Cat liver issues

[Traci]

Well, in some cases, it is better to treat immediately with something than with nothing, while waiting for test results. Chylothorax demands prompt treatment regardless. I'm not sure how the cortisol is going to benefit, but it might help with inflammation - the clindamycin may or may not be appropriate, but in absence of test results, it is better than nothing.

It is more than likely he is talking about inflammatory cells, there might be monocytes etc present, which would usually indicate bacterial infection (chylothorax is therefore a strong possibility).

We usually give lasix here (diuretic) and usually in pill form, usually every day, but since I don't know what your vet is using, best to defer to him. I'm assuming the NYC vet knows what the diuretic is? With injectible form, most injectibles have longer lasting effects, so again, not knowing what he used, it depends on how often it is given.

If she is feeling better with each day, is still eating and is mobile, that is good news. You still need to monitor for fluid accumulation though, daily, since it can accumulate rapidly and seriously interfere with breathing. Good to get her seen again tomorrow, evaluate breathing, xray to show if fluid is still building excessively or is dissipating with treatment.

Keep in contact with your NYC vet and keep him updated, as he can certainly advise you more.

[christymexico]

The vet here is freaking me out. He refuses any other idea than FIP.
He says the exudico aseptico was non bacterial so it is def FIP
My vet looked at cyto smear and said rbc and neutrophils he sees..
I am taking her in to get chemical profile done now.
Then xrays in afternoon
Tests results from fluid will arrive today by email. I will copy and paste them here.
C

[christymexico]

My vet meaning dr putter in nyc..

[christymexico]

AMILASA
Ph
PROTEINAS TOTALES ALBUMINA DESHIDROGENASA LACTICA
EXAMEN MICROSCOPICO LEUCOCITOS
CITOQUIMICO DE LIQUIDO DE TORAX
RESULTADO
AMARILLO LIGERAMENTE TURBIO
10 mg/dl 523 u/l 6.5
6.7 g/dl 1.9 g/dl
1571.0 U/L
1.6 WBC/ul 62
38
VALORES DE REFERENCIA

[christymexico]

That did not copy corrctly..we had xrays done..small amount of fluid but nothing to take out..
The vet took blood for chem profile jus called me said he didnt get enough cud he come take more.
I said no..shes been at 2 diff vets today with 4 xrays..he can come tmmorow
She needs to rest
Her nose is white..norm very pink..pain or anemic?
Gave dexmethazone y clinda,acine shot again today
Shes eating like a champ..poor cat

[christymexico]

OK.
Helpful to a degree, not a firm diagnosis.
Keep in mind this was post medications?

The protein content is a bit high. Could be FIP. Also could be cancer.
The fever could be associated with the FIP and with cancer too.
Can not rule out chylous effusion though.
Would have been helpful to do paired Triglyceride values on the fluid and blood to rule in/out chylous.
Could run a corona titer (FIP virus) and if VERY high could back into FIP diagnosis.
Unlikely heart failure. The steroids would have made it worse and cats temp is usually low in CHF not elevated. They didn't see any bacteria on the cytology so less likely bacterial infection.

FIP is not a good diagnosis. Usually terminal. Cancer wouldn't be good diagnosis either.
Chylous might be more treatable.
Sorry. Wish I could give you something more hopeful.


Nyc comment on fluid results

[christymexico]

That says..glucose 10mg/dl...amilasa 523 u/l...ph 6.5...total protien 6.7..albumin 1.9 g/dl...beshidrogenada lactica 1571.0...nuetrophiles 38...leuckocytes 1.6...linfocytes 68....

[Traci]

Christy, what is your vet in NYC saying about the testing and results achieved so far as well as the current medications prescribed?

Again, DO NOT assume FIP. Ask vet in NYC about testing the globulins and if he thinks an FIP titer would be useful at this point. While it should be ruled out, many times vets assume FIP when in fact it is not and other things can mimic it, going undetected. Ask NYC vet promptly about globulins and the titer.

[christymexico]

We dont have titer test here in mex..
He was unable to get enough blood from neck for chem profile..i have 23 gauge butterflies and he wouldnt even try back leg..

[Traci]

Was the Total Protein measured from a blood sample (serum) or from a fluid aspiration from the chest/abdominal cavity?

Can you give the metric measure of the Total Protein? Example, if it was taken from the chest effusion, an example: 35 g/L

Was a globulin or albumin/globulin (A:G Ratio) taken from blood or serum? If so, what were the measures? (this can also be taken from a sample from the effusion)

Was there any evidence of high WBC's in the effusion? Were there any macrophages?

Can your mexican vet do a AGP test? (alpha 1-acid glycoprotein level)

When the vet did the blood smear, did he rule out hemobartonellosis?

Are her fevers continuous? Do they respond to antibiotics or the current treatment? How high are the fevers? Is she dehydrated?