12/29/2022

DVM Intake Exam Estimated age: 2 yr Microchip noted on Intake? negative History:bite and scratch Subjective: DOH Observed Behavior - quiet, able to muzzle and handle, full exam Evidence of Cruelty seen -none Evidence of Trauma seen -none Objective QARH mm pigmented P = WNL R = WNL BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam:clean adult dentition 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: DOH hold SURGERY: Okay for surgery

1/10/2023

Patient BAR in feral den. Eyes appear very mildly wet, otherwise no URI signs noted. Patient has not eaten well for last 4 days. Plan: Start Mirataz 1.5 in strip to ear q24 until 12/14 Start medical feedings q12 until 12/14 Recheck appetite tomorrow

1/11/2023

S/O: BAR, no v/d noted. Not eating EENT: Serous ocular discharge OU, mild dried nasal discharge noted H/L: No coughing/sneezing, eupneic, normal respiratory rate/effort CNS: Mentation appropriate Assessment: URI Plan: Move to medical due to prolonged anorexia Start doxycycline 10 mg/kg PO SID x 10 days- first dose given Start LRS 100 ml SQ q24 x 3 days- first dose given Start Cerenia 1 mg/kg SQ q24 x 3 days- first dose given Start Elura 2 mg/kg PO q24 x 3 days- first dose given Recheck tomorrow Recheck URI day 10 CTM while at BACC

1/12/2023

Patient BAR, hiding behind feral den. Hissed once. Did not eat overnight or during the day. Plan: Recheck tomorrow- consider e-tube in 1-2 days if not eating and if patient will tolerate handling for feedings Continue medical feedings, LRS, Mirataz, Cerenia, and Elura until 1/14 Continue doxycycline until 1/20

1/14/2023

Recheck URI, anorexia S/O: QAR, resting on den Ate small amount overnight No c/s/v/d noted No active nasal or ocular discharge Normal respiratory rate and effort A: URI - no signs noted today Anorexia - improving P: Continue doxycycline, extend mirtazipine and medical feedings, okay to d/c other supportive care CTM in medical

1/17/2023

Recheck anorexia, URI S/O: QAR, hiding at back of den, pulls back and growls when approached Reportedly not eating yesterday, food untouched today No nasal or ocular discharge No c/s/v/d noted Normal respiratory rate/effort A: URI- no signs Anorexia - ro FAS vs illness P: Extend medical feedings and mirtazipine Restart elura 2 mg/kg PO SID x 3 days CTM closely in medical

1/18/2023

Patient BAR, hissing. No URI signs noted. Ate all food overnight- appears to like Tiki cat wet food. Recheck 2 days- if still eating well, move out of medical

1/20/2023

Progress exam Subjective: BAR Objective: Cageside exam performed. Eyes: Clear bilaterally, no discharge Nasal Cavity: No nasal discharge. Lungs: Eupneic Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Neuro: Appropriate mentation. Assessment: -Anorexia (resolved) Prognosis: Good Plan: Okay to move out of medical, CTM while at BACC

1/28/2023

Start gabapentin 20mg/kg PO BID x 5 days for FAS, if eating in food extend indefinitely during shelter stay to decrease FAS

1/31/2023

S/O: Patient currently on gabapentin 20mg/kg PO Reported to be eating medications in food P: Extend indefinitely for FAS in clinic

2/2/2023

Pre-Surgical Exam: S: Hunched in cage and hissing, visual exam performed O: EENT: Blepharospasm with clear ocular discharge OD, no nasal discharge noted Oral Exam: not performed H/L: Eupneic, normal respiratory rate and effort MSI: Adequate body condition, ambulation not assessed Mentation: WNL A: Healthy intact male cat Squinting OD P: Proceed with neuter today Evaluate/stain right eye while under anesthesia

2/2/2023

Surgery Report: Was this cat a Cryptorchid? NO Routine Feline Neuter Self tie of spermatic cord Green Linear Tattoo Placed near Midline Surgeon: 2110 Additional Note: Right eye flushed and stained - no evidence of corneal defects, suspect conjunctivitis. CTM

2/7/2023

Progress Exam--URI signs seen on rounds. Subjective: QAR to dull, no vomiting/diarrhea. Hissing but does not move from spot when scratcher is used to pet face and back. Congested Objective: Cageside exam performed. Eyes: Mild blepharospasm with mucoid discharge OD Nasal Cavity: Moderate congestion Lungs: Eupneic Musculoskeletal: Ambulation not assessed, crouched in one position Neuro: Appropriate mentation. Assessment: -URI with conjunctivitis Prognosis: Good Plan: -Start doxycycline 10 mg/kg PO q24h x 10d until 2/17 -Move to isolation -Recheck day 10

2/8/2023

Brief recheck: Patient was recently diagnosed with URI and started treat in place on 2/7. Has a history of anorexia with URI. Is BAR, noted to have eaten food overnight and this AM. P. Continue treatments as scheduled Continue to monitor appetite - recheck in 2 days

2/10/2023

Recheck appetite - patient has a history of anorexia with URI Cageside exam - Patient is cagefront, BAR and hissing. All food in kennel is gone. No major oculonasal discharge noted. Normal respiratory effort A. Mild URI, eating well P. Ok to continue to monitor. Recheck on 2/17 to clear URI

2/17/2023

URI recheck day 10 - BAR, eating well; no c/s, no nasal discharge, no signs noted. URI resolved, removed UTW sign.

2/20/2023

BAR in kennel, no c/s/v/d. Okay to travel, HC signed.