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Mia

Hello, my name is Mia. My animal id is #63195. I am a desexed female gray dog at the . The shelter thinks I am about 5 years 4 months 2 weeks old.

I came into the shelter as a owner surrender on 5/18/2019, with the surrender reason stated as other.

Reserved

Someone has already placed a deposit on me. I'm no longer available.

Mia was placed at risk primarily due to medical reasons. The mass on her left foot has become ulcertaed and is intermittenly bleeding. Mia has also lost significant weight. She will benefit from placement out of the care center as soon as possible. Mia was diagnosed with dental disease and dermatitis. Behaviorally, Mia got a level 2 on her behavior assessment but is showing signs of behavior deterioration.

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Let's get to know each other a bit more...

A volunteer writes: I love Mia not only for the dog that she is now, but the dog that she can become. In the over four months that she has been with us, we have been able to see so much growth. Once a shy dog, she's now a staff and volunteer favorite. Mia may be 5, but she plays like a puppy. She's loves to go after a ball or chew her squeaky toys. And if you show her a water hose? Forget it. Mia "the ballerina" comes out and she's uprooted on her back paws twirling and prancing as she pounces on the stream of water. But if you suggest she get into the puppy pool? She'll look at you like you have four heads. Mia has managed to maintain her housebreaking, knows commands such as sit, down and stay (and appreciates yummy treats after she does them!) and walks nicely on the leash. Mia would do best in a home where she's the only dog. Mia has blossomed into such a loving companion while in the shelter, I can only imagine how much she'll grow in a loving home. Ask to meet her today.

My medical notes are...

Weight: 58 lbs

5/18/2019

[DVM Intake] DVM Intake Exam Estimated age: 5 years Microchip noted on Intake? No Microchip Number (If Applicable): History : O/S Subjective: BARH. No csvd Observed Behavior - Very hyper/nervous, resists restraint and tries to bolt Evidence of Cruelty seen - no Evidence of Trauma seen - no Objective P = wnl R = wnl BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: mild tartar PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: FI, no MGT palpated, no discharge MSI: Ambulatory x 4, skin free of parasites, ~3-4cm in diameter mass noted over 5th digit of LFL, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: normal externally Assessment Mass Prognosis: fair to guarded Plan: Recommend Mass removal/digit amputation with placement SURGERY: Okay for surgery

5/22/2019

H: Pre-op exam, going to Glendale tomorrow S: BARH. No csvd. Eyes: Grossly appropriate OU. Ears: Unremarkable AU. Nasal Cavity: No nasal discharge. Lungs: Eupneic, lungs clear. U/G: Female. No discharge. Musculoskeletal: Ambulatory x 4 with no appreciable lameness. BCS = 5/9 Neuro: Appropriate mentation. Rectal: Not performed. Externally normal. Assessment: Mass on toe Plan: Ok for surgery

5/24/2019

Hx: 5/18: intake noted mass on toe SO: BAR, fair appetite, no noted elimination concern noted Multiple sneezes heard during assessment along with serous nasal discharge present EENT: Eyes clear OU, no ocular discharge H/L: Eupneic, normal RR/RE Neuro: A&A MSI: Ambulatory x4 Abd: visually normal A: CIRDC mass P: Enrofloxacin 10mg/kg PO SID for 14 days Move to ISO rec mass removal +/- digit amp when placed

5/31/2019

Hx: 5/18: intake noted mass on toe 5/24 CIRDC treated with baytril SO: BAR, good appetite, no noted elimination concern noted Few sneezes heard during assessment along with mild serous nasal discharge EENT: Eyes clear OU, no ocular discharge H/L: Eupneic, normal RR/RE Neuro: A&A MSI: Ambulatory x4 Abd: visually normal A: CIRDC mass P: Enrofloxacin 10mg/kg PO SID until 6/6 CTM in ISO - recheck 6/3 rec mass removal +/- digit amp when placed

6/3/2019

Progress exam History: 5/18: intake noted mass on toe 5/24 CIRDC treated with baytril Today, 6/3: CIRDC day 10 Subjective: BAR, no coughing/sneezing/vomiting/diarrhea Objective: Cageside exam performed. Eyes: Clear bilaterally, no discharge Nasal Cavity: Moderate nasal discharge bilaterally Lungs: Eupneic Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Integument: Unremarkable haircoat. Neuro: Appropriate mentation. Assessment: -CIRDC -Cutaneous mass over 5th digit LFL Prognosis: Fair Plan: -Continue enrofloxacin 10 mg/kg PO q24h x 14d until 6/6 -Remain in isolation -Recommend mass removal with histopathology +/- digit amputation with placement

6/6/2019

SO Recheck CIRDC day 7 and repeat PE. P is BAR and eating, drinking well. EENT: Eyes clear, ears clean, coughing and heavy mucoid nasal discharge. Oral Exam: dc 2/5; pd 1/5 PLN: No enlargements noted H/L: No murmur ausculted; CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated MSI: Ambulatory x 4, skin free of parasites, no masses noted, clean haircoat, dull CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: normal externally A CIRDC P extend enrofloxacin 204mg tablet -- give 1.75 tablet PO q24gh x 7 days cerenia 60mg tablet -- give 1 tablet PO q24h x 4 days doxycycline 100mg tablet -- give 3.5 tablets PO q24h x 10 days

6/10/2019

HX: 5/18: intake noted mass on toe 5/24 CIRDC treated with baytril 6/6 started on doxy SO: BAR, unremarkable appetite and elimination No cough, sneeze or discharge noted on exam EENT: Eyes clear OU, no ocular or nasal discharge H/L: Eupneic, normal RR/RE Neuro: A&A MSI: Ambulatory x4 Abd: visually normal A: mass on toe P: ok to leave ISO enrofloxacin 204mg tablet -- give 1.75 tablet PO SID until 6/13 doxycycline 100mg tablet -- give 3.5 tablets PO SID until 6/15

6/16/2019

HX: 5/18: intake noted mass on toe 5/24 CIRDC treated with baytril 6/6 started on doxy S/O: BARH, E/d well, no c/s/v/d. Very sweet and hyper, allows all handling. EENT: OS elevated 3rd eyelid, irritated conjunctiva, mild mucoid ocular discharge. Attached retina. No flourescein uptake noted. OD WNL No nasal discharge. Ears clear of debris/cerumen. Appropriate PLR's. No drooping of eye/ear noted. Oral Exam: mm pink, CRT <2 H/L: No murmurs or arrythmias ausculted, pulses strong and synchronous. Lungs clear, eupnic ABD: Soft, non painful, no masses palpated U/G: FI, no MGT palpated, no vulvar discharge noted MSI: Ambulatory x 4, skin free of parasites, ~3-4cm in diameter mass noted over 5th digit of LFL, healthy hair coat CNS: Cranial nerves intact, full neuro exam not performed. Assessment: Cutaneous mass over 5th digit LFL Mild conjunctivitis (r/o horner's syndrome...unlikely) Plan: OS flourescein dye (no uptake) NeoPolyDex BID x 7 days, reassess 6/23 Spay (ok for sx)

6/23/2019

HX: 5/18: intake noted mass on toe 5/24 CIRDC treated with baytril 6/6 started on doxy 6/16 diagnosed with conjunctivitis started on NeoPolyDex S/O: BARH, E/d well, no c/s/v/d. EENT: OS mildy elevated 3rd eyelid (significant improvement from last exam), minimally irritated conjunctiva, no ocular discharge. Ears clear of debris/cerumen. Appropriate PLR's. No drooping of eye/ear noted. U/G: FI, no MGT palpated, no vulvar discharge noted MSI: Ambulatory x 4, skin free of parasites, ~3-4cm in diameter mass noted over 5th digit of LFL, healthy hair coat CNS: Cranial nerves intact, full neuro exam not performed. Assessment: Cutaneous mass over 5th digit LFL Mild conjunctivitis improved! Plan: Continue NeoPolyDex BID x 7 days, reassess 6/30 to d/c Spay (ok for sx)

6/24/2019

HX: 5/18: intake noted mass on toe 5/24 CIRDC treated with baytril 6/6 started on doxy 6/16 diagnosed with conjunctivitis started on NeoPolyDex 6/23 Was informed that patient is charging and getting more aggressive, resisting npd administration SO: BAR, no csvd. Good appetite and unremarkable elimination EENT: OS mildy elevated 3rd eyelid, minimally irritated conjunctiva, no ocular discharge. Ears clean. No drooping of eye/ear noted. U/G: FI, no MGT palpated, no vulvar discharge noted MSI: Ambulatory x 4, skin free of parasites, ~3-4cm in diameter mass noted over 5th digit of LFL, healthy hair coat CNS: Cranial nerves intact, full neuro exam not performed. A: Cutaneous mass over 5th digit LFL Mild conjunctivitis improved! P: Hold NeoPolyDex BID traz 5mg/kg PO BID until 6/30 - will extend if beneficial Reassess conj 6/27 - restart neopolydex if needed at that time Spay (ok for sx)

6/27/2019

History 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex. 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. S: BAR, eating well, no v/d. O: EENT: Eyes - OS conjunctival hyperemia, very mild 3rd eyelid elevation, and ptosis. No ocular discharge. No nasal discharge noted H/L: No coughing/sneezing, eupneic, normal respiratory rate/effort MSI: Ambulatory x 4, healthy hair coat, large mass LFL CNS: Mentation appropriate Assessment: Mass LFL digit 5 OS ptosis, 3rd eyelid elevation, conjunctival hyperemia - suspect horners vs other Plan: Stop all topical meds due to change in temperament Continue to monitor OS weekly CTM while at BACC Recommend mass removal + biopsy with placement

7/11/2019

History 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex. 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/11: Extended stay exam SO: BARH, e/d well. No c/s/v/d. Growling and snapping when approached in cage. Cageside exam performed at this time due to patient temperament, gets very wound up whenever taken out of kennel, not beneficial to patient at this time. EENT: Eyes - OS conjunctival hyperemia, 3rd eyelid elevation, and ptosis (mild). No ocular discharge. No nasal discharge noted. No drooping of ear/eye noted. H/L: No coughing/sneezing, eupneic, normal respiratory rate/effort UG: FI, no MGT, no discharge MSI: Ambulatory x 4, healthy hair coat, 3-4cm large mass noted LFL CNS: Mentation appropriate Assessment: Mass LFL digit 5 OS ptosis, 3rd eyelid elevation, conjunctival hyperemia - suspect horners vs other Plan: CTM while at BACC Continue to monitor OS weekly Recommend mass removal + biopsy with placement Spay Surgery: Ok for surgery

7/16/2019

Progress exam History: 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex. 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/11: Extended stay exam Today, 7/16: Scheduled for surgery at outside vet clinic Subjective: BARH, no coughing/sneezing/vomiting/diarrhea Objective: P: WNL R: WNL BCS: 5/9 OP: Mucous membranes pink and moist. CRT <2. Stage II dental disease. EENT: Ears and nares clear bilaterally, no discharge noted. OS marked conjunctival hyperemia, no third eyelid elevation, no discharge. Mild ptosis. PLN: Small/soft/symmetrical/nonpainful CV: No murmurs or arrhythmias, pulses strong and synchronous. RESP: Eupneic, no crackles/wheezes GI: Soft, nonpainful, no palpable masses. UG: female intact, no mammary gland tumors, no discharge INT: Multifocal 1 cm epidermal collarettes over dorsum, one large 3cm erythematous collarette on ventrum. No ectoparasites noted. Large soft mass on LFL digit 5, unchanged from previous exams. MS: Ambulatory x4, no pain on palpation of epaxials NEURO: Mentation appropriate, cranial nerves intact, no deficits noted. Assessment: -Dermatitis -Mass LF paw digit 5 -OS ptosis, conjunctival hyperemia (suspect horners vs other) Prognosis: Fair Plan: -Start simplicef 10 mg/kg PO q 24h x 10d until 7/25 -Continue to monitor OS weekly -Recommend mass removal + biopsy with placement,

7/25/2019

Progress exam History: 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex. 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/11: Extended stay exam Today, 7/16: Scheduled for surgery at outside vet clinic Subjective: BARH, no csvd Eyes: Grossly appropriate OU. Ears: Unremarkable AU. Nasal Cavity: No nasal discharge. Lungs: Eupneic, lungs clear. U/G: Female. No discharge. Musculoskeletal: Ambulatory x 4 with no appreciable lameness, mass noted on digit 5 of LF paw. BCS = 5/9 Integument: Diffuse, patchy alopecia along caudal dorsum. Flaky, no erythema, papules or pusutules noted. Ventrum clear. Neuro: Appropriate mentation. Rectal: Not performed. Externally normal. Assessment: Dermatitis- suspect underlying allergies Mass LF paw digit 5 Prognosis: Fair Plan: Ok to d/c simplicef, ok for surgery Recommend mass removal + biopsy with placement,

7/28/2019

Hx: 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex. 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS Today, 7/16: Scheduled for surgery at outside vet clinic Subjective: BARH, good appetite, unremarkable elimination. Good energy level in the kennel, tries to flee when assessed. No scvd EENT: eyes clear, ears clean, no discharge or congestion noted on exam Oral: unremarkable adult dentition H/L: Eupneic, no irregular beats, normal heart and lung sounds MSI: ambulatory, unremarkable palpation, coat has diffuse patchy areas with scale. No erythema or papules. Abd: palp unremarkable Neuro: A&A Female intact, no discharge Assessment: Dermatitis- unchanged from previous exam Mass LF paw digit 5 Prog: Fair P: Recommend mass removal + biopsy with placement,

7/30/2019

Progress exam History: 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex. 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. 7/28: Dermatitis appears resolved Today, 7/30: Scheduled for surgery at outside veterinary clinic. Subjective: BAR, no coughing/sneezing/vomiting/diarrhea Objective: Cageside exam performed. Eyes: Clear bilaterally, no discharge Nasal Cavity: No nasal discharge. Lungs: Eupneic Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Mass on LF paw appears unchanged from previous exams. Integument: Unremarkable haircoat. Neuro: Appropriate mentation. Assessment: -Mass LF paw digit 5 Prognosis: Good Plan: -Okay for surgery -Recommend mass removal with histopathology wth placement

8/1/2019

[Spay/Neuter Waiver - Medical Condition] Your newly adopted animal is currently temporarily waived from the spay/neuter requirements of the City of NY by the staff veterinarians due to dermatitis. Follow up care at your regular veterinarian is recommended to ensure continued treatment. Your veterinarian will advise you if surgical sterilization is appropriate.

8/1/2019

Progress exam History: 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex. 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. 7/28: Dermatitis appears resolved 7/31: Rejected from surgery due to dermatitis. Today, 8/1: Examine skin. Subjective: BAR, no coughing/sneezing/vomiting/diarrhea Eyes: Grossly appropriate OU. Ears: Unremarkable AU. Nasal Cavity: No nasal discharge. Lungs: Eupneic, lungs clear. U/G: FI. No discharge. Musculoskeletal: Ambulatory x 4 with no appreciable lameness, mass noted on digit 5 of LF paw. BCS = 5/9 Integument: Diffuse, patchy alopecia along caudal dorsum. Errythematous ventrum noted with 5-7 epidermal collarettes, warm to touch. Neuro: Appropriate mentation. Rectal: Not performed. Externally normal. Assessment: Dermatitis- suspect underlying allergies Mass LF paw digit 5 Assessment: -Mass LF paw digit 5 Prognosis: Good Plan: -Start Simplicef 10mg/kg PO SID x 10 days -Recheck skin 8/8 and determine if ok for surgery (consider medicated baths if no improvement) -Recommend mass removal with histopathology with placement Surgery: Temporary waiver due to dermatitis

8/7/2019

Progress Exam History: 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex. 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. 7/28: Dermatitis appears resolved 7/31: Rejected from surgery due to dermatitis. 8/1: Started simplicef for dermatitis Today, 8/6: Conjunctivitis appears to have recurred.            Subjective:    BAR, no coughing/sneezing/vomiting/diarrhea                                  Objective: Cageside exam performed.   Eyes: Mildly elevated third eyelid OS with minimally irritated conjunctiva, no discharge. Nasal Cavity: No nasal discharge. Lungs: Eupneic Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Integument: Unremarkable haircoat. Neuro: Appropriate mentation.   Assessment: -Cutaneous mass over 5th digit LFL -Mild conjunctivitis (likely allergic) -Recurrent dermatitis Prognosis: fair with long term management   Plan: -Due to previous changes in behavior after application of topical meds, will elect to monitor conjunctivitis--start medications if worsening signs are noted -Continue simplicef 10 mg/kg PO q24h until 8/11 -Recommend mass removal with histopathology with placement, dermatology consult

8/12/2019

Hx: 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex. 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. 7/28: Dermatitis appears resolved 7/31: Rejected from surgery due to dermatitis. 8/1: Started simplicef for dermatitis 8/6: Conjunctivitis appears to have recurred. SO: BARH, good appetite, unremarkable elimination. Very scared, will bark and growl, was muzzled, will thrash with muzzle on. No scvd EENT: eyes clear, ears clean, no discharge or congestion noted on exam Oral: unremarkable adult dentition H/L: Eupneic, no irregular beats, normal heart and lung sounds MSI: ambulatory, unremarkable palpation, coat has diffuse patchy areas with scale. No erythema or papules. Abd: palp unremarkable, there is a mild area of dermatitis near the intended surgical site. Neuro: A&A Female intact, no discharge A: Cutaneous mass over 5th digit LFL Mild conjunctivitis (likely allergic) Recurrent dermatitis - ongoing Prog: fair with long term management P: Patient refuses eye meds Recommend mass removal with histopathology with placement, dermatology consult Temp waiver dermatitis

8/26/2019

History 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex. 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. 7/28: Dermatitis appears resolved 7/31: Rejected from surgery due to dermatitis. 8/1: Started simplicef for dermatitis 8/6: Conjunctivitis recurrence. Today 8/26: ACS noted mass is bleeding and continued weight loss (76 lbs at intake, today weighs 61.2) S/O: Hard barking at front of kennel on rounds. BARH, tense body, resists some handling, easier to examine with limited restraint. EENT: Eyes - OS mild ptosis and conjunctival hyperemia, no nasal discharge noted Oral Exam: mm pink, CRT <2, mod tartar and fx canine H/L: NMA, SSP; Lungs clear, eupnic ABD: Tense, non painful, no masses palpated U/G: MSI: Ambulatory x 4, multifocal collarettes along body, large pendulous mass at LF lateral digit has several pinpoint draining tracts at the caudodorsal aspect as well as one larger draining tract at the ventral surface, BCS 3.5/9 CNS: Mentation appropriate A: Weight loss - ro shelter stress vs metabolic vs neoplastic vs other LF mass - ruptured Ptosis/conjunctival hyperemia OS Dermatitis P: Scheduled CBC/Chem/T4 tomorrow Start Trazodone 5 mg/kg PO BID indefinitely for shelter anxiety Start Rimadyl 4.4 mg/kg PO SID x 5 days Start medicated (malaseb) baths Q4 days, recheck skin in 2 weeks CTM while at BACC

8/27/2019

Progress exam History 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline and cerenia to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. (resolved 7/25) 7/31: Rejected from surgery due to dermatitis. 8/1: Started simplicef for dermatitis 8/6: Conjunctivitis recurrence, still not allowing eye meds. 8/26: ACS noted mass is bleeding and continued weight loss (76 lbs at intake, today weighs 61.2). Started on trazodone, rimadyl, medicated baths Subjective: BAR. No csv but diarrhea noted on rounds board for 2 days. Objective EENT: Eyes - OS mild ptosis and conjunctival hyperemia, no nasal discharge noted H/L: Normal RR/RE, eupneic MSI: Ambulatory x 4, skin free of parasites, large pendulous mass on LF lateral digit, not currently bleeding CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: Weight loss - ro shelter stress vs metabolic vs neoplastic vs other LF mass - ruptured Ptosis/conjunctival hyperemia OS Dermatitis Plan: Continue Trazodone 5 mg/kg PO BID indefinitely for shelter anxiety Continue Rimadyl 4.4 mg/kg PO SID until 8/31 Continue medicated (malaseb) baths Q4 days, recheck skin in 2 weeks Start proviable 1 cap PO SID until 8/31 Recommend biopsy with histopath for mass on LFL-unable to perform at BACC CTM while at BACC CBC-nsf Chem-nsf T4-wnl Prognosis: Fair to poor

8/31/2019

Progress exam History 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline and cerenia to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. (resolved 7/25) 7/31: Rejected from surgery due to dermatitis. 8/1: Started simplicef for dermatitis 8/6: Conjunctivitis recurrence, still not allowing eye meds. 8/26: ACS noted mass is bleeding and continued weight loss (76 lbs at intake, today weighs 61.2). Started on trazodone, rimadyl, medicated baths Subjective: BARH, no csvd Eyes: OS- mild ptosis Ears: Unremarkable AU. Nasal Cavity: No nasal discharge. Lungs: Eupneic, lungs clear. U/G: Female. No discharge. Musculoskeletal: Ambulatory x 4 with no appreciable lameness, mass noted on digit 5 of LF paw- no bleeding noted BCS = 5/9 Neuro: Appropriate mentation. Assessment: Weight loss - ro shelter stress vs metabolic vs neoplastic vs other LF mass - healed over Ptosis/conjunctival hyperemia OS Dermatitis Plan: Continue Trazodone 5 mg/kg PO BID indefinitely for shelter anxiety Continue medicated (malaseb) baths Q4 days Recommend biopsy with histopath for mass on LFL-unable to perform at BACC CTM while at BACC Prognosis: Fair to poor

9/9/2019

Progress exam History 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline and cerenia to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. (resolved 7/25) 7/31: Rejected from surgery due to dermatitis. 8/1: Started simplicef for dermatitis 8/6: Conjunctivitis recurrence, still not allowing eye meds. 8/26: ACS noted mass is bleeding and continued weight loss (76 lbs at intake, today weighs 61.2). Started on trazodone, rimadyl, medicated baths 8/27-CBC/Chem/T4-nsf. Started on proviable for diarrhea (resolved) Subjective: BAR. No csvd. Mass on LFL intermittently bleeds but there is no way to bandage it appropriately. It does not seem to be bothering her at this time. Recommend removal ASAP. Objective EENT: eyes clear no dc, no nasal discharge noted H/L: Normal RR/RE, eupneic MSI: Ambulatory x 4, skin free of parasites, large pendulous mass on LF lateral digit, intermittent mild bleeding CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: LF mass - ruptured and intermittent bleeding Hx Ptosis/conjunctival hyperemia OS Hx Dermatitis Plan: Continue Trazodone 5 mg/kg PO BID indefinitely for shelter anxiety Recommend biopsy with histopath for mass on LFL-unable to perform at BACC CTM while at BACC Prognosis: Fair to poor

9/11/2019

Progress exam History 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline and cerenia to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. (resolved 7/25) 7/31: Rejected from surgery due to dermatitis. 8/1: Started simplicef for dermatitis 8/6: Conjunctivitis recurrence, still not allowing eye meds. 8/26: ACS noted mass is bleeding and continued weight loss (76 lbs at intake, today weighs 61.2). Started on trazodone, rimadyl, medicated baths 8/27-CBC/Chem/T4-nsf. Started on proviable for diarrhea (resolved) Subjective: BARH. Very nervous, head flipping, whale eyes. Skin has moderate dermatitis. Mass on LFL is ulcerated with purulent d/c. Objective P = wnl R = wnl BCS = 3-4/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FI, no MGTs, no vulvar d/c MSI: Ambulatory x 4, skin is pruritic with wheals, scaling, and plaques, large ulcerated mass on LFL digits 4 and 5 with purulent d/c CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: LF mass - ruptured and intermittent bleeding, suspect malignant vs benign Dermatitis/pyoderma Underweight Dental disease Plan: Continue Trazodone 5 mg/kg PO BID indefinitely for shelter anxiety Recommend biopsy with histopath for mass on LFL-unable to perform at BACC CTM while at BACC Start cephalexin 22mg/kg PO BID x28d until 10/9 Start rimadyl 4.4mg/kg PO SID x5d until 9/16 Start proviable 1 cap PO SID Prognosis: Fair to poor

9/17/2019

Progress exam   History:        5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline and cerenia to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. (resolved 7/25) 7/31: Rejected from surgery due to dermatitis. 8/1: Started simplicef for dermatitis 8/6: Conjunctivitis recurrence, still not allowing eye meds. 8/26: ACS noted mass is bleeding and continued weight loss (76 lbs at intake, today weighs 61.2). Started on trazodone, rimadyl, medicated baths 8/27-CBC/Chem/T4-nsf. Started on proviable for diarrhea (resolved) 9/11: Mass on LFL ulcerated with purulent discharge. Started cephalexin, rimadyl proviable. Today, 9/16: Last day rimadyl                       Subjective:    BAR, no coughing/sneezing/vomiting/diarrhea                                  Objective: Cageside exam performed.                     Eyes: Clear bilaterally, no discharge Nasal Cavity: No nasal discharge. Lungs: Eupneic Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Integument: Multifocal patchy alopecia and dander noted, full exam not performed. Ulcer on mass on LFL appears to be healing, scab in place with no visible discharge. No bleeding. Neuro: Appropriate mentation.   Assessment: -LF mass - ruptured and intermittent bleeding, suspect malignant vs benign -Dermatitis/pyoderma -Underweight -Dental disease Plan: -Continue Trazodone 5 mg/kg PO BID indefinitely for shelter anxiety -Recommend biopsy with histopath for mass on LFL-unable to perform at BACC -CTM while at BACC -Continue cephalexin 22mg/kg PO BID x28d until 10/9 -D/c rimadyl 4.4mg/kg PO SID x5d -Continue proviable 1 cap PO SID Prognosis: Fair to poor

9/25/2019

Progress exam History: 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline and cerenia to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. (resolved 7/25) 7/31: Rejected from surgery due to dermatitis. 8/1: Started simplicef for dermatitis 8/6: Conjunctivitis recurrence, still not allowing eye meds. 8/26: ACS noted mass is bleeding and continued weight loss (76 lbs at intake, today weighs 61.2). Started on trazodone, rimadyl, medicated baths 8/27-CBC/Chem/T4-nsf. Started on proviable for diarrhea (resolved) 9/11: Mass on LFL ulcerated with purulent discharge. Started cephalexin, rimadyl proviable. Today, 9/25: Recheck skin and mass. Subjective: BARH, no coughing/sneezing/vomiting/diarrhea Objective: Weight: 57.6 (weight loss of ~2 lbs) P: WNL R: wNL BCS: 3-4/9 OP: Mucous membranes pink and moist. Muzzled for exam. EENT: Eyes and nares clear bilaterally, no discharge noted. PLN: Small/soft/symmetrical/nonpainful CV: No murmurs or arrhythmias, pulses strong and synchronous. RESP: Eupneic, no crackles/wheezes GI: Soft, nonpainful, no palpable masses. UG: female intact, no discharge INT: Patchy alopecia with mild flaking, dermatitis appears improved from previous exams. No dermatitis noted on ventrum, no ectoparasites. Mass on LFL roughly 5-6 cm in diameter with multiple healing shallow abrasions. No active bleeding at this time. MS: Ambulatory x4, no pain on palpation of epaxials. Mild muscle wasting. NEURO: Mentation appropriate, cranial nerves intact, no deficits noted. CBC: Mild lymphopenia 0.84 (1.05-5.1 K/uL) Chemistry: Mild hyperglobulinemia 4.7 (2.5-4.5 g/dL) Radiographs: Two view radiographs of the forelimbs and three view radiographs of the thorax were taken. The mass is visible on the 5th digit of the LF paw. The underlying bone appears unaffected, no periostial reaction or lysis noted. There is no evidence of metastasis noted within the thorax. The cardiac silhouette is subjectively enlarged. Assessment: -Mass on LFL (increasing in size) -Dermatitis (improved) -Conjunctivitis (none noted today) -Underweight -Dental disease Prognosis: Fair Plan: -Continue Trazodone 5 mg/kg PO BID indefinitely for shelter anxiety -Recommend spay and biopsy with histopath for mass on LFL -CTM while at BACC -Continue cephalexin 22mg/kg PO BID x28d until 10/9 -Continue proviable 1 cap PO SID -Enlarged heart noted--no clinical signs of heart failure or heart disease. Monitor for development of clinical signs.

10/1/2019

Pre-op exam History 5/18 OS intake: mass LFL digit 5 5/24: started baytril for CIRDC (resolved 6/10) 6/6: added doxycycline and cerenia to treatment for CIRDC 6/16: Noted elevated 3rd eyelid, inflamed conjuncvitia, mild mucoid discharge OS. Negative stain, started neopolydex 6/24: No longer tolerating neopoldex, discontinued. Started trazodone. 6/27: Recheck after starting trazodone, no significant improvement, not tolerating topical meds. D/C all topical meds, weekly monitor of OS 7/16: Rejected from surgery due to dermatitis. Started simplicef. (resolved 7/25) 7/31: Rejected from surgery due to dermatitis. 8/1: Started simplicef for dermatitis 8/6: Conjunctivitis recurrence, still not allowing eye meds. 8/26: ACS noted mass is bleeding and continued weight loss (76 lbs at intake, today weighs 61.2). Started on trazodone, rimadyl, medicated baths 8/27-CBC/Chem/T4-nsf. Started on proviable for diarrhea (resolved) 9/11-started on cephalexin, rimadyl, and proviable for dermatitis and LFL mass rupture 9/25- CBC: Mild lymphopenia 0.84 (1.05-5.1 K/uL) Chemistry: Mild hyperglobulinemia 4.7 (2.5-4.5 g/dL) Radiographs: Two view radiographs of the forelimbs and three view radiographs of the thorax were taken. The mass is visible on the 5th digit of the LF paw. The underlying bone appears unaffected, no periostial reaction or lysis noted. There is no evidence of metastasis noted within the thorax. The cardiac silhouette is subjectively enlarged. Subjective: BARH. Muzzled for exam, very nervous. Objective P = wnl R = wnl BCS = 3/9 EENT: Eyes clear, no nasal or ocular discharge noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: tense but non painful, no masses palpated U/G: FI, 2 BB sized MGTs-one between nipples 3 and 4 on the right and one associated with the 5th nipple on the right side, no vulvar d/c MSI: Ambulatory x 4, GHC, LFL has a ~3cm pendulous mass on digits 4 and 5 completely surrounding digit 5 CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: LF mass - ruptured and intermittent bleeding, suspect malignant vs benign Underweight Dental disease 2 MGTs Plan: Continue Trazodone 5 mg/kg PO BID indefinitely for shelter anxiety Recommend biopsy with histopath for mass on LFL-unable to perform at BACC Rec histopath of MGTs with placement CTM while at BACC Continue cephalexin 22mg/kg PO BID until 10/9 Continue proviable 1 cap PO SID Ok for spay Prognosis: Fair to poor

10/1/2019

Dog Spay Was this dog in heat, pregnant or have a pyometra? no Ventral Midline Incision Ovaries Ligated with: 0 PDS in a modified miller's knot Uterine Body Ligated with: 0 PDS in a modified miller's knot on each uterine horn Abdominal Closure: 0 PDS in a continuous closure Skin Closure: 0 PDS in a continuous subcutaneous then intradermal closure Green Linear Tattoo Placed on Midline. Skin glue applied Surgeon: 1416 Additional Comments:

5/23/2019

Rejected from surgery at Glendale due to coughing

7/31/2019

Rejected from surgery due to skin disease near incision site.

10/1/2019

[Pre Medication] Dexdomitor: 0.52 cc IM Ketamine: 0.52 cc IM Buprenorphine: 0.26 cc IM [Gas Maintenance] Isoflorane%: 2% [NSAID] Carprofen: 2.3 cc SQ [Reversal Agent] Antisedan: 0.52 cc IM [Fluids] Total: 317 mls Surgeon: 1416 - Cerenia 2.6 cc SQ  

5/24/2019

TRIMMED NAILS

9/18/2019

Malaseb bath done by groomers.

9/27/2019

Malaseb bath completed by Groomer.

Details on my behavior are...

Behavior Condition: 3. Yellow

Upon intake Mia was very friendly and hyper. She allowed all handling by counselor. Counselor was able to collar, pet and take a photo.

Date of Intake: 5/19/2019

Spay/Neuter Status: Not Applicable

Basic Information:: Mia is approximately 5 years old. She is an unaltered female . She was surrendered to BACC because owner is unable to care for her anymore.

Previously lived with:: 3 adults and 2 children

How is this dog around strangers?: Mia is friendly and outgoing towards strangers.

How is this dog around children?: Owner stated Mia has lived with children ages 4 and 9 years old. she is really relaxed, playful, respectful and usually tolerant around them.

How is this dog around other dogs?: Owner stated Mia can not be around other dogs. She will try to go after them.

How is this dog around cats?: Has not been around cats, so it is unknown of the behavior.

Resource guarding:: Owner stated Mia does not resource guard her food or toys. She is not bothered if you try to take it away.

Bite history:: None

Housetrained:: Yes

Energy level/descriptors:: very high

For a New Family to Know: Owner stated Mia is a friendly, affectionate, playful and excitable dog. When your home she tends to follow you around and be in the same room as you. She likes to play with balls, stuffed, squeaky and chew bone toys. she also like playing fetch. She is mostly indoors. She eats dry food 2x a day. She is not house trained. She barks and whines when left alone in the house. She is well behaved when left alone in the yard. She has been crate trained but does not do well. She knows ques such as sit, come, down and stay. She brisk walks on leashes.

Date of intake:: 5/18/2019

Spay/Neuter status:: No

Means of surrender (length of time in previous home):: Owner surrender

Previously lived with:: 3 adults, 2 children (aged 4 and 9)

Behavior toward strangers:: Friendly, outgoing

Behavior toward children:: Relaxed, playful, respectful and tolerant

Behavior toward dogs:: Owner reports Mia will attempt to go after dogs so she is never around them

Behavior toward cats:: Unknown

Resource guarding:: None reported

Bite history:: None reported

Housetrained:: Yes

Energy level/descriptors:: Friendly, affectionate, playful and excitable with a high energy level

Other Notes:: Mia is reported to whine and bark when left home alone.

Date of assessment:: 5/20/2019

Summary:: Leash Walking Strength and pulling: Hard Reactivity to humans: None Reactivity to dogs: Fixates, pulls hard Leash walking comments: Sociability Loose in room (15-20 seconds): Highly social Call over: Approaches readily Sociability comments: Handling Soft handling: Seeks contact, soft, attempts to jump up Exuberant handling: Seeks contact, soft, attempts to jump up Handling comments: Arousal Jog: Follows, loose Arousal comments: Knock Knock Comments: No response Toy Toy comments: No interest

Summary:: According to Mia's previous owner, she can not be around other dogs as she becomes reactive. When off leash with dogs at the Care Center, Mia is reactive when greeting novel dogs. Due to the reactive displayed towards novel dogs while here at the Care Center in addition to concerning behaviors noted in the previous home, the Behavior Department recommends that Mia be the only resident dog at this time. Reward-based, force-free training can be utilized to help Mia associate dogs with things she enjoys like toys or treats. 5/19: When off leash at the Care Center, Mia is introduced to a novel male dog. She approaches the gate when she sees the male and freezes. She tracks him with hard eyes and when the male walks away, Mia begins to hard bark and growl. The gate is not opened and an off-leash interaction is not conducted.

Date of intake:: 5/18/2019

Summary:: Friendly, active, allowed all handling

Date of initial:: 5/18/2019

Summary:: Nervous, attempts to flee

ENERGY LEVEL:: Mia is reported to have a high energy level in her previous home environment. We recommend daily mental and physical stimulation as a way to direct her energy level and enthusiasm.

IN SHELTER OBSERVATIONS:: 9/24/19: Mia was observed to be standing at the front of her kennel when the handler approached, allowing the handler to place the rope over her before she walked easily out of her kennel for an interaction. Once brought into the room, Mia was observed to stay near the handler and continued to solicit attention softly, leaning into the handler's leg and accepting all contact. When introduced high value treats, Mia readily accepted them softly and offered her paw gently. Mia remained soft and loose throughout her interaction. The handler introduced tennis balls, a rope toy and plush squeaky toys, but Mia displayed minimal interest, staying near the handler and continuing to solicit attention. At the end of the session, Mia allowed the handler to walk her back to her kennel without any issues.

BEHAVIOR DETERMINATION:: Level 2

Behavior Asilomar: TM - Treatable-Manageable

Recommendations:: No young children (under 5),Single-pet home,Recommend no dog parks

Recommendations comments:: No young children (under 5): Due to Mia's overall level of anxiety combined with her overall exuberance, we feel she would be best set up to succeed in a home without young children at this time. Single-pet home/Recommend no dog parks: Due to the concerning behaviors that Mia has shown during Playgroup (see DOG-DOG BEHAVIOR SUMMARY), on leash-reactivity, as well as concerns noted in her previous home, we feel that Mia should not visit dog parks and be the only resident dog. The Behavior Department recommends that she be socialized in a more controlled setting until her behavior towards other dogs can be further addressed. Reward-based, force-free training can be utilized, under the supervision of a certified trainer or behaviorist, to help Mia associate dogs with things he enjoys like toys or treats.

Potential challenges: : Basic manners/poor impulse control,Anxiety,On-leash reactivity/barrier frustration

Potential challenges comments:: Mia has been observed to fixate and pull hard towards other dogs in the care center, please see handout on Leash reactivity. When left home alone Mia is reported to bark and whine, in the care center Mia has displayed some mild anxiety during interactions (whining and pacing). Please see handout on Generalized anxiety. Mia jumps up high, in a social manner, when seeking attention. Please see handout on Basic manners/poor impulse control.