11/21/2025

[DVM Intake] DVM Intake Exam Estimated age: 12yrs based on dentition/conformation Microchip noted on intake? scans negative History: Stray; found in a box with another cat Subjective: BAR Observed Behavior - leaning in for pets, eating very well, growls with restraint/blood draw Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective P = 190 R = 24 BCS 6/9 EENT: Eyes clear, ears waxy debris AU, no nasal or ocular discharge noted Oral Exam: Adult dentition with diffuse staining; focal areas of thick calculus on molars (right side worse than left) PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Slightly distended, no fluid wave or organomegaly palpated, no masses palpated U/G: MN MSI: Ambulatory x 4, dorsal muscle wasting, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment Approx. 12yr MN DSH Dental disease stage II-III Slightly distended abdomen (r/o organomegaly vs mass vs ascites vs other) Prognosis: good pending diagnostics Plan: intake tasks ear cleaning CBC/Chem/T4 to idexx- DVM follow up in 24hrs Consider imaging pending results of labwork SURGERY: already neutered

11/23/2025

CBC: sl eosinopenia (0.197) CHEM: sl H SDMA (15) w normal BUN (35) and L creat (0.8) hypernatremia (164) H ALP (125) TT4 H (12.8) A. sl H SDMA with L creat and n BUN r/o hydration status, spurious hypernatremia r/o artifact vs hydration vs open hyperthyroid P. Start methimazole 2.5mg PO BID indef recheck in general health in 3 days and ensure eating meds recheck bloods in 2 weeks seek placement, p will require ongoing care and monitoring for condition

11/25/2025

Recheck recently diagnosed hyperthyroid cat S/O: BAR, active and attention seeking at front of kennel, eating tray of treats offered, no c/s/v/d noted, eupneic; underweight with DMW. A/P: Geriatric cat with hyperthyroidism, dental disease, muscle wasting - continue methimazole and recheck as scheduled.

11/26/2025

Progress exam – URI signs noted on rounds S/O: BAR, active at front of kennel, empty wet food tray, no c/s/v/d noted. Sniffling with mild congestion noted. EENT: Eyes clear, no nasal discharge noted H/L: Eupneic, normal respiratory rate/effort MSI: Ambulatory x 4, no notable lameness CNS: Mentation appropriate A: URI - mild Hyperthyroid P: Start fortiflora PO SID x 7 days Monitor in place, placed UTW sign and appetite log Recheck in 10 days +/- doxy and move to iso if URI progressing CTM while at QACC