MEDICAL HISTORY. 23-Jan-2018 to 23-Jan VCA Miller-Robertson Animal Hospital 8807 Melrose Ave, Los Angeles, CA (310)

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1 8807 Melrose Ave, Los Angeles, CA (310) MEDICAL HISTORY 23-Jan-2018 to 23-Jan-2018 Client Linnea Engdahl (1810) C: Linnea: (310) Patient Abby (6487) Canine Mixed Breed 3y (22-Jan-2015) Black, Brown And White Female / Spayed lb () Most recent visit date: Microchip No.: Rabies tag ID / date : Patient Alerts: Owner requests for most things performed in room if possible, use muzzle, pet is nervous Current medical overview: as of 24-Jan-2018 Current Wellness Reminders K9 Rabies K9 Distemper K9 Bordetella K9 Heartworm Test K9 Leptospirosis K9 Parvo K9 Dental Cleaning K9 Heartworm RX Physical Exam Fecal Exam K9 Flea Prevention K9 Influenza H3N8 Due Date 25-May Mar Aug Mar Apr-2018 Weight by Age Wt. Record date Active Concerns Maxillary canine gingival swelling Hx perianal fistulas - controlled on Atopica Inactive Concerns Established Established Resolved Concerns (since 23-Jan-2018) Established Resolved Medications (since 23-Jan-2017) Amount Disp. Date Cyclosporine (Atopica) 50mg Cap 15ct DISPCHR 1.00 box Give 1 capsule by mouth 2-3 times weekly. -HAJ : mvm (marielena.villatoro) Exported by: Tyler Crooks on 24-Jan of 2

2 Lab results 23-Jan :23 TBF UA SA705; Pathology CBC T331 Source: Antech Submitted: Reported: 23-Jan-2018 [Report (if included in export) is located at the end of this document.] Matloob DVM, Jasmine *Documents are available as separate attachments or files. 2 of 2

3 23-Jan-2018 Pathology CBC T331; TBF UA SA705 17:23 Source: Antech Order item: Pathology CBC T331 [ ]; TBF UA SA705 [ ] Sample collected: 18:35 23-Jan-2018 Submitted: Reported: 23-Jan-2018 Lab reference: IRBE Matloob DVM, Jasmine Superchem Total Protein g/dl Albumin g/dl Globulin g/dl A/G Ratio AST (SGOT) U/L ALT (SGPT) IU/L Alk Phosphatase U/L GGT U/L Total Bilirubin mg/dl BUN mg/dl Creatinine mg/dl BUN/Creatinine Ratio Phosphorus mg/dl Glucose mg/dl Calcium mg/dl Corrected Calcium 9.5 Magnesium meq/l Sodium mmol/l Potassium mmol/l NA/K Ratio Chloride mmol/l Cholesterol mg/dl Triglyceride mg/dl Amylase U/L PrecisionPSL U/L Pancreatitis is unlikely, but a normal PrecisionPSL result does not completely exclude pancreatitis as a cause for gastrointestinal signs. CPK U/L Comment(s) Hemolysis 2+ No significant interference. Complete Blood Count WBC ^3/uL Degenerative/aged WBCs observed; common finding post collection and raises no concern for pathology. RBC ^6/uL HGB g/dl HCT % MCV fl MCH pg

4 MCHC g/dl RBC Comment RBC Morphology Normal Platelet Count ^3/uL Platelet Estimate Adequate Neutrophils % Bands % Lymphocytes % Monocytes % Eosinophils % Basophils % Absolute Neutrophils /ul Absolute Lymphocytes /ul Absolute Monocytes /ul Absolute Eosinophils /ul Absolute Basophils ^9/L Comment Blood smear reviewed by technologist. Path Total T4 Red blood cell density is adequate. There is no significant anisocytosis. No definitive hemic organisms are detected. Platelet count is adequate on the smear. The leukocytes on the examined blood smear are poorly preserved which could preclude accurate interpretation of cellular morphology and differential. There is mild lymphocytosis. Intact lymphocytes are predominantly small lymphocytes with a few intermediate to large lymphocytes. Given the young age of this patient, the findings more likely indicate reactive process associated with chronic antigenic stimulation. Reactive lymphocytosis can occasionally reach up to 30,000 lymphocytes/ul (e.g. vector-borne diseases). However, if lymphocytosis persists and progresses without apparent cause, lymphoid neoplasia (leukemia or leukemic phase lymphoma) should be considered. Correlate with clinical impressions, verify persistence, and pursue further diagnostics as necessary. PATHOLOGIST: Sayuri Hayakawa DVM, MS, DACVP Clinical Pathologist Antech Diagnostics ext Sayuri.Hayakawa@antechmail.com Veterinary Professionals: Please contact me directly at the phone number or above if this interpretation is inconsistent with your clinical impression or requires further clarification. T ug/dl Urinalysis-Complete Collection Method Cystocentesis Color Appearance Yellow Cloudy Specific Gravity ph Protein Negative Negative Glucose-Strip Negative Negative Ketones Negative Negative

5 Bilirubin Negative Neg To 1+ Occult Blood Negative Negative WBC None 0-3 /HPF RBC None 0-3 /HPF Casts None Seen Hyaline 0-3 /LPF Crystals None Seen Bacteria None Seen None seen /HPF Epithelial Cells None Seen /HPF Fat Droplets /HPF