1/13/2026

DVM Intake Exam Estimated age: 7-9 years Microchip noted on Intake? scan negative History: Bite quarantine Subjective: Observed Behavior - hissing and swatting Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective P = 180 R = 40 BCS 6/9 EENT: Eyes clear, AU thick, dark, crusty discharge accumulation, no nasal or ocular discharge noted Oral Exam: grade 2/4 dental disease, upper right canine missing, lower right canine fractured close to gumline. PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: testes x 2 MSI: Ambulatory x 4, skin free of parasites, no masses noted, hair coat matted caudal dorsum - shaved mats CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Assessment: 2/4 dental disease, fractured/missing canines ear mites Prognosis: good Plan: sedate with DKT for exam and tasks intake procedures CBC/Chem/T4/UA pending selamectin ear cleaning shave matted fur tufts SURGERY: Okay for surgery after bite hold

1/15/2026

CBC/chem/T4/UA at lab CBC 0.878 K/uL (H) Chem chloride 113 mmol/L (L) Urinalysis usg 1.058 urine protein 3+ 1+ struvite crystals T4 wnl P: OK to monitor expect will be OK for dental post adoption/placement

1/16/2026

SO: QAR, perched on top of den, food plates untouched, head lowered to ground. When approached in kennel started hissing and then vomited large amount of bile eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 neuro: mentation alert and appropriate rectal: digital exam during enema, pelvic canal maybe slightly narrow, but no obvious obstruction A: vomiting constipation P: elected sedation to allow for three view radiographs of abdomen 0.15ml dexmedetomidine 500mcg/ml, 0.1ml ketamine 100mg/ml, and 0.15ml butorphanol 10mg/ml IM Three view abdominal radiographs large amount of feces in colon possible rounded caudal border of liver enema approximately 150ml LRS sc once 0.6ml cerenia sc once starting 1/4 tsp miralax mixed with food PO BID

1/16/2026

Sedated using 0.1 mL dexmedetomidine 500mcg/mL + 0.1 mL ketamine 100mg/mL + 0.1 mL butorphanol 10mg/mL IM for 3-view abdominal radiographs at 12:49 pm. Required additional sedation: 0.05 mL dexmedetomidine + 0.05 mL butorphanol IM at 1:05 pm. Administered: LRS 150 mL SQ Cerenia 0.6 mL SQ Reversed using antisedan 0.05 mL IM at 1:29 pm. Uploaded rads to SB

1/17/2026

SO: Moved into medical yesterday after episode of bile vomiting and diagnosis of constipation BAR, tense and shrinks away from handling. Ate wet food in kennel. No feces in kennel overnight, no vomit eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 neuro: mentation alert and appropriate A: constipation P: keep in medical may need repeat enema

1/21/2026

At approximately 7:45am on 1/21/26 Kitty was examined. He was laying down in his den and looked at me during the interaction. He did not show any signs of neurologic deficits or abnormalities during the interaction and none have been reported during his time in care at MACC. A: No signs of neurologic deficits or signs consistent with rabies P: Consider releasing from DOH hold

1/21/2026

QAR in den, ate well o/n. Normal feces in litterbox. A: Constipation appears well managed on Miralax Eating well P: Move out and observe DOH-B hold

1/23/2026

URI signs noted on symptoms board S: QAR laying down in kennel, food appears disturbed O: EEN- eyes clear, no nasal discharge noted H/L- Eupneic, but moderate audible congestion MSK/i- Ambulatory x4, healthy haircoat Neuro- alert/approrpiate A: Mild to moderate URI Appears to be eating P: Doxycycline 50mg/ml 1ml PO SID x7d Monitor

1/30/2026

SO: On treatment for moderate URI in adoptions. BAR, head bunting and soliciting attention. Head bunting hand. Not interested in treats offered, but appears to be eating most wet food. eent: eyes clear, clear mucoid nasal dc apparent h/l: eupneic, repeated sneezing appreciated msi: ambulatory x4 neuro: mentation alert and appropriate A: URI-moderate P: extending doxycycline additional 4 days adding fortiflora 1 sachet with food SID x7d to support appetite

1/31/2026

SO: Diagnosed with a moderate URI QAR, head bunting when offered hand. Does not appear interested in food or treats offered eent: eyes clear, no ocular or nasal dc apparent oral: drooling h/l: eupneic, repeated sniffling appreciated msi: ambulatory x4 neuro: mentation alert and appropriate A: URI severe anorexia P: 150ml LRS sc SID x5d 0.6ml cerenia sc SID x5d 0.25ml vitamin B12 sc SID zorbium for weight monitor appetite

2/1/2026

Hx: has had mild URI but seems to be progressing; not eating well; h/o constipation; dental disease QAR resting quietly in kennel eent- nasal discharge; congested; no ocular discharge; not visible tongue ulcers hl- eupneic but referred upper airway sounds abd- relaxed; kidneys feel plump; does not appear constipated; medium bladder msi- amb x 4; shaven coat A) URI not eating well h/o constipation P) move to medical for monitoring and support

2/2/2026

Pet QAR and ate overnight.

2/3/2026

QAR. Pet did not eat or defecate overnight. EEN: Wet nasal congestion, sneezing. ORAL: Drooling during exam. No lesions seen on tongue with brief view. RESP: Increased inspiratory effort ABD: SNP NMP MSI: BCS 5/9 ambul x 4 NEURO: QAR A: Anorexia Nasal congestion Prognosis: Fair Plan Nebulize sid x 3 days Will not refill zorbium at this time.

2/6/2026

On treatment for moderate URI, pHx constipation S: BAR, purring. Rubbing head/neck on litterbox and allows petting with slow approach. Several food dishes in kennel are untouched. No interest in high value foods, but when left alone reportedly is eating some Fancy Feast. O: EENT: Eyes clear, clear nasal discharge. H/L: Eupneic but sneezing with mild audible congestion MSI: Ambulatory x 4, healthy hair coat CNS: Mentation appropriate/ alert A: URI appears more mild today Eating some today P: No extending doxycycline Recommend continuing to monitor +/- move to Cat ISO until resolution of clinical signs tomorrow

2/6/2026

Rabies vaccine was boostered 2/6/2026 due to original Rabies vaccine lot # being recalled and reportedly deemed ineffective.

2/7/2026

Clear nasal discharge, licks at baby food but when offered wet food and dry food shows no interest. P: CTM until eating more readily

2/7/2026

Ate majority of dry food! BAR/purring, but still has audible congestion P: Move to Cat ISO for bigger and quieter space Continue to monitor until resolution of clinical signs

2/11/2026

SO: In cat isolation on treatment for URI QAR, laying sternal in den. Food plates appear untouched eent: eyes clear, crusting nasal dc apparent with possible ulceration of nasal planum oral: thick mucus drool, opening and closing mouth as if uncomfortable h/l: eupneic, sniffling and sneezing appreciated, coughed once msi: ambulatory x4 neuro: mentation alert and appropriate A: URI-severe oral ulceration dehydration P: restart zorbium for weight 150ml LRS sc SID x5d 0.6ml cerenia sc SID x5d nebulize with saline 15 min SID x5d recheck weight 0.9ml doxycycline 50mg/ml PO SID x7d

2/12/2026

SO: In cat isolation on treatment for severe URI QAR, tense inside of den eent: eyes clear, mucoid nasal dc apparent oral: heavy pink mucoid oral dc h/l: eupneic, sniffling and sneezing appreciated, audible congestion msi: ambulatory x4 neuro: mentation alert and appropriate A: URI-severe P: move down to medical isolation place IV catheter and start on LRS at 15ml/hr

2/12/2026

Later in pm, head bunting and purring with IV fluids running cleaned mucus from face