11/7/2025

DVM Intake Exam Estimated age: 12wo based on dentition Microchip noted on Intake? Scan neg History: Found stray Subjective: Quiet to slow to respond, lethargic. Admissions SNAP tested (neg). ~8% dehydrated Observed Behavior - Allows handling, vocalized during procedures. Is there evidence of Cruelty? n Is there evidence of Neglect? n Is there evidence of Trauma? n Objective BCS 2-3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: First 2 adult incisors present, otherwise all deciduous PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Female, intact MSI: Toe-touching lameness on LH, no response when palpating toes, long bones, skin free of parasites, no masses noted CNS: Slow to respond, lethargic, no menace response, normal PLR and palpebral reflexes, does not track toy when waved on air, does track when rubbed on table. Normal CPS, no nystagmus noted Rectal: Ext normal Wood's Lamp Exam: NP Assessment ~12wo FI DSH Lameness LH r/o fracture vs soft tissue Dehydration Possible abnormal mentation, blind? Underweight Prognosis: Guarded to fair Plan: Routine intake procedures - hold RV due to abnormal mentation LRS 60mls SQ SID x 3 days Meloxicam 0.05mg/kg PO once - can continue if hydration improves Schedule sedated rads and further assessment tomorrow SURGERY: Temporary waiver due to illness/injury

11/7/2025

Your newly adopted pet has been diagnosed with being UNDERWEIGHT & LAMENESS ON LEFT HIND 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.

11/8/2025

Progress exam S/O: Patient is still quiet but responsive, appears to track objects well, will ambulate in kennel, eating well, no signs of infectious disease at this time Sedated with 0.01ml methadone, 0.01ml dex - Achieved mild sedation; gave 0.1ml cerenia SQ LH distal limb - two view: physis still present. MT2: Type I SH fracture distal MT2, transverse fracture of MT3 and MT4, greenstick fracture MT5 A. Multiple metatarsal fractures P. FIV/FeLV snap neg Simbadol 0.14ml SQ SID x 3 days Recheck comfort tomorrow - if not managed on pain meds consider splinting Consider ortho consult and seek NH placement for repair

11/9/2025

recheck kitten with fx LH metarsals S/O BAR, A+A, no c/s/v/d appreciated or noted, food eaten EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4, significant lameness to the LHL, also noted to the left metacarpal intermittently appear to buckle forward Rads of LFL done to r/o any additional fx (sedated with 0.02mL torb and 0.03mL dex- p still light): wnl LHL splinted with modified RJ extending from the stifle downwards A. Metatarsal fracture LHL P. Rads ands splinted (see above) Con't with current meds (receiving simbadol SID and appears comfortable) Will likely require daily bandage changes or frequent splinting over several weeks for the metatarsals to heal appropriately. Brief recheck tomorrow- full recheck in 2 days will bandage change (p allowed for it awake) Seek placement asap as this type of fracture will be time/labor intensive as it heals and would be best outside the shelter environment and with an orthopedic consultation.

11/10/2025

brief recheck, LHL metatarsal fxs S/O BAR, comes to the front of the kennel, purring, no c/s/v/d appreciated, bandage in place over the LHL- clean and dry, p appears able to ambulate well despite bandage, will try to shake it off but not disturbing it. A/P metatarsal fx weaned kitten extended simbadol thru tomorrow for bandage change seek placement asap- in need of ortho consult to ensure leg heals appropriately as p grows recheck as scheduled

11/11/2025

Recheck fractured metatarsals, "splinted" with RJ bandage S/O: BAR, active, eating well, no c/s/v/d noted MSI: Ambulatory x 4, bandage begins distal to stifle and extends to toes - clean and dry but not stabilizing fracture. Painful during removal. A: Multiple metatarsal fractures, MT2 is type I SH fx P: Bandage slipped, removed today. Extend simbadol SQ SID Exercise restriction (kennel rest) for now while fractures heal. Okay to hold off on splinting for now. Monitor for appropriate healing/pain management.

Upon intake kitten was very friendly and outgoing. Staff was very easily able to collar, scan, pet, pick up, hold and place in kennel with no complications.