#INPUT#['Acquired from?'/from a breeder./from a shelter./from a private party./as a stray./from a pet store.]

#INPUT#['Is pet used for?'/a pet./a show cat./a breeding cat.]

#INPUT#['Indoor or Outdoor?''/an indoor only cat./an outdoor only cat./both in and outdoor./ leash walked.]

#INPUT#['FeLV status'/positive/negative/not tested/unknown]

#INPUT#['Brushing teeth?'/not brushing teeth.['Would you like a tooth brushing lesson?'/Demonstrated how to brush teeth and encouraged daily brushing with pet toothpaste and a soft bristle toothbrush./Owner declined a tooth brushing lesson./]/brushing one a day.['Would you like to review your technique or like any tips?'/'No'/Reviewed brushing technique and products with owner./]/brushing every other day.['Would you like to review your technique or like any tips?'/'No'/Reviewed brushing technique and products with owner./]/brushing twice a week.['Would you like to review your technique or like an tips?'/'no'/Reviewed brushing technique and products with owner./]/brushing once a week.['Would you like to review your technique or like any tips?'/'no'/Reviewed brushing technique and products with owner./]/brushing once a month.['Would you like to review your technique or like any tips?'/'no'/Reviewed brushing technique and products with owner./]/brushing twice a month.['Would you like to review your technique or like any tips?'/'no'/Reviewed brushing techniques and products with owner./]]

#INPUT#[**General Appearance:**/Bright, alert and responsive, good body condition/Quiet, alert and responsive/Anxious/Agitated/Comatose/Depressed/Fractious/Hyperactive/Minimally responsive/Obtunded/Painful/Sternal recumbency/Stoic/Stuporous/Unresponsive/Lethargic]

#INPUT#[**Body Condition Score:**/Very thin/Thin/Ideal/Overweight/Obese]

#INPUT#[**Hydration:**/Hydration appears normal/Slightly dehydrated/Moderate dehyrdations/Severe dehydration/4-6% hydration/6-8% dehydration/8-10% dehydration/Overhydrated/Slightly shocky upon arrival/Shocky upon arrival/Severly shocky upon arrival]

#INPUT#[**Eyes:**/Corneas clear, pupils normal size, symmetrical, sclera white, no ocular discharge/Anisorcoria/Blepharospasm/Cataract/Chemosis/Corneal edema/Corneal laceration/Corneal pigmentation/Corneal ulcer/Entropian/Eyelid mass/Flurescein stain/Foreign body/Globe rupture/Hyphema/Intraocular pressure measured/Iris thickened/Lagophtalmos/Lens luxation/Menace/Miotic pupil/Mucopurulent drainage/Nuclear sclerosis/Ocular discharge/OD/OS/OU/Scleral hemorrhage/Scleral injection/Trichiasis/Uveitis]

#INPUT#[**Ears:**/No exudate observed, no redness present/AD/AS/AU/Brown, moist, ceruminous exudate/Cannot visualize left ear drum/Cannot visualize right ear drum/Foreign object/Hematoma/Horizontal ear canal swollen/Inflamed left ear/Inflamed right ear/Mites/Painful ears/Pinna/Purulent exudate in/Red inflamed ears/Thickened skin on pinna/Ticks/Tympanic membrane ruptured/Yellow purulent exudate]

#INPUT#[**Oral Cavity:**/Teeth are free from excessive tartar, no gingivitis present/No obvious foreign body/Bad breath/Buccal/Difficulty breathing/Difficulty swallowing/Drooling/Epulis/Foreign body in mouth/Gingivitis/Gum flaps/Gum recession/Lingual/Mandibular/Maxillary/Oral mass/Ulcerations/Recommended dental/Tartar mild/Tartar moderate/Tartar severe]

#INPUT#[**Nasal Cavity:**/No obvious abnormalities observed/Did not examine nasal cavity/Epistaxis/Foreign object lodged/Deviation/Naris/Stenotic Nares]

#INPUT#[**Cardiovascular:**/Regular rhythm; no murmur detected/Aortic valve/Apex/Sternum/Arrhythmia/Bounding pulses/Bradycardia/Brown mucous membranes/Cyanotic/Distended jugular vein/Femoral pulses strong and regular/Femoral pulses weak/Gallop rhythm/Grade 1 out of 6 heart murmur/Grade 2 out of 6 heart murmur/Grade 3 out of 6 heart murmur/Grade 4 out of 6 heart murmur/Grade 5 out of 6 heart murmur/Grade 6 out of 6 heart murmur/Heard best at/Diastolic murmur/Holosystolic murmur/Pansystolic murmur/Systolic murmur/Jugular pulse/Left/Mitral valve/Muffled/No pulse deficits/Normal CRT/Pale mucous membranes/Palpable thrill/Peripheral pulses/Pulmonic valve/Pulse deficit/Respiratory sinus arrhythmia/Right/Synchronous/Tachycardia/Thoracic valve]

#INPUT#[**Respiratory:**/Lungs auscultate clear; trachea clear/Bilateral/Bronchovesicular/Congestion/Cough/Cough (honking)/Cough (non-productive)/Coughing (productive)/Crackles/Cyanosis/Decreased breath sounds/Dyspneic/Eupneic/Exercise intolerant/Expiratory stridor/Harsh lungs/Hemoptysis/Increased breath sounds/Inspiratory stridor/Laryngeal paralysis/Left/Lungs clear/Moist rales/Muffled/Nasal discharge/Normal/Open mouth breathing/Rales/Reverse sneeze/Right/Sneeze/Stenotic nares/Stertorous breathing/Stridor/Tachypneic/Tracheal sensitivity/Wheeze/Wheezing]

#INPUT#[**Abdomen:**/Abdomen palpates normally/No pain, tenderness or masses on palpation/Ascites/Distended/Firm stool in colon (constipated)/Fluid filled/Fluid filled instestines/Hematemsis/Hematochezia/Hepatomegaly/Irregular, firm/Mass/Melena/No string at base of tongue/Normal stool/Painful/Painful upon palpation of abdomen/Prostate gland/Regurgitating food/Renomegaly/Small kidneys/Splenomegaly/Splinting/String at base of tongue/Symmetrical, soft/Tenesmus/Tense/Vomiting bile/Vomiting foam/Vomiting food]

#INPUT#[**Rectal:**/Did not perform rectal exam/Normal rectal exam/Abnormal rectal exam/Left anal gland/Right anal gland/Anal glands empty/Anal glands full/Anal tone appears intact/Bloody diarrhea observed on thermometer/Diarrhea/Empty/Flatulent/Full/No anal tone present/Normal stool]

#INPUT#[**Musculoskeletal:**/Normal ambulation/Left/Right/Bilateral/Front/Rear/Lame/Anterior drawer/+ cranial drawer left stifle/+ cranial drawer right stifle/Crepitus/Generalized muscle atrophy/Grade 1 patellar luxation/Grade 2 patellar luxation/Grade 3 patellar luxation/Hip dysplasia/Hip laxity/Hock/Hyperpathia/Joint swelling/Masseter muscle atrophy/No fracture palpable/Fracture/Compound fracture/No pain on palpation of spine/Non-weight bearing/Pain on palpation/Painful/Phalanx/Shoulder/Stifle/Swollen joint/Tarsus]

#INPUT#[**Integument:**/Normal amount of shedding; skin looks normal; hair coat in good condition/Abrasion/Abscess/Allergic dermatitis/Alopecia/Angiodema/Bite wound/Comedomes/Crusts/Dandruff (flaky skin)/Dull hair coat/Ecchymosis/Excoriations/Feline acne/Flea dirt/Fleas/Folliculitis/Foreign body -- fish hook/Foreign body -- foxtail/Generalized erythema/Hematoma/Hot spot/Laceration/Mass/Moist exudate/No fleas/Papules/Petechia/Pigmentation change/Pruritis/Puncture wound/Pustules/Pyoderma/Scales/Sebaceous adenoma/Sebaceous cyst/Seborrhea/Seborrhea oleosa/Seborrhea sicca]

#INPUT#[**Lymph Nodes:**/Lymph nodes are all normal in size/Axillary/Bilateral thyroid nodules/Enlarged/Slightly enlarged/Inguinal/Lymph nodes/Mandibular/No thyroid nodules palpable/Enlarged/Slightly enlarged/Inguinal/Lymph nodes/Mandibular/No thyroid nodules palpable/Normal/On left/On right/Painful/Parotid/Popliteal/Prescapular/Sternal/Sublumbar/Submandibular/Symmetrical]

#INPUT#[**Urogenital:**/Owner reports normal eliminations; external genitalia appears normal; bladder palpates normally/Anuria/Balanoposthitis/Bladder empty/Bladder full/Bladder stones palpable/Bladder unable to express/Cystic calculi/Dysuria/Enlarged, firm bladder/No feti palpable/Oliguria/Painful on palpation/Penile discharge/Polydypsia/Polyuria/Prepucial discharge/Prostatomegaly/Scrotal hematoma/Testicles/Testicular tumor/Thickened bladder wall/Uterine swellling/Vaginal/Vaginal discharge]

#INPUT#[**Neurologic:**/No apparent abnormalities/Ambulatory x 4 with no apparent lameness/Left/Right/Bilateral/Abnormal/Decreased/Increased/Abnormal cranial nerve exam/Abnormal panniculus reflex/Abnormal withdrawal exam/Absent/Ataxia/Circling/Comatose/CP + all 4/CP deficits/Crossed extensor/Fractious/Growling/Head tilt/Hyperreflexic/Hyporeflexic/Hyperreflexive patellar reflexes/Hyporeflexive patellar reflexes/Menace response/Nervous/Neurologically appropriate/Neurologically inappropriate/Non-responsive/Normal/Normal cranial nerve exam/Normal panniculus reflex/Normal withdrawal reflexes/Nystagmus/Obtunded/Palpebral/Paralysis]

#INPUT#[**Options Offered to Owner or Agent:**/and further treatment as needed/Antibiotics/Antiemetics/Coagulation profile/Fecal analysis/Fecal analysis, parvovirus test/Hospitalization/Hospitalization, IV catheter, fluid therapy, /Labwork/Medical management/Oxygen therapy/Pain medications(s)/Radiographs/Sedate to examine or treat/Splint application/Surgical intervention/Urinalysis/Urinary catheter placement]

#INPUT#[**Options Elected by Owner or Agent:**/Owner authorizes recommended treatment/Owner declines recommended treatment/Owner elects conservative treatment plan to include/Owner declines initial estimate and requested a revised treatment plan/Owner has financial concerns/Offered various payment options (hold checks, etc...)/Owner declines recommended treatment and refuses to treat patient.  Had owner sign AMA.]

#INPUT#[**Prognosis:**/Good/Fair/Poor/Guarded/Grave]

#INPUT#[**Attending Veterinarian:**/Christina Langley, DVM/James McCoy, DVM/Sydney Zweibel, DVM/John Whorfin, DVM/Reno Nevada, DVM]