11/24/2025

DVM Intake Exam Estimated age: ~12yo based on history, condition of teeth Microchip noted on Intake? scan neg History: O surrender Subjective: BARH. did not eat overnight Observed Behavior - Allows handling, very afraid, trembling throughout exam but allows examination with minimal restraint, mostly freezing and occasionally meowing. Is there evidence of Cruelty? n Is there evidence of Neglect? n Is there evidence of Trauma? n Objective BCS 5/9 EENT: Eyes clear, ears AU have multifocal blue cysts of various sized, pruritic; moderate brown/black debris AU, AD>AS. No nasal or ocular discharge noted Oral Exam: Moderate staining and calculus throughout PLN: No enlargements noted H/L: NSR, grade 2 parasternal HM, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated, large but soft and compressible bladder U/G: Male neutered MSI: Ambulatory x 4, mild muscle loss over epaxials, skin free of parasites, no masses noted, healthy and shiny hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Ext normal Wood's Lamp Exam: NP Assessment ~12yo MN DSH Grade 2/6 HM External otitis +/- ear mites Feline ceruminous cystomatosis Stage 3/4 periodontal disease High FAS Prognosis: Good Plan: Routine intake procedures Cleaned ears AU Tresaderm AU BID x 7 days Gabapentin 100mg PO BID x 3 days for transition CBC/Chem/T4 send out Patient would benefit from dental procedure and cleaning Placement can consider follow up with cardiologist to assess HM, or continue to monitor with RDVM. Cystomatosis is a benign condition where cysts develop in the ear canals, often due to chronic ear inflammation. Cysts do not necessarily have to be removed unless they enlarge to the point of completely occluding the ear canal and causing discomfort. Placement should regularly follow up with veterinarian to ensure condition is not progressing. SURGERY: Already neutered

11/25/2025

CBC: thrombocytosis 462 CHEM: SDMA 21 (H) TT4: wnl Interpretation: SDMA elevation - ro pre-renal vs renal vs post-renal PLAN: Recommend UA

11/26/2025

Urine collected by cystocentesis.

12/1/2025

UA results: USG 1.046 2+ proteinuria A. Urine well concentrated proteinuria r/o artifact vs tur proteinuria P CTM and recheck p in 3 days Seek placement as is senior with multiple comorbities

12/4/2025

Recheck senior cat with heart murmur, periodontal disease, otitis/ear mites, and cystomatosis noted at intake S/O: QAR, resting in litterbox, fresh food uneaten, no c/s/v/d noted, no appetite concerns reported EENT: No ocular or nasal discharge LUNGS: Eupneic CNS: Appropriate mentation A: Senior cat Heart murmur Otitis/ear mites Feline cystomatosis Periodontal disease SDMA elevation with concentrated urine consistent with dehydration at intake P: Placed monitoring log Recommend veterinary follow up with placement CTM on rounds, brief recheck in 5 days

12/9/2025

Progress exam: Sneezing noted on rounds board Subjective: QBAR, no C/S/V/D. Audibly congested, sneeze marks present. Objective: EYES: Clear LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no discharge but fur under nose appears wet. MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -Under the weather, ppe sign & monitor log placed on kennel -Start doxycycline 50mg/ml PO q24h x10days & medical feedings PO q12h x5days -CTM, recheck in 3 days

12/10/2025

Recheck senior cat with comorbidities, diagnosed with URI yesterday S/O: QAR, laying at back of kennel, no c/s/v/d noted, wet and dry food trays nearly empty (great appetite), mild mucoserous to sanguineous nasal discharge, eupneic. A/P: URI, senior cat with comorbidities; continue current treatment plan and recheck as scheduled.

12/13/2025

Poor appetite noted on rounds S/O: QAR, not eating, poor AS, allows force feeding churu (rubbed against lips and he eats it), no c/s/v/d noted EENT: Moderate mucoid to sanguineous nasal discharge with bloody sneeze marks on walls, no ocular discharge LUNGS: Moderate congestion, otherwise eupneic A: Anorexia vs hyporexia URI Senior cat Heart murmur Periodontal disease Otitis with cystomatosis Heart murmur P: Start SQ LRS 100 ml SID x 3 days Start cerenia 1 mg/kg SQ SID x 3 days Start mirataz SID x 3 days Entyce 3 mg/kg PO once Extend medical feedings Continue doxycycline Monitor closely on rounds and recheck in 2 days

12/15/2025

recheck URI, appetite, on supportive care thru tomorrow S/O QAR, hiding in box, food appears untouched, no c/s/v/d EENT: mucohemorrhagic nasal dc, no OU dc HL: eupneic MSI: sl prolonged skin tent A. URI- moderate-severe Anorexia P. Midazolam 0.2mg/kg IM once for appetite nebulize SID x 3 days recheck tomorrow prior to stopping supportive care

12/16/2025

Recheck URI and poor appetite, given midazolam yesterday for appetite stimulation S/O: QAR in litterbox, bloody sneeze marks on wall, no c/s/v/d noted during exam, some portions of med feeding tray eaten, regular food untouched, appetite scores today 1 (excellent appetite), previously were 2-3. EENT: Moderate mucosanguineous nasal discharge, no ocular discharge LUNGS: Congestion audible, otherwise eupneic CNS: Appropriate mentation A: Hyporexia - improving URI with bloody nasal discharge Heart murmur Senior Otitis with cystomatosis Periodontal disease P: Extend medical feedings Continue doxycycline and nebulization CTM closely on rounds Consider repeat midazolam if appetite not stable

12/18/2025

Recheck URI and appetite, senior cat with comorbidities S/O: QAR in LB, ate wet and dry food today! Hemorrhagic spatter/sneeze marks all over bedding, walls, door of kennel, no c/v/d noted EENT: Moderate mucohemorrhagic nasal discharge, no ocular discharge LUNGS: Eupneic CNS: Appropriate mentation A: Anorexia - apparently resolved URI with hemorrhagic nasal discharge Senior cat Heart murmur Otitis with cystomatosis Periodontal disease P: Start fortiflora PO SID x 10 days Extend doxycycline, continue med feeding CTM closely on rounds, seek placement for continued medical care

12/18/2025

Addendum - noted overgrown claws growing into paw pads when checking on Prince. Trimmed all nails. Left front paw had one thickened claw causing small puncture to digital paw pad, right front lateral digit had thick claw grown alongside paw pad causing indentation. Cleaned wound with chlorhex - monitor on rounds.

12/20/2025

Recheck URI and appetite, senior cat with comorbidities S/O: QAR in LB, ate wet food and some baby food/churu. No c/v/d noted EENT: Mild amount of mucoid nasal discharge, no ocular discharge LUNGS: Eupneic CNS: Appropriate mentation A: Anorexia - resolved URI - stable Senior cat Heart murmur Otitis with cystomatosis Periodontal disease P: Continue Fortiflora, doxycycline, med feedings CTM closely on rounds, seek placement for continued medical care

Upon intake Prince was timid and shy but docile allowing all handling such as scanning for microchip, collaring, held for vaccinations, as well as lifting up to be placed from carrier to kennel. All done without any concerns.