6/4/2026

DVM Intake Exam Estimated age: ~4-7 years based on dentition / condition Microchip noted on Intake? Scanned negative History: OS, hx indoor/outdoor Subjective: QAR, pink mm, moderate ptyalism, NATA CRT dt behavior Observed Behavior - Nervous but tolerant, leans into pets, ears turned laterally but tolerated all tasks / froze Is there evidence of suspected cruelty? No Objective: T = 104.2F rectal P = WNL R = WNL BCS 4/9 EENT: Mild mucoid discharge OS at medial canthus with clear cornea, severe dark crumbling debris AU, no nasal discharge noted Oral Exam: Missing multiple incisors, Multifocal severe gingivitis and some frank blood from gingiva - difficult to pinpoint which teeth due to behavior, appears resorptive, moderate ptyalism PLN: No enlargements noted H/L: NSR, NMA, CRT < 2s, Lungs clear, eupneic, negative ITC ABD: Soft, nonpainful, no masses palpated U/G: Male - intact, two symmetrical scrotal testicles MSI: Ambulatory x 4, full orthopedic exam not performed INT: Unkempt hair coat, no masses noted, no ectoparasites seen, ~2mm wound with frank blood oozing near medial canthus OS CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Normal externally Wood's Lamp Exam: Not performed Assessment: Multifocal FORL Nausea r/o 2ary to FORL vs motion sickness (recent arrival) vs 1ary GI Wound near medial canthus OS Pyrexia Otodectes AU FIV+ MI mature adult DSH Prognosis: Fair Plan: OK for appropriate intake tasks OK for vaccines despite pyrexia given shelter environment - high risk Move into med ICU GAVE AT TIME OF EXAM: Cerenia 0.45mL SQ ONCE Convenia 0.45mL SQ ONCE LRS 100mL SQ ONCE Onsior 0.45mL SQ ONCE Ivermectin 0.14mL SQ - repeat in 2 weeks Zorbium green tube applied topically Cleaned AU DVM recheck comfort / pyrexia 6/5 Attempted to use silver nitrate on wound but P would not tolerate, ran backwards FIV SNAP POSITIVE If wound not healing, consider bloodwork +/- wound explore at time of neuter Recc dental with placement ASAP once P is appropriate candidate for anesthesia SURGERY: Temporary waiver for pyrexia

6/4/2026

Discussion: Feline immunodeficiency virus (FIV) Feline immunodeficiency virus (FIV) is one of the most common and consequential infectious diseases of cats around the world. In infected cats, FIV attacks the immune system, leaving the cat vulnerable to many other infections. Although cats infected with FIV may appear normal for years, they eventually suffer from immune deficiency, which allows normally harmless bacteria, viruses, protozoa, and fungi found in the everyday environment to potentially cause severe illnesses. Though there is no cure for FIV, recent studies suggest that cats with FIV commonly live average life spans, as long as they are not also infected with feline leukemia virus. Risk and Transmission: The primary mode of transmission for FIV is through bite wounds from an infected cat. Casual, non-aggressive contact, such as sharing water bowls or mutual grooming, does not appear to be an efficient route of spreading the virus. As a result, cats in households with stable social structures where housemates do not fight are at little risk of acquiring FIV infections. Only on rare occasions, an infected mother cat may transmit the infection to her kittens. However, if the mother becomes infected with FIV during her pregnancy, the transmission risk to the kittens is increased. Sexual contact is not a significant means of spreading FIV among cats.

6/4/2026

Your newly adopted pet has been diagnosed with HYPERTHERMIA 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.

6/5/2026

Progress exam P received Zorbium on 6/4 S/O: AS1/3 but reported to possibly have licked tuna. Q-BAR in kennel, sitting in loaf but would back away when approached with very tense body posture and flattened ears. No ptyalism noted. Limited exam to keep FAS low. Wound on left eye medial canthus no longer hemorrhaging, dried crusty discharge present but stable. A: FIV + Severe dental disease with FORL Anorexia - r/o oral discomfort vs high FAS vs other systemic illness Drooling/ptyalism - none observed today hx pyrexia on intake P: Recheck appetite briefly tomorrow - if not eating still, recommend starting supportive care and appetite stimulants Keep P in ICU covered to reduce FAS

6/6/2026

Appetite recheck: P is eating! Observed eating RC adult wet food in the afternoon. No BM noted, LB remains empty. *Recheck tomorrow to assess urination/defecation *If doing well, recommend moving up to adoptions, ideally in a quieter space to reduce FAS as suspect anorexia d/t stress/behavior

6/7/2026

Progress exam P received Zorbium on 6/4 S/O: BARH - pink moist mm at distance. When lifting cage cover slowly P hissing and swatted at kennel door. Limited exam to keep FAS low. Fair appetite for wet and dry food no c/s/v/d reported. Urine in litterbox but no stool yet. Wound on left eye medial canthus no longer hemorrhaging, dried crusty discharge present but stable. A: FIV + Severe dental disease with FORL Wound medial to OS - healing Anorexia - resolved @tt No defecation r/o behavioral vs constipation P: Move to adoptions to help reduce FAS ADD Gabapentin 100mg (~22mg/kg) PO BID TFN ADD psyllium husk 1/2 tsp PO BID x7d DVM recheck appetite / defecation 6/9

6/9/2026

Recheck Exam Appetite score 2 Defecation noted yesterday, no diarrhea reported No c/s/v/d reported recently EENT: No ocular or nasal discharge H/L: Eupneic, normal RR MSI: Wound medial to OS has mild crusting, no hemorrhage or active discharge CNS: Normal mentation A: FIV+ Severe dental disease with FORL Wound medial to OS - healing No defecation - resolved Plan: Continue current treatments CTM appetite, defecations

6/18/2026

Unable able to do due to increased FAS (hissing and swatting). Follow up with placement per 1438. // Completed.

6/26/2026

Progress exam: URI signs noted on rounds Subjective: BAR, no C/V/D. Sneezing present Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -Under the weather sign & monitor log placed on kennel -Start fortiflora PO SID x10 days -CTM, recheck in 3 days

7/12/2026

Progress exam: URI recheck Subjective: BAR, no C/S/V/D. AS:3 empty bowl Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI appears resolved PLAN: Per standing orders -URI signage removed from kennel. -CTM on daily rounds while in QACC