6/30/2026

[DVM Intake] DVM Intake Exam Estimated age: 12-15yrs old based on dentition/conformation Microchip noted on intake? scans positive History: Stray brought to offsite clinic noted to be acting lethargic. Was found to have severe flea infestation and to be anemic (PCV 10% on 6/25) at offsite clinic. Was given capstar and selamectin on 6/25 and 6/26 and transferred to shelter. Subjective: BAR, eating well Observed Behavior - vocal, growling with restraint but did not escalate Is there evidence of suspected cruelty? no Objective: P = 190 R = 30 BCS 4/9 EENT: Eyes clear with iris atrophy OU, ears mild ceruminous debris AU, no nasal or ocular discharge noted Oral Exam: oligodontia PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: F; no vulvar dc or MGTs, no spay scar or tattoo MSI: Ambulatory x 4, large amount of flea dirt but no live fleas, no masses noted, unkempt hair coat, dorsal muscle wasting CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment: Geriatric F DSH Hx of anemia Hx of fleas- treated with selamectin 6/26 Oligodontia Muscle-wasted Prognosis: fair pending further diagnostics Plan: intake tasks CBC/Chem/T4 in-house DVM recheck tomorrow; rec place in medical for ongoing monitoring if space becomes available Soft food only SURGERY: Permanent waiver due to age/comorbidities

6/30/2026

In-house bloodwork: CBC: Regenerative anemia (HCt 14%) with reticulocytosis (148 K/uL) Leukocytosis with mature neutrophilia, monocytosis and eosinophilia Chemistry did not run. Assessment: Regenerative anemia (r/o secondary to flea infestation vs other infectious (mycoplasma vs bartonella) with appropriate regenerative response Leukocytosis with mature neutrophilia, monocytosis and eosinophilia (R/o inflammation vs infection vs neoplasia) PLAN: Continue to monitor anemia Rec draw blood for chemistry panel in the next 48hrs to get full picture of her status Expedite microchip search Consider emergent placement for ongoing diagnostics/care +/- deadline if deteriorating in shelter

7/1/2026

Recheck geriatric cat with severe anemia, error with blood yesterday and chemistry did not run S/O: QAR, great appetite, no c/s/v/d noted, large amt urine in LB, no ocular or nasal discharge, eupneic. A/P: Geriatric, severe anemia; CBC/CHEM/T4 to lab, move to ICU, and recheck tomorrow

7/2/2026

Recheck, bw results S/O: BAR, eating very well, no c/s/v/d noted EENT: Sunken OU with no ocular or nasal discharge LUNGS: Eupneic MSI: Underweight, muscle wasting CNS: Appropriate mentation CBC: Hct 19.8 (L), reticulocytes 74 (H), WBC 45.7 (H), neutrophils 37.657 (H), monocytes 2.239 (H), eosinophils 2.559 (H), basophils 0./183 (H), platelets 708 (H) CHEM: SDMA 18 (H), BUN 39 (H), creatinine 1.7 (N) T4: wnl A: Severe leukocytosis - ro neoplasia (top differential due to age, condition, etc) vs infection vs inflammation vs other Severe anemia, regenerative - ro loss vs immune mediated hemolysis vs other Prognosis: Poor long term P: Consider EHR at end of stray hold due to severe anemia, leukocytosis, suspicion of neoplasia CTM on rounds while at QACC, house in ICU

7/3/2026

Recheck - BAR, active and vocal at front of kennel, eating very well, no c/s/v/d noted, no ocular or nasal discharge, eupneic. PLAN: CTM while at QACC, consider fospice placement as patient is doing well clinically with good QOL at this time (despite suspected systemic illness ro neoplasia).

7/7/2026

Recheck S/O: BAR, active, eating very well, gaining weight, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Ambulatory x 4, healthy haircoat CNS: Appropriate mentation CBC: Hct 23 (L), WBC 35.65 (H), neutrophils 30.87 (H), monocytes 1.99 (H), platelets 148 (L) *plt aggregates detected PCV/TS: 23/7.2 A: Geriatric Severe anemia - slight improvement Severe leukocytosis - slight improvement P: Repeat CBC, PCV/TS Okay to leave icu when space allows Continue to seek placement for palliative care Suspect underlying disease (neoplasia), but current QOL is good CTM while at QACC

7/7/2026

Recheck CBC TS 7.2, PCV 23