11/14/2024

DVM Intake Exam Estimated age: 8-10y Microchip noted on Intake? scanned negative History: Stray cat suspected injured brought in by member of public. Subjective: BAR Observed Behavior - Head butting and seeking attention throughout exam. Brief growling during blood draw, but continued eating wet food throughout. Evidence of Cruelty seen -no Evidence of Neglect seen-no Evidence of Trauma seen -no Objective T = P =wnl R =wnl BCS 2/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: adult dentition with minor staining and linear gingivitis PLN: No enlargements noted H/L: NR, NMA, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: female intact, no apparent scar or tattoo MSI: Ambulatory x 4, skin free of parasites, no masses noted, unkempt hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: normal external Wood's Lamp Exam: not performed Assessment emaciated Prognosis: fair Plan: intake tasks blood draw-only able to get enough for chem house in medical monitor weight 0.25ml vitamin B12 sc once SURGERY: Permanent waiver due to age and poor condition

11/15/2024

In house chemistry BUN 39 (16-36) mg/dL Phos 2.9 (3.1-7.5) Na 175 (150-165) mmol/L T4 wnl A: suspect BUN elevation is pre-renal P: 100ml LRS sc once was eating with good appetite. monitor in medical

11/15/2024

Hx: emaciated senior cat S: BAR, meowing, seeks attention, ate well o/n, normal urine and feces in litterbox O: EEN- eyes clear, no nasal or ocular discharge. Scabbing on nasal planum. H/L- NSR, no murmur noted, eupneic, lungs clear MSK/i- BCS 2/9, ambulatory x4, muscle wasted Neuro- alert/appropriate A: Emaciated Dehydrated Intact female Eating P: Monitor

11/17/2024

QAR leans into pets. Urinated in box and ate wet food this morning. EEN: Erosion at caudal and rostral aspect of tongue. No ocular or nasals discharge RESP: Eupneic MSI: Decreased skin turgor. Muscle wasted NEURO: Normal mentation and reflexes. A: Dehydrated Emaciated Prognosis: Fair Plan LRS 60 mls SQ

11/18/2024

Issue List: - emaciated - oral ulcerations - not eating well Q-BAR H did not eat well EENT: slight nasal discharge noted H/L: eupneic PLN: WNL ABD: relaxed U/G: FI MSI: Ambulatory x 4, dull hair coat, emaciated CNS: Mentation quiet - no signs of neurologic abnormalities A) emaciated did not eat well overnight P) SQ fluids- 50 ml LRS q 24 hrs

11/19/2024

Hx: URI; emaciated eating well; canned food

11/20/2024

PROGRESS EXAM S/O: Reported to be eating well on 11/19. Has not touched wet food this AM. QAR, leaning into pets. Prolonged skin tent. Mild ocular discharge. Increased inspiratory effort with mild audible congestion. A: URI - moderate-severe -Hyporexia -Lingual ulcerations -Emaciated P: Start additional supportive care: -Doxycycline 10mg/kg PO q24h x 10 days -LRS fluids 50ml SQ x 3 days -Simbadol 0.24mg/kg SQ x 2 days -Cerenia 0.18ml SQ q24h x 3 days *Recheck exam in 2 days

11/21/2024

Hx: In medical on treatment for emaciation and URI with ulceration S: QAR and allows all handling with soft body. Ate some tune over night, but not eating when offered fresh food. O: eent: mms pink and moist, eyes clear, no ocular or nasal dc apparent h/l: heart ok no murmur detected, but intermittent gallop, lungs harsh tachypneic with some abdominal effort abd: abd palp nad soft and non painful lns: all pln wnl int: unkempt hair coat, no external parasites noted ms: ambulatory x4 neuro: mentation alert and appropriate A: tachypnea-r/o pneumonia v neoplasia v CHF P: 2 view radiograph on lateral appears to have scant pleural effusion cranial chest, difficult to appreciate on VD view possible fluid overload v mediastinal mass v other 0.1ml furosemide 50mg/ml IM monitor for improvement discontinuing fluids

11/21/2024

Respiration rate at rest still increased 0.1ml furosemide 50mg/ml IM

11/22/2024

SO: IN medical on treatment for URI. Possible episode of fluid overload yesterday or possible pneumonia. Received two doses of furosemide. BAR, ate well overnight. Comes to front of kennel, stretching and seeking attention eent: eyes clear, mild crusted nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 neuro: mentation alert and appropriate A: URI-moderate on treatment P: improved from yesterday continue doxycycline orally

11/23/2024

SO: In medical on treatment for suspected pneumonia BAR, comes to kennel door seeking attention, ate all wet food and some dry food 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: pneumonia on treatment P: continue doxycycline-extending course

11/24/2024

Issue List: - emaciated - URI - possible pneumonia vs heart disease vs other - marked anemia (PCV- 16 %) QAR H-DH pale mm's EENT: no nasal or ocular discharge noted H/L: eupneic; h/o low grade heart murmur (not appreciated on presentation) ABD: relaxed U/G: FI MSI: Ambulatory x 4, dull hair coat; emaciated CNS: Mentation quiet - no signs of neurologic abnormalities A) emaciated pulmonary changes episode of tachypnea that seem to respond to lasix treatments r/o volume overload vs heart disease vs other URI h/o anorexia but eating canned food well guarded to poor prognosis P) CWSC PCV- 16 %

11/24/2024

PVC: 16%