7/2/2019

DVM Intake Exam Estimated age: Approx 4 years Microchip noted on Intake? Negative, placed at intake History : Owner surrender Subjective: Hiding under towel in kennel. QARH, hunched, trembling, tense, allows handling. Urinated on himself in kennel. Evidence of Cruelty seen - none Evidence of Trauma seen - none Objective: P = wnl R = wnl BCS = 4/9 EENT: Eyes clear, ears mild pruritis and brown discharge, no nasal or ocular discharge noted Oral Exam: Mild tartar, moderate gingivitis at rostral teeth PLN: No enlargements noted H/L: NMA, SSP; Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Male, two scrotal testicles MSI: Ambulatory x 4, skin free of parasites, no masses noted, regions of alopecia and scabbing along right and left flank, alopecia without associated lesions at left stifle. Urine soaked fur caudally. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally normal Assessment: Alopecia/Dermatitis - ro FBD vs ringworm vs behavioral vs other Otitis (mild) Dental disease, stage I-II Prognosis: Good Plan: Woods lamp scheduled Convenia 8 mg/kg SQ once Paradefense applied Cleaned ears, start tresaderm AU BID x 7 days Start gabapentin 20 mg/kg PO BID indefinitely for shelter anxiety Continue to monitor while at BACC, recheck skin in 1 week SURGERY: Okay for surgery

7/9/2019

Progress exam History : Owner surrender 7/2/19-started on tresaderm for otitis, gabapentin for shelter anxiety, convenia for dermatitis. Wood's lamp negative. Subjective: BARH. Very nervous, will flee. No csvd. Used towel for exam. Dermatitis healing well. Otitis resolved. Objective: BCS = 4/9 EENT: Eyes clear, ears have mild brown waxy debris, no nasal or ocular discharge noted H/L: Normal RR/RE, eupneic ABD: Non painful, no masses palpated MSI: Ambulatory x 4, skin free of parasites, no masses noted, healed dermatitis with mild alopecia on flanks CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: Dental disease, stage 1-2 Hx dermatitis likely FAD vs other allergy Hx otitis externa (resolved) Prognosis: Good Plan: Last day of tresaderm, ok to d/c Continue gabapentin 20 mg/kg PO BID

7/10/2019

Progress exam History : Owner surrender 7/2/19-started on tresaderm for otitis, gabapentin for shelter anxiety, convenia for dermatitis. Wood's lamp negative. Subjective: BAR. No csvd. Objective: EENT: Eyes clear, no nasal or ocular discharge noted H/L: Normal RR/RE, eupneic MSI: Ambulatory x 4 CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: Dental disease, stage 1-2 Prognosis: Good Plan: Continue gabapentin 20 mg/kg PO BID HC signed, ok to travel

7/11/2019

pre op exam Estimated age:4 yr Subjective:owner surrender Observed Behavior -timid Objective BARH mm pink P = WNL R =WNL BCS 5/9 EENT: Eyes clear, ears slight debris AU, no nasal or ocular discharge noted Oral Exam:adult dentition, clean PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: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:not performed Assessment healthy Prognosis:excellent Plan: neuter SURGERY: Okay for surgery

7/11/2019

Cat Neuter Was this cat a Cryptorchid?no Routine Feline Neuter Self tie of spermatic cord. Single ligature proximal to self tie, 4-0 PDS, each tunic Surgeon: 1204 Additional Note: green linear tattoo

7/17/2019

H: Has been in ISO with bonded cat without being on medication S: BAR, mild sneezing, no coughing, no vd. Eyes: Unremarkable OU Ears: Unremarkable AU. Nasal Cavity: Mild serous nasal discharge Lungs: Eupneic U/G: Normal external genitalia. No discharge. Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Neuro: Appropriate mentation. Rectal: Not performed. Externally normal. Assessment 1) URI Plan: start Doxycycline 10 mg/kg SID x 10 days

Upon intake behavior Firefly displayed dilated pupils and a tucked tail but allowed counselor to collar and handle.