By Dr. Andrew Jones
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Gussie is an 13-year-old, spayed female domestic shorthaired cat.
Gussie has not been eating well for 1-2 weeks
Gussie stopped eating three days ago.
No vomiting or diarrhea.
Limited urination or defecation, and she has lost weight.
•Temperature = 38.3C, Pulse = 189 beats/min, Respiratory rate = 30 breaths/min
•Weight = 9.7 lb; ribs palpable
•Mucous membranes, sclera ( white around the eyes) are yellow
•NAF on Abdominal palpation
Anorexia, dehydration, thin body score, jaundice
Diagnostics and Treatment Plan
CBC, Chemistry Panel, Urinalysis,
IV catheter with Lactated Ringers Solution
Lab Results with reference ranges
Complete Blood Cell Count
HCT ( hematocrit) = 21.5 % – normal range 24.0 – 45.0
HGB ( hemoglobin) = 6.8 g/dl normal range 8.0 – 15.0
MCHC = 28.1 g/dl normal range 30.0 – 36.9
WBC (white blood cell count)= 19.5 x109/L normal range 5.0 – 18.9
GRANS = 13.4 x109/L normal range 2.5 – 12.5
%GRANS = 68 %
L/M = 2.1 x109/L normal range 1.5 – 7.8
%L/M = 32 %
PLT = 161 x109/L normal range 175 – 50
BUN 14 normal range 14-36
Creatinine .8 normal range .6-3.4
Phosphorus 5 normal range 2-8
ALP 203 normal range 5-100
ALT 64 normal range 10-100
Total bilirubin 5 normal range .1-.4
Total Protein normal
Glucose 4.1 normal range 3-7
Potassium 2.6 normal range 3-6
Blood -1 plus
Bilirubin – strong positive
Urine Specific Gravity 1.035
Based on the information, history and lab tests, what is your most likely diagnosis?
What would you suggest as to the next plan of action to help Gussie recover?
Good Luck and Thanks for taking part
Dr Andrew Jones
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