8/16/2026

DVM Intake Exam Estimated age: ~7wks based on dentition / condition Microchip noted on Intake? Scanned negative History: Stray Subjective: BARH, pale pink moist mm, CRT <2s LVT noted live fleas at time of intake and gave 1/2 tb capstar PO Observed Behavior - Nervous but tolerant Is there evidence of suspected cruelty? No Objective: P = WNL R = WNL BCS 4/9 EENT: Eyes clear, scant ceruminous debris AU, no nasal or ocular discharge noted Oral Exam: Clean dentition deciduous dentition PLN: No enlargements noted H/L: NSR, NMA, CRT < 2s, Lungs clear, eupneic, negative ITC ABD: Soft, nonpainful, no masses palpated U/G: Female - appears intact no tattoo or spay scar MSI: Ambulatory x 3, grade 4/4 lameness RFL - swollen elbow at abnormal angle INT: Multifocal crusted circular alopecia at nasal planum, distal limbs and pinna AU, dead adult fleas (P received capstar at time of intake) CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Normal externally Wood's Lamp Exam: positive at lesions Assessment: Suspect dermatophytosis RFL lameness - elbow luxation diagnosed with radiographs Flea infestation - treated FI juvenile DSH Prognosis: Fair Plan: OK for appropriate intake tasks Sedated FL radiographs - R elbow luxation Sedation given IM as below: Methadone 0.02mL (0.3mg/kg) Ketamine 0.03mL (4mg/kg) Dexmedetomidine 0.01mL (~0.007mg/kg) moderate-deep sedation achieved GAVE Meloxicam 0.01mL SQ (~0.1mg/kg) ONCE - DO NOT REPEAT AT THIS DOSE Closed reduction of R elbow attempted, was unsuccessful. Significant palpable soft tissue swelling present, injury appears chronic Antisedan 0.01mL IM for reversal - P monitored closely until sternal / ambulatory ADD Simbadol 0.1mL (~0.24mg/kg) SQ SID x3d (give dose ~6pm tonight, will be a PM treatment) ADD Gabapentin 0.1mL (~15mg/kg) PO BID x14d - START TOMORROW Itraconazole ~7.5mg/kg PO SID x28d HOLD OFF on LS dips for now since P will need surgical correction of luxation vs amputation DVM recheck pain 8/17 DVM recheck weekly Dermatophyte PCR on day 21 House in Isolation OK for appropriate intake tasks DVM team contacted via email for consult on pathway planning. P is not an ideal anesthetic candidate given dermatophytosis and size / age, may need to seek urgent placement if unable to control pain in interim. Surgery: Temporary waiver for RW and age

8/16/2026

Your newly adopted pet has been diagnosed with ringworm 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.

8/17/2026

recheck RW and R sided elbow luxation S/O QAR, no c/s/v/d appreciated, AS of 2, food appears minimally disturbed, when showed HVT p gagged, then took small lick EENT: no ocular or nasal dc, mm pale pi/mild tacky <2 HL: eupneic MSI: amb x 3, RFL appears mostly non-weight bearing, did appear to toe touch twice in kennel during exam, delay in skin tent CNS: mentation appropriate Woodslamp: positive over the caudal aspect of both pinna A. R-sided elbow luxation Suspected RW Prior flea infestation noted at intake P. 12mL SQF given post exam then x 2 days cerenia 1m/kg SQ once (0.08mL- given during exam) RW PCR pulled- check for results in 3 days CTM closely and priority recheck tomorrow - p QAR, unclear if underlying medical issues vs pain control vs open- pending how p is doing tomorrow, consider deadline. If otherwise doing well, consider ARL

8/17/2026

Addendum: p noted to appear lethargic, in house CBC results: L HCT (29.3) H WBCs (49.73) with severely H neuts (39.03), H Lymphs (8.14), H monos (1.52) H platelets (757) A. Leukocytosis with neutrophilia, lymphocytosis and monocytosis r/o primary infection Thrombocytosis r/o reactive Anemia r/o pre-regen vs non- regen P. Add in amoxi-clav 13.75mg/kg PO BID x 7 days (0.17mL) directly into mouth- if not eating or taking med well consider changing to convenia. CTM and recheck as scheduled

8/18/2026

Recheck susp RW and R sided elbow luxation S/O BAR - at front of kennel meowing, then runs to the back on approach Poor appetite reported but offered churu and help up wet food post exam and P ate all of churu and ~1/2 of wet food EENT: no ocular or nasal dc, mm pale pink/mild tacky <2 HL: eupneic MSI: amb x 3, RFL appears mostly non-weight bearing - not overtly painful on light palpation CNS: mentation appropriate A. R-sided elbow luxation Suspected RW Prior flea infestation - treated Anorexia - improving with initiation of ABX, susp 2ary to underlying infection Mild dehydration persists P. INCREASE SQF to 20mL LRS SQ BID x3d EXTEND Cerenia 1mg/kg SQ SID x3d EXTEND Simbadol 0.24mg/kg SQ SID x3d ADD Medical feedings TID x3d Disc case w DVM group who recommended the following: - ADD LS dips 2x weekly x2wks - Recc schedule amputation in 2 wks (will contact ortho sx to see if open reduction is an option in this case - if so can cancel amputation)

8/19/2026

Brief recheck - QAR, timid but allows handling, good appetite overnight, no c/s/v/d noted, eupneic; RFL lameness appreciated. PLAN: Continue current treatment plan and recheck as scheduled. Consult from ortho DVM and ringworm PCR both pending.

8/21/2026

Recheck, RW PCR results positive S/O: QAR at back of kennel, good appetite, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic CNS: Appropriate mentation Ringworm PCR: positive for microsporum spp. A: Dermatophytosis Right elbow luxation P: Continue itraconazole SID, lyme dips biweekly Continue gabapentin for pain Okay to discontinue clavamox after today CTM on rounds and recheck in 4 days

8/23/2026

Cageside recheck P eating well, taking meds in food BAR - in back of kennel No new lesions re RW no c/s/v/d reported RFL lameness persists Conditions as previously reported - OK CWCP, recheck as scheduled