3/5/2026

DVM Intake Exam Estimated age: 3 - 7 yr Microchip noted on Intake? negative History: owner surrender Subjective: owner surrender Observed Behavior - very aggressive, hissing swatting lungin , flattened ears in kennel. removed with net Is there evidence of suspected cruelty? none Objective: BARH growling, hissing striking rest of exam done under sedation Dexdomitor and Butorphanol 0.1ml each, modeate level of sedation after 10 min P = WNL R = WNL BCS 7/9 EENT: Eyes clear, ears dirty, left ear tipped, no nasal or ocular discharge noted Oral Exam: severe halitosis 304 severe gingival recession and FORL, 307 starting FORL chattered when touched mouth moderate dentla tartar PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: neutered male MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat CNS: Mentation appropriate - no signs of neurologic abnormalities Rectal: Assessment: Severe focalized dental disease, will need extrctions overweight Prognosis: very good with extarctions Plan: Zorbium applied ( 6.6 to 16 pound dose) Cenvenia 0.5ml SC Dexamethasone 0.1mg/mg IM needs behavior eval offer any food

3/7/2026

Progress exam S/O: BAR, quiet in back of kennel with dilated pupils and tense body. Food appears untouched. No ocular or nasal d/c, not c/s/v/d. Did not take out for further oral exam due to high FAS. A: Severe dental disease Suspected anorexia High FAS in shelter P: Starting gabapentin for FAS and pain Hung monitoring log up to assess appetite Start gabapentin 100mg PO q12h *Seek placement, will need dental procedure once placed *Recheck appetite in 2 days, rec supportive care if appetite remains poor but will be difficult to administer d/t behavior

3/9/2026

recheck appetite, severe dental dz, high FAS S/O - visual only d/t behavior Hiding in back of kennel, airplane ears, dilated pupils. Food appears mildly disturbed. Appetite log reports inconsistent appetite. No c/s/v/d, no ocular or nasal dc A. Suspected anorexia r/o second to dental dz or FAS (or both) P. Con't to monitor appetite log- unclear if it was filled out properly due to flux reported over the past 3 days (and recent log changes) Scheduled for attempt to apply zorbium tomorrow Seek placement - p has very high FAS and does not allow for handling Recheck appetite log in 3 days - consider midaz if still not eating

3/10/2026

Zorbium applied. No Midazolam per 2419 and improved appetite. // Completed

3/11/2026

Dental Procedure: Hx: Reported to have marked dental disease; not eating well; high level FAS P = 200hr R = 40rr BCS 7/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted; left pinna tipped Oral Exam: 2/4 dental issues but 309 and 306 have marked gum recession PLN: No enlargements noted H/L: NSR, no apparent murmur, CRT < 2, Lungs clear, eupneic ABD: marked constipation U/G: MC MSI: before sedation ambulatory x 4, skin free of parasites, no masses noted, dull hair coat; muscle wasting CNS: before sedation mentation appropriate - no signs of neurologic abnormalities Assessment dental disease constipation anorexia Prognosis: fair Plan: general anesthesia (See notes uploaded) Dentistry: Dental radiographs: 309 and 307 root resorption P) extractions teeth scaled and polished and 309 and 307 removed with post dental rads- NSF Lateral Abdominal Radiograph: marked fecal material in colon cat manually deobstipated and given warm soapy enemas SQ fluids- 150 ml LRS CBC/CHEM/T4/UA (cysto)- pending

3/12/2026

Hx: 1 day post dental with 2 extractions and deobstipation Q-BAR food offered appears untouched EENT- No ocular or nasal discharge HL- eupneic UG- MC MSI- NSF A) post dental and deobstipation P) CBC/CHEM/T4/UA (cysto) Hct- 29 % (low normal 31) r/o chronic disease vs poor nutrtion vs other BG- 199 mg/dl r/o stress vs other UA- specific gravity- 1.059 r/o dehydration glucose- negative monitor appetite on zorbirium

3/14/2026

Progress exam S/O: Reported to have passed stools on monitoring log today. Also appears to be eating small amount of dry food. BAR, in den. No drooling or swelling around mouth. No ocular or nasal discharge. A: Day 3 post dental with 2 extractions De-opstipated on 3/11 Passed stools today P: Ok to not repeat Zorbium at this time Continue with gabapentin for high FAS in shelter and pain relief Add medical feedings x 3 days to encourage appetite CTM appetite and bowel movements in shelter

3/17/2026

Recheck, dental and deobstipated 3/11 S/O - visual only due to high FAS QAR, hiding in den, no c/s/v/d appreciated or noted, noted to be eating 2s mostly over the past few days, noted to have defecated 3/15 and 3/17 A. Appetite- food just placed in kennel but appears to be eating in care Passing stool per log P. CTM and recheck if appetite declines or noted not to be defecating.

3/31/2026

Behavior staff requesting adjustment in behavior modification medication due to a failure to improve with fractious behavior on current dose. P currently on gabapentin 100mg (~18mg/kg) PO BID. INCREASE Gabapentin to 200mg (~36mg/kg) PO BID TFN Notify DVM if P seems overly sedate or ataxic and we can lower dose