3/29/2026

DVM Intake Exam Estimated age: ~6-9 years based on dentition / condition Microchip noted on Intake? Scanned negative History: Stray Subjective: BARH, pink moist mm, NATA CRT dt behavior Observed Behavior - Wiggly but interactive, vocalizing for venipuncture but no over signs of aggression Is there evidence of suspected cruelty? No Objective: P = WNL R = WNL BCS 2/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted, AS firm cauliflower appearance Oral Exam: Moderate calculus of molars with mild gingivitis PLN: No enlargements noted H/L: NSR, NMA, CRT < 2s, Lungs clear, eupneic, negative ITC ABD: Soft, nonpainful, no masses palpated U/G: Male - intact, two symmetrical scrotal testicles MSI: Ambulatory x 4, full orthopedic exam not performed INT: Unkempt hair coat, focal quiet alopecia with pinpoint scab RH paw at dorsal aspect of digits IV and V, Hypotrichosis with excoriation around neck, no masses noted, no ectoparasites seen CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Normal externally Wood's Lamp Exam: Not performed Assessment: AS cauliflower appearance r/o prior aural hematoma vs other Moderate dental disease Poor BCS r/o malnutrition vs malabsorption vs organ failure (CKD vs other) vs neoplasia vs other MI mature adult DSH Prognosis: Fair, depending on underlying cause of poor BCS Plan: OK for appropriate intake tasks CBC/biochem/T4 IH SURGERY: Pending BW

3/29/2026

Bloodwork interpretation / Addendum to plan of care CBC- Severe neutrophilic (24.99K H) / monocytic (2.24K H) leukocytosis (30K H) r/o neoplasia vs less likely severe infection (no evidence of infection @tt) vs other Biochemistry - Mild hyperglobulinemia (6.5H) / hyperproteinemia (9.2H) r/o 2ary to neoplasia vs infection vs inflammatory Marginal ALT elevation (134H) r/o inflammatory / reactive vs hepatic metastasis vs other T4 WNL Prognosis: Poor Plan: Move into feline ICU for monitoring Consider EHR at end of stray hold vs ARL / seek placement for suspected neoplasia depending on how P is doing clinically (recc thoracic and abdominal imaging with placement) DVM brief recheck 3/30 SURGERY: Permanent waiver for suspected neoplasia

3/29/2026

[Spay/Neuter Waiver - Permanent] Your newly adopted pet has been diagnosed with neoplaysia 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.

3/30/2026

recheck exam, leukocytosis, suspected neoplasia ?\ S/O BAR, comes up to the front and head butts, tries to walk out of kennel, leans in for pets, no c/v/d noted, S+ noted on log, AS scores 1 yesterday, 2 today, noted this morning to have half empty dry food try, no ocular or nasal dc HL: eupneic MSI: amb x 4, good skin tent A. Leukocytosis - r/o inflam vs infectious vs neoplasia Hyporexia r/o systemic dz vs adjusting to shelter vs open P. Medical feeding BID x 3 days mirataz topical SID x 3 days CTM and recheck in 2 days- if p appetite improves consider placement/ARL

4/1/2026

recheck underweight cat, suspected underlying disease S/O BAR, comes up to the front of the kennel with coaxing, AS 3s today, actively eating food when approached, no c/s/v/d appreciated or noted EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4, good skin tent A. Hyporexia - appears resolved Underweight Leukocytosis P. Seek placement as p older underweight cat with H WBCs Recheck in 2 day with recheck weight CTM while at QACC

Upon intake Falafel was social and tolerant with staff. He allowed all handling.