11/3/2025

[DVM Intake] DVM Intake Exam Estimated age: ~11 years Is this an orphan kitten? No Microchip noted on Intake? No History: Stray Subjective: BAR. 3% dehydrated. Eating well during exam. Observed Behavior - Friendly and curious. Easily examined. Food motivated. Is there evidence of Cruelty? No Is there evidence of Neglect? No Is there evidence of Trauma? No Objective P = 188bpm R = wnl BCS 2/9 EENT: Eyes-lenticular sclerosis OU, ears clean, no nasal or ocular discharge noted Oral Exam: Marked tartar. Missing many teeth, suspect retained roots, fractured upper left maxillary canine PLN: No enlargements noted H/L: Grade III/VI murmur, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: no external testicles MSI: Ambulatory x 4, live fleas, no masses noted, Dry hair coat, Generalized muscle atrophy CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: NE Wood's Lamp Exam: NE Assessment 1. Emaciated 2. Sarcopenia 3. Heart Murmur 4. Fleas 5. Dental disease (grade 4) 6. Fractured maxillary canine Prognosis: Fair Plan: 1. CBC/chem/T4 to lab 2. Intake tasks completed 3. Capstar PO SURGERY: Permanent waiver due to HM

11/4/2025

[Spay/Neuter Waiver - Permanent] Your newly adopted pet has been diagnosed with Heart Murmur and the staff veterinarians are issuing a PERMANENT waiver from the spay/neuter requirements of the City of NY. ACC does not have the facility to safely sterilize your pet with his/her current condition. However, your veterinarian will provide consultation on whether this procedure can or should be performed under their supervision. Follow up care at your regular veterinarian is recommended to ensure continued treatment and proper oversight of your pet's health. All costs for follow up care and subsequent surgery is at the expense of the adopter.

11/4/2025

Issue List: - geriatric cat - anemia - emaciated - hypoalbunemia - dental disease Cat appears older than initially assessed QAR eating some canned food EENT: no nasal or ocular discharge noted H/L: eupneic PLN: WNL ABD: relaxed U/G: MC MSI: Ambulatory x 4, generalized muscle wasting; very thin CNS: Mentation quiet - no signs of neurologic abnormalities A) geriatric feline with age related co-morbidities prognosis guarded P) CWSC monitor appetite recommending to ARL

11/7/2025

SO: Geriatric cat with heart murmur, dental disease and anemia. BAR, comes to kennel door seeking attention. Head bunting and allows handling for brief exam eent: eyes clear, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 neuro: mentation alert and appropriate A: senior cat dental disease heart murmur anemia P: recommend adoption or placement ASAP CTM while in care