Tp from serum 6.7 g/dl
No globulin or albumin test..he was unable to get enough blood for chem profile..only cbc
All norm cbc..slightly high grans norm 2.5 to 12.5 she was 15.4 at 81%
In serum no bacteria
1.6 lueckocytes
6.2 linfocyes
38 neutrophiles
No test like that done for alpha
I dont know if he know what that is to check on slide, he still has slide..we dont have any effusion left..
No fever
Fist day had 40 fever..gacve injection clindamyacin next day 38
Normal fever since
Not dehydrated..eating drinking great..eating alot, no diareah..
Tires easy, but playing
The effusion was red pink like blood...i have a foto of it and also a photo of the cytology of cells.
I can send them if you like ..my email is christymexico@hotmail.com
I also re exrayed on thursday, i can send those also..
Thank you
Christy
Cat liver issues
-
christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
The tp of 6.7 was from plueral effusion sorry, not serum
Re: Cat liver issues
Just to be clear, where were all total attempts at effusion draws at, the thoracic or abdominal region?
On the total protein, what is the reference range?
What I'm getting at, is that it is not seemingly high enough to indicate FIP. And without an A:G Ratio, AGP test, and titer, it is impossible to say and the vet shouldn't be saying it is FIP without additional testing. Also, the effusion would most likely be yellowish in color (sometimes it is clear), not necessarily with blood - the blood may have been from improper insertion of the needle, or hemorrhage somewhere, etc).
The effusion's total protein, if FIP related, would most likely be at or above 35 g/L, with at least 50% of globulin (more globulin than albumin), and usually has a mixture of lymphocytes, neutrophils, and macrophages, IF this were FIP. Any of this too, could indicate inflammatory reaction to something.
An A:G Ratio of over 0.8 is unlikely FIP. Any measure between 0.4 and 0.8, and if the globulin is high, would require different testing (like a PCR titer) and additional testing.
An AGP test result of less than 1500 mg/ml is unlikely FIP (normal is around 500 mg/ml).
Some other rule-outs could be:
Bacterial peritonitis, viral infection, cholangiohepatitis, fungal infection, pyelonephritis, or trauma. This isn't an exclusive rule-out list, just something to run by your vets.
I'm assuming on xray, the vet did not see pericardial fluid?
The first effusion drawn should have been sent off for testing immediately - and I don't know how it works in Mexico, but preparing the effusion or serum could most likely be sent to an outside lab - don't they have PCR titers for FIP there? Can a sample be sent to the states?
Hemobart is a blood parasite, the blood smear would show that, hematology would show infection, inflammation, as well as potential anemia (regenerative anemia).
You said Rosa was tested, negative, for FIV, but has she been tested for FELV?
As for the photos of the cytology, etc, those would best be sent to your NYC vet, and see if he's seen similar, that might rule out FIP, and give you additional rule-outs. Please get in touch with him as immediately as you can - see what ideas he can provide, how to treat the anemia if present, and advice on appropriate medications at this point.
On the total protein, what is the reference range?
What I'm getting at, is that it is not seemingly high enough to indicate FIP. And without an A:G Ratio, AGP test, and titer, it is impossible to say and the vet shouldn't be saying it is FIP without additional testing. Also, the effusion would most likely be yellowish in color (sometimes it is clear), not necessarily with blood - the blood may have been from improper insertion of the needle, or hemorrhage somewhere, etc).
The effusion's total protein, if FIP related, would most likely be at or above 35 g/L, with at least 50% of globulin (more globulin than albumin), and usually has a mixture of lymphocytes, neutrophils, and macrophages, IF this were FIP. Any of this too, could indicate inflammatory reaction to something.
An A:G Ratio of over 0.8 is unlikely FIP. Any measure between 0.4 and 0.8, and if the globulin is high, would require different testing (like a PCR titer) and additional testing.
An AGP test result of less than 1500 mg/ml is unlikely FIP (normal is around 500 mg/ml).
Some other rule-outs could be:
Bacterial peritonitis, viral infection, cholangiohepatitis, fungal infection, pyelonephritis, or trauma. This isn't an exclusive rule-out list, just something to run by your vets.
I'm assuming on xray, the vet did not see pericardial fluid?
The first effusion drawn should have been sent off for testing immediately - and I don't know how it works in Mexico, but preparing the effusion or serum could most likely be sent to an outside lab - don't they have PCR titers for FIP there? Can a sample be sent to the states?
Hemobart is a blood parasite, the blood smear would show that, hematology would show infection, inflammation, as well as potential anemia (regenerative anemia).
You said Rosa was tested, negative, for FIV, but has she been tested for FELV?
As for the photos of the cytology, etc, those would best be sent to your NYC vet, and see if he's seen similar, that might rule out FIP, and give you additional rule-outs. Please get in touch with him as immediately as you can - see what ideas he can provide, how to treat the anemia if present, and advice on appropriate medications at this point.
..........Traci
-
christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
Thorasic..forst day 10 ml
2 nd day 3 ml
3 days xrays showed minimal fluid. Dr putter in nyc said do not remove such small amount could capuse damage
Fluid was sent to human lab. No vet lab here
No normal ranges to compare
No fip titers in country..i am going home june 5 and if she is well enough to travel breathing i will take her to nc
Dr putter said no reason to bring her to nyc because she had no fluid to test and he probaly couldnt diagnose her. I was taking her on tuesday and he said wait since ahe is respondong to treatment.
I sent slides to nyc..no sign of cancer or bacteria.
2 nd day 3 ml
3 days xrays showed minimal fluid. Dr putter in nyc said do not remove such small amount could capuse damage
Fluid was sent to human lab. No vet lab here
No normal ranges to compare
No fip titers in country..i am going home june 5 and if she is well enough to travel breathing i will take her to nc
Dr putter said no reason to bring her to nyc because she had no fluid to test and he probaly couldnt diagnose her. I was taking her on tuesday and he said wait since ahe is respondong to treatment.
I sent slides to nyc..no sign of cancer or bacteria.
-
christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
The first day..not forst..we did xrays on monday and again on thursday. The vet came to my house today and said she was breathing fine by thumping on her chest.
-
christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
I want to try again for blood for chemical profile..he has stuck her 3 times now and not gotten enough blood.
She is super stressed out.
Runs from me..was never like that.
He will only do neck and with needle. She freaks..
She is super stressed out.
Runs from me..was never like that.
He will only do neck and with needle. She freaks..
Re: Cat liver issues
That's because the jugular vein is faster, less stressful. The leg vein can sometimes be really hard to draw enough blood, it takes more time, and is more uncomfortable for the cat.
If she has a weak pulse, is dehydrated, etc, then a blood draw would be hard to achieve. Wait a day or two, provided she is doing ok, and try again.
Ensure she continues to eat well, is drinking normally, has no fever, and talk to the NYC vet to see if the current meds are appropriate for treating anemia.
What does he mean, he "probably couldn't diagnose her"? If you brought copies of your current mexico vet records, labs and treatment plan, could he not evaluate her with a new xray, CBC and chemical profile to at least determine what the effusion is doing (hopefully resolving?), determine where the anemia is coming from? (ruling out viral infection possibly, or hemobart, etc etc)? I can understand wanting to wait and see, but in your experience, isn't HE more experienced than your mexican vet? Does he feel Rosa should not travel?
If she has a weak pulse, is dehydrated, etc, then a blood draw would be hard to achieve. Wait a day or two, provided she is doing ok, and try again.
Ensure she continues to eat well, is drinking normally, has no fever, and talk to the NYC vet to see if the current meds are appropriate for treating anemia.
What does he mean, he "probably couldn't diagnose her"? If you brought copies of your current mexico vet records, labs and treatment plan, could he not evaluate her with a new xray, CBC and chemical profile to at least determine what the effusion is doing (hopefully resolving?), determine where the anemia is coming from? (ruling out viral infection possibly, or hemobart, etc etc)? I can understand wanting to wait and see, but in your experience, isn't HE more experienced than your mexican vet? Does he feel Rosa should not travel?
..........Traci
-
christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
I just dont know his reasoning..i wanted to nuy a ticket for her tuesday last friday..he said since she is respondong to treatment and has no fluid to withdraw to wait and see..she can travel now i believe. He wanted to wait and if she refills to remove fluid bring cat and fluid. Since we will only be in nyc for 3 or 4 days..i will be flying to north carolina on june 5 for 10 days and am taking her home then to see a local vet in nc...i just wanted to take her sooner not later.
Shes acting like a cat who was never sick.
Shes acting like a cat who was never sick.
-
christymexico
- Posts: 97
- Joined: Mon Feb 27, 2012 1:21 am
- Location: mexico
Re: Cat liver issues
Also, how can i determine if she is anemic? Are there vitamins to give her?
Re: Cat liver issues
Vitamins really won't do much, except add a bit to her nutritional status. As long as she is eating well and drinking, and seems to be doing better each day, don't add anything.
Can you recap her meds for me? Is she now only on dexamethasone and clindamycin? What are the doses, and how often?
If the vet could have gotten bloods drawn today, he could have done a new CBC to see if anemia is still present. The white nose, and if she has white or pale mucous membranes (gums in mouth) - skin of ears and rest of body pale or white, is weak and/or lethargic, might indicate anemia. A CBC would show low PCV/platelets. Also, if the needle pricks to get blood, left bruising, that too could indicate anemia. Anemia can sometimes accompany a fever, or, hypothermia....so, does she feel cold to the touch? (i.e., very cold ears or extremeties, like legs and paw pads) Or is she feverish? Or does she now have a normal temperature?
It's a tough call whether to get her to NYC - on the one hand, because he's an experienced vet and you could go over her current records etc - on the other hand, with the recent events, you also do not want to stress her unnecessarily with travel - in which his advice might be good, that is, wait and see over the next few days to see if she's improving, responding to meds, etc. I would at least, ask him if he thinks the current meds are appropriate based on what little diagnosis there is at this point in time. I think if you do travel though, before you do, ask either him, or the NC vet you plan to see if they think it wise to have Rosa travel (based on your analysis of her health at that time). If no one is home in Mexico to monitor/care for her, it might possibly be better to have her with you and then see one of the vets in the states.
Can you recap her meds for me? Is she now only on dexamethasone and clindamycin? What are the doses, and how often?
If the vet could have gotten bloods drawn today, he could have done a new CBC to see if anemia is still present. The white nose, and if she has white or pale mucous membranes (gums in mouth) - skin of ears and rest of body pale or white, is weak and/or lethargic, might indicate anemia. A CBC would show low PCV/platelets. Also, if the needle pricks to get blood, left bruising, that too could indicate anemia. Anemia can sometimes accompany a fever, or, hypothermia....so, does she feel cold to the touch? (i.e., very cold ears or extremeties, like legs and paw pads) Or is she feverish? Or does she now have a normal temperature?
It's a tough call whether to get her to NYC - on the one hand, because he's an experienced vet and you could go over her current records etc - on the other hand, with the recent events, you also do not want to stress her unnecessarily with travel - in which his advice might be good, that is, wait and see over the next few days to see if she's improving, responding to meds, etc. I would at least, ask him if he thinks the current meds are appropriate based on what little diagnosis there is at this point in time. I think if you do travel though, before you do, ask either him, or the NC vet you plan to see if they think it wise to have Rosa travel (based on your analysis of her health at that time). If no one is home in Mexico to monitor/care for her, it might possibly be better to have her with you and then see one of the vets in the states.
..........Traci