2/3/2026

[DVM Intake] DVM Intake Exam Estimated age: 6yrs based on dentition/conformation Microchip noted on intake? scans negative History: Found in apartment with deceased owner; believed to have been there for multiple weeks without consistent access to food and water Subjective: quiet, dull, depressed Observed Behavior - dull mentation, tolerated all handling and tasks Is there evidence of Cruelty? no Is there evidence of Neglect? yes (not flagging due to circumstances above) Is there evidence of Trauma? no Objective P = 160 R = 24 BCS 2/9 EENT: Mild epiphora OU, torn leading edge on nictitans OS, ears mild waxy debris AU, no ocular discharge noted, thick mucoid nasal discharge left nostril Oral Exam: Adult dentition with diffuse staining, gingival recession, very dry MM PLN: No enlargements noted H/L: bradycardic, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MI; 2 testicles descended MSI: Ambulatory x 4 but very weak, skin free of parasites, no masses noted, healthy hair coat, >10% dehydrated with very prolonged skin turgor CNS: Mentation dull, cranial nerves intact Rectal: externally normal Wood's Lamp Exam: not performed Assessment Approx. 6yr MI DSH Severe dehydration Emaciated Bradycardic (R/o secondary to severe dehydration and lack of nutrition/electrolyte derangements) Nasal discharge (R/o URI vs foreign body vs other) Irregular margin on nictitans OS (r/o tear secondary to trauma vs other) Prognosis: fair pending additional diagnostics Plan: Intake tasks Attempts to place IVC unsuccessful due to severe dehydration; 100mL LRS SQ given and waited approximately 60 minutes to attempt IVC again Rec Fluid bolus 15ml/kg IV over 20 minutes, followed by 2X maintenance at 15mL/hr; unable to place indwelling IVC but was able to give bolus via butterfly Place in Med ISO Start re-feeding protocol (form on kennel) Ofloxacin OU BID x 7 days CBC/Chem/T4: SDMA 17, BUN 103, hyperphosphatemia (8.9), hypocalcemia (7.6), hyperkalemia (8.1), elevated TP (11.1) with hyperalbuminemia (4.4) and hyperglobulinemia (6.6), decreased ALP (<10) and elevated TBili (4.7) After SQ fluids and IV bolus, IV catheter was placed; another bolus of 15ml/kg was given over 15 minutes followed by IV fluids at 2x maintenance. Chemistry panel was repeated and potassium normalized to 5.0, Tbili decreased to 2.8 and TS normalized to 8.1 By 7pm cat had received 113mL LRS IV and 100mL SQ. IV fluids were capped for the night and an additional 35mL was given SQ. Cat was more responsive and starting to lick some baby food. Cerenia 1mg/kg was given IV. 0.25mL Vitamin B12 was given SQ. 1 episode of hematuria was noted DVM priority recheck tomorrow; Plan to restart IV fluids in the morning. Consider starting doxycycline if URI signs persist and he is eating. Rec repeat Chemistry panel in 24-48hrs to check that abnormalities are resolving. SURGERY: Temporary waiver due to emaciated body condition

2/3/2026

Your newly adopted pet is emaciated and 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.

2/4/2026

Recheck severely dehydrated cat S/O: QAR, flinches with touch, not eating, no c/s/v/d noted EENT: Moderate mucoid nasal discharge, no ocular discharge LUNGS: Eupneic MSI: No interested in moving/walking in kennel, remains sternal; skin tent noted CNS: Quiet mentation A: Dehydration URI Anorexia Emaciation P: Restart IV LRS @ 2x maintenance (13 ml/hr) Start cerenia 1 mg/kg IV SID Start medical feedings BID Monitor closely on daily rounds

2/5/2026

recheck S/O QAR, sitting in litter box, doesn't move when approached, food untouched, no c/s/v/d appreciated or noted EENT: no ocular dc, scant serous nasal dc HL: eupneic MSI: severe muscle wasted over the epaxial region, prolonged skin tent, IVC in place- patent, fluids running A. P body condition makes p appear closer to 8-10 years than 6, adjusted age Dehydration persists despite fluid therapy Anorexia - no improvement since entering care. Lethargic r/o high FAS - staff reports doesn't leave litterbox P. Scheduled for repeat BW tomorrow - pending results, consider EHR if LEs and BUN/bili still elevated (no signs of jaundice aTT) One time dose of midazolam 0.015mg/kg IV tonight (0.1mL)- monitor appetite after. recheck tomorrow with BW

2/5/2026

Addendum: staff noticed cat appears to be declining, possible edema, unable to stand up S/O Dull, unable to stand (falls to either side), some pitted edema noted to the paws, mm bright red, tacky >3, severely prolonged skin tent despite IVC patent, tachycardic, PSS, eupneic. Doesn't react to handling or blood draw. In house BW: CBC: hemoconcentration (54.1) reticulocytosis (29.8) neutrophilia (10.8) lymphopenia (0.48) eosinopenia (0.13) Anisocytosis noted CHEM: H ALT (176) r/o primary hepatic mild hypernatremia (166) A. Hemoconcentration r/o second to severe dehydration ALT r/o trauma vs hepatic Dehydration despite fluids therapy P. CTM p - concerned that p appears to be declining and remains dehydrated despite IVF therapy Priority recheck tomorrow

2/5/2026

progress exam due to declining health. History:came in severely dehydrated Subjective:owner died large amount of formed and soft stool inlitter box and on bedding Observed Behavior - depressed sitting in loaf position with e collar. large amount of food types offered, untouched resp rate and effort appears normal pet sneezes when bathed with warm water and gauze, large amount of flea dirt removed from coat BCS 2/9 feline grimace score 2 Assessment dehydration anorexia weakness large amount of flea dirt Plan: removed e collar changed bedding gave buprenosphine 0.3mg/ml injetcalbe as oral volume 0.1ml Azithromycin oral suspension gave 0.5ml PO for potential bartonellosis recheck tomorrow

2/6/2026

S/O: QAR, airplane ears, allows all handling, not eating, no c/s/v/d noted EENT: Mild mucoid discharge and blepharospasm OS, moderate mucoserous nasal discharge; facial grimace; mild moist brown discharge AU ORAL: mm pink, tacky; CRT< 2; moderate tartar and gingivitis, stage III-IV ddz H/L: NMA, SSP; RUAS otherwise eupneic MSI: Healthy haircoat with flea dirt, underweight/muscle wasting; mild attempt to escape during handling - stands (low) and walks slowly towards edge of table; LHL IV catheter causing swollen/edematous limb distal with wrap/tape; bruising, petichiae appreciated along both forelimbs where blood-draws/catheter attempts occurred 3 days ago CNS: Quiet mentation A: Severe dehydration, bw consistent with hemoconcentration Anorexia URI Conjunctivitis OS Fleas Otitis/ear mites Underweight/muscle atrophy, gained weight since intake P: Removed IV catheter from back leg Placed new IV cath in RFL - bolused LRS in 50 ml increments x 2, then started on LRS 15 ml/hr Midazolam 0.2 mg/kg IM once Continue cerenia and med feedings Cleaned ears, start tresaderm AU BID x 4 days CTM closely on rounds

2/6/2026

**During first LRS bolus, Picasso was noted to be licking IV catheter site, e-collar placed. Shortly after that, he was noted to be eating his HV tray!

2/7/2026

S/O: QAR, ears flatten and tenses/flinches with touch, but allows all handling; ate well overnight, no c/s/v/d noted EENT: Mild serous nasal discharge and congestion LUNGS: Eupneic MSI: Skin tent still significant, but slightly improved A: Severe dehydration, bw consistent with hemoconcentration - improving Anorexia - resolved URI Conjunctivitis OS Fleas - treated at intake Otitis/ear mites Underweight/muscle atrophy, gained weight since intake P: Start back on IV LRS this AM - bolused 50 ml twice, then continued on 18 ml/hr Continue ofloxacin, medical feeding, tresaderm CTM on daily rounds, consider switching to SQ LRS if appetite continues to be good

2/8/2026

recheck dehydrated, unthrifty, anorexic cat, noted to be eating a little yesterday S/O QAR, sitting in LB, normal urine and some FS4, no c/s/v/d appreciated or noted, IVC in place, patent EENT: no ocular or nasal dc HL: eupneic MSI: sl delay in skin tent, muscle wasted Recheck BW: CBC: HCT: 42.5% wnl neutrophilia (11.48) lymphopenia (0.74) CHEM: GGT sl H (6) r/o spurious - blood difficult to obtain suspect hemolysis Rads: taken unsedated due to underlying medical concerns and unthriftiness of p, undiagnostic but no overt abn A. Dehydration - slightly improved Hemoconcentration- improved from last BW Anorexia - p did eat some wet and dry food after being given midazolam 0.2mg/kg IV Underweight- weight 7.6 today r/o true gain vs from fluid P. P resents e-collar and IVC- eating a little, catheter pulled. Midaz 0.2mg/kg once IV Staff noted IVC site skin appears red and irritated, appled triple abx- monitor to make sure not licking Start on 75mL SQF SID x 3 days recheck tomorrow- consider sedated rads in the next 2 days if stable and appetite still poor seek placement - p was severely dehydrated on intake and remain mostly anorexic in care

2/9/2026

Issue List: - anorexia - underweight - obstipated - large bladder QAR H-DH EENT: no nasal or ocular discharge noted H/L: eupneic PLN: WNL ABD: relaxed U/G: MI MSI: generalized muscle wasting CNS: Mentation quiet - no signs of neurologic abnormalities A) anorexia muscle wasted constipated h/o high BUN- 107 mg/dl P) Telazol- 0.012 ml IM Abdominal Rads- large bladder- non-painful and not firm fecal full colon r/o constipation pelvic rads- nsf Azostix- 5-15 mg/dl Urinalysis: specific gravity- 1.030 blood- negative glucose- negative de-obstipated cat and emptied bladder SQ fluids- 150 ml LRS recommend ARL

2/11/2026

S/O: QAR, ears flatten when approached, tense and flinches when touched, allows exam; fair appetite - ate HV foods and some dry, no c/s/v/d noted, no stool in LB EENT: No ocular or nasal discharge, OS mild blepharospasm LUNGS: Eupneic ABD: Moderate amt of malleable stool palpated in colon - does not feel particularly hard or large MSI: DMW and underweight, significantly improved skin tent - mild CNS: Quiet mentation A: URI - no signs noted today Conjunctivitis OS - mild Hyporexia - improving Dehydration - improved Underweight Constipation - not noted today P: Start gabapentin 100 mg PO BID for FAS in shelter Extend medical feedings BID Okay to d/c SQ LRS - dehydration improved, and appetite fair CTM closely on rounds, ensure defecating, recheck in 2 days and consider moving out of ICU