3/3/2026

[DVM Intake] DVM Intake Exam Estimated age: 7yrs based on dentition/conformation Microchip noted on intake? scans negative History: Surrender with 1 other cat Subjective: BAR Observed Behavior - tries to hide, tolerated all handling/tasks Is there evidence of suspected cruelty? no Objective: P = 200 R = 24 BCS 4/9 EENT: Eyes clear, AD numerous nodular dermal masses and ceruminous debris, AS canal filled with blood and numerous dermal masses, no nasal or ocular discharge noted Oral Exam: Adult dentition, diffuse gingivitis with thick calculus on molars PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MI MSI: Ambulatory x 4, skin free of parasites, nodular dermal mass on left side of face, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment: Approx. 7yr MI DSH nodular dermal masses in both ears with AS more severely affected and bleeding (r/o ceruminous cysts vs adenomas vs ceruminous carcinoma) Dermal mass on left side of face (r/o cyst vs adenoma vs carcinoma vs other) Dental disease Prognosis: fair to good pending diagnostics and response to treatment Plan: intake tasks CBC/chem/T4 to idexx Ear cleaning with saline Apply tresaderm AU BID x 7 days Start oral gabapentin 15mg/kg PO BID Place in medical; DVM recheck in 48 hrs and to review labs May need a total ear canal ablation AS in the future as well as mass removals AD - pending labwork, consider biopsy and chest radiographs before planning for more invasive surgery SURGERY: Temporary waiver due to severe otitis

3/3/2026

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.

3/4/2026

Recheck ears, bloodwork S/O: QAR, tense and pulls away from some handling, food in kennel uneaten, does not show interest in HV food offered, no c/s/v/d noted EENT: No ocular or nasal discharge; AU numerous small masses in ears partially obstructing canals, AD has moist brown discharge and pruritis, AS has moist brown to bloody discharge and seems more sensitive MSI: Tense and remains curled up, some DMW and mild skin tent CBC: WBC 23.7 (H), neutrophils 19.316 (H), monocytes 0.687 (H) CHEM: Creatinine 0.8 (L), total protein 9.6 (H), globulin 6.3 (H) T4: wnl A: Otitis with nodular dermal masses AU (AS>AD) Dermal mass at left temporal region Dental disease Neutrophilic leukocytosis - ro infection/inflammation (otitis vs periodontal disease) vs other Hyperproteinemia, hyperglobulinemia - same rule outs as above Suspect hyporexia vs anorexia Dorsal muscle wasting Mild dehydration P: Removed e-collar, seemed stressed with it on and no notable excoriations indicating excessive scratching Start SQ LRS 100 ml SID Start cerenia 1 mg/kg SQ SID Start onsior 2 mg/kg SQ SID Start medical feedings BID Give midazolam 0.2 mg/kg IM once Monitor closely on rounds, recheck appetite Seek placement for surgical options for otitis and aural masses

3/6/2026

BAR pink moist mm at distance Fair appetite for wet food no c/s/v/d reported no stool since admit normal urinations Attempted exam - went slow but P hissing / crouching and raised paw in warning --> FAS increasing Tolerates ear medications from trusted staff. Unable to complete progress exam. Anorexia - improving Aural masses / otitis - not able to assess @tt Emailed NH a behavior update ADD Gabapentin 100mg PO BID TFN ADDED Cage cover DVM recheck appetite / otitis / aural masses w behavior meds on board 3/7