12/29/2025

[DVM Intake] DVM Intake Exam Estimated age: ~ 5-6 years Microchip noted on Intake? Scanned negative History: ACO - Owner Surrender Subjective: BAR Observed Behavior - Growling and hissing in den. Sedated for exam and tasks. Is there evidence of Cruelty? No Is there evidence of Neglect? No Is there evidence of Trauma? No Objective P = 176 R = Eupneic BCS = 9/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Mostly clean adult dentition, mild staining, mild focal gingivitis at maxillary canines, pink mm. PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Intact male, both testes descended. Externally normal MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat. Obese. Solitary broken toenails on both hindlimbs, no active bleeding. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally normal Assessment Obese Otherwise apparently healthy MI cat Prognosis: Good Plan: Intake exam and tasks Sedation (Adequate): Butorphanol 0.5mg/kg - 0.5mL IM Ketamine - 0.1mL IM Dexmedetomidine 0.1mL IM Atipamezole 0.1mL IM CBC/CHEM/T4 to IDEXX- Pending SURGERY: Okay for surgery

12/30/2025

CBC: eosinophils 0.106 (L) CHEM: Glucose 224 (H) T4: wnl Interpretation: Hyperglycemia - likely stress (patient had to be sedated for exam). PLAN: CTM while at QACC

1/2/2026

recheck, possible URI? Noted to have ocular dc when transported, none appreciated on intake, noted to have dc the other day, recheck S/O- visual exam only d/t behavior EENT: no ocular dc appreciated, possible dc OS, possible mild bleph OU but difficult to appreciated behind the window of the kennel, approached closer to kennel with flashlight and p lunged and struck at glass. No nasal dc, eupneic HL: eupneic A. Possible ocular dc P. Recheck eyes with sedation/neuter pending release of DOH-B start MF BID x 3 days start gaba 100mg BID indef in care recheck in 3 days

1/6/2026

DOH release visual exam S/O: Patient is BAR in top of cubby, blepharospasm OU, low appetite. Hissing when attempting to approach, neurologically normal. A. Normal neuro P. OK to release from DOH hold

1/6/2026

Progress exam Patient cleared from DOH hold today and okayed for sedation/anesthesia/neuter Noted by staff to have crusty eyes. On visual cageside exam, patient has OU blepharospasm and periocular crusting. Appetite has been noted as poor for multiple days (3 on monitoring sheet), food appears undisturbed in kennel. Two piles of bilious vomit noted on cubby where patient rests S/O: BAR, hissing and growling on approach, unable to examine without sedation Sedated exam: EENT: periocular crusting OU, crusted ocular discharge, no nasal discharge. Nictitans possibly lightly icteric. Lower eyelids on lateral canthus curling inwards leading to hair rubbing on corneas OU. Oral: generalized mild tartar, no major lesions H/L: no murmurs or arrhythmias, lungs clear Abd: Soft, no foreign material or masses palpable UG: male intact, 2 testicles MSI: no crepitus on long bones, not observed to ambulate. Skin dirty, no live fleas, possible light icteric shade to abdomen. Neuro: sedated; was bar and appropriate pre-sedation. A. Obese anorexic cat Vomiting noted today r/o gastroenteritis vs hepatic lipidosis vs other chronic conditions Bilateral entropion r/o due to BCS vs inflammation vs structural Possible icterus r/o hepatic lipidosis P. Sedated with: 0.9 DKT IM - provided adequate sedation - 2 view abdominal radiographs: no foreign material noted, no signs of GI obstruction, stomach empty, possible mineralization (fat vs LN) on retroperitoneal area dorsal to colon. - fluorescein stain: no uptake OU - cbc/chem/t4 to lab - neutered - see neuter report - 200mls SQ fluids once - 0.9ml cerenia SQ once - mirataz 1/4 inch strip on AS pinna - onsior 0.9ml SQ once Recheck appetite, mentation, vomiting tomorrow. Due to behavior, it is unlikely that further hands on treatment will be feasible; if patient continues to decline recommend ARL. Patient would benefit from surgical entropion repair to prevent chronic corneal ulceration. Recommend with placement.

1/6/2026

[Surgery Template - Cat Neuter] Was this cat a Cryptorchid? No If so, describe surgical process: Routine Feline Neuter Self tie of spermatic cord Green Linear Tattoo Placed near Midline Surgeon: 2195 Additional Note:

1/7/2026

Progress exam, bloodwork results S/O: QAR on shelf, hisses when approached, possibly ate very small amt dry food, no c/s/v/d noted EENT: OU blepharospasm with mild mucoid discharge LUNGS: Eupneic CNS: Appropriate mentation CBC: eosinophils 0.108 (L) CHEM: cholesterol 82 (L) T4: wnl Interpretation: NSF A: Obese Anorexia vs hyporexia Vomiting - not noted today Conjunctivitis + entropion No appreciable icterus or hyperbilirubinemia/hepatopathy P: Restart medical feedings and monitor appetite on rounds Behavior precludes handling for treatment Recheck appetite in 2 days

1/9/2026

Recheck appetite, conjunctivitis S/O: QAR on shelf, ears flatten when door opened, appetite scores improved (fair appetite), empty dish on bedding, note on rounds board that he loves squeeze ups; no c/s/v/d noted EENT: Moderate goopy mucoid ocular discharge and blepharospasm OU LUNGS: Eupneic A: Anorexia - resolved Conjunctivitis Entropion - ro primary vs secondary to inflammation Obese P: Start fortiflora PO SID x 10 days Continue gabapentin for FAS CTM on rounds, recheck conjunctivitis and appetite in 4-5 days

1/13/2026

no ocular discharge on presentation still not eating well concerned about QOL and hepatic lipidosis if appetite cannot be stabilized

1/15/2026

Recheck - QAR at back of kennel, appetite scores indicate fair to good appetite and dry food dish nearly empty, moderate reddish mucoid ocular discharge, mild entropion, no nasal discharge, eupneic. PLAN: No further treatment- appetite has improved, eyes stable, CTM while at QACC