1/7/2026

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.

1/7/2026

DVM Intake Exam Estimated age: approx 3-7 years based on dentition and conformation Microchip noted on Intake? scanned negative History: stray, noted to have wound on neck Subjective: BAR Observed Behavior - solicits attn and pets, head butting, elevator butt, allowed for all handling and tasks Is there evidence of Cruelty? N Is there evidence of Neglect? N Is there evidence of Trauma? Y- wound to ventral neck Objective T = np P = wnl R = wnl BCS 4/9 EENT: Eyes clear, copious dark brown granular debris AU, no nasal or ocular discharge noted Oral Exam: moderate wear and staining to visible dentition PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: MI, two scrotal testes MSI: Ambulatory x 4, copious flea dirt, flea eggs, some live flea, scattered areas of erythema and scabbing, mostly centralized to the ventral neck, checks and shoulders. On the ventral neck region, just opposite the mandibular symphysis is an approx 3/4 inch in length laceration, approx 2 cm deep with some mild pocketing. The underlying tissue appears clean and the wound doesn't appear to communicate with any vital structures. P is extremely pruritic and has soft tissue swelling surrounding the wound CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment Ear mites - severe Dermatitis - r/o FAD Wound - r/o second to self trauma as p is severely pruritic Fleas Prognosis: fair Plan: intake exam and tasks sedated for intake/wound flush/explore with 0.1mL dex/torb IM- adequate sedation achieved Clipped and cleaned the ventral neck area with dilute chlorohex. Flushed and probed wound with saline, no pus or debris present. Applied SSD and clipped nails as e-collar won't be effective d/t wound location Cleaned ears Selarid applied Capstar Convenia 8mg/kg SQ zorbium green topical In house BW: CBC: anemia (26%) r/o severe flea infestation leukocytosis (27.6) with neutrophilia (21.8) and monocytosis (2.19) CHEM: nsf TT4: nsf House in medical with paper litter only. Recheck tomorrow, reassess how p is doing and rec starting steroid taper. Wound will need to be flushed in another 48 hours SURGERY: Okay for surgery: N Temporary waiver due to wound

1/9/2026

Recheck wounds, flea infestation, ear mites, dermatitis; sedated for wound flush yesterday at intake and given convenia, zorbium, capstar, selarid. S/O: BAR, very active, intensely seeking attention at front, eating well, no c/s/v/d noted MSI: ventral neck has numerous superficial lesions and one full thickness wound with mid serosanguineous discharge A: Fleas - treated at intake Ear mites Wound - full thickness Wounds - superficial Anemia P: Cleaned ears + ivermectin 0.14 ml SQ once CTM on rounds, consider flushing wound again in 1-2 days if needed Monitor for comfort/healing, if severely pruritic can consider steroid taper (not overtly pruritic today)

1/10/2026

Progress exam S/O: Ate all of food present in kennel. P is very BAR, friendly and leaning hard into pets. No c/s/v/d. Very affectionate. Pink mm, crt<2secs. Wound under chin/neck remains open, mild amount of sero-sanguinous discharge, audible 'sloshing' of SQ tissue present when P shakes head. Wound is approx 2-3cm, round. Two superficial wounds with scabs present more ventrally, no discharge present. A: Wound full thickness on ventral neck - stable Wounds/scabs on ventral neck - stable, healing Excellent appetite P: Cleaned and flushed open wound on ventral neck with sterile saline, no purulent discharge present. Cleaned scabs with dilute chorhexidine. Opened portal to allow more space for movement *Scheduled Zorbium repeat tomorrow. *Recheck in 2 days +/- clean/flush wounds again

1/12/2026

recheck wound to ventral neck S/O BAR, A+A, solicits pets and head butts, food trays empty, no c/s/v/d appreciated EENT: no ocular or nasal dc HL: eupneic MSI: amb x 4, wound to ventral neck region appears to be contracting with clean granulation tissue and no d/c, doesn't appear to be pruritic A. Wound - healing, received convenia on admit and zorbium 1/11 P. Wound still needs some time to contract prior to leaving ICU Recheck 1/15 to reassess wound and determine if needs additional zorbium or move to adopts CTM while at QACC

1/15/2026

Recheck wound S/O: BAR, active, eating well, allows all handling; no c/s/v/d noted EENT: No ocular or nasal discharge; moderate dark granular discharge AU LUNGS: Eupneic MSI: Wound at ventral neck approx 1.5cm linear full thickness with mild purulent discharge Sedated for wound explore and neuter with dex/torb/ket 0.1 ml IM of each. Maintained on iso for neuter. -Deep pocketing appreciated dorsally to the left when probing wound, otherwise minimal pocketing -Tissue appears healthy with minimal discharge -Flushed copiously with sterile saline Neutered (see consult) A: Wound with area of deep pocketing Ear mites - ivermectin given 1/9 P: Onsior 2 mg/kg SQ once today Start onsior 6 mg PO SID x 2 additional days Start clavamox 13.75 mg/kg PO BID Ears cleaned again CTM on rounds and recheck in 5 days

1/15/2026

Was this cat a Cryptorchid? No Routine Feline Neuter, 15 blade incision scrotal incisions. Self tie of spermatic cords Green Linear Tattoo Placed near Midline Surgeon: 245175

1/20/2026

Recheck wound S/O: QAR-BAR, eating well, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic MSI: Wound at ventral neck appears to have some tissue (connective, SQ?) bridging across, no active discharge, but quiet squelching noted when massaging/palpation around the wound dorsally A: Wound - slowly healing, suspect pocketing still present P: Scheduled recheck tomorrow + possible sedation to assess pocketing Continue clavamox BID in meantime

1/21/2026

Sedation not needed. Ear debris seen. - Cleaned AU - Tressaderm 5 drops applied x AU - Selamectin applied topical

1/21/2026

Recheck wound S/O: QAR, hiding under bed, good appetite, no c/s/v noted; liquid diarrhea FS 7 during exam EENT: No ocular or nasal discharge, AU moderate to heavy dark granular debris AU LUNGS: Eupneic MSI: Wound at ventral neck largely unchanged in size, more pocketing noted when probing today - now extends ventrally as well, mild purulent discharge expressed A: Non healing wound with progressing pocketing Ear mites P: Flushed wound again - scheduled surgery to open and explore wound. Concerned that pocketing is worsening and wound not healing Cleaned AU, selamectin applied Start tresaderm AU BID x 4 days Start fortiflora PO SID x 7 days Continue clavamox PO BID

1/21/2026

disregard

1/23/2026

Scheduled for wound explore today, non-healing wound with progressing pocketing noted S/O: BAR this AM, no c/s/v/d noted EENT: No ocular or nasal discharge; moderate dark granular debris/discharge AU, shaking head LUNGS: Eupneic MSI: Ambulatory x 4, sparse haircoat/alopecia at ventral neck with 1.5cm non healing wound with mild bubbly pinkish discharge when pressure applied to surrounding areas WOUND EXPORE: -Sedated with DTK (0.1ml IM of each). Intubated and maintained on iso. -Surgically prepped are surrounding wound, flushed wound with sterile saline -Used #10 blade to extend wound cranially and caudally and then from the cranial aspect, extended incision laterally to the left -Pocketing/dead space appreciated dorsally at the cranial aspect of wound and caudally from caudal aspect of wound -Skin at level of non-healing wound thickened -Strands/webbing of connective tissue extending from deep tissue to superficial, tissue is light pink and appears healthy/stable; no notable areas of infection, inflammation, or necrosis -Freshened tissues with #10 blade and placed several subcutaneous sutures to close dead space using 3-0 PDS -Freshened edges of initial wound -Using 3-0 PDS in simple continuous and then intradermal pattern - closed entire length of incision/wound, leaving <1cm area at caudal aspect slightly open to drain A: Non-healing wound Ear mites Diarrhea - not noted today P: Onsior 2 mg/kg SQ once Start oral onsior 6mg SID tomorrow Cleaned ears and repeated ivermectin 0.14 ml SQ Continue clavamox PO BID CTM on rounds, recheck tomorrow

1/24/2026

Progress exam – URI signs noted on rounds, surgical wound repair yesterday S/O: QAR-BAR, excellent appetite, sniffling/sneezing, no c/v/d noted. EENT: Eyes - OS blepharospasm with moderate mucoid discharge, OD very mild mucoid discharge; very mild serous nasal discharge noted H/L: Eupneic, normal respiratory rate/effort ABD: No obvious distention MSI: Ambulatory x 4, no notable lameness; incision CDI with no discharge noted CNS: Mentation appropriate A: URI - mild Conjunctivitis OS>OD Wound - surgical repair 1/23 P: Vitamin B12 0.25 ml SQ once Start ofloxacin OU BID x 5 days Extend fortiflora PO SID Monitor in place, placed UTW sign and appetite log Recheck in 10 days +/- doxy and move to iso if URI progressing CTM while at QACC

1/27/2026

Recheck wound, surgically repaired/closed 1/23, clavamox ended yesterday S/O: BAR, eating well, no c/s/v/d noted EENT: No ocular or nasal discharge noted; AU moderate dark flaky debris/discharge AU LUNGS: Eupneic MSI: Ambulatory x 4; incision at neck - middle of incision, approx 1cm is moist with bubbly serosanguineous discharge; cellulitis and swelling appreciated- more notably along left side of neck CNS: Appropriate mentation Neck/skull rads: possible asymmetry/slight increase in opacity of left bullae compared to right (subjective, ro positioning) A: Non-healing wound - ro related to ear mites/otitis media vs other Persistent ear mites URI/conjunctivitis - no signs noted today P: Sedated for rads, flushing Flushed wound with sterile saline, quickly ran clear Cleaned ears and applied tresaderm Seek placement for additional diagnostics/treatment; medical and surgical management have failed in shelter