12/21/2024

DVM Intake Estimated age: 1yr Microchip noted on Intake? no History: Subjective: BAR Observed Behavior - resists leaving den but easily removed, tense body but head high with ears forward, easily held for exam and tasks Evidence of Cruelty seen - no Evidence of Neglect seen - no Evidence of Trauma seen - no Objective T = n/a P = 180 R = 12 BCS 4/9 EENT: Eyes clear, mild periocular crusting OS, marked dry brown debris and positive pedal reflex AU, no nasal discharge noted Oral Exam: mild tartar/gingivitis PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: M, 2 descended testicles WNL MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally unremarkable Wood's Lamp Exam: n/p Assessment: - ear mites Prognosis: - excellent Plan: - ear clean, Selarid q2wks x3 doses - monitor while in care SURGERY: Okay for surgery

12/28/2024

SO: BAR eent: eyes clear, increased yellow ocular dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 neuro: mentation alert and appropriate A: conjunctivitis P: clean eyes daily erythromycin ophthalmic 1/4" strip OU x7d

12/29/2024

EEN: Yellow nasal discharge. Brown discharge on eyelids. Nasal congestion. A: URI moderate Prognosis: Fair Plan LRS 100 mls SQ sid x 2 days Doxycycline 50mg/ml 0.8 ml po sid x 10 days

12/31/2024

Anorexia Drooling A: Severe URI Prognosis: Poor Plan Move to s/n bank for cat isolation Simbadol 1.8mg/ml 0.5 ml sq sid x 3 days LRS 100 mls sq sid until 1/2

1/2/2025

SO: IN cat isolation on treatment for severe URI. BAR, reported fractious with handling today for eye medication and fluids eent: eyes clear OU mild ocular dc, no nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 neuro: mentation alert and appropriate A: URI on treatment P: URI appears to be improving last day of injectable medication was today will not extend due to behavior

1/3/2025

BAR in kennel and appears to be eating! mucoid nasal discharge A: URI-severe improving P: continue current treatment plan

1/4/2025

SO: On treatment for severe URI in isolation BAR, laying sternal in kennel, but seems like he would like to flee when approached. Wet food dish is empty eent: eyes clear, mucoid ocular and nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated, audible congestion msi: ambulatory x4 neuro: mentation alert and appropriate A: URI-severe on treatment, improving P: continue with current treatment plan

1/6/2025

Pet ate o/n and urinated in box. EEN: No ocular or nasal discharge. ORAL: Drooling A: Appetite improved but drooling Prognosis: Poor to fair Plan CTM in isolation

1/7/2025

Pet crouched in back of kennel. Tolerates petting but then moves away. Food dishes untouched and cat rejects fresh food offered. BCS 2/9 EEN: Pale yellow nasal discharge Oral: Thick, frothing saliva dripping from mouth. Resp: Increased inspiratory effort. A: Anorexia today Prognosis: Guarded to poor Plan LRS 100 mls SQ sid x 3d Simbadol 1.8mg/ml 0.4 ml sq sid x 3d Advise deadline plea to leave shelter by 4 pm tomorrow for placement in a veterinary clinic.

1/8/2025

NEW WT 7.08

1/8/2025

Progress exam - severe URI P has a 4pm deadline for today. S/O: All of wet food eaten - tray is empty. Dry food is disturbed. BAR, drooling; rolling around and hard leaning into head rubs and pets. crusted nares and wet food on face. A: Severe URI - improving Anorexia - resolving Prognosis: guarded to fair; improved as P is now much brighter and eating wet food. P: Administered Zorbium instead of Simbadol today *Remove 4pm deadline, placed on ARL *Continue to monitor appetite, recheck tomorrow 1/9

1/9/2025

QAR, leans into petting, bloody hypersalivation. Food appears untouched but does sniff at wet food. Moderate congestion. P: CWCT Prioritize placement ASAP