9/7/2022

DVM Intake Exam Estimated age: Reported 6y, exam agrees Microchip noted on Intake? scanned negative History: Owner surrender due to cross country move. Subjective: BAR Observed Behavior - Growling and tense in den. Hissing and striking when approached. Evidence of Cruelty seen -no Evidence of Trauma seen -no Objective T = P =wnl R =wnl BCS 8/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: adult dentition with moderate tartar and linear gingivitis, PDDZ stage 1/4 PLN: No enlargements noted H/L: NR, NMA, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: female intact, no apparent spay scar or tattoo MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, lost nail RF digit 2 during sedation, large firm mats over caudal dorsum CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: normal external Wood's Lamp Exam: not performed Assessment overweight dental disease-mild matted Prognosis: good Plan: intake tasks recommended weight loss and routine dental care post adoption/placement SURGERY: Okay for surgery-consider extra points due to obesity

9/13/2022

S: Reported sneezing & drooling. BAR in kennel, ate well, normal urine, no stool today. O: EENT: OU clear/bright, no ocular discharge, but moderate serous nasal discharge with frequent sneezing observed H/L: Eupneic MSI: Unremarkable A: URI P: Treat in place, fortiflora SID x 7 days

9/17/2022

Hx: Reported drooling with heavy nasal dc SO: W: 14.86 lbs BAR, hissing and flattening ears when approached eyes clear, heavy yellow mucoid nasal dc apparent thick saliva strings eupneic, no coughing or sneezing appreciated ambulatory x4 mentation alert and appropriate A: URI-severe oral ulceration suspected P: Move to medical isolation Simbadol 0.7ml sc SID x5d nebulize 15 min SID x5d ideally would start SC fluids, but behavior will not allow monitor appetite consider sedation for further work up/treatment if not improving

9/17/2022

Hx: In medical iso on treatment for severe URI. Behavior making treatment complicated SO: BAR, hissing and flattening ears when approached eyes clear, some saliva dried to chin, but improved from yesterday eupneic, heavy mucoid nasal dc, no coughing or sneezing appreciated, but breathing with mouth open ambulatory x4 mentation alert and appropriate A: URI-severe oral ulceration suspected P: continue current treatment monitor appetite consider sedation for further work up/treatment if not improving

9/18/2022

Hx: severe URI. Behavior making treatment complicated; anorexia SO: limited PE due to FAS- needs sedation depressed; DH eent: eyes clear, some saliva dried to chin, mouth partially open; lingual ulcers; increased salivation (thick); marked tartar on carnassial and molars pln: wnl h/l: nasal dc, breathing with mouth open abd: obese; no obvious mass effect ug: no vaginal discharge msi: ambulatory x4; overweight; litter on ventral coat neuro: mentation alert and appropriate A: URI-severe oral ulceration suspected marked dehydration FAS Older than originally believed (10-12 years) P: Telazol- 0.2 ml and gave an extra 0.05ml IM for rads CBC/CHEM/T4- pending Chest and Abdominal Rads: little fecal material in colon Because of cat's FAS level- IV catheter impractical; will have to use SQ fluids prognosis poor to guarded permanent waiver for OHE

9/18/2022

CBC/CHEM/T4/UA slightly elevated WBC elevated BUN and SDMA r/o pre-renal vs renal vs other hyperglycemia 254 mg/dl r/o stress hyperphosphatemia r/o pre-renal vs renal vs other urine specific gravity - >1.050 this will elevate BUN/SDMA

9/18/2022

[Spay/Neuter Waiver - Age] It is the policy of ACC not to perform surgery on any animal over the age of 8-10 years due to the higher risks incurred in a shelter setting. The veterinarian is hereby issuing a permanent spay/neuter waiver, from the spay/neuter requirements of the City of NY due to the estimated age of this animal. ACC does recommend you consult with your veterinarian to determine if surgical sterilization is appropriate.

9/19/2022

Hx: URI; anorexia; FAS SO: limited PE eent: eyes clear, mouth closed and no hypersalivation h/l: appears to be nostril breathing abd: obese msi: overweight A: URI h/o tongue ulceration h/o dehydration FAS P: CWSC

9/20/2022

S: BAR in kennel, hissing when approached. Visual exam only. Unsure if eating food (may have licked some gravy off of shreds). O: BCS: 6/9 EENT: Mild serous ocular/nasal discharge, no sneezing/coughing H/L: Eupneic, no sneezing/coughing observed MSI: Not observed ambulating; healthy hair coat CNS: Appropriate mentation-no obvious neurologic abnormalities apparent A: URI- improving on treatment P: Continue treatment, monitoring, and tempting with tasty food

9/23/2022

S: BAR in kennel, hissing when approached. Visual exam only. Appears to have eaten approx half of wet food O: BCS: 6/9 EENT: Mild serous ocular/nasal discharge, no sneezing/coughing H/L: Eupneic, no sneezing/coughing observed MSI: Not observed ambulating; healthy hair coat CNS: Appropriate mentation-no obvious neurologic abnormalities apparent A: URI- improving on treatment P: Continue treatment, monitoring, and tempting with tasty food

9/23/2022

S: BAR in kennel, hissing when approached. Visual exam only. Only eating small amount of wet food O: BCS: 6/9 EENT: Mild serous ocular/nasal discharge, no sneezing/coughing H/L: Eupneic, no sneezing/coughing observed MSI: Not observed ambulating; healthy hair coat CNS: Appropriate mentation-no obvious neurologic abnormalities apparent A: URI- improving on treatment P: Continue treatment, monitoring, and tempting with tasty food

9/23/2022

Ate some wet food, baby food & a little dry o/n. Cat sitting on top of den and growling. EEN: No ocular or nasal discharge RESP: Eupneic A: URI improving. P: May move out of medical tomorrow if appetite hold.

9/24/2022

Sitting at top of den. Wet sneezes. Ate most of wet food this am. EEN: No ocular or nasal discharge. A: URI improving. P: Move to cat isolation.

9/30/2022

Hx: In isolation on treatment for URI. SO: BAR, hissing when approached. Appears to be eating with very good appetite eyes clear, no ocular or nasal dc apparent eupneic, no coughing or sneezing appreciated mentation alert and appropriate A: URI apparently resolved P: OK to move out of isolation

9/19/2023

DVM Intake Exam Estimated age: 9-12 years based on the condition of teeth and eyes Microchip noted on Intake? Positive History: Owner surrender Subjective: BAR H pink 1 sec Observed Behavior - FAS; hissed, tried to run away, ear back; tail tucked under Evidence of Cruelty seen - No Evidence of Trauma seen – No Evidence of Neglect- No Objective P = 200hr R = 40rr BCS 8/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: NSF PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FI MSI: before sedation ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat; obese CNS: before sedation mentation appropriate - no signs of neurologic abnormalities Assessment Obese Prognosis: Fair Plan: Telazol- 0.18 ml IM Intake procedures BG- 127 mg/dl recommend weight loss program

Chewy was very nervous, eyes completely dilated, panting heavily, tense body, licking her lips and meowing loudly. I was able to give her some treats to take a picture and try to collar her.