1/14/2018

[DVM Intake] DVM Intake Exam Estimated age: 8m Microchip noted on Intake? N Microchip Number (If Applicable): History: ACO impound, owner died Subjective: QAR Observed Behavior - tense but compliant for exam Evidence of Cruelty seen - N Evidence of Trauma seen - N Objective T = DNP P = WNL R = WNL BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: Clean adult dentition PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, lungs clear, eupnic ABD: Non painful, no masses palpated U/G: Intact male- both testes symmetrical in scrotum MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally WNL Assessment: FeLV positive; ~8m MI cat Prognosis: guarded to good- FeLV positive Plan: Ok for surgery and placement SURGERY: Okay for surgery.

1/19/2018

[Progress Exam Template] S: BAR O: scared, retreating to back of cage, hissing, but able to pet and allowed complete exam EENT:small crusts medial canthi, but otherwise wnl/no d/c or erythema Oral Exam: good condition H/L: no murmur/no arrhythmia, ssp, euhydrated Abd: no overt masses/megally/pain, mi x 2 MSI: focal 1/2 cm circular bald area medial left ear, no active crusts, scales, erythema, no other skin lesions noted Mentation:bar A: 8 mos. mi x 2 dsh felv+ alopecia - r/o benign vs self trauma vs ringworm P: ok for neuter Woods light negative Is the Initial Medical Status being Changed? New Medical Status:n Is the Initial Behavior Status being Changed? New Behavior Color: y

1/21/2018

S/O -QAR, hisses initially when approached but then is docile and affectionate, leans in for head rubs -good appetite when e-collar removed -mm pk, moist -no nasal discharge or sneezing -OU: mild blepharospasm, no d/c, may be behavioral -eupnic -soft abdomen -neuter site healing well with no scrotal erythema or swelling A 1. Felv, doing well post operatively P -HC, okay for transport

cat is friendly and allows handling