5/2/2025

[Spay/Neuter Waiver - Temporary] Your newly adopted pet has been diagnosed with ( URI ) and the staff veterinarians are issuing a TEMPORARY waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment through to the resolution of the issue. At the time of a full recovery you may choose to have your veterinarian perform the spay/neuter surgery, or make provisions to return the pet to ACC for sterilization.

5/2/2025

[DVM Intake] DVM Intake Exam Estimated age: 2 years Microchip noted on Intake? No History: Community cat brought in by feeder Subjective: QAR. 7% dehydrated. Observed Behavior - calm, able to easily examine, needed very little restraint but obviously feeling very unwell. Is there evidence of Cruelty? No Is there evidence of Neglect? No Is there evidence of Trauma? No Objective P = wnl R = wnl BCS 3/9 EENT: OU-conjunctivitis, ears clean, yellow mucoid nasal discharge Oral Exam: minimal tartar, fractured lower canines PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, referred upper airway noises ABD: Non painful, no masses palpated U/G: intact, both testes down MSI: Ambulatory x 4, skin free of parasites, no masses noted, dry hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: NA Wood's Lamp Exam: not preformed Assessment: 1. URI 2. Dehydrated 3. FIV + Prognosis: Fair to Good Plan: 1. SQ LRS 100mL given today and planned for the next 3 days 2. Cerenia 0.38mL SQ given today 3. Vitamin B12 0.25mL SQ given today 4. Starting on Doxycycline (50mg/mL)-0.4mL PO SID x 10 days 5. Gentamin OU BID x 7 days 6. Recheck exam tomorrow to ensure eating well. SURGERY: Temporary waiver due to URI.

5/3/2025

Recheck URI and appetite S/O: BAR at front of kennel, eating well, no c/s/v/d noted EENT: Marked mucoid nasal discharge (crusts and active) and congestion LUNGS: Normal rate and effort CNS: Appropriate mentation A: URI, conjunctivitis Underweight Dehydration - improving FIV+ P: Cleaned nasal discharge/nares Continue current treatment plan and recheck as scheduled

5/5/2025

Progress exam: URI day 3 Subjective: BAR, no C/S/V/D. Great appetite empty bowls in kennel Objective: EYES: Clear, no discharge LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: yellow seromucoid discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -Okay to move to cat ISO -CTM recheck as scheduled

5/9/2025

Progress exam: URI day 7 recheck Subjective: QBAR, no C/V/D. Sneezing noted. Eating great Objective: EYES: Clear, no discharge LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: green mucoid discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -CTM, recheck in 3 days

5/13/2025

Progress exam: URI day 10 Subjective: QBAR, no C/S/V/D. Eating well Objective: EYES: Clear, no discharge LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge noted MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI appears resolved PLAN: Per standing orders -Move out of iso -CTM on daily rounds while in QACC

5/16/2025

H: URI signs seen on rounds, FIV+, recently cleared of URI on 5/13 S: QAR to BAR, consistent sneezing, no coughing, no vd. Eyes: Unremarkable OU Ears: Unremarkable AU. Nasal Cavity: Mild to moderate mucopurulent nasal discharge Lungs: Mild stertor, Eupneic U/G: Normal external genitalia. No discharge. Musculoskeletal: Ambulatory x 4 with no appreciable lameness. BCS = 5/9 Neuro: Appropriate mentation. Rectal: Not performed. Externally normal. Assessment 1) URI (reoccurence) Plan: restart Doxycycline 10 mg/kg SID x 10 days Move to ISO

5/23/2025

Progress exam: URI day 7 recheck Subjective: QBAR, no C/S/V/D noted. Sneezing marked on log, eating well Objective: EYES: Clear, no discharge LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mild mucoid discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -CTM, recheck in 3 days

6/2/2025

Progress exam: URI recheck Subjective: BAR, no C/V/D. Sneezing noted Objective: EYES: Clear, no discharge LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: dry discharge present MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -Per 1658 start 14 day course of doxy & fortiflora PO & B12 SQ Once -CTM, DVM rechecks

6/6/2025

Visual exam S/O: QAR, still eating, sneezing noted EENT: Mild clear bilateral nasal discharge, mild congestion A: URI P: CTM while in care Continue current prescribed treatment DVM rechecks

6/10/2025

Progress exam: recheck URI (day 7 of doxycycline) S: BAR, comes to front of kennel, purring and head-butting. Appetite scores of 1-2, normal urination, soft stool (FS 5) O: EENT: eyes clear, no ocular dc, mild serous nasal discharge and audible nasal congestion, MM pink, clean dentition, ears are bilaterally filled with thick crusty debris and there are numerous scabs around ears and neck H/L: eupneic MSI: euhydrated, dry haircoat, multiple scabs around ears and neck, A x 4, well-muscled Neuro: Alert and appropriate Assessment URI- currently on doxycline, clinically improving Otitis with evidence of pruritis and self-trauma (r/o ear mites vs other infectious) FIV + P: Continue current treatment protocol for URI and monitor appetite Signed up for LVT ear cleaning and to start tresaderm AU BID x 7 days Recheck URI signs and ears in 72hrs

6/13/2025

Recheck URI and ears Patient is currently on day 10 doxycycline (second course) and on day 3 of tresaderm S/O: BAR, comes to kennel front and requests petting. Mildly audibly congested with crusted nasal discharge and slight active serous nasal discharge. AS noted as excellent. AU mild brown waxy debris, moderately pruritic, appears improved than on previous exam. A. Otitis/ear mites - improving URI - improving Congestion FIV + P. Continue with 14 day course - recheck at end of course If patient continues to be congested without other signs of URI, consider polyp check

6/17/2025

Recheck URI and ears; patient has been on doxycycline 3 times in the past 2 months - 10 doses 5/3-5/12, 11 doses 5/16-5/26, and 13 doses 6/3-6/17 S/O: BAR, eating well, no c/s/v/d noted, eating well EENT: Mild mucoid nasal discharge LUNGS: Eupneic CNS: Appropriate mentation A: URI - likely viral, persistent ro secondary to immunosuppression Otitis/ear mites - improved FIV + P: Scheduled ivermectin inj for ear mites Okay to d/c doxycycline Extend fortiflora PO SID CTM on rounds and recheck in 5 days

6/24/2025

BAR and extremely affectionate in kennel, no c/v/d. Sneezing noted once on monitoring log 2 days prior, not seen during exam. Marked congestion, no nasal discharge. Assessment: -Persistent URI signs (r/o chronic rhinitis vs persistent URI vs polyp) -Otitis/ear mites (not noted today) -FIV+ Plan: -Scheduled for sedated polyp check

6/26/2025

Sedated polyp check today, okay for dexmedetomidine 10 mcg/kg, butorphanol 0.2 mg/kg IM ///Done

6/26/2025

sedated aural and oral exam, p has been congested without overt URI signs, FIV+, has been on 3 courses of doxy 5/3-5/12, 5/16-5/26, 6/3-6/17 sedated with 0.1mL dex/torb/ketamine IM Oral exam clean, no swellings or lesions, no signs of polyp Aural exam: moderate light brown ceruminous dc AU, no lesions or masses A. Chronic congestion r/o rhinitis vs mild persistent URI d/t immunosuppression Gained weight- now 13.16# P. CTM patient- okay to move out of iso, signage hung Recheck in 5 day to ensure URI signs not recurrent seek placement, given p FIV status, would benefit from quick shelter exit P.

7/1/2025

Recheck for URI signs, FIV+ cat S/O: BAR, active in kennel, appetite good (some dry and wet eaten, AS 1-2), no c/s/v/d noted EENT: Moderate mucoid nasal discharge, no ocular discharge LUNGS: Eupneic CNS: Appropriate mentation A: URI - recurrence vs persistent infection FIV+ P: Swab and send sample for respiratory PCR Start fortiflora PO SID x 14 days Hold off on antibiotic for now since Sylvester has been on 3 rounds of doxycycline in the past couple months Pend PCR results and monitor on rounds

7/2/2025

Swab and send sample for respiratory PCR to idexx. ///Done

7/3/2025

Recheck persistent vs recurrent URI, not on doxycycline at this time. Moved out of iso into adoptions today due to previous note of "resolved". S/O: BAR, no c/s/v/d noted, mild mucoserous nasal discharge, no ocular discharge, eupneic. Plan: Respiratory PCR pending, recheck as scheduled. Okay to treat in place in adoptions.

7/7/2025

Chronic URI signs noted, check for resp PCR and brief recheck S/O BAR, comes to the front of the kennel, food trays disturbed, no c/sv/d appreciated, mild congestion audible EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4 Resp PCR NEGATIVE A. recurrent URI signs r/o secondary to FIV status P. Con't with treatments as written recheck as scheduled CTM while at QACC

7/11/2025

Recheck URI, wound reported on rounds board S/O: BAR, leans into petting and allows all handling, good appetite, sneezing, no c/v/d noted EENT: mild serous nasal discharge, no ocular discharge; AU pruritic when examined with mild ceruminous brown discharge LUNGS: Eupneic MSI: Multifocal pinpoint scabbing/thinner haircoat along jowls and caudal pinnae, superficial wound/scabbing at left pinna/temporal region A: URI - improving signs Superficial lesion - ro excoriation/self trauma secondary to pruritic ears (otitis vs ear mites) vs other History of otitis w pruritis/self trauma (see exam from 6/10/25) FIV+ P: Continue fortiflora PO SID Scheduled ear cleaning and ivermectin injection Start tresaderm AU BID x 4 days CTM and recheck URI signs, ears, wound in one week

7/18/2025

recheck URI- chronic URIs, treated for ear mites last week, in iso 1 S/O QAR, no c/s/v/d noted or appreciated, excellent appetite, food trays disturbed EENT: no ocular dc, mild serous nasal dc, mild audible congestion, AU: mild dark brown ceruminous debris, appears slightly pruritic when touched HL: eupneic MSI: amb x 4, scratch marks just prior to both ears, superficial scabbing the to left temporal region, good skin turgor A. URI_- chronic signs, suspect secondary to FIV status Hx of ear mites vs otitis - no signs except mild pruritis appear aTT Wound - appears to be just scabbing now P. Extend forti-flora x 1 week recheck in 5 days, if ears still mildly pruritic scheduling cleaning, see if okay to leave iso 1 Seek placement - chronic URI with FIV

7/23/2025

Recheck chronic, intermittent URI signs S/O: BAR, great appetite, no c/s/v/d noted today - sneezing noted occasionally over the past 10 days on monitoring log EENT: No ocular or nasal discharge, AU pruritic with mild discharge LUNGS: Eupneic CNS: Appropriate mentation A: URI - no signs today Otitis vs ear mites FIV P: Scheduled repeat ivermectin inj (two weeks after most recent inj) and repeat ear cleaning Okay to leave iso-1 CTM while at QACC

7/27/2025

recheck exam, okay for sx? Chronic URI, FIV cat S/O QAR, comes down to the front of kennel, no c/s/v/d appreciated, food trays empty EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4 A. FIV Otitis- under tx Hx of chronic URIs- no signs aTT P. Okay for sx aTT CTM while at QACC

8/4/2025

Pre-surgical exam, anesthesia, and surgery performed by offsite vet. Medical record uploaded to Vet Documents. Green linear tattoo placed lateral to incision. upper respiratory congestion , Spay/Neuter - ACCEPTED HIGH RISK Notes: nasal crusts noted around nares upper respiratory congestion noted on auscultation gingivitis, missing some incisors, generalized dental staining noted

During intakes no handling was done, taken to medical