4/10/2025

DVM Intake Exam Estimated age: dentition and conformation make p appear closer to 3-7 years old than 1 years reported Microchip noted on Intake? scanned negative History: o surrender Subjective: QAR Observed Behavior - timid but 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 6/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: moderate wear and staining to dentition and scant calculus PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: MI, two scrotal testes MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment Dental dz approx 2/4 Prognosis: good Plan: intake exam and tasks awaiting sort SURGERY: Okay for surgery: Y

4/11/2025

Pre-surgical exam, anesthesia, and surgery performed by offsite vet. Medical record uploaded to Vet Documents. Green linear tattoo placed lateral to incision.

4/12/2025

Attitude/demeanor: QAR Appetite: eating well C/S/V/D: none Incision site: bleeding; sutures appear open Pain level: moderate signs ; 1 on Feline Grimace Scale Licking, chewing, or biting surgical site noted: licking; E- collar given Additional notes: notified DVM on 4/11/25

4/12/2025

S/O: QAR, attempting to hide in kennel by pressing head against side of kennel; very tense during exam. Mostly pigmented mm, but some areas are pink with CRT<2secs. HR 150bpm, RR 35. Small amount of blood on towel and bedding. Moderately swollen scrotum, no active bleeding or dripping visible after gentle palpation of scrotum. A: Scrotal hematoma P: Administer Onsior SQ 2mg/kg once today *Cover kennel *E.collar to stay on until scrotal swelling reduced *Brief recheck tomorrow, then move out of ICU if no concerns

4/13/2025

Progress exam Subjective: BAR, no c/s/v/d. Objective: Eyes: Clear bilaterally, no discharge Oronasal: No nasal discharge. Lungs: Eupneic UG: Moderate scrotal swelling, extends further into inguinum on L side than R. No reaction on gentle palpation, no further discharge. Musculoskeletal: Ambulatory x 4 with no appreciable lameness. Neuro: Appropriate mentation. Assessment: -Scrotal hematoma Plan: -Okay to move out of medical -Keep e-collar in place until scrotal swelling has resolved further

4/15/2025

Brief recheck - QAR, good appetite, no c/s/v/d noted, e-collar on not, scrotum mildly swollen and bruised. A/P: Scrotal hematoma mild - no further treatment

4/23/2025

Progress exam – URI signs noted on rounds, reported inappetence S/O: QAR, resting sternal with head down, glances up slowing with coaxing, food uneaten, AS 3; no c/s/v/d noted. EENT: Eyes - blepharospasm and mild serous discharge OU, mild serous nasal discharge noted H/L: Eupneic, normal respiratory rate/effort CNS: Mentation appropriate A: URI - mild Hyporexia vs anorexia P: SQ LRS 150 ml once Cerenia 1 mg/kg SQ once Start mirataz SID x 2 days Start medical feedings BID x 3 days Monitor in place, placed UTW sign and appetite log Recheck in 10 days +/- doxy and move to iso if URI progressing CTM while at QACC

4/24/2025

Worsening clinical signs noted on rounds, lost over 1 lb since intake two weeks ago. S/O: QAR, head down, not eating, no c/s/v/d noted EENT: Blepharospasm and mild mucoid discharge OU, mild mucoid nasal discharge with crust/ulceration across nasal planum ORAL: Tongue tip sticking out with very mild oral discharge LUNGS: Eupneic A: URI Conjunctivitis Suspect oral ulceration Anorexia Weight loss P: Move to iso Start doxycycline 10 mg/kg PO SID x 10 days Start entyce 2 mg/kg PO SID x 3 days Start SQ LRS 150 ml SID x 3 days Start cerenia 1 mg/kg SQ SID x 3 days Zorbium application today Continue medical feedings and mirataz CTM closely on rounds and recheck in 2 days

4/24/2025

Litterbox log indicates not consistently using litterbox for first few days in shelter, but has been using it consistently for the past 10 days

4/26/2025

PROGRESS EXAM - URI S/O: QAR to dull; mild amount of drool from mouth; food trays left untouched. Moderate nasal discharge and serous/mucoid ocular discharge. Slightly audible congestion. A: URI - severe, suspected lingual ulcerations Anorexia - continued P: Continue: doxycycline 10 mg/kg PO SID x 10 days Extend following: -Entyce 2 mg/kg PO SID x 3 days -SQ LRS 150 ml SID x 3 days -cerenia 1 mg/kg SQ SID x 3 days -Zorbium application scheduled for tomorrow 4/27 -Daily topical mirataz x 3 days *CTM closely on rounds and recheck again in 2 days *Place on ARL, needs placement out of shelter ASAP

4/29/2025

Recheck severe URI, anorexia S/O: QAR, not eating, no c/s/v/d noted EENT: moderate mucoid nasal discharge and scabbed/ulcerated nasal planum ORAL: Mild crusting discharge from mouth MSI: Dusty and dull haircoat, suspect weight loss CNS: Quiet mentation A: Severe URI with suspected oral ulceration Anorexia P: Reweigh and move to med iso Continue doxycycline, extend SQ LRS and entyce, restart mirataz and cerenia Start medical feedings BID x 5 days CTM closely on rounds, seek placement asap for hospitalization and aggressive supportive care. Patient may require e-tube.

4/30/2025

Brief recheck, moved to med iso yesterday due to prolonged anorexia and severe URI signs S/O: QAR, ate wet food overnight! No active nasal, ocular, or oral discharge, eupneic. A: Anorexia - resolved URI - improved Suspected oral ulceration - improved Dental disease P: To minimize handling, okay to d/c cerenia and entyce after today Continue SQ LRS, mirataz, medical feeding, and doxycycline CTM on rounds and recheck as scheduled.