8/14/2025

DVM Intake Exam Estimated age: dentition and conformation consistent w o reported age of 6 months Microchip noted on Intake? scanned negative History: os for medical reasons -p HBC 8/9 -brought to family vet 8/11 for treatment with hx of leaking stool and urine, not posturing -at family vet dx with caudal sacrum pelvic fx with possible neurologic involvement. -o reports p has appears more comfortable since vet visit, eating and drinking well Subjective: BAR Observed Behavior - solicits pets, allowed for handling and tasks, sedated for rads Is there evidence of Cruelty? N Is there evidence of Neglect? N Is there evidence of Trauma? Y- hx of HBC Objective T = np P = wnl R = wnl BCS 4.5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: adult inc and canines PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: F suspected intact MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities except anal tone (see below) Rectal: significant decreased anal tone, mild perianal erythema, stool visible in rectum sedated with 0.04mL dex/torb IM for rads- adequate sedation achieived Rads done for comparison of offsite rads- fx in the caudal sacrum with significant soft tissue swelling around the fracture Assessment Caudal sacrum fx/tail fracture Prognosis: guarded Plan: intake exam and tasks sedated for comparison rads (see above)- reversed with equal vol antisedan, smooth recovery gaba (100mg/mL) 0.2mL PO BID indef while fx healing Concern that p doesn't have anal tone and might be incontinent- recheck tomorrow, px guarded as if no anal tone, decreased QoL Priority recheck tomorrow SURGERY: Okay for surgery: N Temporary waiver due to tail fx

8/15/2025

recheck, HBC cat with tail fx, able to use litter box? S/O BAR, A+A, no c/s/v/d appreciated, formed FS4 in kennel (not in litter box), urine clumping in litter box food trays empty, meowing and trying to get food EENT: no ocular or nasal dc HL: eupneic GA/GU: npm, external anal sphincter mildly opened with the edges mildly erythematous MSI: amb x 4, good skin turgor A. Caudal sacral fx with significant diminished anal tone Suspected fecal incontinence P CTM progress in medical- p was HBC 8/9 and appears greatly improved from initial medical record. Seek placement- p require cage rest and time for the fracture to heal, aTT unclear how much (if any) of the anal tone could return Brief litter box recheck tomorrow Full recheck in 2 days CTM while at QACC

8/16/2025

BAR, very sweet and active. Eating well. Normal fecal ball present in kennel. Urine present in litterbox. Some anal tone present, but markedly reduced with small visible fecal ball just beyond anus. No obvious neurological deficits on ambulation. P: CTM, seek placement - added to ARL

8/17/2025

recheck: -fx tail -greatly diminished anal tone S/O BAR, no c/s/v/d, A+A, comes up to the front of the kennel, solicits pets, FS4 in litter box, reported to not have stool outside the litterbox today, normal urine clumping in litter EENT: no ocular or nasal dc HL: eupneic GA/GU: npm, significant diminished anal tone, external sphincter appears more closed that prior exam MSI: amb x 4, good skin turgor A. Fx tail Diminished anal tone Some degree of fecal incontinence (not noted to be posturing) P. CTM in medical and seek placement recheck in 2 days

8/18/2025

Brief recheck: BAR, A+A, some stool noted on bedding, some on litter box. Externally anal sphincter appears slightly open with formed stool visible further beyond anus. Anal tone significantly diminished A/P Suspect some degree of fecal incontinence CTM and recheck as scheduled CT seek placement

8/19/2025

Recheck tail pull injury/caudal sacral fx S/O: BAR, active, eating well, no c/s/v/d noted; formed stool outside LB, urine inside LB EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Ambulatory x 4 with no notable lameness; tail limp with absent motor RECTAL: anal tone present, sphincter closed today CNS: Appropriate mentation A: Caudal sacral fx/tail pull injury Improved anal tone Absent motor in tail Rule out fecal incontinence P: Continue gabapentin and recheck in 2 days. If tail remains dead, consider amputation.

8/20/2025

[Panleukopenia/Parvovirus exposure] Exposure date: 8/20/2025 Quarantine Start: 8/20/2025 Quarantine End: 9/3/2025

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