7/10/2026

[Spay/Neuter Waiver - Temporary] Your newly adopted pet is too young 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.

7/10/2026

[DVM Intake] DVM Intake Exam Estimated age: ~4 weeks based on teeth and weight Is this an orphan kitten? yes Is the kitten eating on own? Is the kitten suckling? Microchip noted on Intake? neg History: stray litter of 6 kittens (2 for EHR d/t grave condition/ congenital abnormalities) Subjective: QAR. Mild dehydration. Thin Sneezing. No v/d. Observed Behavior - nervous but allowed handling and restraint Is there evidence of suspected cruelty? no Objective: T = 100.8 P = wnl R = eup BCS= 2/9 wt= 0.72 lbs EENT: Eyes - MPOD OD >>OS, unable to see globe OD due to severe chemosis, mod chemosis OS. Ears clean. Mild mucoid nasal discharge noted Oral Exam: kitten teeth. no defects or ulcers PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: female, no discharges MSI: Ambulatory x 4, skin free of parasites, no masses noted, unthrifty hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally clean Wood's Lamp Exam: negative Assessment: 4 week old litter of 4 kittens URI Conjunctivitis Prognosis: good Plan: -Routine intake tasks Too young for RV - Monitor eating. IF not eating gruel, bottle feed. -Doxycycline 0.1 cc PO x 10 days (first dose was 0.08 cc) LRS 10 cc SQ x 3 days Cleaned eyes/ nose. Erythromycin OU BID x 7 days -House in medical, rechecks SURGERY: Temporary waiver due to underage/ underweight

7/11/2026

Recheck litter of 4 with URIs, weight gain since yesterday S/O: BAR at front eating, no c/s/v/d noted EENT: OD sealed shut - upon gently soaking and opening, thick white material popped out of eye/socket? along with large amount of serous fluid; severe chemosis, unable to identify globe/cornea. OS also sealed, severe chemosis appreciated, unable to clearly visualize cornea; mucoserous discharge. Mild serous nasal discharge. LUNGS: Eupneic MSI: Amb x 4, dusty haircoat, underweight CNS: Appropriate mentation A: URI Conjunctivitis, severe OD abnormal discharge/appearance - ro missing globe vs ruptured (congenital vs infectious vs other) Underweight, weaned kitten P: Soaked, cleaned, flushed eyes gently with eye wash - continue BID or PRN Continue SQ LRS, erythromycin, and doxycycline Add fortiflora PO SID x 10 days for all kittens CTM while at QACC, recheck in 2 days

7/14/2026

Recheck URI/conjunctivitis, gaining weight S/O: QAR, shared kennel with multiple food dishes - mostly eaten; no c/s/v/d noted EENT: OD sealed shut with mucoserous discharge, unable to visualize globe/cornea; OS buphthalmos with white cornea and severe chemosis, mucoserous discharge; mild serous nasal discharge LUNGS: Eupneic MSI: Amb x 4; pot belly appearance CNS: Appropriate mentation A: URI Conjunctivitis, severe; suspect ruptured/missing OD Underweight, weaned kitten - improving P: Seek placement ASAP - needs more individualized care and will need veterinary follow-up for eyes Continue erythromycin, doxycycline, and fortiflora CTM while at QACC, recheck in 3 days