1/13/2026

[DVM Intake] DVM Intake Exam Estimated age: 15yr based on dentition/conformation Microchip noted on intake? scanned negative History: Owner passed away; brought in by neighbor Subjective: QAR Observed Behavior - eating well during exam, tolerated all handling and tasks Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective P = 180 R = 24 BCS 5/9 EENT: Eyes clear with iris atrophy OU, ears thick waxy debris AU- AS worse than AD, no nasal or ocular discharge noted Oral Exam: oligodontia; remaining molars have thick calculus and severe gingivitis and resorptive lesions PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MN MSI: Ambulatory x 4, skin free of parasites, no masses noted, unkempt hair coat, overgrown nails, muscle-wasted CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally normal Wood's Lamp Exam: not performed Assessment Geriatric MN DSH Severe dental disease Muscle wasted Otitis externa overgrown nails Prognosis: fair pending diagnostics Plan: intake tasks CBC/Chem/T4 to idexx nail trim ear cleaning + apply selamectin topically Place in medical with signage to feed soft food only Gabapentin 10mg/kg PO BID for dental pain DVM follow-up to review labs Will need a dental once placed SURGERY: already neutered

1/14/2026

Recheck geriatric cat with severe dental disease, bw results S/O: BAR, very vocal at front of kennel, eats baby food, but not eating regular food well, no c/s/v/d noted EENT: No ocular or nasal discharge, iris atrophy OU ORAL: Severe periodontal disease with large chunks of calculus at pms (chipped large chunk off 208 using thumbnail) LUNGS: Eupneic MSI: Unkempt and diffusely matted haircoat, underweight BCS 3/9 with diffuse muscle atrophy CNS: Appropriate mentation CBC: nsf CHEM: SDMA 18 (H) T4: wnl A: Geriatric, suspect underlying disease Severe periodontal disease Underweight/sarcopenia Unkempt/matted haircoat Elevated SDMA - ro renal vs pre-renal vs post-renal P: Urine collected via cysto for UA to lab Monitor appetite closely If not eating well consider EHR due to suspicion of systemic illness

1/15/2026

Recheck, UA results S/O: BAR, very vocal at front of kennel, eating well, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic CNS: Appropriate mentation UA (cysto): USG 1.022, protein 1+, blood/hemoglobin 3+, RBCs >100 A: Low USG + elevated SDMA - likely CKD T4 wnl, but high end of normal Increased vocalization Geriatric, suspect underlying disease Severe periodontal disease Underweight/sarcopenia Unkempt/matted P: Added on free T4; vocalization, underweight, great appetite consistent with hyperthyroidism CTM on rounds

1/15/2026

Free T4 (ng/dL) 3.7 (H) Free T4 (pmol/L) 47.6 (H) Interpretation: Consistent with hyperthyroidism PLAN: Start methimazole 2.5 mg PO BID indefinitely, recheck cbc/chem/t4 in 3 weeks. CTM on rounds.

1/18/2026

recheck, recently diagnosed hyperthyroid S/O BAR, very vocal, no c/s/v/d appreciated or noted, wet food tray empty, med tray doesn't appear to be touched- when offered to p, took a lick but not interested (wet food was also dried out and kennel rather messy- possible covered by bedding) EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4, good skin turgor A. Hyperthyroid- didn't take meds yesterday P. CTM and offer meds in different HVTs- if persistently doesn't eat them can consider transdermal meds Recheck in 3 days CTM while at QACC