4/4/2026

DVM Intake Exam Estimated age: approx 3-6 y/o based on dentition Microchip noted on Intake? scan negative History: Owner surrender; housed with 25+ cats Subjective: BARH, reported to be eating well in shelter Observed Behavior - tense, timid; attempting to flee when approached kennel; elected to sedate using DKT (0.1ml of each). Adequate sedation achieved. Antagonized with with 0.1ml atipamezole. Is there evidence of suspected cruelty? no Objective: P = wnl R = wnl BCS 4/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: minimal to no tartar or plaque PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no obvious organomegaly; possibly pregnant U/G: female, no spay scar or tattoo present; mildly enlarged mammary tissue, not lactating; slightly firm round irregular SQ nodule associated with right caudal mammary chain MSI: Ambulatory x 4, skin free of parasites, no masses noted, scruffy and dull haircoat; marked hypotrichosis, scabbing and alopecia around hair and face with lichenification and erythema. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: NEGATIVE Assessment: ~3-6 y/o FI DSH Scabbing, alopecia and thickened skin around head/face R/o self trauma from underlying allergies, ectoparasites/mites, vs immune-mediated Possible pregnancy d/t hx living with intact males Prognosis: Good Plan: Ok for intake tasks Administered Convenia 8mg/kg SQ once Applied Selamectin to back of neck CTM for pruritus and discomfort, as may need to start steroids to reduce inflammation (once antigenic stimulation reduced now in less dense and more sanitary housing) SURGERY: Okay for surgery - in house

4/7/2026

Recheck dermatitis and alopecia at head/neck S/O: Sleeping and then QAR, hisses when approached, great appetite, no c/s/v/d noted, feces in LB EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Significant alopecia, scabbing, lichenification around head/face/neck, one wound <1cm at left side of face with mild exudate and healthy granulation tissue CNS: Appropriate mentation A: Facial dermatitis, chronic changes to skin - ro allergy P: Scheduled for spay tomorrow Received topical selamectin and convenia SQ at intake, recommend recheck skin in one week and consider pred taper at that time if indicated. CTM while at QACC

4/8/2026

Pre-Op Exam, cageside S/O: BAR, no c/s/v/d noted EENT: No ocular or nasal discharge noted Lungs: Eupneic, normal respiratory rate/effort ABD: No obvious distention MSI: Ambulatory x 4, no notable lameness CNS: Mentation appropriate A: Appears to be suitable candidate for anesthesia, ASA status I P: Accepted for surgery - spay/neuter today Upon sedation and surgical prep- green tattoo visualized- spayed prior Pale mm, generalized poor body condition, scabbing on ventral neck, P: CBC/VS, out 100 CC LRS SQ DVM eval labs 4/8

4/9/2026

Recheck, bw results; came from household with 25+ cats S/O: QAR, excellent appetite, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Alopecia/sparse haircoat at head/neck with multifocal scabbing and lichenification CNS: Appropriate mentation CBC: Hct 21.5 (L), WBC 22.2 (H), eosinophils 4.018 (H), platelets 459 (H); neutrophils appear slightly toxic, no FHM seen on tech review. CHEM: creatinine 0.4 (L), total protein 5.4 (L), albumin 2.4 (L) T4: wnl A: Dermatitis, appears chronic - ro allergy +/- poor husbandry +/- lack of veterinary care vs other Underweight - great appetite Anemia, non-regenerative vs pre-regenerative - ro chronic disease/inflammation vs other Hypoalbuminemia - ro inflammation/chronic dermatitis P: Received convenia at intake Not notably pruritic - hold off on prednisolone at this time Recheck in one week and consider pred at that time if skin not improving.

4/16/2026

recheck -suspected allergy cat S/O Q-BAR, retreats into box hissing when approached, noted to be eating well, no c/s/v/d appreciated, FS4 and urine in LB EENT: no ocular or nasal dc HL: eupneic GU: unable to visualize MGT as to way p is sitting MSI: amb x 4, sparse hair coat over the head and 1/2 of the thorax, no apparent erythema, sparse dry scabbing, doesn't appear overtly pruiritic, appearance of some new growth A. Alopecia r/o second to husbandry, less likely underlying allergy as doesn't appear overtly pruiritic and no notable erythema today MGT P. CTM- recheck in 4 days - if skin shows signs of improvement consider just monitoring. Not adding prednisolone aTT as p appears to have improved and no marked inflammation. Consider adding in if starts to appear erythematous/pruiritic

4/20/2026

recheck skin, needs additional treatments? feline beh reports appear pruritic S/O BAR, hisses initially, allows for brief pets on the head with scratcher or hands before making airplane ears and low growling/hissing. EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4, sparse hair coat and areas of alopecia to the head esp by the pinna, hair on thorax seems to more growth than last exam, scabbing noted by the ears and under the chin, doesn't appear overtly pruiritic when touched A. Dermatitis- r/o second to allergies. P. repeated convenia 8mg/kg SQ once Dex-SP (4mg/mL) 0.2mg/kg IM once recheck in 2 days to see if any further improvements CTM while at QACC

4/23/2026

Recheck skin, polydipsia reported S/O: BAR at front, eating well, no c/s/v/d noted MSI: fur regrowth around head/neck with no notable lesions (looks much better than when she first arrived in shelter!), skin not notable lichenified A: Polydipsia - likely secondary to steroid injection Alopecia/dermatitis - improving Mass associated with MG P: No further treatment at this time Recommend mass removal + biopsy with placement CTM closely while at QACC

5/4/2026

Staff requesting behavior modification medication due to FAS (stress vocalizing in kennel). P not currently on any behavior modification medications. ADD Gabapentin 100mg (~25mg/kg) PO BID TFN

5/13/2026

Recheck - new skin lesions and pruritis reported S/O: QAR, great appetite, no c/s/v/d noted EENT: periocular swelling with excoriations, no nasal discharge LUNGS: Eupneic MSI: Areas of alopecia and excoriations/scabbing at face and neck A: Reoccurrence of pruritis, alopecia, excoriations - ro allergies Hx nodule at mammary chain P: Start prednisolone taper - 2.5 mg PO BID x 5 days, then 2.5 mg PO SID x 7 days. Recheck skin and also recheck nodule at MG in one week CTM closely on rounds