9/16/2025

[DVM Intake] DVM Intake Exam Estimated age: 3yrs based on dentition/conformation Microchip noted on intake? scanned negative History: stray transported by agents Subjective: BAR; sedated for exam but as drugs were being given, cat collapsed and was lateral and unresponsive-dexomitor was reversed with antesedan; heart rate, blood pressure and respirations were normal throughout and then he recovered uneventfully; in-house labs were drawn for this reason. Observed Behavior - striking, swatting, growling Is there evidence of Cruelty? no Is there evidence of Neglect? no Is there evidence of Trauma? no Objective *sedated for exam* P = 180 R = 24 BCS 4/9 EENT: Eyes clear, ears clean, no nasal or ocular discharge noted Oral Exam: adult dentition with mild staining PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MN 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: not performed Assessment Approx. 3yr MN DSH Collapse episode (r/o vagal episode vs accicental intravenous injection vs drug reaction vs other)- recovered well High FAS Prognosis: good Plan: sedated with dexdomitor 10mcg/kg + torb 0.2mg/kg + ketamine 2mg/kg IM; due to collapse episode, dexdomitor was immediately reversed with antesedan IM (HR, RR and BP remained normal) in-house CBC/Chem (x) unremarkable (artifacts noted due to hemolysis (low mvc, low MCHC, low ALP) during blood draw) Keep in main medical overnight for monitoring; DVM recheck tomorrow; if alert and awake, ok to move out of medical ICU SURGERY: already neutered

9/17/2025

Recheck - housed in ICU overnight due to collapse episode upon sedation, intended to go IM, possibly went IV, reversed and recovered uneventfully. S/O: (Visual exam only due to temperament) QAR in den, hisses when approached, ate well overnight, no c/s/v/d noted EENT: No ocular or nasal discharge LUNGS: Eupneic CNS: Appropriate mentation A: Episode of collapse immediately following IM sedation - ro accidental IV injection vs vagal episode P: Okay to move out of ICU, CTM while at QACC

9/24/2025

Dispensing gabapentin 100mg PO q12h due to high FAS reported

10/1/2025

Progress exam: URI noted on rounds Subjective: BAR, no C/S/V/D. Sneezing reported. Mild congestion present Objective: EYES: Clear, no discharge LUNGS: Eupneic, no sign of respiratory distress NASAL CAVITY: no active discharge MUSCULOSKELETAL: Ambulatory x4, no lameness or lesions NEURO: Appropriate mentation ASSESSMENT: Presumed URI PLAN: Per standing orders -Under the weather, PPE & monitor log placed on kennel -Start fortiflora PO q24h x10 days & medical feedings PO q12h x5 days -CTM, recheck in 3 days

10/5/2025

URI day 3 recheck S/O QAR, hiding in den, no c/s/v/d appreciated, S+ noted and sneeze marks on den window, poor appetite scores, food appears untouched, med feeds untouched EENT: moderate mucoid ocular dc with mild blepharospasm, moderate active bilateral mucoserous nasal dc, cannot perform oral exam but mouth slightly open HL: eupneic MSI: amb x 4 A. URI- moderate with hyporexia vs anorexia P. P behavior might preclude admin of medications- to disc with feline behavior best approx recheck tomorrow - if still no improvement will likely need injectable abx

10/6/2025

URI day 4. S/O QAR, hiding in den, food still appears untouched, sneeze marks all over den window, mild mucoserous ocular dc and nasal dc, eupneic A URI- moderate Hyporexia vs anorexia High FAS P. Disc with behavior feasible treatment options since allows for limited handling. Starting on doxy 10mg/kg PO SID x 10 days. Team to attempt to put in mouth if feels safe otherwise to put in HVT. CTM and recheck in 2 days

10/8/2025

Recheck URI day 7 and appetite; staff unable to medicate orally but report Larry is eating doxycyline in HV food S/O: BAR, resting on shelf, strikes at my hand when opening door to check food; ate dry food, AS 2; no c/s/v/d noted EENT: no active nasal discharge LUNGS: Mild congestion audible, otherwise eupneic A: URI Anorexia - resolved P: Continue current treatment plan Recheck as scheduled CTM while at QACC

Upon intake staff was unable to collar or scan the cat due to its behavior. The cat began growling, hissing, vocalizing, and swatting at staff through the crate door. This continued even after staff managed to transfer the cat into a den.