3/6/2025

DVM Intake Exam Estimated age: 2-3 years based on dentition Microchip noted on Intake? Scanned negative History: Owner surrender- DOH Subjective: QAR Observed Behavior - tense, whale eyes, frozen in back of kennel, opted to sedate as staff noted hematuria in litterbox. Sedated using 0.3 ml DKT (premix) IM. Adequate sedation achieved. Is there evidence of Cruelty? No Is there evidence of Neglect? NO Is there evidence of Trauma? No Objective T = P = 180 bpm (sedated) R = 12 bpm BCS: 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Adult dentition, mild staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Externally WNL, intact male, 2 scrotal testes. No appreciable mucus plug or grit visible from prepuce. MSI: Ambulatory x 4 (prior to sedation), skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities (prior to sedation) Rectal: Externally WNL Wood's Lamp Exam: not performed Assessment Hematuria Suspect FIC vs. uroliths Intact male Prognosis: Good Plan: Intake tasks + exam CBC/CHM in house Urinalysis to send out Abdominal radiographs- no appreciable stones, fair amount of feces in colon Await urinalysis results prior to starting antibiotics if indicated Rx: Gabapentin 100mg/ml 1 ml PO BID x14d Full volume reversal IM Await sort/behavior assessment SURGERY: Okay for surgery at conclusion of hold

3/6/2025

CBC HCT 24.8% (30.3-52.3) Hgb 9.2 g/dL (9.8-16.2) WBC 8.14 K/uL - normal differential CHM Glucose 186 mg/dL (74-159) SDMA 10 ug/dL Creatinine 1.2 mg/dL BUN 20 mg/dL Lytes WNL ALT/ALP WNL A: Mild anemia- pre-regenerative vs. non-regenerative P: Awaiting urinalysis results CTM

3/7/2025

SO: In medical on treatment for FLUTD without obstruction. BAR, frozen on top of kennel with dilated pupils 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: FLUTD P: UA at lab usg 1.058 3+ blood 20-30 WBC/hpf urine culture pending

3/8/2025

Hx: hematuria noted on intake, FLUTD w/o obstruction S: inside den, soft meows periodically, all food eaten in its entirety, hematuria noted in litterbox. O: EENT: Eyes clear, no nasal or ocular discharge noted H/L: Eupneic, no coughing/sneezing or audible congestion ABD: Relaxed CNS: Mentation appropriate/alert A: FLTUD w/o obstruction Eating Urine culture results- NO growth P: Onsior 6mg tablet PO SID x5d CTM in medical

3/9/2025

Issue List: - FLUTD urinating and defecating; appears to be eating well Q-BAR hiding in den EENT: no nasal or ocular discharge noted H/L: eupneic U/G: MI MSI: Ambulatory x 4, normal hair coat CNS: Mentation quiet - no signs of neurologic abnormalities A) FLUTD signs but urinating P) continue monitoring on bite quarantine

3/11/2025

Pet QAR. Ate o/n. Normal urine and feces in litter box. A: Hematuria resolved P: Move out of medical

3/15/2025

SO: Due for release from rabies observation BAR, crouched inside of den. Moves to back when cover lifted 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 neurological deficits appreciated at this time A: no clinical signs of rabies appreciated P: Patient has appropriate mentation at this time (no neurologic signs present) and has not exhibited any neurological signs while at MACC.

3/18/2025

Administered 1 mL SQ Rabies vaccine on RHL

3/21/2025

Pre-surgical exam, anesthesia, and surgery performed by offsite vet. Medical record uploaded to Vet Documents. Green linear tattoo placed lateral to incision.

3/22/2025

Post Op Recheck S: QAR, food eaten in kennel O: EEN- eyes clear, no nasal or ocular discharge H/L- Eupneic, no appreciable sneezing or audible congestion UG- Limited view of incision but appears CDI MSK/i- Ambulatory x4, healthy haircoat Neuro- alert/appropriate A: Appears to be healing well post op P: CTM in care

3/29/2025

DVM Intake Exam Estimated age: 2-3 year based on dentition Microchip noted on Intake? Scanned positive History: Owner surrender, reclaimed 4 days ago Subjective: QAR Observed Behavior - Tense but allows all handling for exam, UTD on tasks Evidence of Cruelty seen - No Evidence of Neglect seen- No Evidence of Trauma seen - No Objective T = P = WNL R = WNL BCS 5/9 EENT: Eyes clear OU, ears clean, no nasal or ocular discharge. Oral Exam: Adult dentition, mild tartar PLN: No enlargements noted H/L: NR, NMA, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Externally WNL, neutered male MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy haircoat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally WNL Wood's Lamp Exam: not performed Assessment pHx FLUTD w/o obstruction Apparently healthy Neutered male Prognosis: Good Plan: UTD on exam + tasks Await sort/ behavior assessment Monitor throughout DOH hold SURGERY: Already neutered

4/5/2025

SO: Due for release from rabies observation BAR, jumps down off of den and comes to front of kennel to take treats. Starts cheek rubbing on 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, no neurological deficits appreciated at this time A: no clinical signs of rabies appreciated P: Patient has appropriate mentation at this time (no neurologic signs present) and has not exhibited any neurological signs while at MACC.