3/29/2026

DVM Intake Exam Estimated age: ~8 years based on dentition / condition - consistent with reported age Microchip noted on Intake? Scanned positive History: OS Subjective: BARH, pink moist mm, CRT <2s Observed Behavior - Nervous but tolerant, leans into pets Is there evidence of suspected cruelty? No Objective: P = WNL R = WNL BCS 9/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Severe calculus and gingivitis PLN: No enlargements noted H/L: NSR, NMA, CRT < 2s, Lungs clear, eupneic, negative ITC ABD: Soft, nonpainful, no masses palpated U/G: MN - no scrotal testicles, no penile spines MSI: Ambulatory x 4, full orthopedic exam not performed INT: Matting at caudal dorsum, no masses noted, no ectoparasites seen CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Normal externally Wood's Lamp Exam: Not performed Assessment: Morbidly obese r/o underlying endocrinopathy vs excessive caloric intake Severe dental disease Matted Otherwise apparently healthy MN mature adult DSH Prognosis: Good Plan: OK for appropriate intake tasks Shaved mats on dorsum CBC/biochem/SDMA/T4 to idexx Monitor appetite x3d since high risk for HL RS recheck appetite 4/1 - if not eating notify DVM Strongly recc dentistry with placement SURGERY: Already altered

3/30/2026

Blood work results: CBC: L eos (0.029) CHEM: sl L BUN (14) H albumin (4.1) H bili (total 1.1, unconj 1.0) w normal LEs TT4: wnl A. H bilirubin with H end of n ALP and L BUN with obesity - r/o early hepatic lipidosis vs artifact of hemolysis P. Moved down to medical for closer observation- no signs of ictunclear if p is eating as food not in kennel when checked and no log up. midaz 0.2mg/kg once today (0.36mL) CTM throughout the day - add in additional supportive care as needed priority recheck tomorrow - p still on L+F hold, consider EP if still not doing well tomorrow and rec repeating chem panel +/- rads/AUS

4/1/2026

AS:2 untouched wet food, noted by staff to have eaten some sardines, dry food appears mildly disturbed. DVM recheck

4/2/2026

Recheck obese anorexic cat S/O QAR, leans in for pets when approached, no c/s/v/d appreciated, food appears untouched, not interested in sardines when offered EENT: no ocular or nasal dc HL: eupneic MSI: good skin tent A. Obese Anorexia P. Start cerenia 1mg/kg SQ x 3 days (0.86mL) start fluid 100mL SID x 3 days midaz 0.2mg/kg IM once today Brief recheck tomorrow - if not eating consider another dose of midaz Full recheck in 2 days, rec repeating Chem and at that time to see how liver enzymes/bilirubin levels are- no signs of icterus aTT. Seek placement asap - p is in need of quiet environment where she can decompress and have her appetite improve. Would benefit from weight loss with placement or adopts. CTM and keep in recovery

4/3/2026

Brief recheck Patient appears to have eaten some high value treats in kennel. Leans into pets when approached slowly and purrs, but will hiss if environment is loud. No c/s/v/d. Hiding behind box. A. Anorexic obese cat - eating some HVT P. Continue with supportive care Provided cage cover Attempt gaba trial - 100mg PO BID x 10 days in HVT Recheck tomorrow - reweigh Seek placement ASAP - patient is sweet and social but highly stressed in shelter environment

4/4/2026

Recheck poor appetite, bloodwork S/O: QAR, fearful but very sweet with slow handling, allows all medical handling, no c/s/v/d noted, did not eat food overnight EENT: No ocular or nasal discharge ORAL: mm pink and moist, moderate calculus and resorption noted - stage IV ddz H/L: NSF MSI: Obese with shaved section at caudal dorsum CNS: Appropriate mentation CBC: lymphocytes 0.9 (L) CHEM: BUN 14 (L) A: Hyporexia vs anorexia Obesity Periodontal disease Hyperbilirubinemia - resolved P: Start medical feedings BID and monitor appetite closely, okay to d/c SQ LRS and cerenia after today Recheck appetite in 2 days

Upon intake Tima was very fearful/shut down but still tolerant with staff. He was handled minimally.