9/2/2026

DVM Intake Exam Estimated age: 5-10y Microchip noted on Intake? scanned negative History: Stray cat found on street. Reported blood in urine and limping Subjective: BAR Observed Behavior - Head bunting and very food motivated. Tense for restraint, but does not escalate, just fidgets. Evidence of Cruelty seen -no Objective T = P =wnl R =wnl BCS 3/9 EENT: Eyes clear OU inflamed conjunctiva with yellow mucoid dc, ears clean, serous nasal discharge noted Oral Exam: adult dentition with linear gingivitis PLN: No enlargements noted H/L: NR, NMA, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: female intact MSI: Ambulatory x 4, skin free of parasites, no masses noted, unkempt hair coat with dandruff CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: normal external Wood's Lamp Exam: not performed Assessment underweight mild dental disease conjunctivitis Prognosis: fair-good Plan: intake tasks cbc/chem/T4 to lab 0.25ml vitamin B12 1000mcg/ml sc gentamycin ophthalmic 1 drop OU BID x7d SURGERY: Temporary waiver due to poor condition

9/3/2026

Glucose 368; 72 - 175 mg/dL H IDEXX SDMA 10; 0 - 14 µg/dL Creatinine 1.7; 0.9 - 2.3 mg/dL BUN 41; 16 - 37 mg/dL H Phosphorus 5.5; 2.9 - 6.3 mg/dL Calcium 10.6; 8.2 - 11.2 mg/dL Sodium 157; 147 - 157 mmol/L Potassium 4.1; 3.7 - 5.2 mmol/L Chloride 113; 114 - 126 mmol/L Total Protein 8.5; 6.3 - 8.8 g/dL Albumin 2.8; 2.6 - 3.9 g/dL Globulin 5.7; 3.0 - 5.9 g/dL Albumin: Globulin Ratio 0.5; 0.5 - 1.2 ALT 49; 27 - 158 U/L ALP 5; 12 - 59 U/L GGT 1; 0 - 6 U/L Bilirubin - Total 0.1; 0.0 - 0.3 mg/dL Cholesterol 224; 91 - 305 mg/dL Amylase 881; 623 - 2,239 U/L Hemolysis Index N Lipemia Index N RBC 7.24; 6.50 - 11.53 M/µL Hematocrit 35.2; 31.0 - 51.0 % Hemoglobin 10.8; 10.6 - 16.7 g/dL MCV 49; 38 - 53 fL MCH 14.9; 12.3 - 17.3 pg MCHC 30.7; 29.1 - 35.7 g/dL RDW 23.7; 10.0 - 26.0 % % Reticulocytes 0.4 % Reticulocytes 29; 0 - 70 K/µL Reticulocyte Hemoglobin 17.0; 14.4 - 19.3 pg WBC 84.3; 3.9 - 19.0 K/µL H % Neutrophils 93.0% % Lymphocytes 5.0% % Monocytes 2.0% % Eosinophils 0.0% % Basophils 0.0% Neutrophils 78.399; 2.62 - 15.17 K/µL H Lymphocytes 4.215; 0.65 - 6.86 K/µL Monocytes 1.686; 0.042 - 0.467 K/µL H Eosinophils 0; 0.209 - 1.214 K/µL Basophils 0; 0 - 0.1 K/µL Platelets 396; 100 - 440 K/µL Platelet Observations Mild platelet clumping observed. Remarks WBC count and differential may be inaccurate due to WBC clumping. Smudge cells present. Neutrophils appear slightly toxic. Rouleaux present: saline agglutination test performed and was negative. T4: 1.7; 0.8-4.7 Interpretation: Hyperglycemia r/o diabetes BUN elevated r/o dehydration vs CKD Leukocytosis with neutrophila r/o clumping vs 2nd to diabetes vs infection vs other Pending UA P: 50ml SQ Fluids once Start insulin if UA indicates DM

9/4/2026

Hx: suspect DM, glucosuria, underweight Spot BG: 330mg/dL (HIGH) S: BAR, eating DM diet readily O: EEN- eyes clear, no apparent nasal or ocular discharge H/L- eupneic, no sneezing or audible congestion MSK/i- ambulatory x4, BCS 3/9 Neuro- alert/appropriate A: Hyperglycemia Glucosuria Underweight Moderate dental disease P: Start DM diet Senvelgo 15mg/ml 0.16 ml PO SID indefinitely Recheck if ketonuria present on day 2 or 3, if none present ok to continue treatment. If ketonuria present, switch to insulin Monitor in care

9/4/2026

Urinalysis - table top USG 1.043 pH 6.0 Protein 3+ Glucose 3+ Ketones neg Blood 3+ WBC 75-100 RBC > 100/HPF Bacteria marked rods Epithelial cells 4+ Mucus, casts, crystals none A: Proteinuria Glucosuria Hematuria Pyuria Possible UTI especially given leukocytosis on bloods, understand it is a non-sterile sample P: Clavamox 62.5 mg/ml 0.5ml PO BID x7d Recheck urine in 10 days If declining or not responding to therapies consider EHR

9/5/2026

Hx: DM, underweight, marked leukocytosis on bloods S: BAR, eating DM diet readily O: EEN- eyes clear, no apparent nasal or ocular discharge H/L- eupneic, no sneezing or audible congestion MSK/i- ambulatory x4, BCS 3/9, dandruff throughout haircoat Neuro- alert/appropriate A: DM Underweight Moderate dental disease P: CWCT Plan to recheck if ketonuria present on day 3 (tomorrow), if none present ok to continue treatment. If ketonuria present, switch to insulin

9/6/2026

Keto-Diastix Results: Glucose: 1000 mg/dl Ketone: negative

9/6/2026

Keto-Diastix Results: Glucose: 1000 mg/dl Ketone: negative P: Continue on senvelgo

9/8/2026

Pet got dosed with Senvelgo 15mg/ml 0.16 ml PO twice this am. Cake ate overnight and this morning. Large amount of urine in box and normal feces in box. She is curled up on bed sleeping now. A: Double dose of senvelgo PO today. risk of v/d, anorexia, hypotension. Prognosis: Poor to fair Plan Place IVC LRS 12 mls/hr IV check BG now and at 5:30 pm place nosorb in box and check urine ketones today Call ASPCA poison control

9/8/2026

BG 156 Pet bar and eating.

9/8/2026

Started on IVF at 12 ml/hr. Collected table top urine sample, negative for ketones, glucose at 1000 m/dl. PM BG: 124 mg/dl