SNICKERS – 15916

QAR scan negative male intact appx 3 yrs old allows handling mild dehydration, underweight crusty eyes SND mild tartar abrasion on lower lip dirty face, ears, body abrasion on paws swollen left hind paw AMB x 4 BCS 3/9 NOSF

Sedate with 0.15mL dexdomitor, 0.15mL Ketamine (bottle #9), and 0.15mL Butorphanol (bottle #1) IM at 1:30 pm. Clipped and cleaned RHL, took 2 view radiographs Simbadol given at 2:00 pm, gave 0.35mL SQ bottle #43. Gave 100ml SQ LRS 1215

administered AM treatment of Simbadol 1.8mg/mL. Gave 0.35mL from bottle #43 at 9:42AM. DVM: 0577 Given by:0811

[DVM Intake] DVM Intake Exam Estimated age:2 y Microchip noted on Intake? n History : stray Subjective:right hock swollen down to toes, no palpable fracture. no uri signs noted Observed Behavior -bar, allows full exam, social Evidence of Cruelty seen -n Evidence of Trauma seen -y Objective T = P =220 R =wnl BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: clean teeth PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: 2 testes MSI: Ambulatory x 3 right hock/foot swollen, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate – no signs of neurologic abnormalities Assessment: injury LH foot Prognosis:good Plan: clavamox 62.5mg bid x 10d onsior 0.3ml sid x 3 d SURGERY: temp waiver due to possible uri

[Spay/Neuter Waiver – Medical Condition] Your newly adopted pet has been diagnosed with An Illness 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. Your veterinarian will advise you if surgical sterilization is appropriate.

S/O -QAR, docile and interactive, allows all handling -good appetite -mm pk, sl tacky; CRT <2 sec -no nasal discharge or sneezing -OU: mild blepharospasm, mild serous d/c -eupnic, heart/lungs WNL -soft, nonpainful abdomen -RH: intermittent toe touching lameness with moderate to severe edematous swelling of paw; possible fluid pocket over metatarsals, sensitive on palpation -underweight, slightly dirty hair coat A 1. Swollen RH paw, r/o fx vs wound vs other 2. Underweight P -add simbadol 0.35 ml SQ SID x 3 days -sedate today for clip/clean and xrays of RH

Sedated with 0.15 ml ketamine/0.15 ml dexdomitor/0.15 ml torb SQ; shaved entire distal paw S/O -no obvious wounds along paw -edematous swelling of paw -pocket of fluid along caudal aspect of limb just cranial to tarsus; fluid appears clear/yellow and non-viscous; another pocket of this fluid along medial aspect of tarsus but pockets do not connect -no other pockets of fluid along limb -main paw pad on RF slightly ulcerated and sloughing off -radiographs of RH revealed no fractures or abnormalities of disal limb A 1. Swollen paw 2. Cystic pockets 3. Underweight 4. RF paw pad sloughing-suspect trauma over viral infection P -d/c clavamox, gave 0.3 ml convenia SQ -baytril 100 mg/ml: gave 0.3 ml IM once, continue oral suspension at 0.3 ml PO SID x 10 days -gave first dose of simbadol SQ

Progress exam Hx : presented 12/12 with possibly injury to RHL. RHL rads done 12/14 – NSF. Currently on simbadol, convenia, and baytril S/O: -Did ok overnight, no reported concerns. QAR, friendly, and allows for all medical handling. No c/s/v/d, no URI signs, normal U/BM, reportedly eating, and seems comfortable. -RH paw is swollen with pitting edema, mild discomfort on palpation -Main paw pad on RF slightly ulcerated and sloughing off -H/L: wnl, eupnic A: -Swollen/edematous RH paw r/o trauma vs other -RF paw pad sloughing – r/o trauma vs viral infxn vs other -Underweight P: -ctm in medical, reassess RH paw swelling daily -Convenia given 12/14 -cont baytril oral suspension 0.3mL PO SID x 10d, until 12/24 -cont simbadol 0.35mL SQ SID x 3d, until 12/17

Upon intake, Snickers was meowing. Snickers allowed me to carry him and place him down on the table. Snickers allowed me to collar him and pet him on the head but he would continue to meow. Snickers allowed me to carry him and put him inside his kennel. Once inside, Snickers stayed towards the back of the kennel and went to sleep.