5/29/2026

DVM Intake Exam Estimated age: ~5-8 years based on dentition / condition Microchip noted on Intake? Scanned negative History: ORE overturn. O reported behavior changes (biting and scratching of another person in home (>10 days ago)) and inappropriate elimination P has been urinating and defecating consistently in litterbox and eating/drinking well since admit Subjective: BARH, pink moist mm, CRT <2s Observed Behavior - Friendly, soliciting attention, likes churu Is there evidence of suspected cruelty? No Objective: P = WNL R = WNL BCS 7/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Moderate staining of dentition with moderate calculus on maxillary carnassials PLN: No enlargements noted H/L: NSR, NMA, CRT < 2s, Lungs clear, eupneic, negative ITC ABD: Soft, nonpainful, no masses palpated U/G: Female spayed, green tattoo present MSI: Ambulatory x 4, full orthopedic exam not performed INT: Healthy hair coat, no masses noted, no ectoparasites seen CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Normal externally Wood's Lamp Exam: Not performed Assessment: Moderate dental disease Overconditioned Otherwise apparently healthy FS mature adult DLH Prognosis: Good Plan: OK for appropriate intake tasks CBC/biochem/T4 to IDEXX given O history (history not consistent with health and behavior reported in shelter) Consider routine dentistry with placement SURGERY: Already altered

5/30/2026

Progress exam S/O. Reported to vomit yesterday and this AM - bile/liquid only, reported to be polydipsic. BAR, laying in den then approached further for interaction; extremely affectionate and friendly, leaning into head rubs and chin scratches. Eating Churu eagerly when offered. Normal skin tent, mm slightly tacky but pink with crt<2secs. No ocular or nasal discharge, eupneic. In excellent body condition. Mild iris atrophy present. BLOODWORK: CBC: HCT 46.0 WNL HGB 12.8 low MCV 53 low MCH 14.6 low RDW 20 high Retic 18 low Retic HGB low Monocytes 1.05 high Eosin 2.202 high Biochem: SDMA 21 high Creatinine 2.1 high BUN 39 high Sodium 159 high Chlor 125 high Tot protein 8.1 high GLob 4.6 high TT4 2.3 WNL A. Vomiting in shelter PU/PD Hyperglobulinemia - r/o inflammation Elevated chloride and sodium - r/o GI vs osmotic diuresis (e.g. renal disease, diabetes mellitus) Azotemic - suspected renal Elevated creatinine and SDMA Good appetite currently *Bloodwork and clinical signs are consistent with chronic kidney disease P. Start: -LRS SQ fluids 100ml SQ q24h x 4 days -Cerenia 0.5ml SQ q24h x 4 days *Collect urine for UA to send to Idexx *Monitor daily on rounds *Recheck appetite and hydration in 3 days, extend/edit medications as needed *Once placed start on kidney diet, ensure eating consistently in shelter *Add to ARL *Based on appearance/age, suspect P is older - editing age to 10 y/o

6/1/2026

UA via cystocentesis sent to lab