3/31/2026

[DVM Intake] DVM Intake Exam Estimated age: 13yrs based on dentition/conformation Microchip noted on intake? scans positive History: Stray; found wearing a diaper Subjective: BAR Observed Behavior - tolerated initial handling but then started to snap; muzzled for all tasks and exam Is there evidence of suspected cruelty? no Objective: P = 150 R = 24 BCS 4/9 EENT: Eyes clear with nuclear sclerosis OU and focal periocular matting, ears clean with large amount of hair in canals, no nasal or ocular discharge noted Oral Exam: Adult dentition with severe diffuse calculus and gingivitis PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MI; testicles descended with one slightly smaller than the other MSI: Ambulatory x 4 but ataxic in hind legs and occasionally splays out in hind limbs, skin free of parasites, multiple dermal masses on dorsum, saliva staining on all 4 paws and tail CNS: Mentation appropriate - severely delayed CPs in both hind legs, normal tail and anal tone, normal withdrawals in hind legs with motor present x 4, no pain on spinal palpation Rectal: externally normal Wood's Lamp Exam: not performed Assessment: Geriatric MI canine Severe dental disease Saliva staining on paws Dermal masses Hind limb paresis (r/o spinal disease (IVDD vs infectious/inflammatory vs neoplasia) vs central brain disease vs orthopedic disease (arthritis vs previous trauma) Prognosis: fair pending diagnostics Plan: intake tasks CBC/Chem/T4 to idexx Place in medical with signage to use sling to support hind legs on walks gabapentin 15mg/kg PO BID indefinitely DVM recheck tomorrow to review labs; consider add-on NSAID if labs WNL Rec advanced imaging for ataxia and dental once placed SURGERY: Permanent waiver due to age/comorbidities

3/31/2026

It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.

4/1/2026

recheck exam and BW CBC: sl H monos (0.78) L eos (0.06) CHEM: sl L Na (140) H K (5.6) sl L Cl (103) sl L albumin (2.6) H globulin (4.5) L TT3 (0.6) A. sl H monos r/o inflam electrolyte shifts r/o losses. hydration status H globulins r/o inflam, second to dental dz P. See progress exam

4/1/2026

recheck comfort, geriatric pup, dental dz, ataxic gait S/O Q-BAR, no c/s/v, staff reported FS6, food eaten prior but not today EENT: dried mucoid dc periocular, nuclear sclerosis, no nasal dc, severe wear and staining to visible dentition HL: eupneic MSI: amb x 4 but atxia gait in the hind legs A. Ataxic gait with delayed CPs - r/o primary neuro vs truama vs infectious/neoplasia Severe dental dz Dermal masses Geriatric P. Add panacur 50mg/kg PO SID x 3 days proviable SID x 5 days MF BID x 3 days CTM and recheck in 2 day- p has multiple comorbidities and geriatric- would need placement asap/fospice

4/3/2026

Recheck geriatric dog S/O: BAR, good appetite, no c/s/v/d noted today EENT: OS- cherry eye, corneal pigmentation + other chronic corneal changes, moderate amt dried dark discharge in matted fur surrounding eye; OD - mild corneal changes and mild dark discharge in matted fur surrounding eye ORAL: mm pink and moist, severe periodontal disease (stage IV) with mobile mand incisors and firmly swollen vs proliferative rostral mandibular gingiva, 3mm hole along mandibular symphyseal gingiva - caused by malocclusion of maxillary incisor LUNGS: Eupneic MSI: Unkempt and matted haircoat most notable at face, feet, and perineum; fecal staining at perineal fur, scrotal ulceration also noted; pelvic limb ataxia RECTAL: nsf, expressed anal glands normally A: Geriatric dog, comorbidities Severe periodontal disease Penetrating wound at mandibular gingiva secondary to malocclusion Hard, swollen rostral mandibular gingiva - ro secondary to ddz vs neoplasia Cherry eye and chronic corneal changes OS Matted, unkempt haircoat Ulcerated scrotum - ro fecal scald vs other Diarrhea not appreciated today Electrolyte abnormalties Low T4 - ro euthyroid sick vs hypoT4 P: Sedated with dex/torb 0.15 ml of each IM Skull rads and dental rads - advanced periodontal disease visible on skull and dental rads, significant bone loss at mand incisors Single mandibular incisor removed during handling/rads (very mobile) Shaved head/face, feed, and perineum Soaked scrotum with dilute chlorhex Seek placement, ideally dental procedure with placement despite anesthesic risk. Severe dental disease affecting QOL.

4/5/2026

Cageside progress exam S/O: BAR - at front of kennel soliciting attention pink moist mm at distance no c/s/v/d reported D/U/D/E WNL EENT: OS- cherry eye, corneal pigmentation + other chronic corneal changes, no active discharge; OD - mild corneal changes with no active discharge LUNGS: Eupneic at distance A: Geriatric dog, comorbidities HX Severe periodontal disease HX Penetrating wound at mandibular gingiva secondary to malocclusion HX Hard, swollen rostral mandibular gingiva - r/o secondary to ddz vs neoplasia Cherry eye and chronic corneal changes OS HX Ulcerated scrotum - r/o fecal scald vs other Diarrhea - resolved HX Electrolyte abnormalties HX Low T4 - ro euthyroid sick vs hypoT4 P: Clinically stable - OK to move to adoptions OK to CTM while at QACC