Owner surrendered because of chronic urinary incontinence. Dog is obese- yet has marked- generalized muscle atrophy- and pale pink mucous membranes. Given the history and physical appearance of this older dog- primary rule-outs include cancer and diabetes mellitus. She would not be a good candidate for adoption- and it is unlikely that a rescue/hospice could be discovered that would be willing to manage a large breed- incontinent dog. Recommend humane euthanasia.