6/14/2021

DVM Intake Estimated age: 3 weeks Microchip noted on Intake? No History: Stray Subjective: BARH, no coughing/sneezing/vomiting/diarrhea Appetite: Eating kitten food well on own Observed behavior: Alert, vocal, exploring. Evidence of cruelty seen: No Evidence of trauma seen: No Objective: P: WNL R: WNL BCS: 5/9 OP: Mucous membranes pink and moist. CRT <2. Deciduous dentition EENT: Mild mucoid discharge OU. Ears, and nares clear bilaterally, no discharge noted. PLN: Small/soft/symmetrical/nonpainful CV: No murmurs or arrhythmias, pulses strong and synchronous. RESP: Eupneic, no crackles/wheezes GI: Soft, nonpainful, no palpable masses. UG: male intact, no discharge INT: Good hair coat, no areas of alopecia or pruritus, no ectoparasites or masses noted. MS: Ambulatory x4, no pain on palpation of epaxials NEURO: Mentation appropriate, cranial nerves intact, no deficits noted. Assessment: -Orphaned neonate -Conjunctivitis Prognosis: Fair Plan: -Keep in incubator, offer gruel q3h -Start gentamicin 1 drop OU q12h x 7d until 6/21 Surgery: Temporary waiver due to age

6/19/2021

Return from foster due to erratic appetite. EEN: No ocular or nasal discharge. No coughing or sneezng CV/RESP: HR 160 SSP Lungs clear ABD/UG SNP NMP MSI: good skin turgor, dorsal muscle wasting, ambul x 4 NEURO: QAR A: Weight loss approx 60 grams since intake. Hyporexia r/o URI vs other. Ate some wet food from plate on own. Plan Syringe feed in shelter as needed LRS 13 mls SQ warmed. weigh daily

6/20/2021

Hx: URI, poor weight gain. Yesterday was 342 g or 12 oz; today is 350 g or 12.32 oz. Has been eating from plate but needs some encouragement. PLAN: 1. Continue daily weighing and encouraging to eat 2. Repeat deworming (including praziquantel) and other treatments 1088

6/22/2021

Hx: Poor weight gain, finicky appetite We have been offering food every 4-6 hours and the log indicates that the kittens are eating. S: Cuddled up with littermate, alert O: QAR, BCS 2/9, MMs pink EENT: OU just received meds so slightly tacky. No nasal discharge. H/L: Eupnic, no coughing or sneezing Abd: Soft, no pain on palpation, no masses palpated M/S/I: Amb x4. No skin lesions noted. Neuro: Alert and appropriate, no sign neurological deficiencies A: Emaciated, finicky appetite, poor weight gain P: Continue feeding every few hours. Add Fortiflora 1 sachet on food for both kittens once daily x7 days. Deworm promptly when due. 1088

6/25/2021

Foster reports kittens eating better but diarrhea persists. Plan Ponazuril 100mg/ml 0.4 ml po sid x 3d Fenbendazole 100mg/ml 0.4 ml po sid x 5 days Fortiflora 1 packet in food sid to share #7

6/25/2021

S: FP brought kittens to pick up meds, very concerned that their noses are blocked and they are not eating as much. They are BAR in carrier, playful and vocal. O: EENT: Crusted yellow ocular/nasal discharge, no sneezing Oral Exam: No ulcers H/L: NMA, SSP, CRT <2sec, MM pink/moist, eupneic ABD: Soft/non-painful MSI: Ambulatory x4, healthy hair coat Rectal: Mild moist dermatitis, but no fecal staining A: URI P: 0.1ml doxycycline PO SID x 10 days Continue all other meds and supportive care (steamy shower as per 1752 email) Contact if worsen

7/31/2021

History: in foster Subjective:BAR Observed Behavior -allowed all medical handling, friendly Evidence of Cruelty seen -no Evidence of Trauma seen -no Objective T =not performed P =wnl R =wnl BCS 5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: deciduous dentition, no oral lesions, pale pink/moist mm PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic ABD: Non painful, no masses palpated U/G: MI, 1 testicle 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 normal Wood's Lamp Exam:negative Assessment 9wo MI DSH -1 testicle descended r/o age vs cryptorchid Prognosis:excellent Plan: fvrcp #2 pyrantel SURGERY: Temporary waiver due to testicles not descended

8/30/2021

Foster Exam: Hx: has been doing well Subjective: BAR H pink 1 sec Observed Behavior - Relaxed; easily examined Evidence of Cruelty seen - No Evidence of Trauma seen - No Objective P = 200hr R = 40rr BCS 4-5/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: NSF PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MI with 2 down MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat; woods lamp (-) CNS: Mentation appropriate - no signs of neurologic abnormalities Woods lamp: negative Assessment Apparently healthy Prognosis: Good Plan: appropriate procedures SURGERY: okay for surgery

At pickup, Beau was already laying in a carrier. He appeared to be calm and relaxed.