10/13/2026

[DVM Intake] DVM Intake Exam Estimated age: 5yrs based on dentition/conformation Microchip noted on Intake? scans negative History: Stray noted to have aural hematoma Subjective: BAR Observed Behavior - tolerated basic exam and tasks but started to growl and hiss with more invasive tasks (microchip) Is there evidence of suspected cruelty? no Objective: P = 200 R = 24 BCS 4/9 EENT: Eyes clear, AD hematoma filling entire pinna, ear canals completely filled with thick ceruminous debris, no nasal or ocular discharge noted Oral Exam: Adult dentition with mild staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: F, suspect intact (no tattoo or scar) MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment: Approx. 5yr FI DSH Aural hematoma AD Suspect ear mites Prognosis: good Plan: intake tasks Simbadol 0.12mg/kg SQ on intakes (x) Selamectin applied Rec aural hematoma repair, ear cleaning and microchip tomorrow - DVM follow up tomorrow SURGERY: Okay for surgery

10/16/2026

Scheduled for spay surgery, including hematoma repair, on 10/16. See relevant notes.

10/16/2026

Pre-Op Exam Hx: Intake Visual pre-op exam due to behavior S/O) BAR. EENT: eyes clear, left ear markedly swollen, no nasal or ocular discharge, H/L: eupneic, no c/s or audible congestion noted MSI: Sitting up/ moving around, in good flesh, good HC ABD: not examined UG: not examined Neuro: alert/appropriate A) Appears to be a good anesthetic candidate P) Surgery today

10/16/2026

[Surgery Template - Cat Spay] Was this cat in heat, pregnant or have a pyometra? Ventral Midline Incision Ovaries Ligated with: self tie Uterine Body Ligated with: 3-0 securocryl circumferential ligature and then transfixed ligature Abdominal Closure: 3-0 securocryl simple continuous Skin closure: 3-0 securocryl simple continuous Green Linear Tattoo Placed near Midline Surgeon: 0587 Additional Comments: Full surgical incisional aural hematoma repair is an involved longer process better handled outside the shelter due to the time and aftercare bandaging needed. Another option with some success is a procedure to extrude all the fluid and place a steroid directly in the dead space in the pinnae. Procedure - Extruded all serosanguinous fluid through 18 gauge needle. Ear significantly flatter but still some thickened tissue present in tissue. Place Dex SP 0.5 mg/ kg (0.3 cc) into the same hole from the 18 gauge needle. Place a drop of glue. The process may need to be repeated as needed. It may work better with longer acting steroid like triamcinolone or Depo-medrol (not available in shelter). Treating underlying condition is important. Ears were cleaned. Mites were found. Continue monthly treatment with selamectin. Recommend follow-up for ear hematoma with adopter.

10/23/2026

Brief progress exam S: BARH - at front of kennel soliciting attention pink moist mm at distance no c/s/v/d reported great appetite O: EENT: No ocular or nasal discharge, corneas clear. AD large aural hematoma P reactive to touch LUNG: Eupneic at distance MSK: Ambulatory x4 INT: Healthy haircoat at distance CNS: Appropriate mentation A/P: AD aural hematoma - recurring --> recc sedated teat cannula placement

10/23/2026

Aural hematoma - teat cannula placement PRE OP: P was sedated with 0.05mL dexmedetomidine and 0.05mL butorphanol. P was placed in left lateral recumbency. AD pinna was clipped and aseptically prepped. The hematoma was ~2cm and extended from throughout the entire pinna without palpable cavitation but a thick capsule. A line block of 2% lidocaine was applied to the ventral most aspect of the hematoma. INTRA OP: A <3mm stab incision was made at the ventral most aspect of the hematoma with an 11 blade. Teat cannula placement was attempted but the ear was not long enough to fit the cannula in this direction. Since the ear was folded over, another stab incision was made at the pinna tip to facilitate the length of the cannula. The teat cannula was placed into the incision and was secured in place with tissue glue. POST OP: P was reversed with antisedan and monitored closely until sternal/ambulatory. Affected ear was cleaned well and tresaderm was applied (continue BID x7d) (NOTE SEVERE ERYTHEMA, MODERATE STENOSIS AND SEVERE BLACK CRUMBING DEBRIS) GAVE convenia (~8mg/kg) / onsior (~2mg/kg) 0.24mL SQ ONCE ADD Onsior 3mg (~1.25mg/kg) PO SID for 3 additional days (start tomorrow) DVM recheck 10/26 If teat cannula does not fall out on own recc removal in 3-4wks If the teat cannula fails, recommend surgical correction of aural hematoma with placement. Surgeon: 2681

10/26/2026

recheck aural hematoma, repaired with teat cannula 10/16 and 10/23 S/O BAR, food moderately disturbed AD: cannula in place, scant drainage noted when p shook head when performing aural exam. Noted to have dark brown pruritic debris AD, + pinnal pedal reflex during attempt to clean. Removed debris gently with q-tip. Pinna thickened, mildly fluctuant toward middle of where cannula lies A/P Aural hematoma - minimal swelling today, scant dc Con't with tresaderm CTM and recheck in 3 days, if aural dc still present rec thorough cleaning to reduce chance of shaking head and contributing to hematoma reoccurrence

10/28/2026

Recheck ears, teat cannula placed 10/23 for aural hematoma AD S/O: QAR-BAR, good appetite, no c/s/v/d noted; allows handling until ear cleaning, gently swats at me after cleaning with claws in EENT: No ocular or nasal discharge; AS mild-mod dark granular discharge and pruritis; AD pinna is firm and irregularly thickened with teat cannula in place and no active discharge, canal is stenotic with heavy dark granular discharge LUNGS: Eupneic MSI: Healthy haircoat CNS: Appropriate mentation A: Aural hematoma AD - healing Otitis vs ear mites AD >AS Stenotic canal AD - ro secondary to aural hematoma and scarring P: Cleaned ears, did not tolerate thorough cleaning of AD Ivermectin 0.07 ml SQ once today, repeat in 2 weeks Continue tresaderm AU BID - made note to ensure medication getting INTO AD canal Scheduled ear cleanings Q4 days Restart onsior 6 mg PO SID CTM closely on rounds, if otitis/stenotic canal not improving recommend ARL for priority placement.

Upon intake Fanny was very curious, friendly and docile around counselors. She allowed all handling such as scanning for microchip, collaring and placing from carrier into kennel. All done without any concerns.