5/28/2025

[DVM Intake] DVM Intake Exam Estimated age: 11-12 yrs based on teeth and overall exam Microchip noted on Intake? no History: o/s 2 cats - moving Subjective: BAR. 5-8% dehydrated Observed Behavior - nervous, tries to get away but not flee, allows exam and all tasks Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective T = P = 220+ R = eup BCS = 3/9 EENT: Eyes -nuclear sclerosis, otherwise clear. Ears - many small black masses inside both ears, large cysts obstructing ear canals, dried blood with open lacerations from ventral masses at ear base, alopecia on external pinnae, fluid sound inside ears when cat shakes head, putrid odor. No nasal or ocular discharge noted Oral Exam: moderate tartar, especially over 108 and 208 PLN: No enlargements noted H/L: NSR, 3/6 heart murmur, CRT < 2, Lungs clear, eupnic ABD: Non-painful, no masses palpated U/G: MN MSI: Ambulatory x 4, skin free of parasites, no masses noted. Long nails with dried blood noted on nails of pelvic limbs. Thin. Dry unthrifty HC with much dandruff. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: externally clean Wood's Lamp Exam: negative Assessment: Senior MC DSH -Severe otitis externa AU -Severe feline apocrine cysts (cystomatosis) AU -Heart murmur 3/6 with no clinical dz -Thin - r/o hyperthyroidism vs other -Dehydrated 5% Prognosis: fair to guarded, depending on how well he does with ear management and BW results Plan: Routine intake tasks, except Revolution instead of Frontline Simbadol 1.28 mg (0.71cc) IM Flush ears with saline Nail trim E-collar to prevent self trauma CBC/Chem/T4/ FT4 and urine submitted to lab Tx) Clavamox liquid 1.2 cc PO BID x 10 days Tresaderm 3-5 drops AU BID x 7 days SQF 150 cc Place in medical to monitor SURGERY: Already neutered

5/29/2025

recheck senior cat with cystomatosis, otitis, HM S/O BAR, rolls for attention, no c/s/v/d appreciated, food trays disturbed EENT: no ocular or nasal dc, copious cyst like structures, some inflamed and with serosanguinous dc, foul odor, no oral lesions, mm pm <2 HL: eupneic MSI: amb x 4, good skin turgor A. ceruminous cystomatosis AU Otitis externa AU HM Blood work results CBC: sl leukocytosis (20.3) neutrophilia (16.48) monocytosis (0.67) basophilia (0.122) CHEM: sl L LE (ALT 26, AST 14) TT4 wnl A. Stress leukogram Sl L LEs r/o artifact P. Scheduled p for dose of zorbium today for pain management from aural lesions CTM - seek placement, p would likely require laser treatment to help shrink cysts in ears recheck in 2 days

5/31/2025

Recheck otitis and aural masses (cystomatosis), heart murmur S/O: BAR, leans into petting, allows all handling, sweet cat; eating well, no v/d/c/s noted EENT: No ocular or nasal discharge -Ears - AS numerous black cystic masses with some excoriation, fluid in ear canal - cream-brown colored, significant pruritis. AD numerous black cystic masses as well as several large irregluar pink/red masses with ulcerated surfaces with scabbing/bleeding, ear canal nearly obscured, cream-brown liquid discharge and some bleeding in canals, significant pruritis. LUNGS: Eupneic MSI: Ambulatory x 4 CNS: Appropriate mentation A: Otitis - ro bacterial vs fungal +/- ear mites Cystomatosis, aural masses Dental disease Heart murmur Senior cat P: Cleaned crusts/dried discharge from ears, cleaned ears. Ivermectin 0.15 ml SQ once (in case of ear mites) Continue with current treatment plan Recommend surgery to debulk/remove masses with placement, otitis will not resolve until masses are removed.

Upon intakes staff was unable to collar but was able to scan, pick up and place in kennel without issues. Client reported litterbox issues so log was placed with kennel card.