9/24/2026

DVM Intake Exam Estimated age: ~6-8 years based on dentition / condition Microchip noted on Intake? Scanned negative History: Stray Subjective: BAR, increased skin turgor, pink moist mm, CRT <2s Observed Behavior - Tries to run away/bolt, hisses, tolerated handling Is there evidence of suspected cruelty? No Objective: P = WNL R = WNL BCS 2/9 EENT: Eyes clear, mild brown debris AU, moderate mucopurulent nasal discharge Oral Exam: Moderate staining of dentition, loose, necrotic teeth, gingival recession PLN: No enlargements noted H/L: NSR, NMA, CRT < 2s, Lungs clear, eupneic, negative ITC ABD: Soft, nonpainful, no masses palpated U/G: Male - intact, two symmetrical scrotal testicles MSK: Ambulatory x 4, full orthopedic exam not performed INT: Dirty, dry hair coat, no masses noted, no ectoparasites seen CNS: Mentation appropriate - no signs of neurologic abnormalities, withdrawal x4, cp x4, uses hindlimbs but holds them forward Rectal: Normal externally Wood's Lamp Exam: Not performed Assessment: Underweight Dehydrated 4-6% Mod URI Ataxic according to history Prognosis: Fair Plan: OK for appropriate intake tasks CBC/Chem/T4 in house SQ fluids 50ml Doxycycline 0.3ml PO SID for 10 days Capstar SURGERY: Temporary waiver due to URI and weight

9/26/2026

SO: Emaciated cat in medical on treatment for URI BAR, tense at back of den, food plates untouched in kennel eent: eyes clear, mucoid nasal dc apparent h/l: eupneic, no coughing or sneezing appreciated msi: ambulatory x4 neuro: mentation alert and appropriate A: URI-moderate emaciated P: High FAS, but allows to clean face after cleaning face starts eating chicken baby food 60ml LRS sc SID x3d 0.25ml vitamin B12 1000 mcg/ml sc once 0.25ml cerenia sc SID x3d

9/29/2026

S: Recheck URI and appetite. O: no C/S reported, no nasal or ocular discharge seen. Eupneic. A: URI seems significantly improved. However, he is still not eating (log is consistently "1" for dry and wet food) and seems stressed/sad/shut down. P: Going to try gabapentin trial - just 2 days until recheck if he loosens up a bit and will eat. Otherwise, try mirtazapine. Rx gabapentin 100 mg PO BID x 14d

9/30/2026

pet is not eating. EEN: serosanguinous nasal discharge RESP: Eupneic 'CBC mild neutrophilia platelets low r/o clumping artifact BG 194 high r/o stress GGT 9 high r/o inflammatory T4 1.7 ug/dl wnl A: anorexia URI hx abnormal movement in HLS Plan LRS 100 mls SQ sid x 2 days if pet tolerates zorbium 0.4 ml topical +/- mirtazapine consider HL rads at neuter advise dental radiographs with local DVM when adopted/placed

10/1/2026

Hx: moderate URI S: QAR in den, ate entire tray of baby food if left inside den O: EEN- eyes clear, no nasal or ocular discharge H/L- eupneic, but mild audible congestion MSK/i- ambulatory x4, healthy haircoat Neuro- alert/appropriate A: Moderate URI Underweight Eating if put in den P: Move to Cat ISO for quieter environment and to prompt appetite Continue with current treatment plan

10/2/2026

Hx: URI moderate, ate yesterday if food left in den. Not eating Gabapentin. S: QAR in den. Food bowl with tuna eaten it's entirety. O: EEN- eyes clear, clear nasal discharge H/L- eupneic, but mild audible congestion MSK/i- ambulatory x4, healthy haircoat Neuro- alert/appropriate A: URI mild to moderate Underweight Eating some if left in den P: D/c Gabapentin since not eating Continue to place food in den since eating well this way CTM in care

10/4/2026

Pet did not eat overnight or today. EEN: no oral or nasal discharge ORAL: no oral lesions. Loose premolars and super erupted canine teeth. MSI: Ambul x 4 BCS 3/9 NEURO: QAR A: Anorexia r/o dental pain + FAS lost weight Plan advise placement for dental extractions asap Simbadol 1.8mg/ml 0.3 ml SQ sid x 3 days