CRAYOLA – 25297

DVM Intake Exam

Estimated age: ~1yr, based on dentition and secondary sex characteristics
Microchip noted on Intake? scanned negative by LVT on intake.

History : brought in by person who normally feeds P; noticed underweight and nasal discharge. Also not eating as much.

Subjective / Observed Behavior – BAR; allowed all handling, though tried to flee during lateral restraint.

Evidence of Cruelty seen – none
Evidence of Trauma seen – none

Objective
BCS 4/9
EENT: Eyes clear, no discharge. audible congestion; serous nasal discharge
Oral Exam: mild dental calculus 1/5; pd 1/5.
PLN: No enlargements noted
H/L: NSR, NMA, CRT < 2, Lungs clear, eupnic
ABD: Non painful, no masses palpated
U/G: no scar or tattoo present; intact female.
MSI: Ambulatory x 4, skin free of parasites, no masses noted, coat has diarrhea on it.
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: normal on visual exam.

Assessment
URI — suspect viral
diarrhea r/o diarrhea, intestinal parasites, protozoa
dental calculus
periodontal disease
underweight

Prognosis:
fair

Plan:
place in ISO
fortiflora q24h x 4 days
nebulization q24h x 4 days
fecal exam
mirtazapine one time.
cerenia 0.25ml SQ x3days
LRS SQ fluids 100ml

SURGERY:
Temporary waiver due to illness.

Her foster mom writes: This little pumpkin is happy, happy, happy. She’s tiny like a kitten, but she loves her kibble and gruel so much that we should have her fattened up in no time. She sports an interesting and pretty orange and black coat and she can’t enough attention. She does figure 8’s around my legs and her meows are like little “bips.” What I particularly like, and we can’t promise this will always be true, is that she seems entirely unaware that her paws have claws and her mouth has teeth. Unlike many young, energetic cats, she plays and seeks attention very gently. She’s got the complete package of cuteness and personality. You can come meet her any time.