12/26/2025

[DVM Intake] DVM Intake Exam Estimated age: ~ 15-20 years Microchip noted on Intake? Scanned negative History: Owner surrender Subjective: BAR Observed Behavior - Sweet, solicits pets, purring, tolerates all handling and exam. Is there evidence of Cruelty? No Is there evidence of Neglect? No Is there evidence of Trauma? No Objective P = 186 R = Eupneic BCS = 4/9 EENT: Eyes clear, ears clean, dried mucoid nasal discharge noted. Moderate nasal congestion. Oral Exam: Severe diffuse tartar, draining tracts, halitosis, pink mm PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: Castrated male. Externally normal MSI: Ambulatory x 4, bilateral hindlimb sarcopenia, skin free of parasites, no masses noted, unkempt coat, increased turgor. CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally normal Assessment Geriatric - Suspect Chronic Condition Osteoarthritis Underweight Hindlimb Sarcopenia Periodontal Disease FIV Positive Anemia Azotemia Dehydration IRIS Stage 2 Prognosis: Guarded Plan: Intake exam and tasks 100mL SQ LRS- SID x 3-5 days Clindamycin 11mg/kg PO BID x 14d Convenia 8mg/kg SQ Recommend blood pressure and urinalysis Recheck renal Chem and CBC in 3-5 days FIV SNAP - Positive CBC- Anemia without reticulocytosis (HCT 22.2%), Leukocytosis (25.21K/uL) - moderate neutrophilia, moderate monocytosis CHEM- Azotemic (Creat 2.9, BUN 57, SDMA 14), mild hyperphosphatemia (7.9), HI TP, marked HI Glob (inflammatory), hypernatremia, hyperchloremia T4 - wnl SURGERY: Permanent waiver due to previously neutered

12/27/2025

recheck for FIV+ azotemia SO- not eating, urine in kennel QAR adequate hydration, severe dental infection with FORLS, severe pain a: stomatitis r/o FIV vs uremia p; Zorbium lower dose dexamethasone 0.1mg/kg IM clean face fee ANY diet, with phos bind recheck appetite in 2 days

12/28/2025

Ate small portion of food overnight on 12/27. No interest in wet food 12/28 am. Did show interest in Tiki Cat food and ate a small portion. // Done

12/29/2025

recheck geriatric cat with dental dz, stage 2 renal dz, and lab results (UA) UA: USG 1.013 pH (L) 5.5 1+ proteinuria S/O BAR, comes to the front of the kennel, head butts, wet food almost all gone, small piles of urine clumping in litterbox EENT: no ocular or nasal dc, severe wear and staining to visible dentition, malodorous HL: purring, eupneic MSI: amb x 4, good skin turgor A. Dental dz r/o stomatitis- (stomatitis not appreciated today, given zorbium and dex 12/27) Geriatric FIV CKD mild-moderate (hyposthenuria and proteinuria on UA) Hx of not eating x 1 day - appears to be eating well aTT P. Extend fluids x 2 weeks to ensure no doses missed with holidays Con't with clinda- if poor appetite or GI signs note consider d/c'ing Send out for UPC - check for results in 2 days Recheck in 2 days Seek placement asap- p is geriatric with renal and dental disease

12/30/2025

Brief recheck, UPC results S/O: BAR at front of kennel, eating wet food, no c/s/v/d noted, eupneic. UPC Ratio: 1.1 (H) A: Geriatric CKD FIV+ Periodontal disease Prognosis: Poor long-term, fair short-term P: Continue current treatments and monitor QOL closely on rounds. Geriatric cat with comorbidities, consider palliative care with placement.

12/31/2025

Recheck geriatric CKD cat S/O: BAR, at front of kennel, great appetite, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic CNS: Appropriate mentation A: Geriatric with comorbidities CKD Periodontal disease FIV+ OA Underweight Anemia P: Continue SQ LRS and clindamycin, okay to d/c phos binders CTM closely on rounds, seek placement for continued care + long term plan

Upon intake cat was tolerant and friendly, staff was easily able to collar, scan for MC, pick up, hold, and place in kennel with no complications.