7/7/2026

Your newly adopted pet is underage and the staff veterinarians are issuing a TEMPORARY waiver from the spay/neuter requirements of the City of NY. Follow up care at your regular veterinarian is recommended to ensure continued treatment through to the resolution of the issue. At the time of a full recovery you may choose to have your veterinarian perform the spay/neuter surgery, or make provisions to return the pet to ACC for sterilization.

7/7/2026

[DVM Intake] DVM Intake Exam Estimated age: 4wks based on dentition/conformation Is this an orphan kitten? yes Is the kitten eating on own? yes Is the kitten suckling? no Microchip noted on intake? scans negative History: 2 stray kittens presented together Subjective: BAR, eating well, crusty eyes Observed Behavior - tolerated all tasks and handling Is there evidence of suspected cruelty? no Objective: P = 200 R = 24 BCS 4/9 EENT: Eyes bilateral epiphora and elevated nictitans, ears clean, no nasal discharge noted Oral Exam: deciduous dentition 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 Rectal: externally normal Wood's Lamp Exam: negative Assessment: Approx. 4wk FI DSH conjunctivitis OU Prognosis: good Plan: intake tasks erythro ophthalmic ointment OU BID x 7 days SURGERY: Temporary waiver due to age/weight

8/9/2026

History: Foster reports patient's conjunctivitis has not resolved. Still eating and playful, stool normal. Noted to be markedly pruritic prior to exam, scratching/biting at paws, flank, hind end Subjective: BARH, no coughing/sneezing/vomiting/diarrhea Objective: P: WNL R: WNL BCS: 4/9 OP: Mucous membranes pink and moist. Deciduous dentition EENT: Blepharospasm and swollen conjunctiva OU, raised third eyelids. Marked dark granular debris AU. Nares clear bilaterally, no discharge noted. PLN: Small/soft/symmetrical/nonpainful CV: No murmurs or arrhythmias, pulses strong and synchronous. RESP: Eupneic, no crackles/wheezes GI: Soft, nonpainful, no palpable masses. UG: female intact, no discharge INT: Soft and diffusely thin hair coat, no masses noted. Hypotrichosis around pinnae and eyes, appears secondary to scratching/rubbing MS: Ambulatory x4, no pain on palpation of epaxials NEURO: Mentation appropriate, cranial nerves intact, no deficits noted. Woods lamp: Negative Assessment: Marked pruritus (likely lice from littermate) Persistent conjunctivitis Ear mites Weaned kitten Plan: -Repeated selamectin -Cleaned ears, start tresaderm 4 drops AU q12h x 7d -Instructed foster to clean ears PRN -Start medicated baths q7d x 4 weeks -Cleaned eyes, start ofloxacin 1 drop OU q12h x 10d. Instructed foster to ensure eyes are clean prior to applying

9/11/2026

History: Minimal improvement on topical ofloxacin, patient still rubbing at eyes significantly Subjective: BARH, no coughing/sneezing/vomiting/diarrhea Observed behavior: Wide eyes, trying to climb up examiner. Settled with gentle handling and towel Objective: P: WNL R: WNL BCS: 5/9 OP: Mucous membranes pink and moist. Deciduous dentition EENT: Marked periocular erythema and crusting, corneal ulcer present OD. Ears and nares clear bilaterally, no discharge noted. PLN: Small/soft/symmetrical/nonpainful CV: No murmurs or arrhythmias, pulses strong and synchronous. RESP: Eupneic, no crackles/wheezes GI:  Soft, nonpainful, no palpable masses. UG: female intact, no discharge INT: Soft and shiny hair coat, no areas of alopecia or pruritus, no ectoparasites or masses noted. MS: Ambulatory x4, no pain on palpation of epaxials NEURO: Mentation appropriate, cranial nerves intact, no deficits noted. Assessment:  -Pruritus (resolved) -Persistent conjunctivitis (r/o secondary to self-trauma from patient) -Corneal ulcer (r/o self-trauma) -Ear mites (resolved) Plan: -Start clavamox 13.75 mg/kg PO q12h x 7d -Pulled serum, start one drop OU q8-12h x 10d -Extend ofloxacin 1 drop OU q8-12h for additional 10d

10/5/2026

Foster appointment to recheck conjunctivitis and OD corneal ulcer History: P was on ofloxacin, clavamox, and eye serum ~3weeks ago Subjective: BARH - nervous but tolerant pale pink moist mm, CRT <2s Objective: BCS: 4/9 OP: Deciduous dentition EENT: Marked periocular erythema and crusting, desmetocele at central cornea OD (FS uptake). OS raised corneal opacities of varying thickness (no FS uptake). Ears and nares clear bilaterally, no discharge noted. HL: No murmurs or arrhythmias, pulses strong and synchronous. Eupneic, normal BV sounds. GI: Soft, nonpainful, no palpable masses. UG: female intact, no discharge INT: Soft and shiny hair coat, no areas of alopecia or pruritus, no ectoparasites or masses noted. MS: Ambulatory x4 NEURO: Mentation appropriate Assessment: Persistent conjunctivitis OU OS symblepharon OD corneal ulcer - worsening, now a desmetocele Plan: ADMIT to feline ICU for closer monitoring and to facilitate administration of eye medications ADD Eye serum OD TID-BID x5d (KEEP IN FRIDGE - TID if time allows, BID if needed. Allow for 5min between eye medications.) -- COLLECTED FROM APPARENTLY HEALTHY CANINE DONOR, DISCARD IN 5d ADD Ciprofloxacin OU BID-TID x14d (TID if time allows, BID if needed. Allow for 5min between eye medications.) ADD Gabapentin 0.26mL PO BID x14d for analgesia ADD Fortiflora 1pkt PO SID x14d DVM recheck 10/7 Medical disc case with foster - Corneal ulcer is much worse and P needs to be ATH to try to save eye - if rupture occurs will need OD enucleation

10/6/2026

DVM progress exam - brief S: recheck corneal ulcers and comfort O/A: P appears comfortable, BAR, and eating. No apparent rupture at this time. P: - change eye drops as no cipro in shelter -> gentamicin 1 drop OU TID x 14d - continue to monitor for rupture and changes - DVM recheck in 2 days

10/7/2026

Recheck, kitten has history of conjunctivitis dating back 3 months with no noted resolution S/O: QAR, allows handling, ate small amt food overnight, no c/s/v/d noted EENT: OU blepharospasm with significant dark reddish crusts periocularly, third eyelid elevation. OD has visible corneal defect with opacity. LUNGS: Eupneic MSI: Amb x 4 CNS: Appropriate mentation A: Chronic conjunctivitis - ro viral vs other Corneal ulcer OD OS symblepharon P: Add doxycycline 10 mg/kg PO SID Seek placement ASAP for continued treatment. **Ideally would be getting topical eye medication administered 4+ times daily. Unable to accommodate in shelter setting. If permanent damage or persistent disease, patient may require enucleation(s) CTM closely on rounds