9/23/2026

DVM Intake Exam Estimated age: 12-15 years Microchip noted on Intake? Scanned negative History: Stray, found in park Subjective: QAR Observed Behavior - tense but allows all handling, LOVES tuna Is there evidence of suspected cruelty? No Objective: T = P = WNL R = WNL BCS: 3/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Adult dentition, moderate to severe tartar-- limited exam as pet resents oral exam PLN: No enlargements noted H/L: NSR, Grade 3/6 parasternal murmur, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Externally WNL, neutered male, MSI: Ambulatory x 4, but weakly ambulatory in hindlegs and marked muscle wastage/atrophy in hindlegs, skin free of parasites, no masses noted, healthy hair coat but 1-2 focal matting on caudal dorsum CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally WNL Wood's Lamp Exam: not performed Assessment: Underweight Hindleg muscle atrophy Focal matting on dorsum Grade 3/6 parasternal murmur Polydipsia reported by staff- r/o CKD vs. DM vs. other Neutered male Prognosis: Poor Plan: Intake tasks + exam CBC/CHM/TT4 in house House in medical Place no-sorb litter to collect sample Monitor, +/- EHR after stray hold or sooner if unstable SURGERY: Neutered male

9/23/2026

CBC HCT 34.8% (37.3-61.7) Hgb 10.5 g/dL (13.1-20.5) WBC 13 K/uL - moderate basophilia 0.19 K/uL CHM Glucose 99 mg/dL SDMA 10 ug/dL Creatinine 2.9 mg/dL (0.5-1.8) BUN 53 mg/dL (7-27) Lytes WNL ALP < 10 U/L ALT WNL TT4 0.8 ug/dL (1.0-4.0) A: Anemia without reticulocytosis- r/o pre-regenerative vs. non-regenerative Azotemia, r/o CKD vs. other ALP < 10, not clinically significant P: Await urine for urinalysis CTM in medical

9/24/2026

Per ACR, Collected urine from NoSorb to submit to IDEXX

9/25/2026

UA results usg 1.017 (L) Bacteria rare rods (voided urine sample) epithelial cells 3+ (6-10/hpf) crystals 1+ calcium oxalate crystals (1-5/hpf) A: CKD IRIS stage 2 P: Starting 100ml LRS sc EOD x14d introducing renal support diet if palatable

9/26/2026

SO: Senior cat with CKD, underweight, but eating with very good appetite BAR, allows all handling and enjoys petting. eent: eyes clear dilated pupild OU, no ocular or nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 neuro: mentation alert and appropriate, mild tremor when moving around. A: underweight heart murmur CKD dental disease P: continue renal diet and EOD sc fluids placement ASAP for blood pressure monitoring and lower stress environment

9/27/2026

Pet is eating and sneezing. RR 32 at rest EEN: audible nasal congestion sneezing RESP: RE wnl Lungs quiet grade 2/6 murmur ABD/UG: SNP NMP MSI: BCS 4/9 NEURO: decreased vision, mild swaying to side when walking. A: URI mild CKD stage 2/4 decreased vision mild ataxia r/o previous stroke vs other Heart murmur Prognosis: Poor given multiple morbidities and advanced age but pet is still eating. Lateral radiograph of chest Lungs appear WNL on this view. Plan Doxycycline 100mg/ml 0.4 ml po sid x 7d