J.D. probably has a right to hate me after all the meds and syringing and bath he got this evening.
He must have laid in something stinky, so he got another bath (and towel dry and blow dry). He got his Azodyl and some cypro and onda at PMPS. Ate his 1st Dinner at +1. Had a softish but formed poo and then stinky pudding diarrhea. He got 1 Flagyl (for the diarrhea), and he got his ear cleaned. He got his herbal medicine. He got some more blow drying. He got syringed some MaxCal with a Nutrived that I tried to disolve in it (which he hated). He got some bupe. He got his Quadritop (ear medicine). I think all he has left is his Orbax (ABs). At first he was trying to get away from me, but right now he is laying next to my feet.
Tomorrow is his last day of Orbax, so that is good.
Okay, here goes the blood work.
Anyone have experience with low RBC and HGB and hight MCV?
I hope this is readable (it's more readable in the tab in my spreadsheet).
IDEXX Laboraties - Total Health Plus (Chem 27) - 07/07/14
TOTAL HEALTH PLUS Chemistry
Reference Range Flag
ALP 37 12 - 59 U/L
ALT 70 27 - 158 U/L
AST 32 16 - 67 U/L
CREATINE KINASE 78 64 - 440 U/L
GGT 1 0 - 6 U/L
AMYLASE 1583 623 - 2239 U/L
LIPASE 28 11 - 242 U/L
ALBUMIN 3.1 2.6 - 3.9 g/dL
TOTAL PROTEIN 7.0 6.3 - 8.8 g/dL
GLOBULIN 3.9 3.0 - 5.9 g/dL
TOTAL BILIRUBIN 0.1 0.0 - 0.3 mg/dL (New)
BILIRUBIN - CONJUGATED 0.0 0.0 - 0.2 mg/dL
BUN 54 16 - 37 mg/dL H
CREATININE 1.9 0.9 - 2.5 mg/dL
CHOLESTEROL 206 91 - 305 mg/dL
GLUCOSE 271 72 - 175 mg/dL H
CALCIUM 10.1 8.6 - 10.6 mg/dL
PHOSPHORUS 4.2 2.9 - 6.3 mg/dL
TCO2 (BICARBONATE) 16 12 - 22 mEq/L
CHLORIDE 120 114 - 126 mEq/L
POTASSIUM 3.9 3.7 - 5.2 mEq/L
SODIUM 152 147 - 157 mEq/L
ALB/GLOB RATIO 0.8 0.5 - 1.2
BUN/CREATININE RATIO 28.4
BILIRUBIN - UNCONJUGATED 0.1 0.0 - 0.2 (New)
NA/K RATIO 39 29 - 42
HEMOLYSIS INDEX N
Index of N,+,++ exhibits no significant effect on chemistry values.
LIPEMIA INDEX N
Index of N,+,++ exhibits no significant effect on chemistry values.
ANION GAP 20 12 - 25 mEq/L
TOTAL HEALTH PLUS
Test Result Reference Range Flag
T4 1.8 0.8 - 4.7 ug/dL
Interpretive ranges:
<0.8 Subnormal
0.8 - 4.7 Normal
2.3 - 4.7 Grey zone in old or symptomatic cats
>4.7 Consistant with hyperthyroidism
TOTAL HEALTH PLUS Hematology
Test Result Reference Range Flag
WBC 13.4 3.9 - 19.0 K/uL
RBC 5.23 7.12 - 11.46 M/uL L
HGB 8.5 10.3 - 16.2 g/dL L
HCT 29.7 28.2 - 52.7 %
MCV 57 39 - 56 fL H
MCH 16.3 12.5 - 16.5 pg
MCHC 28.6 28.5 - 37.8 g/dL
% NEUTROPHIL 67.3 - %
% LYMPHOCYTE 23.5 - %
% MONOCYTE 3.6 - %
% EOSINOPHIL 5.6 - %
% BASOPHIL 0.0 - %
AUTO PLATELET 505 155 - 641 K/uL
REMARKS SLIDE REVIEWED MICROSOPICALLY
HEINZ BODIES SLIGHT
NEUTROPHIL 9018 2620 - 15170 /uL
LYMPHOCYTE 3149 850 - 5850 /uL
MONOCYTE 482 40 - 530 /uL
EOSINOPHIL 750 90 - 2180 /uL
BASOPHIL 0 0 - 100 /uL
RETICULOCYTE 10 3 - 50 K/uL
% RETICULOCYTE 0.2 - %
Spec fPL 12.4 0.1 - 3.5 ug/L H
Comments: > or = 5.4 ug/L
Serum Spec fPL concentration is consistent with pancreatitis. The cat most likely has pancreatitis. Consider investigating for risk factors and concurrent diseases (e.g. IBD, Cholangitis, Hepatic Lipidosis, Diabetes Mellitus). Periodic monitoring of Spec fPL may help assess response to therapy.
07/07/2014
Blood Pressue Check
Sys Dia
left front leg
145 121
130 96
129 97
tail
134 101
129 101
