4/27/2025

[DVM Intake] DVM Intake Exam Estimated age: ~ 5 year Microchip noted on Intake? Scanned negative History: Stray Subjective: BAR Observed Behavior - Timid, but friendly. Hisses on restraint for exam. Is there evidence of Cruelty? No Is there evidence of Neglect? No Is there evidence of Trauma? No Objective P = 156 R = Eupneic BCS = 7/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Castrated male, externally normal MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Assessment Apparently healthy male cat Overweight Prognosis: Good Plan: Intake exam and tasks SURGERY: Permanent waiver due to previously neutered

5/1/2025

Progress exam: URI noted on rounds Subjective: QBAR, no C/V/D. Sneezing noted Objective: EYES: Clear, no discharge LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge noted. open mouth noted MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -Under the weather sign, PPE & monitor log placed on kennel -Start doxy 50mg/ml PO q24h x10days & medical feedings PO q12h x5days -CTM, recheck in 3 days

5/6/2025

Poor appetite and open mouth breathing noted by care staff S/O: QAR, congestion audible, not eating, no c/s/v/d noted EENT: Mild-mod mucoserous nasal discharge, no ocular discharge LUNGS: Stertor/congestion, normal rate and effort A: Anorexia vs hyporexia URI Overweight P: Start SQ LRS 150 ml SID x 3 days Start cerenia 1 mg/kg SQ SID x 2 days Start entyce 2 mg/kg PO SID x 2 days Start mirataz SID x 2 days Continue medical feedings and doxycycline CTM closely and recheck in 2 days

5/8/2025

Recheck URI/appetite, lost 1 pound since intake 11 days ago S/O: QAR, not eating, hypersalivating, no c/s/v/d noted EENT: Severe mucopurulent nasal discharge, epiphora and blepharospasm OU ORAL: Lingual ulceration and severe thick strands of saliva from mouth LUNGS: Eupneic MSI: Dorsal muscle wasting, dull haircoat, skin tent CNS: Appropriate mentation CBC: Hct L 29.6, WBC H 35.13, neutrophils H 32.54, lymphocytes L 0.46, monocytes H 1.98, eosinophils L 0.14, platelets L 17 (PT aggregates detected) CHEM: Glucose H 353, total protein H 9.1, globulin H 6.2, ALT L <10 A: Severe URI Lingual ulceration Anorexia Weight loss Overweight Severe neutrophilic leukocytosis - stress leukogram + inflammation/infection vs neoplasia Very mild anemia - ro inflammatory/infection vs other Hyperglycemia - ro stress vs DM Hyperproteinemia, hyperglobulinemia - ro inflammatory vs other P: Move to med iso for closer monitoring Cleaned face CBC/CHEM in house Zorbium applied today Extend SQ LRS, cerenia, mirataz, entyce, medical feedings D/c doxycycline and start enrofloxacin 5 mg/kg IM SID x 7 days CTM closely and recheck tomorrow; spot BG in a few days when clinical signs improving

During intakes the cat allowed to be photographed, scanned and transferred.