7/27/2025

DVM Intake Exam Estimated age: approx 3-7 years based on dentition and conformation Microchip noted on Intake? scanned negative History: agency Subjective: QAR Observed Behavior - timid, allowed for handling and tasks Is there evidence of Cruelty? N Is there evidence of Neglect? N Is there evidence of Trauma? N Objective T = np P = wnl R = wnl BCS 3/9 EENT: mild epiphora OU, moderate thin active mucoid nasal dc- litter stuck to nares, ears clean Oral Exam: mild 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: F suspected intact MSI: Ambulatory x 4, dull haircoat, poor skin turgor, muscle wasting along the epaxials CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment URI- moderate Noted not to be eating food in kennel but readily eats baby food during exam Dehydrated Underweight Prognosis: fair Plan: intake exam and tasks house in med ISO for closer monitoring start 75mL SQF SID x 3 days (first dose given during exam) vitamin B complex 0.25mL SQ once start doxy 10mg/kg PO SID x 10 days (first dose given during exam) MF BID x 3 days in house BW recheck tomorrow SURGERY: Okay for surgery: N Temporary waiver due to URI/underweight

7/27/2025

Blood work results: CBC: sl monocytosis (0.76) CHEM Sl hyperglycemia r/o stress (165) sl hyperglobulinemia (5.2) TT4 wnl A/P No change to plan, CTM and recheck as scheduled

7/28/2025

recheck exam, underweight, URI cat S/O QAR, in the back of the kennel, readily licks the wet food when put in front of her, no c/s/v/d appreciated EENT: mild epiphora, mild thin mucoserous nasal dc HL: eupneic, audible upper airway congestion MSI: good skin turgor (just received fluids) A. URI Dehydrated- improved since yesterday P. CTM and recheck appetite in 2 days recheck for URI as scheduled If eating well in 2 days consider moving into iso 1 CTM while at QACC

7/30/2025

Recheck URI, underweight cat S/O: QAR, allows handling, great appetite, no c/s/v/d noted EENT: Moderate mucopurulent nasal discharge and congestion, no ocular discharge ORAL: Clean adult dentition, mm pink and moist LUNGS: Eupneic MSI: Emaciated BCS 2/9, dull haircoat A: URI Emaciated Dehydration - improving P: Okay to d/c SQ LRS and medical feedings - good appetite Okay to move to iso-1 Continue doxycycline and recheck URI in 4 days

7/31/2025

[Panleukopenia/Parvovirus exposure – HIGH RISK] Exposure date: 7/28/2025 Quarantine Start: 7/28/2025 Quarantine End: 8/14/2025

7/31/2025

[Panleukopenia/parvovirus exposure – titer check] Blood drawn for Titer check on 6/23/2025. Performed In House - Feline Panleukopenia Virus Antibody Test Kit Results: FPLV titer > 1:80 Considered protected. Considered LOW RISK. No quarantine required. Surgery: OK for surgery

8/4/2025

Progress exam: URI day 7 recheck Subjective: BAR, no C/S/V/D. Audibly congested. Reportedly eating well Objective: EYES: Clear, no discharge LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: mucoid discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -CTM, recheck in 3 days

8/6/2025

Progress exam - URI, in med iso Cat is sitting in cage, eating. Reported to have good appetite. Audibly congested, with crusted mucoid discharge over nose. A. URI - Improving but not resolved P. Extend doxycycline to 14 days: Doxycycline 0.42ml PO SID until 8/10 Start nebulization SID x 3 days 100mls SQ fluids x 3 days Recheck on 8/8

8/8/2025

Recheck URI day 10 S/O QAR, in the back of kennel, hisses but allows for handling, food trays empty, staff reports able to give doxy in mouth, no c/s/v/d EENT: mild epiphora, dried mucohemorrhagic nasal dc to nares, mild active mucohemorrhagic nasal dc, p did not tolerate oral exam HL: eupneic, audible congestion MSI: amb x 4, good skin turgor, abrasion with mild erythema just under the nasal planum A. URI- suspected early indolent ulcer vs hemorrhagic nasal dc d/t irritation Eating well P. P is eating well and has been improving but not resolved. Extending doxy through 8/14 Recheck 8/10- if p stops eating will need to go on injectable abx

8/10/2025

recheck URI S/O QAR, allows handling and some petting, no c/s/v/d appreciated today, wet food mostly eaten, dry food tray disturbed EENT: no ocular or nasal dc HL: eupneic, audible congestion MSI: amb x 4, good skin turgor A. URI- signs greatly improved from 2 days ago P. CTM and recheck for resolution in 2 days.

8/12/2025

Recheck URI, day 15 of doxycycline S/O: QAR, at back of kennel, great appetite, no c/s/v/d noted EENT: Moderate mucopurulent nasal discharge, no ocular discharge LUNGS: Eupneic CNS: Appropriate mentation A: URI - persistent Underweight P: Scheduled upper resp PCR collection + submission to lab Reweigh tomorrow Extend doxycycline for another week CTM closely on rounds, recheck in 3-5 days, when PCR results return

8/15/2025

Recheck URI, persistent. URD PCR pending. Discussed with treatment staff that he does not always allow oral meds to be given directly, but he has been eating them out of food. Has been on doxycycline for 18 days. S/O: QAR, hisses when kennel door opened, great appetite, no c/s/v/d noted EENT: Moderate hemorrhagic mucopurulent nasal discharge and congestion; no ocular discharge LUNGS: Eupneic CNS: Appropriate mentation A: URI - persistent P: Continue doxycycline, consider switching to azithromycin pending URD PCR results and clinical signs at next recheck

8/17/2025

Respiratory PCR results: Negative for all pathogens tested recheck -persistent URI, on doxy since 7/28 with degree of URI signs flux during tx -underweight S/O QAR, hisses when initially approached but allowed for some handling, no c/s/v/d appreciated or noted, excellent appetite EENT: no ocular dc, no active nasal dc, dried mucohemorrhagic nasal dc by nasal planum (to the L side) HL: eupneic MSI: amb x 4, good skin turgor A. URI- mild signs aTT but chronic Underweight- resolved now ~7.5# but p has been dosed for intake weight for doxy. P. Okay to complete doxy- mild signs aTT and p negative on respiratory PCR recheck in 2 days, if still clinical consider re-starting doxy and fluids at new weight Seek placement or foster asap

8/19/2025

Recheck persistent URI, gained ~3 lbs since intake and was receiving doxycycline dosed for intake weight. S/O: QAR, great appetite, no c/s/v/d noted EENT: Moderate mucopururlent nasal discharge, no ocular discharge LUNGS: Eupneic CNS: Appropriate mentation A: URI, persistent - ro underdosing due to weight gain vs other P: Start azithromycin 10 mg/kg PO SID x 5 days Recheck day 5 and consider Q72 hour dosing pending response CTM while at QACC

8/26/2025

Persistent URI, switched to azithromycin recently, last dose given 2 days ago. Recheck on 8/24 did not happen due to staffing shortages. S/O: QAR, no c/s/v/d noted, appetite score today 1, but past few days has been 2-3, food in kennel not eaten EENT: Moderate mucoserous nasal discharge LUNGS: Eupneic CNS: Appropriate mentation A: URI, possible hyporexia P: Start medical feedings PO BID Start fortiflora PO SID x 7 days Recheck URI/appetite in 2-3 days and consider restartig doxycycline if clinical signs persist

8/29/2025

Recheck persistent URI - patient on doxycycline for 23 days, but had gained weight during that time so was being under-dosed; also completed 5 day course of azithromycin more recently. S/O: QAR, resting in LB at back of kennel, appetite scores on log mostly 3, medical feeding minimally eaten, but wet food tray empty and most of kibble eaten; no c/s/v/d noted. EENT: Very mild mucoserous nasal discharge, no ocular discharge LUNGS: Eupneic CNS: Appropriate mentation A: URI - mild signs today P: Continue fortiflora, extend to 14 days Recheck URI in one week, CTM on rounds

9/5/2025

Recheck URI, only on fortiflora S/O: QAR, no c/s/v/d noted, good appetite, mod mucoserous nasal discharge, eupneic. A: Persistent URI (negative URI PCR) P: Continue fortiflora and recheck before it ends Consider injectable antibiotic vs repeat oral (did not tolerate oral administration well, unable to confirm he ate every dose of meds)

9/8/2025

recheck chronic URI cat, negative resp PCR URI tx hx: doxy 7/28-8/19 (out grew his dose of doxy and unclear how much he received d/t beh) azithro 8/19-8/24 no meds 8/25-present (only forti-flora) S/O QAR, allowed for petting, no c/s/v/d appreciated, food tray minimally disturbed, no ocular dc, dried mucoid nasal dc to nares and mild active mucoserous nasal dc - appears more prominently L nares than R, audible congestion, eupneic, good skin tent A. URI- moderate persists P. Start enro 5mg/kg SQ SID x 5 days Nebulize SID x 3 days Recheck in 4 days Consider sedating to eval if polyp present if still no improvement seek placement