10/3/2026

DVM Intake Exam Estimated age: ~1-3 years based on dentition / condition Microchip noted on Intake? Scanned negative History: Stray Subjective: QAR, pale tacky mm, CRT <2s, prolonged skin tent Observed Behavior - Nervous but tolerant, leans into pets, allowed all tasks and handling with some vocalization Is there evidence of suspected cruelty? No Objective: P = WNL R = WNL BCS 4/9 EENT: Ears clean AU, no nasal discharge. OS mucoid discharge medial canthi, OD dark brown dried ocular discharge. OU; corneas clear, mild elevation of 3rd eyelid, no blepharospasm Oral Exam: Clean dentition PLN: No enlargements noted H/L: NSR, NMA, CRT < 2s, Lungs clear, eupneic, negative ITC ABD: Soft, nonpainful, no masses palpated U/G: Female - appears intact no tattoo or spay scar MSK: Ambulatory x 4, full orthopedic exam not performed INT: Healthy hair coat, no masses noted, no ectoparasites seen CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Normal externally Wood's Lamp Exam: Not performed Assessment: FI young adult DSH - ~6% dehydrated - hyporexia - URI - anemic Prognosis: Fair Plan: OK for appropriate intake tasks - parvo snap 10/2 - LRS 100ml SQ once - B12 250mcg SQ once - Cerenia 1mg/kg SQ once - Mirtaz once AD - monitor appetite, coughing, sneezing - in house cbc: HCT 17.9 (L) SURGERY: Okay for surgery once URI signs resolve

10/4/2026

LRS 75ml SQ ///Done

10/6/2026

Brief progress exam S: BARH - at back of kennel on top of box but tolerant of exam, leans into pets pale pink mildly tacky mm, CRT <2s no c/s/v/d reported poor appetite reported O: EENT: Mild mucoid discharge at medial canthus with no blepharospasm OU, scant serous yellow discharge from nares bialterally, corneas clear LUNG: Eupneic but mild audible congestion MSK: Ambulatory x4 CNS: Appropriate mentation A/P: CONTINUE SQF as RXd ADD Nebulization 10-15min SID x3d ADD Mirataz TD alternating internal pinna AU x7d ADD Medical feeding BID x3d ADD Fortiflora 1pkt PO SID x7d Consider doxycycline once P eating DVM recheck 10/7

10/7/2026

DVM Progress Exam - Brief Recheck URI and hydration status, admitted to med iso 10/2, anemic, currently on supportive care. BW sent out 10/6 S: QAR in kennel, appears comfortable and brighter than previous days. ate a small amount overnight. No c/s/v/d noted O: EENT: corneas clear OU, no ocular discharge, mild 3rd eyelid elevation OU. no nasal discharge LUNG: Eupneic CNS: Appropriate mentation A/P: - continue supportive care, consider adjusting plan once bloodwork results return

10/7/2026

Bloodwork interpretation from 10/6 CBC: - RBC 4.12 (L) vs. 4.4 (L) on 10/3 - HCT 20.6 (L) vs. 17.9 (L) on 10/3 - improving - Hb 5.9 (L) vs. 6.5 (L) on 10/3 - MCHC 28.6 (L) vs. 36.6 (N) - WBC 19.4 (L) vs. 20.31 (H) - improving - Mono 1.1 (L) vs. 1.66 (H) - improving - Plt 467 (HN on send out rr) vs. 580 on 10/3 (N in house rr) Chem - SDMA 29 (H) - Cre 5 (H) - BUN 135 (H) - Phos 29.1 (H) - Ca 8 (L) - Na 160 (H) - K 5.7 (H) - Na:K 28 (L) - Alb 1.9 (L) -Alb:Glob 0.4 (L) - ALP 7 (L) TT4: 0.9 (LN) A: - moderate normocytic hypochromic non-regenerative anemia r/o hemolysis vs. hemorrhage vs. decreased production - mild monocytosis r/o inflammation vs. immune mediated disease vs. neoplasia vs. other - severe azotemia/renal failure r/o aki (infectious vs. inflammatory vs. toxic vs. ischemic) vs. ckd vs. other - hyperphosphatemia r/o decreased urinary clearance vs. increased intestinal absorption vs. icf -> ecf shift vs. other - hypocalcemia r/o ckd vs. secondary to hypoalbuminemia vs. toxin vs. artifact vs. other - hypernatremia - hypoerkalemia - hypoalbuminemia decreased production (liver dz, maldigestion/absorption, malnutrition, inlammation) vs. increase loss - low ALP - r/o artifact vs. not clinically significant P: diagnostics: - in house USG ( usg 1.019, TP 2.2), send out UA treatments - place IVC, start LRS @ 90ml/kg/d during day hospitalization, overnight - give cerenia 1mg/kg IV sid - Convenia 8mg/kg sq once - recheck renal values 10/8 - DVM recheck 10/8 w/ pathway planning prognosis: poor

10/8/2026

Recheck - anemia and kidney failure; started on IV LRS @ ~3x maintenance yesterday afternoon, disconnected overnight. S/O: QAR initially, hiding in box, but warms with time and comes out for interaction. Purring and leaning into petting; ate some of med feeding last night, eating right away when HV foods placed into kennel this AM during interaction; noted to have eaten some dry food this afternoon. No c/s/v/d noted EENT: No nasal discharge, mild dried/crusted ocular discharge at medial canthi OU ORAL: Mm pale pink and tacky, scant tartar on adult dentition LUNGS: Eupneic MSI: Amb x 4, skin tent notable CNS: Appropriate mentation *UA: -USG 1.016 (L) -Protein 3+ (H) -Glucose 1+ (H) -Blood/hemoglobin 3+ (H) -WBCs 20-30 (H) -RBCs 20-30 (H) -Epithelial cells 3+(H) -Casts 2+ (H) -Crystals - occasional calcium oxalate *Repeat bloodwork in-house this AM (on IV LRS ~9 hours total: 7hrs yesterday, 2 hours this AM) CBC: -Hct 15.9 (L), prev 20.6 and 17. -Platelets 706 (H) CHEM: -SDMA 26 (H), prev 29 -Creat 5.9 (H), prev 5 -BUN >130 (H), prev 135 -Phosphorus >16.1 (H), prev 29.1 -Calcium 7.6 (L), prev 8.0 -Albumin 1.8 (L), prev 1.9 A: Severe azotemia, suspect AKI, renal values largely unchanged - ro toxin vs infection vs other Severe anemia, worse than previous likely secondary to IVF administration Hypocalcemia, hypoalbuminemia persist Proteinuria Hematuria Pyuria - ro UTI vs other Dehydration Hyporexia - improving appetite Prognosis: Guarded to poor pending further response to treatment (clinically showing signs of improvement, but bloodwork has not improved yet) P: Added urine culture to labs Reconnected to IV LRS this AM and gave 1/2 shock dose bolus; continued on ~3x maintenance. Decrease to maintenance overnight. Continue cerenia 1 mg/kg IV SID Continue mirataz, fortiflora, medical feedings Seek placement ASAP - recommend at risk list. Etiology unknown, patient needs more aggressive hospitalization and 24 hour care, unable to provide in shelter. **If Sabrina stops eating or clinically declines, recommend EHR. If no placement found recommend EHR.