Major Health Issues: Has your dog been diagnosed with any of the following health issues?

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1 Major Health Issues: Has your dog been diagnosed with any of the following health issues? Cancer or Tumors Gasatric Hemangiosarcoma Leukemia Lymphosarcoma Mammary Cancer Mast Cell Tumor Osteosarcoma Pancreatic Pituitary Tumors Sebaceous Gland Cancer Squamous Cell Cancer Testicular Cancer Cancer Gastrointestinal Disorders Colitis Diarrhea, Chronic Diarrhea, Intermittent Infammatory Bowel Disease Megaesophagus, Primary Protein Losing Enteropathy (PLE) Cardiovascular Disorders Cardiomyopathy Congestive Heart Failure Degenerative Valve Disease Mitral Valve Defect Patent Ductus Arteriosis (PDA) Persistent Right Aortic Arch (PRAA) Pulmonic Stenosis Subaortic Stenosis Tricuspid Valve Defect Respiratory Disorders Brachycephalic Syndrome Collapsed Trachea Elongated Soft Palate Everted Saccules

2 Laryngeal Collapse Laryngeal Paralysis Lung Lobe Torsion Stenosis Nares Eye Disorders Cataracts, Juvenile Cataracts, Senile Cataracts, y Suture Cherry Eye Corneal Dystrophy Corneal Ulcer Distichaiasis Dry Eye Ectropion Entropion Glaucoma Iris Hypoplasia Multifocal Retinopathy Persistent Pupillary Membrane (PPM) Pigmentary Keratopathy Progressive Retinal Atrophy (PRA) Retinal Dysplasia Retinal Folds (Puppy Folds) Ear Disorders Chronic Ear Infection Deafness, Unilateral (One Ear) Deafness, Bilateral (Both Ears) Malformation of the Ear Canal Neurological and/or Muscular Disorders Ataxia Cervical Vertebral Instability (Wobblers) Constrictive Myelopathy of Pugs Degenerative Myelopathy Epilepsy/Seizures Intervertebral Disc Disease Lumbosacral Stenosis Narcolepsy Necrotizing Meningoencephalitis (NME) aka Pug Dog Encephalitis (PDE) Spinal Demyelination Spinal Stenosis

3 Skin Disorders Alopecia Autoimmune Skin Disease Brittle Nails Demodectic Mange Dry, Cracked Pads Seborrhea Staph Infections Yeast Infections Liver Disorders Hepatitis Liver Failure Microvascular Dysplasia Portosystemic Shunts Orthopedic Disorders Arthritis Cruciate Ligament Rupture Elbow Displasia Hip Dysplasia Hypertrophic Osteodystrophy (HOD) Legg- Calve Perthes Osteochondrosis Dessicans (OCD) Panosteitis Patellar Luxation Spondylosis Vertebral Anomalies Blood/Lymph Disorders Anemia Autoimmune Hemolytic Anemia Hemophiliaa Idiopathic Thrombocytopeniaa Platelet Abnormality Pyruvate Kinase Deficiency vonwillebrand's Disease Endocrine/Metabolic Disorders Addison's Disease

4 Cushing's Disease Diabetes Mellitus Hyperthyroid Hypothyroid Pancreatitis Pituitary Disease Kidney Disorders Age- Related Renal Insufficiency Bladder and/or Kidney Stones Chronic Urinary Tract Infection Familial Kidney Disease Diagnosed by Pathology Immature, Missing or Atrophied Kidney Renal Dysplasia Reproductive Disorders Abnormal Sperm Cryptorchid/Monorchid Dystochia (Difficult Delivery) Eclampsia Failure to Conceive False Pregnancy Genital Infection Hermaphrodite Inverted Vulva Irregular Heat Cycle Litter Resorption Low or Lacking Libido Mastitis Prolapsed Uterus Pyometra Sterility Testicular Atrophy Vaginal Prolapse Vaginal Stricture Dental Disorders Base Narrow Jaw Dental Enamel Hypoplasia Dropped Incisors Extranumerary Teeth Misaligned Teeth Missing Teeth, Incisors

5 Missing Teeth, Molars Missing Teeth, Premolars Overbite Peridontal Disease Retained Puppy Teeth Underbite Wry Bite Immune System Disorders Autoimmune Hemolytic Anemia Discoid Lupus Immune- Mediated Hypothyroidism Immune- Mediated Thrombocytopenia Juvenile Onset Polyarthritis Myasthenia Gravis Phemphigus (Bulbous, Foliaceus) Sebaceous Adenitis Systemic Lupus Erythematosis Immune System Disorder Allergy Disorders Atopy (Inhalant), Seasonal Atopy (Inhalant), Non- Seasonal Drug Allergies Flea Allergies Food Allergies Topical/Contact Allergies Allergies Temperament Issues/Disorders Aggressive to Dogs Within Household Aggressive with All Dogs Aggressive to Unfamiliar Dogs of Same Sex Aggressive to Unfamiliar Dogs of the Opposite Sex Aggressive to Familiar People Aggressive to Unfamiliar People Fear of Noise Obsessive- Compulsive Behavior (Flank Sucking, Spinning, Fixating on Light Spot, etc.) Rage Syndrome Separation Anxiety Shyness Reserved

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