12/16/2025

[DVM Intake] DVM Intake Exam Estimated age: 5yrs based on dentition/conformation Microchip noted on intake? scans negative History: Stray Subjective: BAR Observed Behavior - calm, highly food-motivated, tolerated tasks and handling Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective P = 200 R = 24 BCS 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: bilateral chip fractures on maxillary canines, focal areas of calculus on molars PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Slightly distended, non painful, no masses palpated U/G: FI; no vulvar dc or MGTs palpated, no spay scar or tattoo MSI: Ambulatory x 4, dorsally muscle-wasted, no masses noted, dry hair coat, flea dirt around base of tail with sparse fur and flaky skin CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment Approx. 5yr F DSH bilateral maxillary canine fractures Dorsally muscle wasted Slightly distended abdomen Prognosis: good Plan: intake tasks Place in medical for observation CBC/Chem/T4 TID feeding Recheck in 24hrs and review labs- could not get enough blood for complete labs so scheduled for LVT task tomorrow to perform chemistry/T4 SURGERY: Temporary waiver due to thin BCS/labs pending

12/16/2025

Your newly adopted pet IS UNDERWEIGHT 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.

12/16/2025

In-house CBC: Leukocytosis (22.82k/uL) with neutrophilia (18.4) and eosinophilia (1.99) (r/o inflammation vs allergy vs infection) Plan: Perform chemistry and T4 tomorrow (could not get enough blood tonight)

12/17/2025

Recheck, in house bw today S/O: BAR, vocal, ate most of her wet food, reported vomit, no c/s/d noted EENT: Mild crusted discharge, no nasal discharge LUNGS: Eupneic MSI: Ambulatory x 4, DMW noted, mild skin tent CNS: Appropriate mentation CHEM: BUN 39 (H), creatinine 0.8 (N), SDMA 11 (N); sodium 167 (H), potassium 3.2 (L) T4: wnl A: Underweight, muscle wasting Dehydration Dental disease with fx teeth Flea dirt - treated at intake P: Collect urine for UA SQ LRS 75 ml SID x 3 days CTM while at QACC

12/17/2025

in-house chemistry + FIV/FelV snap (also needs recheck with DVM) ///Done///Records updated

12/18/2025

Recheck, urine collection for UA S/O: BAR, active and vocal, allows all handling, great appetite, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic ABD: SNP, NMP; intestines thickened/ropey MSI: Muscle wasting, underweight CNS: Appropriate mentation **Adjusted age estimate based on overall condition, iris changes, dentition - approx 8-14 years. A: Underweight, muscle wasting Senior/geriatric pet, suspect underlying disease Dental disease with fx teeth Elevated BUN Leukocytosis, neutrophilia, eosinophilia Thickened intestines - ro IBD vs LSA vs other P: Urine obtained via cystocentesis, submitted for UA Continue SQ LRS Seek placement for additional diagnostics (ie. AUS) vs palliative care CTM while at QACC

12/18/2025

Urine collected through cystocentesis and sent to IDEXX. // Done

12/19/2025

Recheck, UA results S/O: BAR at front of kennel, reported vomit overnight, great appetite, no c/s/d noted, no ocular or nasal discharge, eupneic. UA (cysto): USG 1.024, trace protein A: Underweight, muscle wasting Senior/geriatric pet, suspect underlying disease Dental disease with fx teeth Elevated BUN, mild low USG - ro CKD vs other Leukocytosis, neutrophilia, eosinophilia Thickened intestines - ro IBD vs LSA vs other P: Patient clinically stable - recommend placement for fospice/palliative care vs additional diagnostics and treatment. CTM while at QACC

12/21/2025

recheck geriatric senior cat, suspected underlying illness S/O BAR, comes to the front of the kennel purring, no c/v/s appreciated, FS6 in kennel outside of litterbox, food trays eaten EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4, sl delay in skin tent A. Mild dehydration D+ P. Start forti flora SID x 5 days re-start 75mL SQF SID x 3 days CTM and recheck in 2 days