1/13/2026

[DVM Intake] DVM Intake Exam Estimated age: 5yrs based on dentition/conformation Microchip noted on intake? scans negative History: surrendered with 2 other cats, one of them tested positive for FelV Subjective: BAR Observed Behavior - dilated pupils, shaking, tries to hide. Tolerated all handling and tasks Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective P = 200 R = 24 BCS 7/9 EENT: Eyes clear, ears crusty debris AU, no nasal or ocular discharge noted Oral Exam: Adult dentition, moderate staining PLN: large firm swelling at left submandibular region H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FS, tattoo present, no vulvar dc or MGTs MSI: Ambulatory x 4, skin free of parasites, large firm swelling left submandibular region, left forelimb shaved focally as if for venipuncture, sparse coat on caudoventral abdomen CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment Approx. 5yr FS DSH Firm mass left submandibular region (r/o lymphadenopathy vs abscess vs neoplasia) Sparse haircoat on ventrum (r/o overgrooming vs other causes for alopecia) Housemate tested positive for FelV today Prognosis: fair pending diagnostics Plan: intake tasks CBC/Chem/T4 to idexx FNA/cytology of mass (x) aspirated thick purulent material from swelling - suspect abscess but cannot be sure there is no lymph node involvement ear cleaning Apply selamectin for likely ear mites start gabapentin 10mg/kg PO BID for pain secondary to mass/abscess Start clavamox 13.75mg/kg PO BID for suspected abscess Place in medical to monitor appetite and review lab results with plan to lance/drain abscess tomorrow pending labs/recheck DVM follow up for tomorrow Repeat FIV/FelV snap tomorrow (test did not run today) *Slide from today's aspirate is in a labeled Idexx bag with her kennel card SURGERY: already spayed

1/14/2026

Recheck mass/abscess at left chin, bw results S/O: QAR at back of kennel, food uneaten but small HV tray looks empty, no c/s/v/d noted EENT: No ocular or nasal discharge ORAL: mm pink and moist, moderate tartar caudally - stage II-III ddz MSI: Overweight, BCS 7/9, regions of barbered fur/alopecia at ventral abdomen, caudal forelimbs (extending cranially on LFL), axillae; fluctuant swelling at left ventral mandible/chin CBC: wnl CHEM: total protein 8.9 (H) T4: wnl A: Abscess - ro penetrating oral FB vs other trauma vs open Dental disease Alopecia/barbering - ro allergy vs behavioral Otitis P: Sedated to lance/flush abscess - dex/torb/ket 0.1 ml IM of each Stab incision and sharp dissection over fluctuant swelling - expressed large amount of very thick yellow/green mucoid-like discharge. Flushed with copious amounts of sterile saline and left open to drain Zorbium applied Start onsior 2 mg/kg SQ SID Start medical feedings BID Continue clavamox PO BID and gabapentin PO BID CTM on rounds and recheck in 2 days

1/14/2026

needs FIV/FELV Test ///Negative

1/15/2026

Brief recheck, noted poor appetite on rounds S/O: QAR at back of kennel, flinches with movement towards him, not eating, no c/s/v/d noted EENT: Pupils dilated, no ocular or nasal discharge LUNGS: Eupneic MSI: sanguineous discharge from lanced abscess, 1cm firm nodule palpable within abscess, no mucoid or purulent discharge expressed. A: Anorexia Abscess - ro penetrating oral FB vs other trauma vs open Dental disease Alopecia/barbering - ro allergy vs behavioral Otitis P: Start SQ LRS 150 ml SID Start cerenia 1 mg/kg SQ SID Give midazolam 0.2 mg/kg IM once for app stim CTM closely and recheck as scheduled

1/16/2026

Recheck abscess Sedated with 0.1ml dex, 0.1ml torb, 0.1ml ket IM - achieved adequate sedation ~5cm swelling on left submandibular region, used 15# blade to re-open skin at last lancing location by removing previous scabbing. No more discharge was expressed from area. Firm ~3cm movable irregular mass noted under the skin, appears inflamed (likely due to previous lancing). Obtained two FNA samples A. Firm swelling at submandibular region r/o sialocele vs FB reaction vs neoplasia vs other P. FNA in house: Multiple foamy cells (salivary cells vs macrophages) and mixed inflammatory cells. ++ blood contamination - Convenia 0.54ml SQ once - d/c oral clavamox - patient unlikely to be receiving - Mirataz topically x 3 days - given AD today Sent out 2 stained and 2 unstained samples to Idexx

1/18/2026

recheck, submandibular abscess lanced yesterday, started on mirataz, eating? S/O QAR, hiding in the back of kennel, sitting in litter box, no c/s/v/d appreciated or noted, all food trays look moderately disturbed, kennel messy and blankets over food trays EENT: no ocular or nasal dc HL: eupneic A. Abscess- lanced, cytology pending Anorexia - improved, appears to have eaten about half of food in kennel P. Con't with mirataz Brief recheck in 2 days (end of mirataz) CTM and check for results of cytology in 4 days

1/20/2026

Recheck appetite. Patient has become more fearful, low appetite the last few days suspected to be due to high FAS Restart Mirtazapine transdermal x 3 days. Unable to start SQ Fluids/injectables due to high FAS. Recheck tomorrow, consider ARL if unable to make appetite better.

1/21/2026

Brief visual recheck S/O: QAR at back of kennel, ate well overnight! No c/s/v/d noted, eupneic. A: Cytology pending, mass/abscess at submandibular region P: Continue mirataz and gabapentin, CTM closely on rounds. Pend cytology results for additional plan.

1/22/2026

recheck S/O QAR, sitting in back of kennel in litter box, no c/s/v/d appreciated or noted, poor appetite noted, food minimally disturbed EENT: no ocular or nasal dc HL: eupneic MSI: good skin turgor A. Hyporexia - small amount of wet food eaten Abscess - only scabs appreciated on visual exam today P. Extend mirataz x 3 days Consider adding midazolam if appetite doesn't improve Final cytology results pending

Upon intake Kutu was shy/nervous but was friendly enough to allow staff to handle.