9/22/2025

DVM Intake Exam Estimated age: 8-12 years old Microchip noted on Intake? Scanned negative History: Stray, reported RHL injury Subjective: BAR Observed Behavior - Hissing and growling, crouched in back of feral den, sedated for exam Is there evidence of Cruelty? No Is there evidence of Neglect? No Is there evidence of Trauma? Yes Objective: T = not performed P = WNL R = WNL BCS 3/9 EENT: Eyes clear, mild debris AU, no nasal or ocular discharge noted Oral Exam: Brief oral exam tolerated, missing almost all teeth, one maxillary canine remaining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Male, two scrotal testicles MSI: Not observed ambulating, motor present x4, no masses noted, underweight body condition. Lateral RHL has patch of hypotrichosis and superficial scabbing, possible crepitus and soft tissue swelling at level of femur and tibia, patient tense and kicking limb during exam CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Not performed Wood's Lamp Exam: Not performed Assessment: Underweight Dental disease - missing almost all teeth Wound on RHL RHL injury - unable to assess well today Prognosis: Fair Plan: Sedated with 25mcg/kg dexmedetomidine IM + 0.4mg/kg butorphanol IM + 5mg/kg ketamine IM - very light sedation, still resisting restraint during exam House in Medical Reassess RHL tomorrow Recommend reattempt sedation tomorrow w/ full bloodwork and combo test +/- radiographs if indicated SURGERY: Permanent waiver due to age

9/24/2025

Progress exam, recheck RHL injury BAR, hiding in feral den, not eating overnight EENT: No ocular or nasal discharge MS/Integ: Unable to observe ambulating due to behavior. Purulent hemorrhagic discharge with white debris from RHL wounds at level of tibia. After shaving, 2 puncture wounds at dorsal aspect of RHL at level of proximal tibia with associated abscess and ~2-3 cm pocketing dorsally. Small ulcerations/abrasions surrounding wounds. Assessment: Suspect healed fracture of RHL femur Puncture wounds and abscess at RHL - suspect bite wound Elevated ALT Underweight Dental disease - missing almost all teeth Plan: Sedated with 0.14mL telazol IM - adequate sedation Pelvis and RHL rads - bony proliferation and remodeling of RHL distal femur, otherwise NSF In house bloodwork - PCV, Chem, T4 Clipped and cleaned wounds, flushed with LRS, and left open for drainage Received convenia 8mg/kg SQ Received simbadol 0.24mg/kg SQ Received mirataz transdermal Consider onsior tomorrow if eating PCV: 33% Chem - Low creat 0.7, normal BUN 17 - Mild low Ca 7.5 - Mild low albumin 2.0 - Elevated ALT 311 T4: WNL

9/27/2025

SO: In medical on treatment for wound. Received convenia on 9/23 BAR, hiding inside of den. Does not tolerate handling eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: unable to visualize wound or see ambulating neuro: mentation alert and appropriate A: wound P: sedated exam today to monitor wound progress 0.1ml dexmedetomidine 500mcg/ml 0.1ml ketamine 100mg/ml and 0.1ml butorphanol 10mg/ml IM Provided only light sedation Wound appears healed, limb thickened with some muscle wastage. Lost a little weight from intake zorbium for weight applied

9/28/2025

Issue List: - right HL wound - old healed right femoral fracture BAR eating well EENT: no nasal or ocular discharge noted H/L: eupneic PLN: WNL ABD: relaxed U/G: MI MSI: Ambulatory x 4 CNS: Mentation quiet - no signs of neurologic abnormalities A) wound right HL (nervous and difficult to visualize) P) CWSC

9/29/2025

Pet is eating and moving well. Urinated and defecated in litter box. Exam done in net MSI: 10 mm diameter area of granulation tissue visible distal RHL. No discharge seen or swelling palpable. A: Wound healing P: Move to holding.