BAILEY – 15705

Microchip: Negative, Implanted-#981020025134055 Sex: Neutered male Age~ Approx- 4 yrs Nasal discharge and sneezing,potentially URI Mouth open AMBX4 Eyes: Clear Nose: Discharge and crusty Teeth: Moderate dental tartar and dental disease BCS: 4 Skin: APH / WNL Behavior: Nervous and try to flee during exam NOSF

Microchip: Negative , implanted 981020025134055 Sex: Neutered male Age~ Approx- 4 yr Left ear tipped Nasal discharge, potentially URI Open mouth, tip of tongue outside the mouth,salivation Little bit breathing difficulty AMBX4 Eyes: Clear / wnl Nose: Discharge and crusty Teeth:Mild to moderate dental tartar BCS: 4 Skin: APH / WNL Hair Coat: WNL Behavior: Nervous and willflee during exam Medication: None NOSF

[DVM Intake] DVM Intake Exam Estimated age: 4yo Microchip noted on Intake? neg History : p hangs around finder’s repair shop. Finder brought p in bc noticed p breathing heavy and drooling. Subjective: Q-BAR, very nervous and tries to flee, but no signs of aggression. Needed to restrain tightly, PE was limited. Observed Behavior – Evidence of Cruelty seen – n Evidence of Trauma seen – n Objective T = P = wnl R = eup BCS 4/9 EENT: Eyes clear, ears black ceruminous debris AU, left ear tipped, nasal discharge noted on LVT intake but not on DVM intake Oral Exam: tongue sticking outside mouth, mouth slightly open. mod dd and stomatitis, lingual ulcers, left maxillary molars diseased and bleeding, overall teeth chattering when gums palpated with tongue depressor PLN: No enlargements noted H/L: NSR, Grade III/VI left systolic HM, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 4, no masses noted, dirty unkempt hair coat, all 4 paws dirty and soiled. CNS: Mentation appropriate – no signs of neurologic abnormalities Rectal: normal externally Assessment: mod to severe dental disease lingual ulcer — r/o URI (calici) vs related to dd vs other dehydrated dyspnea reported on LVT intake — not appreciated during DVM intake. Open mouth and tongue sticking out, likely due to oral disease, may have been mistaken as dyspnea Heart murmur Prognosis: fair Plan: LRS 80mL SQ Simbadol 0.53mL SQ SID x 5 days, extend PRN Convenia 0.4mL SQ once Vet recheck mouth, any URI signs, and if eating 12/10 Recommend Echo post placement

Hx: presented with oral ulcers and heart murmur, had episode of dyspnea which resolved with no treatment during intake exam-suspect behavioral; was given convenia injection due to behavior; also on simbadol S/O -QAR, unsocialized; hiding in feral den; regresses and hisses when approached -good appetite -hypersalivation, holding mouth slightly open-related to pain and not dyspnea -appears eupnic -unthrifty hair coat, crusting patch of alopecia on tail A heart murmur, noted on intake lingual ulcers, noted on intake area of alopecia P sedate today for oral exam and CXR

Upon intake bailey was nervous and alert. Bailey allowed her back to be touched while she faced the back of the carrier. Bailey did hiss when removed from the carrier. Allowed limited handling.