10/20/2024

Your newly adopted pet has been diagnosed with ringworm 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.

10/20/2024

DVM Intake Estimated age: 2 years Microchip noted on Intake? No History: Stray Subjective: BARH, no coughing/sneezing/vomiting/diarrhea Observed behavior: Wide eyes, crouched posture, flinches and hisses/tries to run when touched. Does not allow handling, ran all around intake room. Netted for exam. Evidence of cruelty seen: No Evidence of trauma seen: No Evidence of neglect seen: No Objective: Limited exam due to behavior P: WNL R: WNL BCS: 4/9 OP: Full exam not performed, no dental diseased observed while hissing EENT: Eyes, ears, and nares clear bilaterally, no discharge noted. CV: No murmurs or arrhythmias RESP: Eupneic, no crackles/wheezes GI: Soft, nonpainful, no palpable masses. UG: female intact, no discharge INT: Good hair coat, no areas of alopecia or pruritus, no ectoparasites or masses noted. Fleas MS: Ambulatory x4, no pain on palpation of epaxials NEURO: Mentation appropriate, cranial nerves intact, no deficits noted. Assessment: -Kittens noted to have dermatophytosis--no lesions noted on queen -Fleas Prognosis: Good Plan: -Start itraconazole 5 mg/kg PO q24h x 21d until 11/10--do not place in mouth, put into food and allow patient to eat on own -No topicals started due to temperament Surgery: Okay for surgery

10/28/2024

Reason for recheck: One week ringworm check and assessing to see if this Queen is calm enough for topicals vs still has elevated FAS in shelter. Contacted feline behavior team via email and received the following response: "It seems like topical medications may be difficult to administer if handling is required. She quickly hisses and retreats away when reaching close. When she is cornered off, she will continue to hiss, flinch when pet, and nip when attempting to handle her (see enrichment note below for more details). I believe that using a towel and applying appropriate/gentle restraint while handling is possible; however, there is potential for her to squirm and/or become an escape artist if she is accidentally loose from the toweling." A: Elevated FAS in shelter P: 1) Recheck in 3 days to see if patient more tolerant. 2) If still intolerant of topicals, consider starting low dose gabapentin @10mg/kg po BID - per a study from Mathews et al "Analgesia and Anesthesia for the Ill or Injured Cat and Dog" textbook, "Gabapentin has extensive passage into human breast milk; however, serum concentrations in the infant's serum were low and not associated with adverse effects. This medication is consider appropriate and humane."

10/31/2024

S/O -recheck, has p settled down/okay to received topicals now? -QAR, food eaten, both kittens are BAR, no c/s/v/d EENT: no OU/n dc H/L: eupneic A/P -aTT still too fractious for topicals -Start on gaba 100mg PO BID x 7 days- give with itraconazole and watch to see if p eats. Remove if doensn't -Recheck in 1 week to assess is topicals appropriate

11/7/2024

Recheck temperament, on itraconazole for ringworm (lesions noted on kittens, not on her). S/O: QAR, hunched at back of kennel Sniffs at scratcher when reaching towards her, allows touching/petting of rump, hisses when attempting to touch head. Eating well No c/s/v/d noted Eupneic No visible lesions (visual exam) A: Kittens with ringworm, exposure P: No lesions noted on queen at intake (although limited exam due to temperament). Topicals not indicated and also not safe to administer due to high FAS Continue itraconazole for full 28 day course then check ringworm PCR CTM while at QACC

11/10/2024

Collect sample for ringworm PCR - use caution, allows some slow touch but hisses and will flee Feline did not allow handling. The cat was brushed with a toothbrush to obtain the sample while she hissed, spit, and raised her front paw. No fur was plucked from this cat. Toothbrush was put back in

11/13/2024

Ringworm PCR - neg x 3 Sample was difficult to obtain, hair was not plucked. Cat has showed no obvious lesions. Plan: Finish course of itraconazole. Scheduled sedated exam to ensure no lesions.

11/15/2024

Sedated with dexmedetomidine 0.06 ml + butorphanol 0.06 ml IM + ketamine 0.6 ml IM. Examined for any alopecic or other skin lesions - none noted. Woods lamp negative. Plan: Okay to leave isolation, CTM while at QACC

11/15/2024

pt sedated with .06/.06 mls IM dex/torb

12/6/2024

Pre-surgical exam, anesthesia, and surgery performed by offsite vet. Medical record uploaded to Vet Documents. Green linear tattoo placed lateral to incision. GIVE: 0.11 ml of meloxicam 1.5 mg/ml PO for 2 days starting the day after surgery. Notes: Visual Assessment only CRT not assessed Extra tel given IV