5/6/2018

DVM Intake Exam Estimated age: 12 weeks Microchip noted on Intake? negative History : stray, finder applied cedar, olive oil, and thyme to treat for fleas and ear mites. Cat presented lethargic and DVM on call prescribed Dawn bath and IVF. Temp 102.1, P 220, RR 50. Subjective: BARH. No csvd. Shaking but likely from nervousness because when he is on the table he stops shaking. Lethargy has resolved. Eating well. Observed Behavior - very sweet. Easily handleable. Did well for all medical handling and procedures Evidence of Cruelty seen - no, unlikely that finder knew of the toxicity Evidence of Trauma seen - no Objective P = wnl R = eupneic BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: erupting adult incisors, the rest is kitten dentition, no oral lesions noted 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, no masses noted, healthy hair coat that is clean and dry CNS: mentation appropriate - no signs of neurologic abnormalities Assessment: Apparently healthy Hx toxicity from cedar, thyme, and olive oil Plan: Continue to monitor while at BACC Gave 20ml/kg SQ LRS, ok to move to adoptions Recheck tomorrow Prognosis: Excellent SURGERY: ok to schedule for surgery

5/7/2018

Pre-op exam History : stray intake 5/5, finder applied cedar, olive oil, and thyme to treat for fleas and ear mites. Cat presented lethargic and DVM on call prescribed Dawn bath and IVF. Temp 102.1, P 220, RR 50. PE wnl on 5/6-gave SQ LRS. Subjective: BARH. No csvd. Eating well. No more shaking or tremoring-no signs of toxicity. Objective P = wnl R = eupneic BCS 4/9 EENT: Eyes clear, ears clean, no nasal discharge noted Oral Exam: erupting adult incisors, the rest is kitten dentition, no oral lesions noted PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MI, 2 testicles descended MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy haircoat CNS: mentation appropriate - no signs of neurologic abnormalities Assessment: Apparently healthy Hx toxicity from cedar, thyme, and olive oil-no signs of toxicity Plan: Continue to monitor while at BACC Ok for neuter today Prognosis: Excellent

5/7/2018

Cat Neuter Was this cat a Cryptorchid? no Routine Feline Neuter Self tie of spermatic cord Green tattoo applied on ventrum Surgeon: 1416 Additional Note:

3/16/2025

DVM Intake Exam Estimated age: 7 years per prior hx, exam consistent Microchip noted on Intake? N History: O surrender Subjective: Observed Behavior - Tense, froze for exam Is there evidence of Cruelty? N Is there evidence of Neglect? N Is there evidence of Trauma? N Objective BCS 7/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Grade III periodontal disease H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally normal Assessment Overweight to obese Grade III/IV periodontal disease Prognosis: Good with weight loss and dental Plan: Recommend weight loss and dental with placement SURGERY: Already neutered

3/19/2025

Pre-dental Exam S/O: BAR, tense, allows handling EENT: Eyes clear, no ocular or nasal discharge noted Oral Exam: mm pink, CRT <2; mild to moderate calculus/tartar and gingivitis with more significant inflammation associated with some pms; stage III ddz H/L: NMA, SSP; Lungs clear, eupneic ABD: Non painful, no masses palpated MSI: Ambulatory x 4, no notable lameness; dull haircoat with mild matting CNS: Mentation appropriate A: Dental disease, stage III P: Dental procedure today SURGERY: Okay for dental

3/19/2025

CBC: Hct H 55.5 (30.3-52.3); lymphocytes L 0.55 (0.92-6.88), monocytes H 0.82 (0.05-0.67), platelets L 73 (151-600) - with note that plt aggregates detected, count may be higher than reported CHEM: wnl

3/19/2025

Dental notes (dental chart uploaded to vet docs): Mild to moderate tartar. Osseous recession appreciated at 307/308, several mobile incisors. Full mouth rads performed. Extractions: 101, 102, 106, 203, 206, 209, 301, 307, 308, 401 Gingival flap at 307/308; 4-0 monocryl used to close with single cruciate. Plan: -Zorbium applied -Onsior 2 mg/kg given SQ -Continue onsior 6 mg PO SID x 2 days beginning tomorrow -Placed wet food only sign (remove in one week)

3/20/2025

[Post Surgical Exam] Attitude/demeanor: QAR at back of kennel, mydriasis Appetite: eating wet food well C/S/V/D: none Oral exam: no discharge or bleeding seen from mouth, holding mouth in normal position, no swellings visible. Sutures intact. Pain level: appears comfortable *Continue to monitor appetite while in shelter *Ok for placement

3/22/2025

Noted poor appetite yesterday and today S/O: QAR in den, food in kennel uneaten this morning and yesterday morning. Old med tray in den, soiled bedding in den. Suspect not eating meds (onsior). Timid but allows all handling. No c/s/v/d noted EENT: No ocular or nasal discharge ORAL: Very mild dark crusts at both sides of mouth, left mandibular gingiva erythematous at region of 307/308 extractions with mild debris/discharge, other extraction sites healing appropriately LUNGS: Eupneic MSI: Mild skin tent CNS: Appropriate mentation A: Recent dental with extractions (3 days ago) Hyporexia vs anorexia Mild dehydration Inflammation vs infection at extraction site of 307/308 Overweight P: Move to ICU for closer monitoring/cleaning and ease of supportive care administration Start SQ LRS 150 ml SID x 3 days Start cerenia 1 mg/kg SQ SID x 3 days Start onsior 2mg/kg SQ SID x 3 days Convenia 8 mg/kg SQ once (electing this over clindamycin due to poor appetite/oral dosing and BID dosing) Start medical feedings BID x 4 days CTM closely on rounds and recheck in 2 days

3/25/2025

Recheck appetite, 6 days post dental with extractions; lost >1 lbs in past 9 days S/O: QAR in den, hunched tightly into ball, timid and pulls away from touch, but allows medical handling Food untouched today, log indicates not eating over the past 3 days No c/s/v/d noted EENT: No ocular or nasal discharge ORAL: mm pink, CRT <2, extractions sites healing appropriately, mod erythema at extraction site of 307/308 but no further discharge, suture in place. Does not resist oral exam, not overtly painful. LUNGS: Eupneic MSI: Healthy haircoat, very mild skin tent CNS: Appropriate mentation A: Anorexia, weight loss Post-op dental extractions day 6 Overweight Mild dehydration Inflammation vs infection at extraction site 307-308 - improved P: Placed kennel cover Extend SQ LRS 150 ml SID and cerenia 1 mg/kg SQ SID Start mirataz SID Start entyce 2 mg/kg PO SID Continue medical feedings CTM closely in ICU

3/26/2025

Recheck anorexia, one week post dental with extractions S/O: QAR, hunched at back of kennel, tense and does not warm, allows all handling Not eating, medical feedings and regular food untouched No c/s/v/d noted EENT: No ocular or nasal discharge ORAL: mm pink and moist, gingiva around 307/308 extractions moderately erythematous with soft cream colored matl caught at caudal aspect of extraction site, opens mouth and pulls away when probing that area; remaining extraction sites have mild erythema and appear to be healing appropriately LUNGS: Eupneic MSI: Healthy haircoat, very mild skin tent; ambulatory x 4 - walks very low/hunched (likely FAS) ABD: SNP, NMP CNS: Appropriate mentation CBC: lymphocytes L 0.84, monocytes H 0.84, platelets L 123 (plt aggregates detected, plt count likely higher) CHEM: creatinine L 0.7, cholesterol L 43 T4: wnl A: Anorexia + significant weight loss - ro secondary to dental pain/extractions vs pre-existing issue (prior to dental) vs other Inflammation, possible pain at extraction sites/gingival flap (307/308) - ro appropriate healing vs infection Mild dehydration Overweight Stress leukogram P: Flushed/gently cleaned debris/discharge from extraction site Continue SQ LRS, cerenia, mirataz, entyce, medical feedings Restart onsior 2 mg/kg SQ SID x 3 days Repeat zorbium application today CTM closely in medical, seek placement ASAP for prolonged anorexia/weight loss

3/28/2025

Recheck appetite, postop dental extractions (>1 wk). Ate some churu (or baby food?) yesterday! S/O: QAR in den, one empty dish in kennel appears to have been kibble - some spilled in kennel but appears to have eaten most of it No c/s/v/d noted ORAL: Extraction sites healing appropriately, no notable discharge or swelling; not overtly painful today LUNGS: Eupneic CNS: Appropriate mentation A: Anorexia + significant weight loss - appetite improving Inflammation, possible pain at extraction sites/gingival flap (307/308) - improved, not overtly painful today Mild dehydration - resolved Overweight Stress leukogram P: Continue current treatment plan and CTM appetite closely on rounds Mede note on medical feeding that he likes churu/baby food

4/1/2025

Recheck appetite S/O: QAR in den, tense and curled up, ears flatten and swats when I reach towards him (previously tolerated handling/exam). Begins hypersalivating, dipping watery saliva after swatting. Not eating, high value foods untouched as well No c/s/v/d noted EENT: Mild crusted ocular discharge, mild-mod mucoserous nasal discharge ORAL: Not performed today due to behavior, no discharge from mouth (prior to hypersalivation) LUNGS: Eupneic CNS: Appropriate mentation A: URI High FAS, worsening - ro secondary to medical handling vs URI discomfort vs other Anorexia + significant weight loss Inflammation, possible pain previously noted at extractions sites 307/308 - not examined today due to behavior P: Move to med iso Hold off on treatments involving medical handling at this time due to high/worsening FAS Restart medical feedings BID Monitor closely and consider doxycycline vs convenia if URI signs worsening CTM on daily rounds, recheck in 1-2 days

4/2/2025

Brief appetite recheck - QAR, ears flatten when door opened, tuna appears eaten, no c/s/v/d noted, mild-mod mucoserous nasal discharge, eupneic. Plan: Continue medical feedings and monitor appetite/URI