6/14/2026

DVM Intake Exam Estimated age: dentition and conformation make p appears to be closer to 7 years than 3 years Microchip noted on Intake? scanned positive History: os Subjective: BAR Observed Behavior - hissing, lunging, swatting, growling, needed net and sedation Is there evidence of suspected cruelty? N Objective: T = np P = wnl R = wnl BCS 5/9 EENT: Eyes clear, mild dark brown cerumious dc AU, no nasal or ocular discharge noted Oral Exam: moderate wear and staining to visible dentition with scant calculus PLN: No enlargements noted H/L: NSR, NMA, CRT < 2, Lungs clear, eupneic ABD: Non painful, no masses palpated U/G: MN, site CDI MSI: Ambulatory x 4, skin free of parasites, no masses noted, healthy hair coat, focal alopecic patch underneath velcro part of e-collar CNS: Mentation appropriate - no signs of neurologic abnormalities Assessment: Alopecic region - suspect second to e-collar placement Dental dz- moderate Prognosis: fair- good Plan: intake exam and tasks sedated with 0.1mL dex/torb/ket IM- minimal effect, added in 0.05mL dex/torb/ket IM for adequate sedation removed e-collar, on tighter than should be reversed with equal vol antisedan IM awaiting sort SURGERY: Already neutered

6/20/2026

Progress exam - On 6/19 reported to be drooling, no vomit in AM. In PM reported to have drool with bloody tinge. Today reported not to eat and one reported episode of vomit in kennel. S/O: BAR, rubbing against bars and head rubbing. No drool present around mouth. Overall appears comfortable. No ocular or nasal discharge. A: hx vomiting and drool Hx high FAS P: Recheck tomorrow, monitoring log placed to assess appetite and GI upset

6/20/2026

Urinalysis collected via no sorb and sent to idexx

6/21/2026

UA results: High USG 1.073, 3+ protein, 1+ Bilirubin, 2+ ammonium mg phosphate crystals S: Vomited 1x yesterday, inappetent for 2 days. Observed Behavior - Very sweet, asking for pets, easily examined and easily given fluids/injections/ear cleaning. Objective: P = wnl R = wnl BCS 5/9 EENT: Eyes clear, AU-mild brown crusting debris, pruritic, no nasal or ocular discharge noted Oral Exam: moderate tartar build up 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, dry hair coat, excessive shedding, square area of irritated skin on back of neck (previously shaved?) CNS: Mentation appropriate - no signs of neurologic abnormalities A: 1. Inappaetent x 2 days 2. Vomited yesterday 3. Dehydrated 4. Otitis externa AU 5. Dry haircoat 6. Weight loss P: 1. SQ LRS 100mL 2. Cerenia 0.45mL + vitamin B12 0.25mL SQ 3. Mirtaz Transdermal AS 4. Ears cleaned- Tresaderm applied 5. Tresaderm AU BID x 7 days 6. Recheck tomorrow to ensure eating- if not, consider bloodwork. If BW wnl, likely caused by stress-recommend placement in foster home.

6/23/2026

Brief recheck today - received cerenia and LRS on 6/21 S/O: P i BAR today, leaning into head rubs and pets. AS2/3 reported on monitoring log today! Appears to prefer dry food over wet. No ocular or nasal discharge. Eupneic. A/P: Stable, no GI signs today *Seek placement out of shelter ASAP to low stress environment *Monitor daily on rounds - if continues to be anorexic consider bloodwork, no indication to do so today *Start medical feedings to entice P to eat

6/24/2026

Tresaderm d/c'd d/t reports behavior

6/25/2026

recheck appetite, V+ S/O BAR, A+A, solicits pets, food appears untouched, not interested in churu, reported to be eating 1s, S+, no v/d/c EENT: no ocular dc, moderate bilat serous nasal dc HL: eupneic MSI: amb x 4, good skin tent A. URI- mild Hyporexia r/o anorexia P. Start mirataz SID x 3 days con't medical feeds URI mild aTT - not adding in forti flora or doxy as p not eating and not to increased FAS (very high on take) or cause food aversion UTW signage Monitor log URI rechecks CTM while at QACC

6/28/2026

recheck URI, appetite S/O T: 104.4 F Lethargic, becomes QAR when handled, S+ noted, no c/s/v/d appreciated, food trays untouched and appears uninterested when offered HVTs, noted to be losing weight EENT: no ocular dc, mild serous nasal dc HL: eupneic MSI: delay in skin tent A. Hyporexia vs anorexia Pyrexia Weight loss URI- still mild signs aTT Dehydration- moderate P. Move down to med-ICU for closer monitoring start: 100mL SQF SID x 3 days cerenia 1mg/kg SQ SID x 3 days (0.4mL) Medical feedings BID x 3 days Convenia 1m/kg SQ once - P still does not have any significant URI signs, high FAS and anorexic. Recheck tomorrow - consider BW if not improving

6/29/2026

recheck URI, appetite S/O BARH - friendly, soliciting attention, pink moist mm at distance, spontaneous non productive sneeze noted, no c/v/d appreciated, food trays untouched and appears uninterested when offered HVTs, noted to be losing weight EENT: mild serous ocular discharge at medial canthus OU, mild serous nasal dc HL: eupneic A. Anorexia persists despite mirtazapine admin Recent pyrexia Weight loss URI- still mild signs @tt Dehydration / attitude - improved P. ADD midazolam 0.17mL (0.2mg/kg) SQ ONCE ADD Nebulize 10-15min SID x3d otherwise CWCP If no improvement in app consider AFAST 6/30 (received convenia 6/28)

6/29/2026

Bloodwork interpretation CBC - - Mild eosinopenia (0.14k L) r/o partial stress leukogram vs other Chemistry - - Marginally decreased creatinine (0.8L) / BUN (13L) r/o 2ary to prolonged anorexia / muscle loss vs other - Marginally decreased ALP (10L) - little clinical significance TT4 1.3N Bloodwork results unremarkable - No overt cause of anorexia identified on bloodwork CWCP, consider abdominal imaging on 6/30 if no improvement

6/30/2026

recheck URI, appetite S/O BARH - friendly, soliciting attention, pink moist mm at distance, spontaneous non productive sneeze noted, no c/v/d appreciated, licked at wet food once and took a few bites of churu when offered but was tongue flicking after EENT: mild serous ocular discharge at medial canthus OU, mild serous nasal dc HL: No HMA, normal BV sounds, eupneic ABDO: A. Anorexia - slight improvement post midazolam admin, ate a few bites of churu Recent pyrexia r/o stress hyperthermia vs true pyrexia (2ary to URI vs other) Weight loss URI- still mild signs @tt Dehydration / attitude - improved P. Repeat midazolam 0.17mL (0.2mg/kg) SQ ONCE AFAST (see results section) (received convenia 6/28)

6/30/2026

Abdominal ultrasound - limited views since done standing with no restraint to limit FAS (P previously needed to be sedated for medical handling). P did well initially but started tail swishing and turning head when attempting to probe R side of abdomen - remainder of ultrasound aborted. Findings: Liver/ Gall Bladder - The portion of the liver that is visualized is of subjectively normal size, shape, and echogenicity. The gallbladder is mildly distended with anechoic fluid. The common bile duct is subjectively normal in size and shape. R liver lobes difficult to image due to behavior. Spleen - The spleen is of subjectively normal size, shape, and echogenicity. No masses appreciated. Gastrointestinal (includes pancreas) Gastric walls appear normal with visible rugal folds. Intraluminal gas shadowing in stomach/SI/colon, difficult to make out gastric contents. Subjectively normal intestinal wall layering, diffuse hypomotility. Pyloric flush not appreciated. The pancreas is not visualized. Genitourinary - Kidneys were not visualized due to P behavior and due to colonic gas shadowing. Urinary bladder moderately distended with anechoic urine. No crystals, masses, or calculi appreciated. Adrenals - Not visualized Peritoneal cavity - No peritoneal free fluid appreciated. Abdominal lymph nodes not appreciated. Conclusions: Ileus r/o functional (2ary to anorexia vs other) vs less likely mechanical Gas dilation of stomach and intestines multifocally r/o 2ary to anorexia vs stress (aerophagia) vs other Anorexia - susp 2ary to URI but cannot completely r/o 1ary GI cause (gas colic vs other) based on AUS findings @tt Recommendations: ADD Enrofloxacin 0.2mL (diluted 1:1 with sterile saline) (~5mg/kg) SQ SID x7d otherwise CWCP DVM recheck 7/1 If clinical condition worsens (e.g. V/D/lethargy) consider abdominal radiographs (likely with sedation) Seek placement in low stress environment for ongoing care

7/1/2026

Recheck prolonged anorexia and significant weight loss, patient has lost 2 pounds since intake two weeks ago S/O: BAR at front of kennel, leaning into petting, not eating, gags/tongue flicks when HV foods brought to face, no c/s/v/d noted EENT: No ocular discharge, mild mucoserous nasal discharge LUNGS: Mild-mod congestion, otherwise eupneic MSI: Ambulatory x 4, rough haircoat with areas of alopecia, dorsal muscle wasting consistent with rapid weight loss CNS: Appropriate mentation A: Prolonged anorexia with significant weight loss URI - mild-moderate signs Alopecia, rough haircoat Dental disease P: Start entyce 3 mg/kg PO SID 3 days Midazolam 0.2 mg/kg IM repeated today Continue enrofloxacin, extend SQ LRS, cerenia, medical feedings CTM and recheck on rounds daily Seek placement ASAP for more aggressive supportive care +/- diagnostics

7/2/2026

Recheck prolonged anorexia, weight loss, URI S/O: BAR at front of kennel, leans into petting, seeking attention; food untouched overnight, not eating food this morning; eats some churu with coaxing during petting; no c/s/v/d noted EENT: Mild serous nasal discharge, no ocular discharge LUNGS: Congestion, otherwise eupneic MSI: Ambulatory x 4 with DMW, rough haircoat with areas of alopecia A: Prolonged anorexia with significant weight loss - possibly improving, ate small amt HV food URI - mild-moderate signs Alopecia, rough haircoat Dental disease P: Continue current treatment plan - SQF, cerenia, medical feedings, enrofloxacin, entyce Recheck tomorrow

7/2/2026

sTaff LVT donated compounded transdermal gabapentin - starting on 100mg topical (50mg to each pinna) to see if helps to stimulate appetite. Continue on 50mg applied to pinna BID x 3 days recheck briefly to ensure no excessive sedation