CLIENT INFORMATION: PATIENT CHART

Name: Iuri (Yuri) Amazonas Spouse:

Address: 613-5112 Elbow Dr SW
, Balance: $ 0.00
Phone: H: (587) 435-7409 W: ( ) - ext:

PATIENT INFORMATION:
Name: Sancho
Sex: MN Species: Feline
Birthday: 08/30/2017 Breed: American Shorthair
ID A Age: 5 years and 1 month old
Color White/Grey Rabies Tag:
Weight: 5.61kg.
REASON FOR VISIT: _____________________________________________________________________________
Reminders for: Sancho Last Done
09/13/2025 Rabies 09/14/2022
09/13/2025 FVRCP 09/14/2022
Leukemia
09/14/2023 Annual Exam - Feline 09/14/2022
Panleukopenia
Senior Wellness Exam
Dental

MEDICAL HISTORY:
Date By Code Description Qty Amount

Link: Sep 16, 2022 Email: notes from OPC I emailed him KM's note from that
conversation and told him he would reach out on Monday. -MairaG

Iuri Amazonas email.PNG

09/15/2022 Morley (Note) Review of blood results & OPC
FeLV/FIV negative

CBC - mild increase in Hct likely from stress, but possible mild dehydration as the ablumin and TP are slightly
increased as well.
Mild increase in eosinophils is likely due to the gingivitis - allergy? parasites.

Chem - NSF

Rec use 0.5-1.0 mg of alprazolam for Sancho for day of surgery and for travel due to experience with blood collection.
We may need to add 100 mg of gabapentin to this as well.

9/15/2022 03:43 PM - pc with Yuri. Sancho is doing well. Is a bit lazy and didn't eat much this morning, he seems to
be better this afternoon. Possibly due to the vaccinations and the stress of the blood collection. If not improving by
tomorrow then let us know.

We discussed using metacam for inflammation and analgesia (he had asked if we should add this after they were
speaking with another veterinarian). We can start this once Sancho is doing better after the vaccination and use it until
the dental surgery.

He will try the alprazolam and advised to start at 0.5 mg initially and can use 1.0 mg if needed. We discussed adding
gaba if needed as well. He will let us know how things go.

We will send the blood results to them as well.

No further questions.
emailed lab results.

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Kent Morley, DVM

Zoasis - Vetscreen, Complete Blood Count, Urinalysis, SDMA, History, REPORT COMMENTS
09/14/2022 07:38 PM
Accession Result ID CYAA05797073
Vetscreen
Total Protein 89HIGH 52-88 g/L
Albumin 43HIGH 25-39 g/L
Globulin 46 23-53 g/L
Albumin/Globulin Ratio 0.9 0.35-1.5 Ratio
AST(SGOT) 23 10-100 U/L
ALT (SGPT) 44 10-100 U/L
Alkaline Phosphatase 33 6-102 U/L
Bilirubin,Total 1.7 0.0-6.8 umol/L
BUN 11.9 5.0-12.9 mmol/L
Creatinine 142 53-212 umol/L
Bun/Creatinine Ratio 84 Ratio
Phosphorus 1.54 0.77-2.65 mmol/L
Glucose 8.5 3.5-9.4 mmol/L
Calcium 2.56 2.05-2.70 mmol/L
Sodium 153 145-158 mmol/L
Potassium 4.1 3.4-5.6 mmol/L
Sodium/Potassium Ratio 37 32-41 Ratio
Chloride 117 104-128 mmol/L
Cholesterol 3.31 1.94-5.70 mmol/L
CPK 287 56-529 U/L
Sample Conditions
Hemolysis 1+ No significant interference.
Complete Blood Count
WBC 7.9 3.5-16.0 109/L
RBC 9.5 5.9-9.9 1012/L
Hemoglobin 167HIGH 93-159 g/L
Hematocrit 49HIGH 29-48 %
MCV 51 37-61 fL
MCH 17.6 11-21 pg
MCHC 342 300-380 g/L
Platelet Count 113LOW 200-500 109/L
Platelet count reflects the minimum number, due to platelet clumping.
Platelet Estimate Adequate
Neutrophils 56 35-75 %

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 Lymphs 29 20-45 %
Monocytes 2 1-4 %
Eosinophils 13HIGH 2-12 %
Basophils 0 0-1 %
Absolute Neutrophils 4.42 2.50-8.50 109/L
Absolute Lymphs 2.29 1.20-8.00 109/L
Absolute Monocyte 0.16 0-0.60 109/L
Absolute Eosinophil 1.03HIGH 0-1.00 109/L
Absolute Basophil 0 0-0.15 109/L
Urinalysis
Path Review
Urinalysis testing has been requested on this patient, however the urine specimen was not received.
Please submit a urine sample, WITHIN 30 DAYS, on a new test request form including the accession
number and order unit code 40510 so we may complete this testing. Please call Customer Service with
any questions.
SDMA
SDMA 12 <15.0 ug/dL
History
History: Pre Surgical Blood Work
REPORT COMMENTS

Link: Sep 14, 2022 Vetscreen/ CBC/UA-Antech Req.

Sancho Amazonas Antech Req..pdf

09/14/2022 STAFF (Note) Fel Leuk/FIV
09/14/2022. Fel Leuk/FIV =Negative. NBELL

09/14/2022 STAFF (Note) Urine/Blood collection ((Vetscreen/CBC/UA)

09/14/2022. 3ml blood collected from L Jugular (muzzeled in sitting position)minimal restarint with towel. Attempted
urine collection (NBell) but Sancho became fractious. SHagman Also unable to attempt cysto.

09/14/2022 Morley (Note) Fractious with sample collection

Sancho became very fractious when Nicole Bell attempted the cysto. He scratched and bit her and broke a nail in the
process.
It appears the nail may be bleeding from the nail bed or a small fracture of the nail, but Sancho will not let me look at it.
I reviewed this with Yuri. The nail should be fine, but we will need to monitor the nail bed for swelling and recheck if it
is seen.

I was then advised that there was blood from his cysto site. There is a small amount of blood in the hair of the area of
the cysto.
When looking at the cysto site he bolted again. We were able to get him into his kennel, but he defecated in it.
Shannon Hagman and Lindsay Dion then placed him in one of our kennels to clean his leg.

He went home without a bandage, the bleeding had stopped.

We will need the alprazolam on board for the surgical date.

This was reviewed with Yuri. He is comfortable with this and apologized for Sancho's behaviour. No questions
otherwise.

Kent Morley, DVM

History, Physical Exam Findings, Assessment,

Pageand Recommendations
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Performed: 09/14/2022
OBSERVATIONS:
History
Review of record from Shaker Square in Cleveland, OH on Jan 31/19 - FVRCP and Rabies (1 yr) given NSF on the
PE. FVRCP given on Feb 27/19.
Yuri in. They are moving to Brazil in November. He would like something to help calm them for the trip.

Any vomiting - no
Appetite - normal
Diarrhea/normal bowel movement - no
Change in energy level - no
Coughing/breathing change -no
PU/PD - no
Litter box habits - normal
Itch/licking - no
Lump - no
Limp - no
Diet - Friskas wet Whiskas dry.
Ongoing Medications - none
Supplements - no
Travel/hike/camp - indoor only.
Daycare/kennel/groom - no
New medical conditions - no

Patient Physical Examination

Sancho growled with the vaccination, but was very gentle otherwise.
Temperature: 38.5 (normal=38.0 - 39.5 C)
Heart Rate: 170 (normal dog=70 - 120, normal cat=120 - 140)
Respiration: Sniffing (normal dog=18 - 34, normal cat=16 - 40)
Body Condition:
Your pet's body condition and weight are normal. 5 /9
Ears: Both the ear canal and pinna are normal.
Eyes: Your pet's eye(s) are normal. The eyeball, eyelids and associated structures appear normal. Your pet
appears to have normal vision.
Nose/Throat: Your pet's nose and throat are normal. Air flows freely through nostrils, no discharge is noted and
there are no difficulties with vocalizing or swallowing.
Mouth/Teeth/Gums: Severe gingivitis of the gums. Missing 108 with moderate swelling of the cheek in this area
associated with the severe gingivitis.
Lymph nodes/Thyroid gland: Your pet's external lymph nodes (submandibular, pre-scapular, axillary and
popliteal) all palpate normally.
Musculoskeletal: Your pet's muscles are in good condition. The skeleton is observed to be normal with no
lameness noted.
Nervous System: Your pet's nervous system is normal. There are no observable defects in the nerves, spine
cord or brain function.
GI/Abdominal Palpation: Your pet's abdominal palpation is normal. This means the kidneys, intestines, liver
and other abdominal organs that are palpable are normal (no masses, lumps, fluid, pain).
Heart/Cardiovascular: Your pet's heart is normal. The heart sounds are clear with no murmurs or arrhythmia
heard. The pulses are normal.
Lungs/Trachea: Your pet's lungs sound normal with no fluid, crackles or wheezes. The trachea sounds normal
and palpates normal.
Skin/Haircoat: Your pet's haircoat and skin are normal. The fur is shiny with a soft texture. There are no signs
of parasites or inflammation of the skin.
Page 4 of 6
Urinary/Reproductive: Your pet's urogenital system is normal. The urinary system is functioning normally.
The reproductive organs examined are normal.

FINDINGS:
Severe dental disease in a young cat may be due to feline leukemia, feline immunodeficiency virus, immune
mediated disease.
Otherwise healthy, OK to vaccinate.

RECOMMENDATIONS:
Feline viral testing (feline leukemia and feline immunodeficiency viruses) and blood work needs to be done
before surgery.

Metacam for pain control is reasonable to consider before surgery. This will be considered.
Stop metacam if there is any vomiting, diarrhea or not eating as it can cause irritation or ulceration of the stomach.
We need to monitor the kidney, liver and complete blood count after one month of use and then every 6 months

Start antibiotics one week before the surgery to help decrease the inflammation associated with infection and improve
the health of the gums. Stop this and call us if there is vomiting, diarrhea or not eating.

The dental process was reviewed. We will call you after the dental x-rays and oral exam are completed (while they
are under anesthesia) and let you know what the concerns are and treatment for the dental disease would be. Would
not do anything unless you told us it was OK to do so.
We reviewed that he may need to have all of his teeth removed.

We will want to biopsy the gums as well to see if there is an underlying immune mediated disease causing the
damage.

The anesthesia risk was reviewed and is expected to be low.

Alprazolam 0.5 mg - Give 1/2 to 2 tablets 1 hour before leaving for the airport. Try the dose at home first. Start at the
low end of the dose and titrate up. This may make them sleepy. Rarely hyperactivity or aggression can occur.

Kent Morley vaccinated and reviewed reactions:

Vaccines may cause tenderness over the site of injection, decreased appetite or energy for 24-48 hours. If you are
seeing more than this or you note swelling of the face which can be seen up to 4 hours after vaccination, please call
us or contact the CARE Centre at 403-520-8387 if we are closed.
Felocell 3 left hind leg ser 538725B exp06/06/23
Defensor 3 SQ over the right hind leg ser 581525 exp12/09/23

Deworm yearly with Profender. Profender may cause heavy drooling if licked off the body. It is not toxic, it just tastes
terrible. If you see any vomiting, diarrhea, not eating or lethargy, please call us or seek emergency care if concerned
and we are closed.

Kent Morley, DVM

emailed record. KM

Link: Sep 13, 2022 Medical Records from Shaker Square

Sancho Amazonas (ID_ 1655) _ IDEXX Neo.pdf

09/13/2022 STAFF (Note) Request Medical Records
9/13/2022 09:46 AM called Shaker Square Aniaml Hospital 216-417-4625 and requsted medical records -ld

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For any questions on Sancho's health, please call the clinic.

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