4/18/2026

Estimated age: ~2-3 years based on overall condition Microchip noted on Intake? scanned negative History: Brought in by agency after aggression towards landlord Subjective: BAR in den, hissing; required netting on intake yesterday Observed Behavior - Elected to sedate due to history; gave 0.15ml butorphanol (10mg/ml), 0.15ml dexmedetomidine (500mcg/ml), and 0.15ml ketamine (100mg/ml) IM which provided adequate sedation Evidence of suspected cruelty seen? – None Objective: BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Adult dentition with mild staining PLN: No enlargements noted H/L: NSR, NMA, MM pale pink/moist, CRT < 2, lungs clear, eupneic ABD: Non-painful, no masses palpated U/G: Intact male; 2 testicles palpable in scrotum MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally clean Wood's Lamp Exam: Not performed Assessment: Apparently healthy Prognosis: Good Plan: Full antisedan reversal given IM 100mg gabapentin PO BID indefinitely while in shelter for FAS SURGERY: Okay for surgery

4/22/2026

Pre-op exam S: Meowed, came partially out of den to say hi O: BAR-H, MMs pink and moist EENT: Clean adult teeth. No discharge OU, AU, nose. PLNs: Not enlarged H/L: NSR, NMA. Eupneic, no coughing or sneezing. Abd: Soft, not distended, no masses M/S/I: BCS 5/9. Amb x4. Very fluffy cat! Large feet. UG: Male intact, testicles soft and symmetrical Neuro: Alert and appropriate Rectal: Normal externally A: Appropriate surgical candidate P: Surgery today 1088

4/22/2026

Surgery report - cat neuter Was this cat a Cryptorchid? No Routine Feline Neuter Self tie of spermatic cord Incision left open to drain Green Linear Tattoo Placed near Midline Surgeon: 1088

4/22/2026

Feline Neuter performed by Vet: 1088 Patient anesthesia form uploaded to Shelter Buddy in Vet Documents.

4/23/2026

SO: neutered yesterday BAR eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4, no apparent bleeding or dc noted from surgical wound neuro: mentation alert and appropriate A: healing P: CTM while in care

4/23/2026

Reported drooling and sneezing in evening before pick up BAR, no oral ulceration noted P: Zorbium for weight

4/26/2026

DVM Intake Exam Estimated age: 3 years Microchip noted on Intake? Scanned positive History: Stray Subjective: QAR Observed Behavior - Tense body for exam Is there evidence of suspected cruelty? No Objective: P = 160 R = 24 BCS 4/9 EENT: Green nasal discharge. No ocular discharge Oral Exam: No oral lesions. Drooling PLN: No enlargements noted H/L: NR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated. Bladder not palpable U/G: Male neutered MSI: Ambulatory x 4. Decreased skin turgor. Skin free of parasites, no masses noted, dull hair coat CNS: Slowed mentation. Rectal: WNL externally Assessment: Anorexia Dehydrated lethargy r/o uri Prognosis: Poor to fair Plan: LRS 100 mls SQ sid x 3 days Simbadol 1.8mg/ml 0.5 ml SQ sid x 3 days Cerenia 10mg/ml 0.4 ml SQ sid x 3 days Vitamin b12 1000 mcg/ml 0.3 ml SQ Doxycycline 100mg/m 0.5 ml po sid x 10d SURGERY: Already neutered

4/29/2026

S: Hovering over water bowl, mouth open Poor appetite (1/3) O: Nasal discharge caked on face, drooling heavily A: Moderate URI with suspected oral pain and nasal congestion P: 1. Extend LRS, Cerenia and Simbadol for additional 2 days (to end on 5/1) 2. Add Magic Mouthwash (lidocaine, diphenhydramine and Maalox) on tongue BID x3 days 3. Clean face and offer enticing food 1088

4/30/2026

Recheck appetite/URI S: QAR on top of den. All food untouched. Soft stool in litterbox. O: EEN- Blepharospasm OU, thick yellow/dried nasal discharge H/L- eupneic, marked audible congestion MSK/i- Ambulatory x4, healthy haircoat. Neuro- alert/appropriate A: Severe URI Conjunctivitis OU Diarrhea, r/o FAS vs. secondary to URI vs. other P: Place IV catheter LRS @ 10ml/hr Continue with current treatment plan Switch Cerenia to IV administration Gentamicin 1 drop OU BID x7d

5/2/2026

Pet developed fat paw at IV catheter site. IV catheter removed (pet was hissing and attempting to swat during removal) all food untouched. S: BAR O: EEN- Eyes clear OU, dried nasal discharge H/L- eupneic, marked audible congestion MSK/i- Ambulatory x4, healthy haircoat. Neuro- alert/appropriate A: Severe URI Conjunctivitis OU P: D/c IV treatments Apply zorbium for appropriate weight Continue to prompt appetite

5/3/2026

Issue List: - marked URI - anorexia for several days - hypersalivation when food introduced Q-BAR; social and appreciates head rubs EENT: ocular discharge noted OS; increased salivation when food introduced into mouth H/L: eupneic ABD: relaxed U/G: MC MSI: Ambulatory x 4, generalized muscle wasting CNS: Mentation quiet - no signs of neurologic abnormalities A) severe URI with many days of poor appetite P) CWSC Feeding Tube Placement sedation- telazol- 0.16 ml IM left side of lateral neck surgically prepared; small incision made over lateral neck skin and esophagus using a hemostat down the oral cavity and tenting the esophagus and skin on the left side; 18 gauge red rubber French tub placed (after being partially cut down by about 1/3) Post placement rads- tube end at 9-10 intercostal space (pulled tube cranially a bit) Secured with a purse string knot and then 2 crisscross interlocking sutures (3-0 pds). Feeding instructions: Flush with 5 ml water Give 1/4 to 1/3 can of critical nutrition diet with some water to make it soupy and place down tube slowly over 10-15 minutes (amount should not exceed 30 ml in the syringe) Flush again with 5 ml water Fluid therapy: Fill fluid bag with 200ml tap water and attach IV tubing to the end of the feeding tube. Set the fluids on a slow drip (about 1 drop/2-3 seconds).

5/5/2026

Food dishes untouched. Pet vomited towards end of 30 ml e-tube feeding this morning but tolerated 1/6 can in 15 mls slowly mid-day. EEN: green nasal discharge ORAL: no oral lesiona RESP: Increased inspiratory effort MSI: General muscle wasting. Mildly decreased skin turgor. NEURO: QAR A: anorexia vomiting mya have been due receiving liquid doxycycline on an empty stomach prior to feeding. energy improving. Prognosis: Poor Plan LRS 100 mls SQ sid x 2 days seek at risk placement

5/5/2026

Completed TID tube feedings. Vomited during first feeding. Fed 15 ml of slurry during second and third feeding and tolerated well

5/6/2026

Per Dr. 1697, Weight today 8.6 lbs Very active on scale

5/7/2026

Administered TID e-tube feedings 1/3 can diluted to 30 mls slow