7/6/2026

DVM Intake Exam Estimated age: ~4-7 years based on dentition / condition Microchip noted on Intake? Scanned negative History: Stray Subjective: BAR, pink mildly tacky mm, CRT <2s Observed Behavior - Friendly, soliciting attention, mild tail swishing during shave down for last rectal temp P began hissing but did not escalate further once rectal temp aborted Is there evidence of suspected cruelty? yes Objective: Rectal temp taken q10min until P would not tolerate anymore = 103.3F, 104.2F, 103.6F P = WNL R = WNL BCS 9/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Mild staining of dentition with scant calculus PLN: No enlargements noted H/L: NSR, NMA, CRT < 2s, Lungs clear, negative ITC, initially nostril flaring but resolved with heat stroke treatment ABD: Soft, nonpainful, no masses palpated but difficult due to obesity U/G: Female spayed, green tattoo and spay scar present MSI: Ambulatory x 4, full orthopedic exam not performed INT: Severely matted close to the skin diffusely with seborrheic dermatitis, no masses noted, no ectoparasites seen CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Severe fecal matting of perianal area and HLs Wood's Lamp Exam: Not performed Assessment: Mild heat stroke - resolved with treatments as below Morbidly obese Severe matting with seborrheic dermatitis Mild dental disease FS mature adult DSH Prognosis: Fair Plan: Alcohol applied to paw pads Fan pointed at P Shaved matting Plain cool LRS 200mL SQ once OK for appropriate intake tasks CBC/biochem/T4/UA (table top) to idexx re obesity DVM recheck 7/7 SURGERY: Already altered

7/7/2026

DVM Progress Exam Brief Recheck S/O: -P is QAR and appears to be resting comfortably in kennel -P becomes BAR when stimulated, though remains laying down; P appears fearful, started purring (nervous?), then hissed when head approached -No C/S observed -No nasal or ocular discharge observed -P appears eupneic/not in respiratory distress and with no audible congestion, though does have heavier breathing with slight nasal flaring and upper lip/cheek tension/pulling; visual MM appear WNL -RR: 36, purring -BCS 9/9; morbidly obese -Temp 101.2F A: -Heavy breathing: R/O obesity, anxiety, prior heat stroke, underlying respiratory disease, other -Morbidly obese Lab work assessment: CBC/Chem/T4/UA WNL except for Retic 102 (Sl H), Cl 112 (Sl L), USG 1.030 (Sl L), Urine Protein 2+, Urine Blood 3+/75-100 RBC (tabletop collection reported); currently, clinically unremarkable P: -Move to pop-up kennel in Feline ICU d/t large body size -Feline Daily Monitoring Log in place -CTM for concerning signs that could warrant further diagnostics, including PU/PD, hematuria, etc. -Add Gabapentin 100 mg PO BID x indefinitely for anxiety -DVM recheck tomorrow

7/8/2026

Recheck abnormal breathing S/O: QAR, ate overnight, urine in LB, feces on bedding; no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Mild congestion audible, tachypnea/abnormal abdominal breathing appreciated intermittently throughout the day - not dyspneic, no notable distress or increased effort MSI: Sevre obesity, not observed ambulating A: Intermittent tachypnea, abnormal breathing - ro emerging URI vs secondary to obesity vs other Congestion - ro emerging URI Obesity P: Continue gabapentin for FAS and CTM closely on rounds Monitor for URI signs

7/9/2026

DVM Progress Exam S/O: -P is QAR and appears to be resting comfortably in kennel; no C/S/V/D reported; P is eating and drinking well and is taking Gabapentin. -P becomes BAR and vocal (meowing) when stimulated, and rose and walked several steps to mid-kennel to greet me; P appears less fearful today, and readily accepted head pets and started purring loudly; seems to be seeking out human attention and affection. -EENT: No ocular or nasal discharge observed, though P is often licking nose consistent with nasal discharge -LUNGS: Mild nasal/upper respiratory congestion audible, tachypnea/abnormal abdominal breathing appreciated intermittently - not dyspneic, no notable distress or increased effort -MSI: Severe obesity, able to ambulate when motivated -RR: 40-45, purring -BCS 9/9; morbidly obese A: -Intermittent tachypnea, abnormal breathing - ro emerging URI vs secondary to obesity vs other -Congestion - ro emerging URI -Morbidly obese *Suspect mild URI* - initiate treatment d/t P vulnerability P: -Continue Gabapentin 100 mg PO BID x indefinitely for anxiety -Initiate Feline URI Protocol (Doxycycline + ACR Rechecks) - MRS to complete per delegation -Removed "Special Diet" flag on kennel, noting "Diabetic Diet" - P does not have diabetes

7/9/2026

Per 2585 start doxycycline 50mg/ml PO SID x10 days due to possible signs of URI. CTM, recheck in 3 days

7/15/2026

Recheck S/O: QAR in kennel, leans into petting, prefers to stay at back of kennel, does not move around throughout the day; uses litterbox overnight, eats some overnight, no c/s/v/d noted EENT: No ocular or nasal discharge H/L: Intermittent tachypnea, seems more notable during interactions/exams, no dyspnea MSI: Severe obesity, ambulatory x 4 but only when attempting to get away from handling - not observed ambulating independently throughout the day CNS: Appropriate mentation A: Severe obesity Tachypnea - ro secondary to FAS +/- obesity vs upper vs lower airway disease Dental disease P: Consider sedated chest rads Seek placement ASAP - shelter is not ideal housing for Fluffy Mc Fluff Pants. She needs to be moving around, on diet for weight loss, etc.

7/16/2026

Recheck, chest rads S/O: QAR-BAR, ate overnight, not interested in food during the day, no c/s/v/d noted EENT: No ocular or nasal discharge L/H: Intermittent tachypnea, mild RUAS; muffled heart, NMA MSI: She is able to walk, but is sedentary in crate; severe obesity CNS: Appropriate mentation Sedated with dex/torb 0.15 ml IV of each. Full antisedan reversal, smooth recovery. CXR: soft tissue opacity appreciated ventral to heart on lateral and in right middle lung lobe region on VD - ro pericardial fat; mild bronchial lung pattern; severe obesity evident with subjectively decreased lung fields A: Severe obesity Dental disease Abnormal breathing - suspect secondary to obesity +/- FAS Suspect pericardial fat Bronchial pattern - ro secondary to decreased lung fields from obesity P: Seek placement ASAP - shelter is not ideal housing for Fluffy Mc Fluff Pants. She needs to be moving around, on diet for weight loss, etc. CTM while at QACC

7/16/2026

Sedated chest rads Sedated with 0.15/.015 ml Dex/torb IV Chest rads done Antagonized with 0.15 ml Antisedan

Upon intake Fluffy Mc Fluff Pants was fearful but tolerant with staff.