8/1/2026

DVM Intake Exam Estimated age: 4-6 years based on dentition, consistent with owner reports Microchip noted on Intake? Scanned positive History: Owner passed away. Reported to have a history of attacking tail which led to tail amputation. Cat has reportedly been attacking tail again. Subjective: QAR Observed Behavior - tense + frozen for tasks and exam Is there evidence of suspected cruelty? No Objective: T = P = WNL R = WNL BCS: 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Adult dentition, very mild tartar PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Externally WNL, spayed female, green tattoo noted MSI: Ambulatory x 4, no ectoparasites noted, no masses noted, healthy hair coat. Wound with fleshy pink granulation tissue at tail tip. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally WNL Wood's Lamp Exam: not performed Assessment: Wound to tail tip (photos in vet docs) Spayed female Prognosis: Good Plan: Intake tasks + exam Radiographs: soft tissue lesion at tip of tail vertebrae CBC/CHM in house Flushed tail wound with LRS Applied soft bandage with tefla pad to tail wound to keep clean Zorbium for appropriate weight Gabapentin 100mg capsule PO BID x14d Recommend leaving shelter for quiet environment May need second tail amputation vs. starting on SSRI for self trauma SURGERY: Already spayed

8/1/2026

CBC HCT 44% Hgb 13.0 g/dL WBC 11.4 K/uL - mild neutrophilia 10.9 K/uL - lymphopenia 0.25 K/uL CHM Glucose 149 mg/dL SDMA 10 ug/dL Creatinine 0.9 mg/dL BUN 19 mg/dL Lytes WNL Hyperglobulinemia 5.6 g/dL (2.8-5.1) ALT/ALP WNL A: Stress leukogram Elevated globulins- r/o inflammatory vs. other P: CWCT Prioritize leaving shelter

8/3/2026

S: Recheck tail trauma, appetite. Currently on Gabapentin, zorbium. Appetite is still 1/3, poorly. O: Tail wrapped and no attempt to mess with it. A: Appetite is poorly even with stress and pain management. P: Add mirtazapine x 3d and see if that jump starts the appetite.

8/5/2026

S/O: BAR, eating MSI: Removed bandage, tail tip macerated, approx. 4cm long A: Recurrent tail mutilation Osteolysis on radiographs of distal vertebrae Prognosis: Fair P: Tail amputation, schedule with offsite surgeon Simbadol 0.6ml SQ once a day for 2 days +/- ecollar

8/12/2026

Pre-Op Exam S/O: BAR, no c/s/v/d noted EENT: No ocular or nasal discharge noted Lungs: Eupneic, normal respiratory rate/effort ABD: No obvious distention MSI: Ambulatory x 4, no notable lameness CNS: Mentation appropriate A: Appears to be suitable candidate for anesthesia, ASA status I P: Accepted for surgery - spay/neuter today Tail Amputation- V- incision, disarticulated proximal to affected vertebrae, closed SQ with 3-0 Monocryl, closed skin with 3-0 Monocryl in a simple interrupted pattern. No Suture removal. Zorbium post-op Clavamox 62.5 mg PO BID -> 8/21

8/14/2026

[Panleukopenia/Parvovirus exposure - LOW RISK] Exposure date: 8/14/2026 Notes: Vaccinated prior to exposure/shedding date or previously altered/microchipped with suspected previous vaccine history. Considered low risk. No quarantine required.

8/16/2026

[Post Surgical Exam] Attitude/demeanor: BAR Appetite: eating well C/S/V/D: none Incision site: no swelling, bruising, or bleeding; sutures appear intact Pain level: appears comfortable Licking, chewing, or biting surgical site noted: no Additional notes: n/a

8/17/2026

Alerted by staff e-collar not on and appears to be chewing at tail amp site Sedated with 0.1mL dex/torb IM - light but adequate sedation Tail amp site dehiscence with scabbing, foreign debris and scant serosanguineous dc, moderate swelling . No boney changes on rads A. Post op complication post tail amp P. Scheduled for sedated repair, concerned that is too much tissue needs to be debrided might need tail amp reduced by additional vertebrae if possible. Simbadol 0.24mg/kg SQ once (0.6mL) e-collar placed recheck comfort tomorrow

8/18/2026

Recheck day 6 post-op tail amputation - noted to have been chewing/biting at tail amp site, e-collar placed last night (not previously in place post-op) S/O: QAR, leans into pets, no c/s/v/d noted; e-collar in place EENT: No ocular or nasal discharge ORAL: mm pink and moist, CRT <2; some missing teeth, moderate to heavy tartar, some gingival recession; stage 3-4 ddz LUNGS: Eupneic MSI: Tail amp site has thick crusts and debris/hair, two puncture wounds at ventrodistal tail, no active discharge from sx site or wounds CNS: Appropriate mentation Anesthetized per sx protocol -Soaked tail in warm water with dilute chlorhex, used gauze to gently remove debris and crusts to better evaluate wound, several sutures came off -Wound edges are jagged and skin no longer apposed -White connective tissue appreciated along length of incision with no full thickness dehiscence appreciated -Tissue along sx site is erythematous and swollen -Two, adjacent puncture wounds ~2mm at ventral aspect of distal tail (proximal to sx site) appreciated -After soaking and cleaning, flushed copiously with sterile saline -Dried and placed non-stick pad with soft padded bandage -**Images of sx site and wounds uploaded to vet docs A: Tail amputation (second) - 6 days post op History of tail amputation prior to intake at shelter, reportedly due to self mutilation Self mutilation of tail - ro pain vs feline hyperesthesia vs other Dental disease P: Start onsior 2 mg/kg SQ SID Zorbium applied topically Increase gabapentin to 30 mg/kg PO BID Keep e-collar on at all times, scheduled daily checks Recheck and rebandage in 2-3 days CTM closely while at QACC