1/19/2025

DVM Intake Estimated age: 16yrs (reported) Microchip noted on Intake? no History: surrender Subjective: BAR Observed Behavior - initially at front of kennel meowing, picked up with soft body but then started to hiss, with minimal handling started to yell and then swatted 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: corneas clear, iris atrophy and lenticular sclerosis, ears clean, no nasal or ocular discharge noted Oral Exam: unable to examine PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: F, no vulvar discharge MSI: Ambulatory x 4, stiff gait in hind limbs, skin free of parasites, no masses noted, heavily matted coat with marked dander CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally unremarkable Wood's Lamp Exam: n/p Assessment: - geriatric pet - suspect osteoarthritis - heavily matted Prognosis: - fair Plan: - scheduled sedated oral assessment, intake tasks, blood work and grooming ***sedation plan 0.07ml each Dexdomitor and Butorphanol IM; while sedate: 1- check mouth 2- perform routine intake tasks 3- run CBC/Chem/T4 and UA by cysto or bladder expression (if possible) 4- groom with shave down and nail trim SURGERY: Permanent waiver due to age

1/21/2025

Progress Exam S/O: BAR, purring, leans into petting, allows handling today No c/s/v/d noted EENT: No ocular or nasal discharge, moderate waxy brown discharge AU Oral: Heave calculus at max PMs (chipped off during exam), stage IV ddz; mm pink and moist Lungs: Eupneic, normal rate and effort MSI: Diffuse matting with dusty/flaky haircoat; dorsal muscle wasting, underweight. Large rectangular area of recently shaved fur CNS: Appropriate mentation A: Geriatric cat Dehydration Underweight/muscle atrophy Periodontal disease Diffuse matting and poor haircoat P: Intake tasks performed SQ LRS 100 ml given CBC/CHEM/T4/UA submitted to Idexx (urine via cysto) Trimmed dewclaw nails Elected not to sedate to fully shave patient. Recommend full grooming with placement Seek placement for geriatric/palliative care **Updating medical behavior color to yellow. Allowed all handling for exam and intake tasks with occasional growling. Purred with petting and recovered from growling. Very vocal/yelling during blood draw but did not swat or fight against restraint. Recovered and leaned into petting afterwards.

1/21/2025

It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.

1/22/2025

Brief recheck, lab results S/O: QAR, appetite fair to good - ate some wet and some dry No c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic CNS: Appropriate mentation CBC: monocytosis 0.73 (0.04-0.53) CHEM: BUN H 42 (16-37), creatinine 1.3 and SDMA 11 T4: wnl UA (cysto): USG 1.036, pH 6.0, protein 1+ A: Geriatric Dehydration Matted, poor haircoat Dental disease Suspected OA Proteinuria 1+ - ro artifact vs true P: Recommend placement for geriatric care CTM while at QACC

1/28/2025

Noted poor appetite on rounds, monitoring log indicates fair appetite, but food appears untouched this morning and afternoon S/O: BAR, vocal this morning No c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Ambulatory x 4, haircoat and condition unchanged CNS: Appropriate mentation A: Hyporexia vs anorexia Geriatric Dehydration Matted, poor haircoat Dental disease Suspected OA Proteinuria 1+ - ro artifact vs true P: Start SQ LRS 75 ml SID x 3 days Start medical feedings BID x 5 days CTM closely, seek placement for fospice. If appetite does not improve, consider EHR.