9/17/2025

DVM Intake Exam History: ACO impound, litter of 6; littermates with ringworm lesions (woods lamp positive) Estimated age: Approx 3 weeks Microchip noted on Intake? Negative Subjective: BAR, active, eating well, no c/s/v/d noted Observed behavior: Soft body, allows all handling Is there evidence of Cruelty - none Is there evidence of Neglect - none Is there evidence of Trauma - none Objective P = wnl R = wnl BCS = 5/9 EENT: Eyes - mild mucoid discharge OU, mild serous nasal discharge noted, ears clean Oral Exam: mm pink and moist, CRT <2 PLN: No enlargements noted H/L: NMA, SSP; Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Male intact, two testicles palpated MSI: Ambulatory x 4, skin free of parasites, no masses noted, crusting along chin CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally normal Wood's Lamp Exam: positive Assessment: Ringworm Neonate, orphaned Conjunctivitis/URI Prognosis: Guarded Plan: Pooled sample for ringworm PCR Start lyme dips biweekly Start fortiflora PO SID to be shared amongst litter Start ofloxacin OU BID x 5 days Start itraconazole 10 mg/kg PO SID x 21 days Recheck weekly SURGERY: Temporary waiver due to age

9/17/2025

[Spay/Neuter Waiver - Temporary] Your newly adopted pet has been diagnosed with being underweight 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.

9/28/2025

Weight: 0.42kg Respiratory- Mild cough/wheeze, crackles on left lung fields. Chest Rad- Difficult to fully access due to patient size. No obvious consolidation. Treat as pneumonia while crackles present. Assessment: Pneumopathy- Suspect Pneumonia - r/o aspiration vs infectious vs other. Historic: Conjunctivitis - Infectious - TR Dermatophytosis (ringworm) - TR Neonate < 4 Weeks Old - Orphaned - TM Ocular abnormality-unspecified - TM Upper Respiratory Infection – Mild, Feline - TR Plan: Clavamox Drops- 13.75mg/kg PO BID - 0.1ml PO BID x 10d Recheck Daily

9/29/2025

recheck kitten, possible pneumonia noted yesterday S/O QAR, no c/s/v/d, reportedly eating well, weight gained, 472grams today EENT: no ocular or nasal dc, mm pm <2 HL: nma, clear, eupneic MSI: amb x 4, good skin turgor A. Ringworm- under tx Pneumonia - not appreciated today, no URI signs but quiet P. Con't with amoxi-clav drops for now- recheck tomorrow. If no pneumonia/URI signs appreciated tomorrow, consider d/c'ing

9/30/2025

Recheck URI/ringworm kitten, gaining weight; concern for pneumonia a couple days ago and started clavamox S/O: QAR-BAR with handling, eats kitten food with a lot of encouragement, log indicates eating syringe feedings well, no c/s/v/d noted EENT: Eyes sealed shut with mucoid discharge, mild serous nasal discharge LUNGS: Eupneic CNS: Appropriate mentation A: Weaning kitten URI, conjunctivitis Ringworm P: Cleaned eyes Restart olfoxacin OU BID Continue clavamox, lyme dips, itraconazole CTM closely on rounds