1/5/2026

DVM Intake Exam Estimated age: 6 to 7 months, based on the condition of teeth and eyes Microchip noted on Intake? Negative History: stray Subjective: BAR H pink 1 sec Observed Behavior - Body relaxed initially; became tense and stressed with exam Evidence of Cruelty seen - No Evidence of Trauma seen – No Evidence of Neglect- No Objective P = 200hr R = 40rr BCS 2-3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: NSF, mild gingivitis from adult dentition erupting PLN: No enlargements noted H/L: Dyspneic, tachypnea, profound murmur: 6/6 ABD: Non painful, no masses palpated U/G: MI, testes x 2 MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment 6/6 murmur dyspnea underweight Prognosis: poor Plan: Intake procedures Furosemide (50 mg/mL) 0.1mL Stray hold and then euthanize due to current suffering and poor/grave prognosis. Cat may require euthanisia prior to end of stray hold. DNR.

1/6/2026

Cat urinated in litter box. Eats dry food when offered. EEN: No ocular or nasal discharge RESP: Tachypneic with increased inspiratory and expiratory effort A: Dyspnea heart murmur r/o congestive heart failure Prognosis: Guarded given young age, dyspnea and degree of murmur. Plan Furosemide 50mg/ml 0.1 ml IM bid Attempt thoracic ultrasound today

1/6/2026

Pet sleeping RR 48

1/7/2026

Progress Exam S/O: BAR, head butting, purring, leaning into head rubs. Chirped and quickly approached front of kennel for attention. Ate all of wet food. Seen frequently drinking water (PU/PD). Mildly tachypneic (RR 50bpm). Pink and moist mm, crt<2secs. A: Grade 5/6 systolic murmur Mild tachypnea - CHF PU/PD - r/o diuretic treatment Stable P: Recommend placement ASAP for cardiac workup - P is currently stable for further workup. If placement not available within the next few days OR P has another episode of dyspnea, strongly advise proceeding with EHR.

1/8/2026

Hx: heart murmur, dyspneic on intake but has responded well to Lasix S: BAR, jumps down from den and greets me at door. Ate well o/n. O: EENT: Eyes clear, no nasal or ocular discharge noted H/L: Eupneic, no appreciable increase in effort ABD: Relaxed MSI: Ambulatory x 4, healthy hair coat CNS: Mentation appropriate/ alert Rectal: Externally WNL A: Heart murmur, grade 5/6 Underweight pHx dyspnea P: CTM Placed on ARL

1/9/2026

Hx: heart murmur S: BAR, vomited several times this morning, primarily bile and wet food O: EENT: Eyes clear, no nasal or ocular discharge noted H/L: Eupneic, no appreciable increase in effort ABD: Relaxed MSI: Ambulatory x 4, healthy hair coat CNS: Mentation appropriate/ alert Rectal: Externally WNL A: Heart murmur, grade 5/6 Vomiting- r/o side effect of lasix vs. other P: Cerenia 10mg/ml 0.2 ml SQ once Monitor

1/10/2026

Hx: heart murmur, vomited several times 1/9 S: BAR, no vomit in kennel but did not eat o/n. Leans into petting and eats some wet food offered O: EENT: Eyes clear, no nasal or ocular discharge noted H/L: Eupneic, no appreciable increase in effort ABD: Relaxed MSI: Ambulatory x 4, healthy hair coat CNS: Mentation appropriate/ alert. Hyperesthesia noted with twitching along dorsum. Rectal: Externally WNL A: Heart murmur, grade 5/6 Vomiting- resolved P: Monitor Prioritize placement for cardiac work up

1/11/2026

Pet ate o/n. EEN: Adult dentition CV/RESP: RR 32 grade 4/6 murmur RE WNL A: young cat with high grade murmur prognosis: guarded P: Advise at risk placement