1/13/2025

DVM Intake Exam Estimated age: approx 7-10 years based on dentition and confirmation, consistent w o reported age of 7 years Microchip noted on Intake? scanned NEGATIVE History: o surrender Subjective: QAR Observed Behavior - allowed for handling and tasks Is there evidence of Cruelty? N Is there evidence of Neglect? Y- p was in kennel coated in fecal matter, hind end had matting, live cockroaches on fur. Also underweight. Is there evidence of Trauma? N Objective T = NP P = wnl R = wnl BCS 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: moderate wear and staining to dentition w calculus PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 4, cockroach crawled out of fur, good skin turgor, some sparse matting over the rear, fecal staining to all limbs and perineal area. Diffuse muscle wasting, esp over the epaxials CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: DRENP, externally fecal scalding Assessment Underweight Diarrhea- SNAPPED neg for parvo (panleuk) FIV/FELV test NEGATIVE Underweight Dental disease Prognosis: fair-guarded Plan: intake exams and tasks Parvo snapped In house CBC/CHEM/T4: -lymphopenia (0.66) -thrombocytopenia - artifact, sample sitting out -sl hyperglycemia- r/o stress vs artifact from sample out too long -hyperglobulinemia (6) r/o second to dental dz -TT4 wnl -Start on fortiflora 1 packet on wet food SID x 7 days -Allow to acclimate to shelter, recheck in 3 days for general health, D+ -Would benefit from work up at full service wet with potential dental w placement or adoptions SURGERY: Okay for surgery: N prior altered

1/16/2025

Recheck diarrhea, underweight at intake; on fortiflora S/O: QAR, hiding in den Diarrhea FS 6-7 reported, "all over kennel" Reported to eat wet food No c/s/v noted EENT: No ocular or nasal discharge LUNGS: Eupneic, normal rate and effort MSI: Unkempt long haircoat with fecal soiling, mild prolonged skin tent CNS: Appropriate mentation A: Diarrhea Dehydration Underweight Dental disease P: Brought to ICU for closer monitoring Start SQ LRS 75 ml SID x 2 days Start metronidazole 10 mg/kg PO BID x 5 days Feed GI diet Recheck in 2 days

1/18/2025

PROGRESS EXAM S/O: BAR, FS6 in LB, small pile of hair-ball vomit in kennel. Pink mm, mildly prolonged skin tent. Eupneic. No ocular or nasal discharge. Abdomen non-painful. A: Underweight Anorexic Diarrhea Dental disease P: Continue with following treatments: -Fortiflora x 7 days, until 1/20 - extend to 1/25 -LRS fluids 75ml SQ x 2 days, until 1/19 - extend to 1/21 -Add Cerenia 1mg/kg SQ x 3 days until 1/20 -Add Mirtazapine transdermal to pinna x 3 days until 1/20 -Send fecal sample for OPG, check for results on 1/19 *Recheck on 1/20, reweigh *Added to ARL given continued GI issues

1/20/2025

Make sure fecal sample is sent out, tag placed 1/19 Fecal sample collected from litter box. It had a thick tube paint consistency. Sample will be sent to Idexx.

1/21/2025

Recheck diarrhea, gaining weight in shelter S/O: QAR, leans into petting Good appetite No c/s/v noted, no stool noted today EENT: No ocular or nasal discharge ORAL: Tartar, mm pink and moist Lungs: Eupneic MSI: Dorsal muscle wasting, underweight CNS: Appropriate mentation Fecal OPG - negative A: Diarrhea Underweight Dehydration - improved Dental disease P: Continue fortiflora and monitor stool Recheck in 2 days, move out of ICU if diarrhea resolved

Upon intake cat was immediately taken back to medical, minimal handling done.