6/20 Jessica AMPS 413 and Vet Lab Report on Jessica

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ftsang & Jessica

ftsang & Jessica

Member Since 2013
Jessica previous Condo

Jessica drank a lot yesterday.
Just got the Lab report for the Vet (internal medicine):

An abdominal utrasound was performed which showed a thickened gastrointestinal tract, nodules on her liver, prominent abdominal lymph nodes, and changes to her kidneys that may be related to a urinary tract infection. Bloodwork including a complete blood cell count, a chemistry panel, thyroid testing, and a B12 level to look for evidence of gastrointestinal disease are recommended in addition to a urinalysis and culture to look for evidence of a persistent urinary tract infection. Concurrent illness can cause insulin requirements to increase and thus diabetes difficult to manage.
Click to expand...

Blood Test
Urea Nitrogen 45(high) (range 14-36 mg/dL)
BUN/Creatinine Ratio 45(high) (range 4-33)
Glucose 294(high)
WBC 22.1(high) (range 3.5-16)
Platelet count 164(low) (range 200-500)
Neutrophils 19006(high) (range 2500-8500)
Monocytes 663(high) (range 0-600 /uL)

and the rest of were within range

Urinalysis and culture test was negative.

The Vet recommends to take B12 test.
Can someone tell me which are the major concern that I should take care of it first?

Thanks
 
The first thing that I would want to know about is whether Jessica has a kidney infection. The urinalysis didn't show anything but the ultrasound did. It sounds to me like there's likely a kidney infection given the elevated white blood count. Kidney infections require at least a month of antibiotics. They are challenging to treat. If it is a kidney infection, hopefully kidney values will come down as the infection resolves. I would look to give Jessica food that has lower levels of phosphorus and do what you can to increase the water in her food.

With the GI thickening and prominent abdominal lymph nodes, I'd ask your vet if this is indicative of lymphoma or if this is consistent with inflammatory bowel disease.

Given that you have the results, didn't the internal medicine vet want to discuss the labs results with you?
 
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