WOOL – 23685

DVM Intake Exam

Estimated age: 3-5 years old
Microchip noted on Intake? no
Microchip Number (If Applicable):

History : Multiple cats were found in various floors/rooms with no access to food/water due to MOST of them being locked in dog crates and carriers. O passed away 2 weeks ago.

Subjective: QAR

Observed Behavior – Dull, very scared and frozen during exam
Evidence of Cruelty seen – No
Evidence of Trauma seen -No

Objective

T = 99.9
P =
R =
BCS 2/9

BCS 2/9

EENT: large amount of dried ocular dc, severely sunken eyes OU, ears: clear and no dc.
Oral Exam: moderate dental tartar and gingivitis. few resorptive lesions.
PLN: No enlargements noted
H/L: NSR, NMA, mm light pink and dry, Lungs clear, eupnic
ABD: Non painful, no masses palpated, no palpable bladder.
U/G: female spayed, spay tattoo on ventral abdomen
MSI: Ambulatory x 4, skin free of parasites, no masses noted, unthrifty hair coat, 1cm ulceration of palmar surface of caudal footpad, palpable spinous process, ribs and hip joints. linear strip of thinning alopecia of dorsum
CNS: Mentation appropriate – no signs of neurologic abnormalities
Rectal: normal externally

Assessment: Severely dehydrated
thin body condition
Underweight
Footpad sores
thinning alopecia r/o ringworm vs overgrooming vs other

Prognosis: Fair

Plan: 50 ml LRS SQ given
Recheck tomorrow
Monitor appetite and weight
Ringworm PCR
Parvo negative

CAME IN WITH

Cotton 23683

Flannel 23684

Silk 23686

Polyester 23687

Othello 23698

Minestrone 23762

Lentil 23763

Penguin 23848

Smores 23850