4/28/2026

DVM Intake Exam Estimated age: 2 years based on the condition of teeth and eyes Microchip noted on Intake? Negative History: Brought in by police Subjective: BAR H pink 1 sec Observed Behavior - hissed, swatting in kennel Evidence of Cruelty seen - No Objective P = 120hr R = 40rr BCS 5/9 EENT: Eyes clear, ears waxy, no nasal or ocular discharge noted Oral Exam: 104 fractured 2/3 distal tooth. 204 fractured at gum line. Grade 1/4 dental disease. PLN: No enlargements noted H/L: NSR, NMA, CRT<2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: FI MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment canine teeth fractured bilaterally 1/4 dental disease Prognosis: Fair Plan: Sedate DKT 0.36 mLs (0.0125 mg/kg dexdomitor, 0.25 mg/kg telzol, 5 mg/kg ketamine) 0.09 mLs antisedan reversal Intake procedures SURGERY: Okay for surgery

5/7/2026

SO: Due for release from rabies observation BAR inside of den, not interested in treats offered eent: eyes clear, mucoid nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated, congested msi: ambulatory x4 neuro: mentation alert and appropriate, no neurological deficits appreciated at this time A: no clinical signs of rabies appreciated URI-moderate P: Patient has appropriate mentation at this time (no neurologic signs present) and has not exhibited any neurological signs while at MACC. 0.3ml doxycycline 100mg/ml PO SID x7d

5/8/2026

SO: In holding on treatment for moderate URI QAR on top of den, food plates appear untouched eent: eyes clear, mucoid nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 neuro: mentation alert and appropriate A: URI moderate P: 100ml LRS sc SID x5d 0.35ml cerenia sc SID x5d 0.25ml vitamin B12 1000mcg/ml

5/10/2026

Medication reported not being eaten in food. Doxycycline should be administered to mouth Fluids canceled due to behavior

5/10/2026

not eating well yet limited supportive care due to FAS

5/13/2026

Recheck moderate URI/ appetite S: BAR at front of kennel. Food bowls untouched. O: EEN- eyes clear, clear nasal discharge H/L- eupneic, sneezing and mild audible congestion MSK/i- ambulatory x4, healthy haircoat. Neuro- alert/appropriate A: Mild to moderate URI Unable to administer supportive care due to behavior P: Zorbium for appropriate weight Medical feedings of high value foods to promote appetite Recheck in 2 days CTM in care

5/15/2026

SO: BAR, on treatment for moderate URI. Completed doxycycline course on 5/13. Appears to be eating dry food with good appetite 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: URI-moderate appears to be improving P: recheck in 3 days to see if resolved

5/18/2026

No respiratory symptoms Plan okay for spay

5/24/2026

Pet presented to ER with tremors but has stabilized with midazolam and keppra. She is eating now and fractious. A: History of head pressing and tremors r/o FIP vs toxoplasmosis vs other Prognosis: Poor Plan c/w supportive care (IVF, oral gabapentin, oral keppra and oral clindamycin) until Tuesday 5/26. Advise humane euthanasia if pet has another neurologic episode or deteriorates. Pet has a DNR code.

5/26/2026

P returned from outside vet with the following medications: Clindamycin 25mg/ml Oral Suspension: Give 1.2ml PO every 12 hours until gone. Gabapentin 50mg/ml Oral Suspension: Give 0.8ml PO every 8hrs Levetiracetam 100mg/ml Oral Suspension: Give 0.7ml PO every 8 hours

5/27/2026

SO: Returned from outside vet care yesterday. Started on clindamycin. BAR, head bunting and soliciting attention at front of kennel 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, no obvious neurological deficits A: neurological episode appears resolved P: continue monitoring and current treatment plan

5/28/2026

SO: In medical after neurological event. Currently on clindamycin BAR, comes to front of kennel, soliciting attention. All wet food in kennel eaten overnight 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: pHx neurological episode P: continue to monitor in medical

5/29/2026

In medical for monitoring due to reported neurologic event. On keppra, Gabapentin, and Clindamycin. Appears to be doing well. S: BAR at front of kennel. Food bowls empty and meowing for more. O: EEN- eyes clear, no ocular or nasal discharge H/L- eupneic, no appreciable sneezing or audible congestion MSK/i- ambulatory x4, healthy haircoat. Neuro- alert/appropriate A: Possible nerve damage/neuropathy Eating well P: CTM in care

6/1/2026

HCT 37% wnl wBCs 24k high Neuts 18k high Eos 3k high basos 0.8k high Platelets 606k sl high BG 85 WNL BUN 26 wnl Creat 1.1 wnl Na 166 sl elevated K 5.4 wnl TP 8 wnl Globulin 5.2 sl high ALT 86 wnl ALP 37 wnl ggt 7 high Tbili 0.3 mg/dl wnl A: mild neutrophilia persists Mild hyperglobulinemia persists GGT elevated but decreased since last week Hyperglycemia resolved ALT normalized Hx head pressing and dull mentation resolved r/o toxoplasmosis vs intracranial lesions(vascular vs mass) vs other Plan c/w clindamycin, keppra and gabapentin advise placement

6/1/2026

Blood drawn and ran CBC/Chem in house. Reweighed at 8.0 lbs

6/4/2026

Eating well No further neurologic episodes or signs reported BAR, meowing at front of kennel No ocular or nasal discharge Eupenic Normal mentation Plan: Continue current treatments/plan

6/7/2026

has had neuro event put has been stable P) consider moving out of medical

6/11/2026

Progress Exam Hx neurologic event BAR, at front of kennel meowing and pawing Appetite score 3, FS 4, no c/s/v/d EENT: No ocular or nasal discharge H/L: Eupneic, normal RR CNS: Normal mentation, no further neurologic events reported Plan: Ok to move out of medical CTM neuro signs in care

6/16/2026

Pet is BAR and eating. No neuro episodes reported. Plan finish clindamycin 6/23 consider wean off keppra starting 6/23 and monitor for recurrence of symptoms.

6/24/2026

Pet is QAR and eating. No neurologic event in the past month and Clindamycin course for possible Toxoplasmosis infection has concluded. Plan Attempt to wean off of Levetiracetam by decreasing dose by 25% every 2 weeks. Levetiracetam 100mg/ml 0.5 ml po bid x 2 weeks, then 0.3 ml po bid x 2 weeks then 0.2 ml po bid x 2 weeks then 0.1 ml po bid x 2 weeks then discontinue. c/w gabapentin.

7/22/2026

Pet is QAR and eating. No neurologic episodes reported. A: Pet doing well during keppra taper Plan recheck in 2 weeks c/w keppra taper

7/28/2026

EEN: sneezing, clear nasal discharge A: URI mild r/o viral P: CTM

8/6/2026

Recheck URI S: QAR in kennel, eating well O: EEN- eyes clear, no ocular or nasal discharge H/L- eupneic no apparent sneezing or sniffling MSK/i- ambulatory x4, healthy haircoat Neuro- alert/appropriate A: No evidence of URI Eating P; Continue with taper of Keppra CTM in care

8/7/2026

SO: pHx on seizure activity. Currently on keppra taper and on subtherapeutic dose at this time. No seizure activity reported BAR, taking treats at kennel door 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: pHx seizure activity P: CTM while in shelter Consider discontinuation of keppra

8/20/2026

SO: History of seizure, no seizures noted since. Currently on Keppra taper. BAR, taking treats at kennel door Appropriate mentation, neurologically normal. Normal appetite, no c/s/v/d. A: Seizure history P: OK to d/c Keppra at last taper dose 8/22. Monitor closely for seizures, counsel for history of seizures to potential adopters.

9/24/2026

Pre-Op Exam S: BAR in kennel, comes to front of kennel and chirps at me O: EEN- eyes clear, no appreciable ocular or nasal discharge H/L- eupneic, no coughing/sneezing noted MSK/i- ambulatory x4, healthy haircoat Neuro- alert/appropriate A: Appears to be a good anesthetic candidate P: Spay today, adjust anesthetic protocol to not include ketamine as it is contraindicated in pets with hx of seizure activity

9/24/2026

Feline OHE performed by Vet: 2172 Patient anesthesia form uploaded to Shelter Buddy in Vet Documents. pain managements: Zorbium 1 ml- 1 tube was applied pre-SX as a one time dose for pain management lasting up to 3 days of pain relief. Onsior 20 mg/ml Injection- 0.45 ml was given Post-Op as a one time dose for pain management

9/24/2026

[Surgery Template - Cat Spay] Was this cat in heat, pregnant or have a pyometra? No Ventral Midline Incision Ovaries Ligated with: autoligation Uterine Body Ligated with: 3-0 PDS using two modified millers knots Abdominal Closure: 3-0 PDS using 2 cruciates Skin closure: 3-0 PDS intradermal Green Linear Tattoo Placed near Midline Surgeon: 2172 Additional Comments: Significant amount of adipose tissue, large incision necessary to exteriorize

9/28/2026

Princess Leia is doing well in shelter and has gained weight. She has been normal since an acute neurologic event on 5/24/2026 which involved tremors, head pressing and ataxia. Symptoms quickly resolved with Clindamycin and an anti-seizure medicine (keppra). Symptoms have not returned since both medications were discontinued. r/o intracranial lesion (infection (possible toxoplasmosis vs viral vs other) vs vascular event). Prognosis: Good. A relapse is possible but unlikely. Plan Advise caution prescribing immunosuppressants (steroids) to Princess in future. Repeat blood work will require sedation.