3/7/2024

DVM Intake Exam Estimated age: ~2 years Microchip noted on Intake? negative History: Owner surrender Subjective: BAR, hydrated Observed Behavior - toweled for exam, stiff body but allowed exam Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective T = --- P = ~200 R = ~20 BCS ~5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: adult dentition, mild dental staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, possible fetuses on palpation U/G: female, intact, suspect pregnant, no vulvar discharge 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: 1-2 year old FI cat intact suspect pregnant Prognosis: Good Plan: Intake tasks SURGERY: Okay for surgery

3/27/2024

Progress exam – URI signs noted on rounds, reports of inappetence S/O: QAR, does not move when approached; food appears untouched, no c/s/v/d noted. EENT: Eyes clear, mild mucoserous nasal discharge noted H/L: Eupneic, normal respiratory rate/effort CNS: Mentation appropriate A: URI - mild Anorexia vs hyporexia P: Start medical feedings BID x 3 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 BACC

3/28/2024

Noted progressing URI signs S/O: QAR, resting on kuranda bed Not eating Litter caked into nares/nasal discharge Moderate congestion Eupneic A: URI - progressing Anorexia P: Extend medical feedings Start SQ LRS 100 ml SID x 2 days Start entyce 2 mg/kg PO SID x 3 days Start doxycycline 10 mg/kg PO SID x 10 days Clean face/nares PRN CTM and recheck in 2 days

3/29/2024

Recheck URI/anorexia S/O: QAR, resting on kuranda bed Not eating No c/s/v/d noted Moderate mucoserous ocular discharge Moderate mucoserous nasal discharge Eupneic Weight today 7.44 lbs, previously 8.1 lbs (22 days ago) A: Anorexia with weight loss URI P: Move to medical Start mirataz SID x 3 days Cerenia 1 mg/kg SQ once Onsior 1 mg/kg SQ once Continue doxycycline, SQF, entyce, medical feedings CTM closely on rounds, recheck in 2 days

3/31/2024

Recheck URI/appetite BAR, swatting in den when approached. Ate all medical feeding overnight. Medical staff report difficulty giving oral meds- patient swats and they have had to use feral shield to give. Plan: Extend medical feedings q12 x 3 days Continue doxycycline as scheduled- ok to give in food Discontinue other treatments to minimize handling and FAS CTM in medical, recheck in two days

4/2/2024

Recheck URI/appetite S/O: QAR in den Did not eat overnight, fresh food untouched this morning No c/s/v/d noted Very mild serous nasal discharge No active ocular discharge Eupneic A: URI - mild, improving Anorexia vs hyporexia P: Extend medical feedings Continue doxycycline CTM appetite closely, suspect FAS playing a role Brief appetite recheck tomorrow

4/4/2024

Recheck appetite BAR on den. Sniffled once, otherwise no URI signs noted. Ate nearly all wet and dry food overnight! CTM, recheck in 3 days

4/6/2024

URI day 10 - QAR inside den, two empty dishes in den, no c/s/v/d noted, no ocular or nasal discharge, eupneic. A: URI/anorexia apparently resolved P: Okay to move out of medical, CTM while at BACC.