9/5/2026

Estimated age: ~6 weeks based on dentition, weight, and overall appearance Microchip noted on Intake? scanned negative History: Stray Subjective: QAR in carrier Observed Behavior - Allowed all handling with minimal restraint; eating kitten food very well Evidence of suspected cruelty seen? – None Objective: T 99.3 *F BCS 2/9 EENT: Ears clean, moderate mucoid ocular/nasal discharge and conjunctivitis (worse OD than OS) Oral Exam: All deciduous dentition erupted; multiple lingual ulcers present PLN: No enlargements noted H/L: NSR, NMA, MM pink/moist, CRT < 2, lungs clear, eupneic ABD: Non-painful, no masses palpated U/G: Intact male; at least 1 testicle palpable MSI: Ambulatory x 4, flea dirt with live fleas, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally clean Wood's Lamp Exam: Negative Assessment: Severe URI with tongue ulcers, conjunctivitis, ruptured OS Underweight Live fleas Prognosis: Fair Plan: Clipped and cleaned wounds 1/2 tablet 11.4mg capstar PO once Ofloxacin OU BID x 7 days 30ml LRS + 0.2ml vitamin B12 SQ once 10mg/kg doxycycline PO SID x 7 days 0.24mg/kg simbadol SQ SID x 3 days Monitor appetite/weight/progression of URI Will likely need enucleation OS Surgery: Temporary waiver due to age/weight/URI

9/5/2026

[Spay/Neuter Waiver - Temporary] Your newly adopted pet has been diagnosed with BEING UNDERAGE and the staff veterinarians are issuing a TEMPORARY waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment through to the resolution of the issue. At the time of a full recovery you may choose to have your veterinarian perform the spay/neuter surgery, or make provisions to return the pet to ACC for sterilization.

9/6/2026

Progress exam severe URI S: Dull, depressed but perks up to QAR with handling pale pink tacky MM, CRT <2s mildly prolonged skin tent poor appetite noted but ate ravenously when hand fed no c/v/d noted sneezing persistently O: BCS 2/9 EENT: Ears clean, moderate mucoid ocular/nasal discharge and conjunctivitis (worse OD than OS) OS ruptured Oral Exam: All deciduous dentition erupted; multiple lingual ulcers present PLN: No enlargements noted H/L: NSR, NMA, lungs clear, eupneic ABD: Non-painful, no masses palpated Assessment: Severe URI with tongue ulcers, conjunctivitis, ruptured OS - under tx Underweight HX flea infestation - treated Prognosis: Guarded Plan: ADDED to ARL - severe URI, needs more intensive care / monitoring than is possible in shelter setting ADD LRS 12mL SQ BID x3d ADD Nutrical 0.2mL OTM x3d ADD Nebulize BID x3d ADD Gabapentin 0.05mL (~10mg/kg) PO BID x14d for analgesia for OS rupture Monitor appetite/weight/progression of URI Will need enucleation OS when P is appropriate anesthetic candidate DVM recheck 9/8 dt holiday If declines on 9/7 consider EHR

9/7/2026

QAR to BAR this AM. Eating wet food well, dry appears untouched. Active in kennel when roused from sleep. Notified 2681.

Upon intake Bruno was very docile with counselors. Minimal handling was done due to Bruno having to be brought back to medical as a priority. All done without any concerns.