8/15/2025

Your newly adopted animal is in treatment for an upper respiratory illness. The veterinarian is temporarily waiving this animal from the spay/neuter requirements of the City of NY until such time as the illness has resolved and the pet has sufficiently recovered. At that time, this animal must come into compliance with the spay/neuter requirements.

8/15/2025

DVM Intake Exam Estimated age: 6-12 months Microchip noted on Intake? N History: Stray Subjective: Observed Behavior - Initially friendly but quickly became fractious with limited handling. Growled and hissed, then bit assistant breaking skin very quickly. Is there evidence of Cruelty? N Is there evidence of Neglect? N Is there evidence of Trauma? N Objective BCS 2-3/9 EENT: Eyes clear, severe debris AD, no ocular discharge noted, severe purulent nasal discharge, severe audible congestion Oral Exam: Clean adult dentition, no oral ulcers noted. Drooling. H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic, referred upper airway sounds/stertor ABD: Non painful, no masses palpated U/G: MI, two scrotal testes MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, underweight CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally normal Other: Empty bowl of wet food in cage Assessment Nasal discharge and severe stertor- URI +/- polyp Underweight Otitis Prognosis: Fair Plan: Start doxycycline 10 mg/kg PO q24 x 10 days- put in food, not directly in mouth d/t behavior Monitor appetite, weight closely Recheck in 2 days Sedate when time/staffing allows for polyp check and ear cleaning/treatment SURGERY: Temporary waiver due to illness

8/17/2025

-suspected polyp vs URI S/O BAR, A+A, comes to the front of the kennel, no c/s/v/d appreciated or noted, food trays empty, reportedly taking meds well EENT: no ocular or nasal dc HL: eupneic, audible congestion/stertor MSI: amb x 4 A. URI vs polyp vs open- no ocular or nasal dc but significant stertor P. Elected not to sedated today as p also needs to be neuter and is on a DOH-B hold CTM and recheck in 3 days, if no URI signs consider d/c'ing doxy

8/19/2025

Recheck URI, suspected polyp, underweight S/O: BAR, active in kennel, initially tolerates touch then tenses and begins hissing; no c/s/v/d noted EENT: Moderate mucoid nasal discharge, no ocular discharge LUNGS: Marked stertor, RUAS MSI: Underweight, ambulatory x 4 CNS: Appropriate mentation A: Stertor - ro nasopharyngeal polyp vs other URI Underweight Otitis P: Wait out DOH hold Neuter and polyp search at the same time CTM on rounds

8/20/2025

Spay/Neuter Waiver - PANLEUKOPENIA / PARVOVIRUS EXPOSURE] Your newly adopted pet has been exposed to PANLEUKOPENIA 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. Eligible for surgery on or after 9/3/2025

8/20/2025

[Panleukopenia/Parvovirus exposure – HIGH RISK] Exposure date: 8/20/2025 Quarantine Start: 8/20/2025 Quarantine End: 9/3/2025 If under 5 months old the patient will have to continue to quarantine until the date listed above. If over 5 months old the patient will need a Titer check must be performed to measure the patients protective antibody levels in order to determine if their quarantine needs to continue.

8/24/2025

Beh req 2 week gaba trial, rx'd gaba 100mg PO BID indef in care. CTM while at QACC

8/25/2025

On 08/25/25 at approximately 9:00 am, I examined Carrot Cake 234391. He has appropriate mentation at this time with no neurologic signs present, and has not exhibited any neurological signs while at ACC.

8/26/2025

URI day 10 - BAR, good appetite, no c/s/v/d noted, heavy mucopurulent nasal discharge, no ocular discharge, stertor, otherwise eupneic. A: Persistent URI/stertor - ro nasopharyngeal polyp Underweight - good appetite Otitis P: Doxycycline ended yesterday, okay to d/c and CTM on rounds Recommend neuter and polyp search when quarantine ends, sooner if URI signs progressing

8/29/2025

Monitor URI and suspected nasopharyngeal polyp, quarantined for panleuk exposure S/O: BAR, eating well, no c/s/v/d noted, moderate mucoid nasal discharge, significant stertor/congestion, otherwise eupneic. A/P: URI, suspected polyp - neuter + polyp search ASAP when quarantine ends. CTM on daily rounds.

9/3/2025

End of panleuk quarantine, scheduled for neuter/polyp search today S/O: BAR, no c/s/v/d noted, moderate mucoid nasal discharge, audible congestion. A: Persistent URI signs + stertor - ro polyp vs other P: End of quarantine, no clinical signs; okay for sx

9/3/2025

Was this cat a Cryptorchid? no If so, describe surgical process: Routine Feline Neuter Self tie of spermatic cord Green Linear Tattoo Placed near Midline Surgeon: 990665 Additional Note: Polyp Check: large polyp plucked approx 1"-1.24 # Nasal Flush with 6 mls sterile saline (3 ml per nares) Adequate hemostasis confirmed Otic Exam- debris, mild. Ears cleaned Rx: Convenia 0.23 ml SQ Wood's Lamp positive post-op on suspicious lesion on ventral tail Bath q. Mon/Thursday Itraconazole 1.2 ml PO SID x 30 days (10/2) Move to Iso 2 DVM recheck 9/4 to assess polyp/ND and RW plan

9/4/2025

Disc with feline behavior team that p is too fractious for lyme dips aTT. D/cing lyme dips, con't with oral meds. Seek placement asap so p can be treated in low stress enviroment.

9/8/2025

Progress exam: URI signs noted Subjective: BAR, no C/S/V/D. Audibly congested Objective: EYES: Clear, no discharge LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mucoid discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -Under the weather sign placed -Start doxycycline 10mg/kg PO q24h x10days -CTM, recheck in 3 days

9/10/2025

Ringworm PCR - positive for microsporum spp Plan: Continue oral itraconazole, seek placement ASAP for continued treatment. Unable to administer lyme dip or other topical treatment due to behavior in shelter.