VEG

755 W North Ave, Chicago, IL 60610

(312) 757-5444
lincolnpark@veg.vet

Owner: Erin Pierce-Spurrier Patient: Digit Sex: Female (Spayed)

Phone: (865) 719-4463 Age: 14 years 2 months Microchip: (None listed)
Email: Erinpiercespurrier@gmail.com Species: Feline Allergies: (None listed)
Address: 1944 W Chicago Ave 3r Breed: Domestic Medium Hair Patient ID: 191320588
Chicago IL 60622 Weight: 2.61 kg DOB: Mar 17, 2009

rDVM: Higgins Animal Clinic

Email: higginsreception1@yahoo.com
Phone: (773) 525-0472
Fax: (None listed)

 Exam May 21, 2023 with Dr. Lindsey Schwartz

Orders
Diagnostics Result Quantity Comments
Ultrasound POCUS Exam 1

Treatments Quantity Comments

Maropitant Citrate (Cerenia) Inj 10mg/ml (Per ml) 1
SQ Fluids 1

Medications Instructions Quantity Unit Re lls Expires Note

Gabapentin 50mg Tiny Give 0.5 tablets every 12 hours by mouth. 2023-
10 tablets 0
Tabs May cause sedation. 08-19
Ondansetron 4 mg Give 0.5 tablets every 12 hours by mouth 2023-
3 tablets 0
Tablets for nausea. 08-19
Metronidazole Oral Give 0.25 mLS every 12 hours by mouth.
2023-
Liquid 100mg/ml (Per Give with food if able. This is an 2.5 mL 0
08-19
ml) antibiotic.

Other Products Quantity Comments

Ready For Discharge 1
Emergency Visit 1

Discharge Instructions
MEDICATIONS:
Metronidazole Oral Liquid 100mg/mL | Give 0.25mLs every 12 hours by mouth. Give with food if able. This is
an antibiotic.
Gabapentin 50mg Tiny Tabs | Give 0.5 tablets every 12 hours by mouth. May cause sedation. (10 tablets)
Ondansetron 4 mg Tablets | Give 0.5 tablets every 12 hours by mouth for nausea. (3 tablets)

MONITORING:
Please monitor Digit for any vomiting, worsening stool abnormalities, decreased appetite, lethargy, or
weakness. If you notice these, or any other concerning signs or behaviors, please contact your primary care
veterinarian, or Veterinary Emergency Group if after hours.

Please note, it may take several days for the stool issues to completely resolve, but it should be getting better
and not worse.

Digit has been given a very strong medication to prevent vomiting (Cerenia). If Digit vomits again, please seek
veterinary attention. Further diagnostic workup and bloodwork or an ultrasound may be warranted at this time.

FOLLOW-UP:
If Digit has not eaten in the next 24 hours, please return to VEG or your primary vet for possible hospitalization
and additional diagnostics.

Thank you for entrusting Veterinary Emergency Group of Lincoln Park with Digit's care. If you have any
questions, comments or concerns about Digit or the visit please feel free to reach out via email
(lincolnpark@veg.vet) or telephone (312) 757-5444.

Dr. Lindsey Schwartz

~scribed by Sunny Groves

Dr. Lindsey Schwartz

 Endocrinology May 21, 2023

Test Result Reference Value

Total T4 1.9 µg/dL 0.8-4.7 µg/dL
Test Result Reference Value
Diagnostic Interpretation for TT4
< 0.8 µg/dL Subnormal
0.8 - 4.7 µg/dL Normal
2.3 - 4.7 µg/dL Grey zone in old or symptomatic cats
> 4.7 µg/dL Consistent with hyperthyroidism
Cats with subnormal T4 values are almost exclusively euthyroid sick or
over treated for their hyperthyroidism. Older cats with consistent clinical
signs and T4 values in the grey zone may have early hyperthyroidism or
a concurrent non-thyroidal illness. Hyperthyroidism may be con rmed in
these cats by adding on a freeT4 (fT4) or by performing a T3
suppression test. Following treatment with methimazole, T4 values will
generally fall within the lower to middle end of the reference range.

 Urinalysis May 21, 2023

Test Result Reference Value

Collection Cystocentesis -
Color Straw -
Clarity Cloudy -
Speci c Gravity 1.042 -
pH 6.0 -
Urine Protein neg -
Glucose neg -
Ketones neg -
Blood / Hemoglobin 250 Ery/μL - Ery/μL
Bilirubin neg -
Urobilinogen norm -
White Blood Cells <1 /HPF -
Red Blood Cells 25 /HPF -
Bacteria, Cocci None detected -
Bacteria, Rods None detected -
Squamous Epithelial Cells None detected -
Non-Squamous Epithelial Cells <1 /HPF -
Hyaline Casts None detected -
Non-Hyaline Casts None detected -
Calcium Oxalate Dihydrate
None detected -
Crystals
Test Result Reference Value
Struvite Crystals None detected -
Ammonium Biurate Crystals None detected -
Bilirubin Crystals None detected -
Unclassi ed Crystals None detected -

 Chemistry May 21, 2023

Test Result Reference Value

Glucose 105 mg/dL 71-159 mg/dL
Creatinine 1.6 mg/dL 0.8-2.4 mg/dL
BUN 38 mg/dL 16-36 mg/dL
BUN: Creatinine Ratio 24 -
Phosphorus 4.3 mg/dL 3.1-7.5 mg/dL
Calcium 9.8 mg/dL 7.8-11.3 mg/dL
Sodium 159 mmol/L 150-165 mmol/L
Potassium 4.6 mmol/L 3.5-5.8 mmol/L
Na: K Ratio 35 -
Chloride 124 mmol/L 112-129 mmol/L
Total Protein 7.8 g/dL 5.7-8.9 g/dL
Albumin 2.8 g/dL 2.3-3.9 g/dL
Globulin 4.9 g/dL 2.8-5.1 g/dL
Albumin: Globulin Ratio 0.6 -
ALT 48 U/L 12-130 U/L
ALP 26 U/L 14-111 U/L
GGT 0 U/L 0-4 U/L
Bilirubin - Total 0.2 mg/dL 0.0-0.9 mg/dL
Cholesterol 119 mg/dL 65-225 mg/dL
Amylase 709 U/L 500-1500 U/L
Lipase 788 U/L 100-1400 U/L
Osmolality 324 mmol/kg - mmol/kg
SNAP Feline proBNP Normal -

 Hematology May 21, 2023

Test Result Reference Value
RBC 9.28 M/µL 6.54-12.20 M/µL
Hematocrit 44.6% 30.3-52.3 %
Hemoglobin 14.5 g/dL 9.8-16.2 g/dL
MCV 48.1 fL 35.9-53.1 fL
MCH 15.6 pg 11.8-17.3 pg
MCHC 32.5 g/dL 28.1-35.8 g/dL
RDW 21.8% 15.0-27.0 %
% Reticulocyte 0.1% -%
Reticulocytes 10.2 K/µL 3.0-50.0 K/µL
Reticulocyte Hemoglobin 15.9 pg 13.2-20.8 pg
WBC 8.32 K/µL 2.87-17.02 K/µL
% Neutrophils 35.5% -%
% Lymphocytes 46.0% -%
% Monocytes 2.4% -%
% Eosinophils 13.7% -%
% Basophils 2.4% -%
Neutrophils 2.95 K/µL 2.30-10.29 K/µL
Lymphocytes 3.83 K/µL 0.92-6.88 K/µL
Monocytes 0.20 K/µL 0.05-0.67 K/µL
Eosinophils 1.14 K/µL 0.17-1.57 K/µL
Basophils 0.20 K/µL 0.01-0.26 K/µL
Platelets 289 K/µL 151-600 K/µL
MPV 16.6 fL 11.4-21.6 fL
Plateletcrit 0.48% 0.17-0.86 %

 Endocrinology May 21, 2023

Test Result Reference Value

Total T4 -
Test Result Reference Value
Diagnostic Interpretation for TT4
< 0.8 µg/dL Subnormal
0.8 - 4.7 µg/dL Normal
2.3 - 4.7 µg/dL Grey zone in old or symptomatic cats
> 4.7 µg/dL Consistent with hyperthyroidism
Cats with subnormal T4 values are almost exclusively euthyroid sick or
over treated for their hyperthyroidism. Older cats with consistent clinical
signs and T4 values in the grey zone may have early hyperthyroidism or
a concurrent non-thyroidal illness. Hyperthyroidism may be con rmed in
these cats by adding on a freeT4 (fT4) or by performing a T3
suppression test. Following treatment with methimazole, T4 values will
generally fall within the lower to middle end of the reference range.

 Urinalysis May 21, 2023

Test Result Reference Value

Collection Cystocentesis -
Color Straw -
Clarity Cloudy -
Speci c Gravity 1.042 -
pH 6.0 -
Urine Protein neg -
Glucose neg -
Ketones neg -
Blood / Hemoglobin 250 Ery/μL - Ery/μL
Bilirubin neg -
Urobilinogen norm -
White Blood Cells <1 /HPF -
Red Blood Cells 25 /HPF -
Bacteria, Cocci None detected -
Bacteria, Rods None detected -
Squamous Epithelial Cells None detected -
Non-Squamous Epithelial Cells <1 /HPF -
Hyaline Casts None detected -
Non-Hyaline Casts None detected -
Calcium Oxalate Dihydrate
None detected -
Crystals
Test Result Reference Value
Struvite Crystals None detected -
Ammonium Biurate Crystals None detected -
Bilirubin Crystals None detected -
Unclassi ed Crystals None detected -

 Chemistry May 21, 2023

Test Result Reference Value

Glucose 105 mg/dL 71-159 mg/dL
Creatinine -
BUN 38 mg/dL 16-36 mg/dL
Phosphorus -
Calcium -
Sodium -
Potassium -
Chloride -
Total Protein 7.8 g/dL 5.7-8.9 g/dL
Albumin 2.8 g/dL 2.3-3.9 g/dL
ALT -
ALP 26 U/L 14-111 U/L
GGT -
Bilirubin - Total -
Cholesterol 119 mg/dL 65-225 mg/dL
Amylase -
Lipase 788 U/L 100-1400 U/L

 Hematology May 21, 2023

Test Result Reference Value

RBC 9.28 M/µL 6.54-12.20 M/µL
Hematocrit 44.6% 30.3-52.3 %
Hemoglobin 14.5 g/dL 9.8-16.2 g/dL
MCV 48.1 fL 35.9-53.1 fL
MCH 15.6 pg 11.8-17.3 pg
MCHC 32.5 g/dL 28.1-35.8 g/dL
RDW 21.8% 15.0-27.0 %
Test Result Reference Value
% Reticulocyte 0.1% -%
Reticulocytes 10.2 K/µL 3.0-50.0 K/µL
Reticulocyte Hemoglobin 15.9 pg 13.2-20.8 pg
WBC 8.32 K/µL 2.87-17.02 K/µL
% Neutrophils 35.5% -%
% Lymphocytes 46.0% -%
% Monocytes 2.4% -%
% Eosinophils 13.7% -%
% Basophils 2.4% -%
Neutrophils 2.95 K/µL 2.30-10.29 K/µL
Lymphocytes 3.83 K/µL 0.92-6.88 K/µL
Monocytes 0.20 K/µL 0.05-0.67 K/µL
Eosinophils 1.14 K/µL 0.17-1.57 K/µL
Basophils 0.20 K/µL 0.01-0.26 K/µL
Platelets 289 K/µL 151-600 K/µL
MPV 16.6 fL 11.4-21.6 fL
Plateletcrit 0.48% 0.17-0.86 %
 🏥 Practice 🧡 Patient 👩 Account
Digit Pierce-Spurrier Erin Pierce-Spurrier
Veterinary Emergency Group - Lincoln Park 14 YO FS DMH Account ID: 95197725
Patient ID: 191320588 (865) 719-4463
Visit: 05/21/23 Erinpiercespurrier@gmail.com

Day 1 of 1 | Sunday 05/21/23 9A 10A 11A 12P 1P 2P 3P 4P 5P 6P 7P 8P 9P 10P 11P 12A 1A 2A 3A 4A 5A 6A 7A 8A

Progress Notes
1 ea Cont.

Weight
1 ea Once 2.61

Temperature
1 ea Once 101.8
repeat if abnormal
Pulse/Heart Rate
1 ea Once 192

Pulse Quality
1 ea Once N

Respiratory Rate
1 ea Once 48

Respiratory Effort
1 ea Once N

Mucous Membranes
1 ea Once Pk/Tk

Capillary Refill Time (CRT)

1 ea Once 2-3s

Spike 3 (see a doctor)

1 cap Once C

Acknowledged by a doctor
Note Mentation/Attitude
1 ea Once QAR

SQ fluids
1 ea Once

150 mL SQ once
Maropitant (Cerenia) 10 mg/mL injection 0.26
mL q24h
1mg/kg, 2.6mg SQ
Transdermal Mirtazapine
0.25 in q24h

Comfort / Pain Check (Pain Score)

1 ea Once 1

CBC - complete blood count

1 ea Once C

CHECK FOR DEPOSIT BEFORE PERFORMING

Chemistry 17 Panel - Catalyst
1 ea Once C

Electrolytes (each)
1 ea Once C
CHECK FOR DEPOSIT BEFORE PERFORMING
T4 (Catalyst)
1 ea Once C

Feline Pro-BNP SNAP

1 ea Once C

Veterinary Emergency Group - Lincoln Park

Digit Pierce-Spurrier (191320588) | Erin Pierce-Spurrier | (865) 719-4463
Page 1 of 4 | Printed: 05/22/23 5A | powered by instinct.vet
 🏥 Practice 🧡 Patient 👩 Account
Digit Pierce-Spurrier Erin Pierce-Spurrier
Veterinary Emergency Group - Lincoln Park 14 YO FS DMH Account ID: 95197725
Patient ID: 191320588 (865) 719-4463
Visit: 05/21/23 Erinpiercespurrier@gmail.com

Day 1 of 1 | Sunday 05/21/23 9A 10A 11A 12P 1P 2P 3P 4P 5P 6P 7P 8P 9P 10P 11P 12A 1A 2A 3A 4A 5A 6A 7A 8A

Urinalysis (in-house)
1 ea Once C

C - Completed NC - Not Completed

Veterinary Emergency Group - Lincoln Park

Digit Pierce-Spurrier (191320588) | Erin Pierce-Spurrier | (865) 719-4463
Page 2 of 4 | Printed: 05/22/23 5A | powered by instinct.vet
 🏥 Practice 🧡 Patient 👩 Account
Digit Pierce-Spurrier Erin Pierce-Spurrier
Veterinary Emergency Group - Lincoln Park 14 YO FS DMH Account ID: 95197725
Patient ID: 191320588 (865) 719-4463
Visit: 05/21/23 Erinpiercespurrier@gmail.com

Weight
05/21/23, 7:59P 2.61 kg Hadley Adelman (HA)
Temperature
05/21/23, 7:59P 101.8 ºF Hadley Adelman (HA)
Pulse/Heart Rate
05/21/23, 8:00P 192 bpm Hadley Adelman (HA)
Pulse Quality
05/21/23, 8:00P N Hadley Adelman (HA)
Respiratory Rate
05/21/23, 8:00P 48 bpm Hadley Adelman (HA)
Respiratory Effort
05/21/23, 8:00P N Hadley Adelman (HA)
Mucous Membranes
05/21/23, 8:00P Pk/Tk Hadley Adelman (HA)
Capillary Refill Time (CRT)
05/21/23, 8:00P 2-3s Hadley Adelman (HA) 2
Spike 3 (see a doctor)
05/21/23, 10:34P Qty: 1 cap Issa Haddadin (IH)
Note Mentation/Attitude
05/21/23, 8:00P QAR Hadley Adelman (HA) nervous
Comfort / Pain Check (Pain Score)
05/21/23, 8:00P 1 Hadley Adelman (HA)
CBC - complete blood count
05/21/23, 10:51P Qty: 1 ea Hadley Adelman (HA)
Chemistry 17 Panel - Catalyst
05/21/23, 10:51P Qty: 1 ea Hadley Adelman (HA)
Electrolytes (each)
05/21/23, 10:51P Qty: 1 ea Hadley Adelman (HA)
T4 (Catalyst)
05/21/23, 10:51P Qty: 1 ea Hadley Adelman (HA)
Feline Pro-BNP SNAP
05/21/23, 10:51P Qty: 1 ea Hadley Adelman (HA)

Veterinary Emergency Group - Lincoln Park

Digit Pierce-Spurrier (191320588) | Erin Pierce-Spurrier | (865) 719-4463
Page 3 of 4 | Printed: 05/22/23 5A | powered by instinct.vet
 🏥 Practice 🧡 Patient 👩 Account
Digit Pierce-Spurrier Erin Pierce-Spurrier
Veterinary Emergency Group - Lincoln Park 14 YO FS DMH Account ID: 95197725
Patient ID: 191320588 (865) 719-4463
Visit: 05/21/23 Erinpiercespurrier@gmail.com

Urinalysis (in-house)
05/21/23, 10:51P Qty: 1 ea Hadley Adelman (HA)

Digit Pierce-Spurrier
Visit Report: Sunday, May 21, 2023
Hospital: Veterinary Emergency Group - Lincoln Park -
📆 Visit 🧡 Patient 👩 Account
Veterinarian: Lindsey Schwartz Digit Pierce-Spurrier (ID 191320588) Erin Pierce-Spurrier (ID 95197725)
Check In: 05/21/23, 7P DOB: Mar 17, 2009 (865) 719-4463
Check Out: 05/21/23, 11P Sex: Female Spayed Erinpiercespurrier@gmail.com
Species: Feline
Breed: domestic medium hair
Weight: 2.61kg

Veterinary Emergency Group - Lincoln Park

Digit Pierce-Spurrier (191320588) | Erin Pierce-Spurrier | (865) 719-4463
Page 4 of 4 | Printed: 05/22/23 5A | powered by instinct.vet