4/5/2025

DVM Intake Exam Estimated age: 3-5 years based on dentition Microchip noted on Intake? Scanned negative History: Owner surrender Subjective: BAR Observed Behavior - allows all handling, allows being picked up with no issue, flailed for ear exam and attempted cleaning Is there evidence of Cruelty? No Is there evidence of Neglect? No Is there evidence of Trauma? No Objective T = P = 200 bpm R = WNL BCS: 5/9 EENT: OS WNL, OD has mild lower lid entropion, AD WNL, AS has thick purulent debris and foul odor, no nasal discharge noted Oral Exam: Adult dentition, mild tartar PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Externally WNL, intact male, 2 scrotal testes MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally WNL Wood's Lamp Exam: not performed Assessment Lower lid entropion OD Chronic otitis AS Intact male Prognosis: Fair Plan: Intake tasks + exam Recommend sedated ear cleaning AS Applied Selarid Await sort SURGERY: Okay for surgery, neuter + entropion correction OD

4/6/2025

Issue List: - Lower lid entropion OD - Chronic otitis AS Q-BAR EENT: OD- ocular discharge secondary to entropion; AS- purulent discharge, after cleaning ear- red flesh mass noted in canal; no nasopharyngeal polyp noted on presentation H/L: eupneic PLN: WNL ABD: relaxed U/G: MI MSI: Ambulatory x 4, normal hair coat CNS: Mentation quiet - no signs of neurologic abnormalities A) AS- aural mass causing chronic otitis externa r/o polyp vs neoplasia vs other P) Telazol- 0.16 ml IM AS- ear cleaned and ear canal mass noted; red fleshy mass occupying much of the canal r/o polyp vs neoplasia vs other recommend second opinion and possible surgical intervention

4/16/2025

Pre-Op Exam S: BAR, leans into petting cage side O: EENT: OS WNL, OD lower lid entropion w/ mild mucoid ocular discharge, AS has dried mucoid debris pink fleshy mass at base of ear canal, no nasal discharge noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Externally WNL, intact male, 2 scrotal testes MSI: Ambulatory x 4, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities A: Aural mass vs. polyp AS Lower lid entropion OD Appears to be a good anesthetic candidate P: Neuter + entropion repair today Needs follow up/ further evaluation of aural mass when placed

4/16/2025

Surgery - Cat Neuter Was this cat a Cryptorchid? No Routine Feline Neuter Self tie of spermatic cord Green Linear Tattoo Placed near Midline Surgeon: 2172 Additional Note: Lower Lid Entropion Repair OD Wiggle was placed in left lateral recumbency prior to neuter. Right eye was shaved and prepped with dilute betadine. Curved hemostat was applied to ventral-lateral eyelid margin and a crescent-shaped wedge was resected. 4-0 monocryl was used to appose skin edges in simple interrupted pattern. E-collar placed and erythromycin applied OD post op. Suture removal in 14 days.