Unable to perform exam due to fractiousness/aggression. Physical exam performed after sedation. Emaciated body condition- estimated ~10% dehydrated. Mouth/Teeth - Severe dental calculus- thick saliva- pale pink mucous membranes. Ears - Moderate amount waxy- dark brown debris both ears. Eyes/Nose - No obvious abnormality. Heart/Lung - No obvious abnormality. GI - No obvious abnormality. Slightly small kidneys- but with smooth- regular surface. Reproductive - No obvious abnormality. Spay scar present. Skin /Hair coat - Dirty- sticky- very matted haircoat - several dense matts all over body. Very long toenails. LF D3 nail embedded into paw pad ~4mm deep - inflamed puncture lesion present where nail entered paw pad. Musculoskeletal - Marked generalized muscle atrophy. Neurologic - No obvious abnormality.