4/25/2025 Dog approached front of kennel with soft wiggly body and tail wagging. Easy leash. Exited kennel. Light to moderate pull. In yard, dog explored for a few moments. Soft wiggly and tail wagging. Sought attention. Demonstrated sit for treat. Allowed for all petting. Walked back with light to moderate pull. Easy return.

4/22/2025 soft wiggly body; head shy; able to vaccinate and perform all required handling with mild restraints; seeks attention; walks on leash to kennel

5/6/2025 05/06/25 11:08 Nobivac Canine 1-DAPPv, manufactured by Merck, Serial number: 02120162B___ administered SQ, R lateral shoulder.sp/ap

5/6/2025 DA2PP SUBQ

5/6/2025 05/06/25 14:44 Noted during pm vet rounds. BAR, BCS 4.5/9. OPHTHO - OU no ocular discharge, minimal blepharospasm. RESP - eupnic; coughing; bilateral serous nasal discharge. DERM - very pruritic; generalized patchy alopecia, erythema and lichenification. P: 1. Continue treatment with cefpodoxim, ketoconazole and doxycycline as prescribed. 2. Diphenhydramine (30mg capsule) - 1 capsule PO BID x 10 days. nhilde

5/6/2025 05/06/25 08:53 Skin is still erythemic with lichenification. Is malodorous. Dog continues to be pruritic. Continue cefpodoxime 100mg po sid x 7d and ketoconazole 200mg 0.5 tab po sid x 7d. Medical deadline stands.

5/2/2025 05/02/25 17:38 Limited visual examination due to infectious disease concerns. Noted on kennel walkthrough. S/O: Gen - BAR, BCS 5/9, good appetite, solicits attention wiggly at front of kennel EENT - No ocular discharge. No nasal discharge. RESP - No stertor or stridor. Intermittent coughing. No sneezing. Normal respiratory rate and effort. GI - No significant findings. A: - Signs of CIRDC noted upon exam. Likely viral etiology with secondary bacterial component. P: - Start doxycycline 10mg/kg PO q24h x 14d - Recheck at 14 days or sooner if concerns arise

5/1/2025 05/01/25 13:32 Dog is BAR and active. No change in eyes. Derm: erythema, lichenification and crusty exudate on ventrum. Dog's condition is chronic and she is in need of additional diagnostics and treatments. Will not be undergoing surgery at MCACC. Is not available for PUFA or foster. Place dog on portal, urgent medical NHO. If no outlet by COB on 05/07/25, is at risk for humane euthanasia on 05/08/25. Continue current therapies as prescribed.

4/27/2025 04/27/25 12:14 E-collar in place, clean and fits well AGP 04/28/25 09:37 E-collar in place, clean and fits well JNR 04/29/25 09:11 E-collar in place, clean and fits well JNR 05/01/25 10:18 E-collar in place, clean and fits well JNR 05/02/25 10:00 E-collar in place, clean, fits well DD

4/25/2025 04/25/25 08:21 Recheck ears Derm: Severe generalized erythema, lichenification, papules, pustules and crusts on face and ventrum Eyes-blepharitis, periocular scabbing with mild blepharospasm OU Ears-erythema, lichenfication and ceruminous exudate AU. AD - scabbing, mild bleeding of lateral pinna margin, purulent exudate A: Otitis Externa - severe Generalized dermatitis/pyoderma - severe P: Clean ears and apply Osurnia AU, as tolerated, by patient Apply E-collar to inhibit scratching - pending recheck, outlet options may be considered sdecamp

4/25/2025 04/25/25 15:28 S/O: Gen - BAR, BCS 5/9, solicits attention, wiggly and tolerant of exam/handling EENT - OU (OD>OS) periocular crusting/erythema/alopecia and mucoid ocular discharge with mild blepharospasm. Nose clean and free of discharge. External ears are free of discharge/redness. Oral - Mild generalized tartar and gingivitis. H/L/MM - Heart rate and rhythm normal. Grade III left sided heart murmur. Normal bronchovesicular sounds. Normal respiratory rate and effort. No coughing or sneezing. No stertor, no stridor. Mucous membranes pink and moist with CRT<2s. GI - Abdomen soft and non-painful upon palpation, no masses or organomegaly appreciated. UROGEN - Intact female. INTEG - Coat is clean and clear of redness and ectoparasites. NEURO - Normal mentation and posture. M/S - Normal gait. No muscle atrophy or limping appreciated. A: - mild mucoid ocular discharge: r/o secondary to mild entropion vs KCS vs periocular skin disease vs conjunctivitis vs other - heart murmur: r/o secondary to congenital vs degenerative disease P: - BNP 1 strip OU q12h x 7d - continue ketoconazole and cefpodoxime as previously prescribed

4/24/2025 04/24/25 17:44 Skin scrape: No parasites seen at this time JNR

4/24/2025 04/24/25 17:44 AD appears red, irritated with discharge JNR

4/23/2025 04/23/25 17:09 04/23/25 16:58 Dog possibly exposed to Canine Distemper positive dog. Exposure waiver needed. Performed in house VacciCheck titer - results: ICH - S5, CPV - S4, CPV - S2 ICH - Canine Hepatitis CPV - Canine ParvoVirus CDV - Canine Distemper Virus Negative - Poor immunity - S0-S1 Weak Positive - Adequate Immunity - S2 Positive - Good Immunity - S3 - S4 High Positive - Excellent Immunity - S5 - S6

4/23/2025 04/23/25 17:09 Dog possibly exposed to Canine Distemper positive dog. Exposure waiver needed. Performed in house VacciCheck titer - results: ICH - S1-2, CPV - S4-5, CDV - S2 ICH - Canine Hepatitis CPV - Canine ParvoVirus CDV - Canine Distemper Virus Negative - Poor immunity - S0-S1 Weak Positive - Adequate Immunity - S2 Positive - Good Immunity - S3 - S4 High Positive - Excellent Immunity - S5 - S6

4/22/2025 BORDETELLA IN

4/22/2025 DA2PP SUBQ

4/22/2025 PROVECTA ADVANCED DOG

4/22/2025 MICRO SCAN CHIP NOT FOUND

4/22/2025 04/22/25 16:14 Noted on kennel walkthrough Patient is QAR with periocular crusting/erythema, interdigital erythema, and erythema/crusting on ventrum. Adding in ketoconazole for additional coverage. RX: ketoconazole 100mg PO q24h x 14d

4/22/2025 Per Field: Red skin all over; bumpy; green gunk in eye Scratching face, blood noted - kt

4/22/2025 No tattoo or no scar seen with adult mammary and vulvar development, consistent with unaltered female JNR Nobivac Canine 1-DAPPv, manufactured by Merck, Serial number: 02120172 administered SQ, R lateral shoulder. expiration date 20- MAR-2026 247 Nobivac Intra-Trac3, manufactured by Merck, Serial number: 00541514C administered IN expiration date April 8th 2026 247 MYLAR 247

4/22/2025 04/22/25 14:07 BAR BCS 5/9 MM-pink, CRT<2sec H/L-WNL. HR 65, RR 30 Derm: erythema, lichenification, papules, pustules and crusts on face and ventrum Eyes-blepharitis OS, with mild blepharospasm Ears-erythema, lichenfication and ceruminous exudate AU ABD-WNL Generalized dermatitis Skin scrape Start cefpodoxime 100mg po sid x 14d recheck in 7 days. No surgery due to location of skin lesions. May go on portal pending results of skin scrape and response to therapy.