6/6/2026

Estimated age: 3-4 weeks based on dentition, weight, and overall appearance Microchip noted on Intake? scanned negative History: Found with 3 other kittens under a truck Subjective: Sleeping in incubator; BAR and occasionally hissing when roused Observed Behavior - Allowed all handling with minimal restraint; not yet offered food or observed eating Evidence of suspected cruelty seen? – None Objective: BCS 4/9 EENT: Ears clean, mild dried serous nasal discharge; OU crusted shut with discharge, sunken, conjunctivitis present Oral Exam: Deciduous incisors and canines erupted PLN: No enlargements noted H/L: NSR, NMA, MM pink/moist, CRT < 2, lungs clear, eupneic ABD: Non-painful, no masses palpated U/G: Intact male MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally clean Wood's Lamp Exam: Negative Assessment: URI Underweight Prognosis: Fair to good Plan: 15ml LRS + 0.1ml vitamin B12 SQ once Erythromycin OU BID x 7 days SURGERY: Temporary waiver due to age/weight/URI

6/7/2026

Progress exam URI neonate Subjective: QAR - lying sternal resting but would ambulate when roused, tolerant of handling pale pink tacky MM, CRT <2s mildly prolonged skin tent eating well for gruel syringe, not eating on own efficiently yet sm amount weight gain Objective: BCS 3/9 EENT: Ears clean, mild seropurulent nasal discharge; OU severe blepharospasm with moderate crusting discharge, OD crusted shut Oral Exam: Deciduous incisors and canines erupted PLN: No enlargements noted H/L: No HMA, normal BV sounds, eupneic ABD: Non-painful, no masses palpated MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Externally clean Wood's Lamp Exam: Negative Assessment: URI Conjunctivitis OU Underweight Approx 8% dehydrated - persists Prognosis: Fair Plan: ADD 15mL LRS SQ SID x3d --> 6/9 ADD Doxycycline 0.07mL (~10mg/kg) PO SID x10d ADD Nebulize 10-15min SID x3d --> 6/9 ADD Warm compress OD SID x3d --> 6/9 (can discontinue if eye opens) otherwise CWCP, DVM recheck 6/8

6/8/2026

Recheck Exam QAR-BAR, quieter than littermates but becomes vocal and brighter when handled, allowed handling Reported eating well EENT: Mild-moderate crusting OU (OD>OS) and blepharospasm OU, no nasal discharge ORAL: MM moist, pale pink H/L: Eupneic, normal RR, no audible congestion CNS: Mentation appropriate A: URI Conjunctivitis OU Dehydration - resolved Underweight Plan: Continue current treatments

6/10/2026

Recheck kitten S/O: QAR, losing weight, reported good appetite overnight, sneezing, no c/v/d noted EENT: OU sealed shut with entropion OU, unable to visualize corneas; mild serous nasal discharge LUNGS: Eupneic MSI: Prolonged skin tent, underweight CNS: Appropriate mentation A: Dehydration Underweight, losing weight Conjunctivitis/URI Entropion (suspect secondary to above) Kitten P: Restart SQ LRS 10 ml BID Start cerenia 1 mg/kg SQ SID Continue doxycycline, switch from erythromycin to ofloxacin CTM closely on rounds, recheck tomorrow

6/11/2026

Recheck kitten S/O: BARH, pale pink moist mm, reported good appetite at last feeding, sneezing, no c/v/d noted EENT: OU sealed shut with entropion OU, unable to visualize corneas; mild serous nasal discharge LUNGS: Eupneic MSI: Prolonged skin tent, underweight CNS: Appropriate mentation A: Dehydration - improved Underweight, losing weight Conjunctivitis/URI Entropion (suspect secondary to above) Kitten P: CWCP CTM closely on rounds, recheck tomorrow

6/12/2026

Progress Exam QAR-BAR, brighter with handling, allows handling Reported vomit 1x this morning Not eating well today, but ate well overnight and gained weight (322g today) Able to syringe feed a few mLs of gruel in the afternoon Defecated small amount of FS2-3 during exam EENT: Moderate blepharospasm and chemosis OU, no nasal discharge, no nasal congestion H/L Eupneic ABD: Soft, mildly distended, formed feces palpable CNS: Normal mentation A: Conjunctivitis OU Hyporexia URI Underweight Plan: Continue with current treatments CTM appetite closely

6/13/2026

Recheck underweight kitten, lost weight (~30g) S/O: QAR-BAR, ate very well this morning, no c/s/v/d noted EENT: Blepharospasm and crusting OU LUNGS: Eupneic MSI: Underweight, unkempt haircoat, skin tent A: Underweight kitten, lost weight today Conjunctivitis/URI Good appetite today P: Extend SQ LRS Continue doxycycline and ofloxacin Continue feeding schedule and daily reweigh Recheck tomorrow

6/14/2026

S: Still losing weight (267g today). Did not eat well on own today; required syringe feeding. O: T = 99 EENT: OU sunkenmoderate discharge, conjunctivitis, blepharospasm; scant serous nasal discharge and no sneezing observed Oral Exam: Possible pinpoint ulcers beginning on tongue H/L: NMA, SSP, CRT <2sec, MM pink/moist, congested ABD: Soft/non-painful MSI: Amb x4, unkempt haircoat, poor body condition (BCS 2-3/9) A: Moderate URI with weight loss, inappetence, oral ulcers, ~10% dehydration P: Increase SQ fluids to 20ml SQ BID Continue doxycycline and assisted feeds Add clavamox 0.1ml PO BID x 10 days 0.03ml simbadol SQ once Consider EHR if continues to decline

6/16/2026

Recheck - gained weight S/O: QAR (quieter than littermates), syringe fed - ate well, no c/s/v/d noted EENT: OU blepharospasm and discharge, no active nasal discharge LUNGS: Eupneic MSI: Amb x 4. unkempt haircoat, underweight A: Underweight kitten URI/conjunctivitis P: Continue ofloxacin and clavamox Extend SQ LRS BID CTM closely and recheck with reweigh in 1-2 days

6/18/2026

Recheck URI kitten - gaining weight, but littermates are much larger and healthier S/O: QAR-BAR, eating well with encouragement, log indicates good appetite, no c/v/d noted, sneezing EENT: OU mod belpharospasm with mucoid discharge and conjunctival adhesions; mild mucoid nasal discharge LuNGS: Eupneic MSI: Emaciated, unkempt/soiled haircoat, ambulatory x 4 A: Underweight/emaciated kitten - gaining and eating URI with conjunctivitis Conjunctival adhesions, symblepharon P: Cleaned face/eyes, digitally broke down conjunctival adhesions Continue clavamox and ofloxacin, made note to clean/flush eyes BID with meds Seek placement ASAP - kitten needs more individualized care than able to provide in shelter. *Okay for littermates to move to kitten nursery, but this kitten should stay in incubator with feeding schedule

6/20/2026

Recheck URI kitten - Continuing to gain, large apparently healthy (slightly underweight still) littermates S/O: Weight today is 330g, was 283g on 6/19 BAR, eating well on his own and eating slurry from a syringe (12ml today), no c/v/d noted, sneezing EENT: OU mod blepharospasm with mild mucoid discharge; mild mucoid nasal discharge LuNGS: Eupneic MSI: Emaciated, unkempt haircoat, ambulatory x 4 A: Underweight kitten - gaining and eating on his own! URI, conjunctivitis - stable hx conjunctival adhesions, not observed today P: Cleaned face/eyes with warm compress Continue Clavamox and Ofloxacin, clean/wipe eyes BID before medicating *Seek placement ASAP - p is more stable now as is eating on his own but requires close care and monitoring *Hold in incubator, ok to move littermates to move to kitten nursery

6/22/2026

kitten log reports adequate appetite but cat looks underweight and fragile

6/24/2026

Recheck kitten - much smaller than littermates, gained weight compared to yesterday (but weighed this weight a few days ago), still housed in incubator with littermates S/O: QAR-BAR, eats kitten food very well when brought to face and encouraged, no c/s/v/d noted EENT: OU blepharospasm with elevation 3rd eyelids, mild mucoid discharge, abnormal corneas; no nasal discharge LUNGS: Eupneic MSI: Underweight with unkempt haircoat, skin tent CNS: Appropriate mentation A: Underweight kitten, not gaining appropriately Conjunctivitis with abnormal corneas - ro scarring vs other inflammation P: Cleaned eyes Separated from littermates today - keep separate to ensure eating adequately Continue ofloxacin OU BID Continue to seek placement for more individualized care - someone to ensure kitten is eating full meals regularly and gaining weight

Upon intake Boo-Boo was docile and allowed all handling to be done. They were then taken back to medical to be placed into an incubator.