8/30/2024

DVM Intake Exam Estimated age: 2-3 years based on dentition Microchip noted on Intake? Scanned negative History: Stray Subjective: BAR Observed Behavior - whale eyed initially and then warms up over time, vocalized loudly for blood draw but did not escalate Is there evidence of Cruelty? No Is there evidence of Neglect? No Is there evidence of Trauma? No Objective T = P = WNL R = WNL BCS: 7/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Adult dentition, mild staining fairly clean/white 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, faint OHE scar and minimal nipple development noted MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally WNL Wood's Lamp Exam: not performed Assessment Overweight Spayed female Prognosis: Good Plan: Intake tasks + exam Await sort Spot BG: 72 mg/dL (WNL) SURGERY: Already spayed

9/17/2024

Foster Exam History: Coughing, sneezing, green ocular discharge, hyporexia Subjective: QAR Observed Behavior - Tense body for exam, attempts to flee Objective P = 160 R = WNL BCS 7/9 EENT: Eyes clear, green nasal and ocular discharge noted Oral Exam: Mm pink moist. Erosions caudal roof of mouth PLN: No enlargements noted H/L: NR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Female spayed. MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: WNL externally Assessment Hyporexia Weight loss 2# URI - moderate r/o viral Oral ulceration Prognosis: Poor to Fair Plan: LRS 200 mls SQ Vitamin b12 1000 mcg/ml 0.3 ml SQ Cerenia 10mg/ml 0.3 ml SQ Zorbium 1ml topical Doxycycine 50mg/ml 1.2 mls po sid x 7d Entyce 30mg/ml 0.4 ml PO sid x 4d Advise return to shelter if not eating in 2 days

10/14/2024

Hx: trial adopter is concerned that cat is in "heat"; initial intake exam suggests previously spayed Q-BAR EENT: no nasal or ocular discharge noted H/L: eupneic PLN: WNL ABD: overweight (BCS 8/9)-difficult to palpate U/G: F MSI: Ambulatory x 4, overweight CNS: Mentation quiet - no signs of neurologic abnormalities A) Possible in-heat behavior at adoption P) AMH test to check for ovarian remnant syndrome/FI Sample to be collected ASAP

10/15/2024

Blood drawn for AMH testing to be sent out to lab.

10/23/2024

Canine/Feline AMH 6.1 ng/ml Test Name Result Anti-Mullerian hormone level is consistent with the presence of ovarian tissue. P: Schedule OHE

10/24/2024

DVM Intake Exam Estimated age: 3-5 years based on dentition Microchip noted on Intake? Scanned positive History: Recent adoption, returning/surrendering due to not being comfortable and reported bite incident Subjective: QAR Observed Behavior - periodic lip licking, allows exam, UTD on tasks Is there evidence of Cruelty? No Is there evidence of Neglect? No Is there evidence of Trauma? No Objective T = P = WNL R = WNL BCS: 7/9 EENT: Eyes clear, ears clean AU, no nasal or ocular discharge noted Oral Exam: Adult dentition, fairly clean PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Externally WNL, intact female (confirmed on AMH results) MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally WNL Wood's Lamp Exam: not performed Assessment Overweight Otherwise apparently healthy Intact female Prognosis: Good Plan: Intake tasks + exam Observe DOH hold Await sort SURGERY: Okay for surgery at conclusion of hold

11/1/2024

At approximately 9:00am on 11/1/24 Juni was examined. She was laying down in the den and looked at me during the interaction. No apparent signs of neurologic deficits or abnormalities were noted during the interaction or during her time in care. P: Consider releasing from DOH hold

12/19/2024

SO: Reported suddenly not bearing weight on HLs BAR, laying on side and allows all handling eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: non ambulatory on HLs, when assisted to stand, immediately sinks to ground and lays on side again, no pain swelling or crepitus appreciated on manipulation/palpation of HLs and lumbar spine neuro: mentation alert and appropriate A: r/o soft tissue injury v other P: 0.6ml robenacoxib 20mg/ml sc cage rest, no jumping if not improving will sedate for radiographs

12/20/2024

SO: In medical on treatment for sudden onset lameness BAR, allows all handling with soft body T: 102.7 eent: eyes clear, no ocular or nasal dc apparent oral: small ulcer at tongue tip h/l: eupneic, no coughing or sneezing appreciated msi: weakly ambulatory with support, but reluctant to bear weight on all 4 limbs now neuro: mentation alert and appropriate A: polyarthropathy-suspect calici arthritis P: extending onsior 150ml LRS sc SID x5d zorbium 1ml topically q3d x2 doses

12/21/2024

SO: In medical on treatment for oral ulceration and polyarthropathy BAR, head butting and seeking attention. Eating some treat foods, but not eating regular diet T: 103.6 W: 14.5 lbs eent: eyes clear, no ocular or nasal dc apparent oral: tongue tip ulcer h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 with support, but some knuckling today, paws feel warm, palpable pulses, no pain response on manipulation/palpation of hindlimbs neuro: mentation alert and appropriate A: polyarthropathy oral ulceration pyrexia P: sedate for survey radiographs of pelvis and lumbar spine using 0.1ml dexmedetomidine 500mcg/ml, 0.1ml ketamine 100mg/ml, 0.1ml butorphanol 10mg/ml IM No obvious abnormalities noted on radiographs cbc/chem in house 0.65ml cerenia IV once 0.6ml robenacoxib 20mg/ml sc SID x3d

12/21/2024

CBC/chem in house CBC HCT 16.7% marked thrombocytopenia Chem BG 240 mg/dL (H) BUN 12mg/dL (L) Ca 7.7 mg/dL (L) Blood work is supportive of calicivirus arthritis Resolution expected in 2-7 days continue pain management and other supportive measures Prognosis is guarded-fair depending on progression of symptoms

12/22/2024

Issue List: - possible poly-arthropathy; lame on multiple legs - overweight - lingual ulcer - URI - anorexia - anemia (but cat has pink mm's) QAR H pink mm's EENT: no nasal or ocular discharge noted; lingual ulcer H/L: eupneic PLN: WNL ABD: relaxed U/G: FI MSI: Ambulatory x 4, normal hair coat; overweight; reluctant to stand; right HL appears particularly sensitive- not placing any weight and fully extended; scaling CNS: Mentation quiet - no signs of neurologic abnormalities A) -overweight -r/o viral infection (e.g. Calicivirus) causing tongue ulcer, polyarthropathy and fever -anorexia prognosis guarded to poor if appetite doe not stabilize P) CWSC repeat PCV- 30% (possible lab error on in house CBC) BG- 137 mg/dl

12/24/2024

Issue List: - h/o multi-leg lameness - URI appears improved - reluctant to eat but then seen taking some Churu treat Q-BAR H EENT: no nasal or ocular discharge noted; slight rostral lingual ulcer (better) H/L: eupneic PLN: WNL ABD: relaxed U/G: FI MSI: Ambulatory x 4, dull hair coat; obese; some scaling CNS: Mentation quiet - no signs of neurologic abnormalities A) URI with anorexia signs appear to be improving P) CWSC extending SQ fluids