory x4 NEURO: Normal mentation, no ataxia A/P: P is not showing any neurologic symptoms or signs of rabies at this time and is released from rabies observation. CIRDC - clinically worsening Conjunctivitis OU V / hyporexia r/o 2ary to CIRDC vs 1ary GI vs other ADD Cerenia 16mg PO SID x5d IN HIGH VALUE TREAT ADD Entyce 0.8mL PO SID x5d MIXED INTO HIGH VALUE TREAT ADD Medical feedings PO BID x5d CONTINUE Doxycycline as RXd OK for temporary waiver given CIRDC DVM recheck 8/17 Discussion: Concerned that P is not eating consistently and CIRDC symptoms are worsening despite treatments. At this time we cannot completely r/o concurrent pneumonia. Given inability to administer injectable treatments due to P behavior adding P to ARL. P would benefit from a calmer environment and closer monitoring. It is likely P will also need injectable treatments if anorexia is prolonged.

8/17/2026

reheck CIRDC, possible pneumonia, d/t TDO status cannot receive injectables S/O BAR, comes to the front of the kennel C+++, puffing out cheeks, mild mucoserous nasal dc, moderate serous OU dc, eupneic at rest, amb x 4. A. CIRDC r/o pneumonia Anorexia - improved, p ate all wet food today P. Con't with current treatments - p appears to be eating wet food and MF well aTT recheck as scheduled CTM closely while at QACC

8/19/2026

Progress exam: CIRDC day 7 recheck Subjective: BAR, no S/V/D. Coughing/huffing & occasional hacking present. AS:3, one empty tray & ate medical feeding Objective: EYES: mild clear mucoid discharge OS. Appears improved from prior exam. LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mild clear serous discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed CIRDC PLAN: Per standing orders -CTM, recheck in 3 days

Upon intake Sugar Cube was fearful. He was handled minimally due to medical severity and behavior stated by founders. Founder stated he snapped when they placed him into a carrier.