11/29/2025

It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.

11/29/2025

DVM Intake Exam Estimated age: 8 yr Microchip noted on Intake? History:FOUND ON PORCH STEP, VOMITING Subjective:STRAY Observed Behavior - depressed, dull , will walk and look for head butts,sniffs at food, drinking a lot of water Is there evidence of Cruelty? none Is there evidence of Neglect? none Is there evidence of Trauma?none Objective QAR severe dehydration, mm pink, tacky and dry P = WNL R = WNL BCS 4/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: clean adult dentition, minimal dental tartar PLN: No enlargements noted H/L: NSR, NMA,Lungs clear, eupnic ABD: dought abdomen U/G:scrotal testes. Wil intermittently urinate involuntarily, hematuric urine malodorous MSI: Ambulatory x 4, skin free of parasites, no masses noted, rough haircoat with decreased skin turgor, caudal muscle atrophy CNS: Mentation depressed, mild ataxis when walking, then will lie down laterally, urinate and clean perineal region Rectal:not performed Assessment severe dehydration hematuria r/o UTI elevated ALT 479, ALKPHOS 140, hyperbilirubinemia 2.2 r/o hepatic lipidosis vs other liver BUN 39 Prognosis:guarded Plan: urine dipstick 4+ glucose no ketones CHEM/lytes ALT 479, ALKPHOS 140, BUN 39. TBILI 2.2 CBC HCT: 52.8, NEUT 10.38 T4 normal LRS SC 150ml Baytril 5mg/kg SC SID x 7 days Cerenia once SC send out UA ( free catch) pending response to Tx, may need EHR SURGERY: Permanent waiver due to age

12/1/2025

cat has high level of FAS and is hissing/striking/lunging/attempts to flee

12/1/2025

Late entry from yesterday: P QAR, food bowls disturbed, no c/s/v/d appreciated, normal stool in LB, moves to back of kennel when approached, eupneic, no ocular or nasal dc, no jaundice appreciated A. Liver dz- r/o LEs elevated second to trauma, elevation not severe Not icteric during this exam Appears euhydrated Under tx for UTI- unclear where diagnosed, per rec no WBCs seen on UA dipstick Glucose on dipstick r/o artifact vs DM P. Changing p over to oral abx for presumed UTI d/t behavior Changed behavior color to orange Give cage cover, recheck in 2 days, if still doing well consider moving to adopts

12/2/2025

Scanned negative for MC at intake

12/3/2025

Recheck elevated LEs and hyperbilirubinemia noted at intake, also noted hematuria and dehydration. S/O: QAR in den, eating well, no c/s/v/d noted EENT: No ocular or nasal discharge, ears clean ORAL: mm pink and moist, moderate tartar and gingivitis, stage II-III ddz LUNGS: Eupneic MSI: Healthy haircoat ABD: SNP, NSF Sedated with dex/torb 0.1 ml IM of each for thorough exam and blood draw A: Hx elevated ALT and hyperbilirubinemia Dehdyration - resolved Hematuria - resolved (ro stress vs other) Dental disease P: CBC/CHEM submitted to lab No additional treatment, consider discontinuing antibiotics if nsf on bloodwork CTM while at QACC

12/4/2025

CBC: monocytes 0.495 (H), eosinophils 0.165 (L) CHEM: creatinine 0.7 (L), BUN 15 (L), sodium 159 (H), total protein 6.2 (L) T4: wnl UA (cysto): protein, blood/hemoglobin, RBCs - ro secondary to collection method; struvite crystalluria - ro artifact vs true Interpretation: -Previously elevated LEs and hyperbilirubinemia - resolved -Hematuria - ro artifact from sampling vs true (stress vs other FLUTD) PLAN: No further treatment/diagnostics, CTM while at QACC

12/9/2025

Vomit noted on rounds board twice a few days ago, appetite somewhat decreased S/O: BAR in den, vocal when approached, appetite scores range 2-3 (fair to poor), more than half of wet food eaten, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic CNS: Appropriate mentation A: Possible hyporexia Dental disease Hx elevated LEs P: Start medical feedings BID CTM closely on rounds and recheck appetite in 2-3 days

12/10/2025

Brief appetite check, concern for hyporexia - BAR, comes out of den, both dry and wet trays are nearly empty; ate well overnight. Recheck as scheduled.

12/11/2025

on med feeds, recheck appetite S/O Hiding in den, cannot visualize, food trays appears mostly disturbed, noted to have excellent appetite. A/P CTM- p has high FAS and doesn't come out for interactions but appears to still be eating well. Recheck as needed

12/12/2025

Progress exam: Sneezing noted on rounds board Subjective: BAR, no C/V/D. Sneezing present Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: very mild serous discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -Under the weather sign & monitor log placed on kennel -Start fortiflora PO q24h x10 days -CTM, recheck in 3 days

12/20/2025

Progress exam: URI day 7 recheck Subjective: BAR, no C/S/V/D present. Sneezing & AS:1 noted on log empty bowl present Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -CTM, recheck as scheduled

12/23/2025

Progress exam: URI day 10 recheck Subjective: BAR, no C/V/D. Sneezing noted. AS:1 empty bowl & ate medications. Sounds mildly congested Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI appears resolved PLAN: Per standing orders -URI signage removed but monitor log left to CTM closely on rounds

1/9/2026

Start gabapentin 100 mg PO BID for FAS in shelter