Musette's Bloodwork Need Translation into English?

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MommaOfMuse

MommaOfMuse

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Just got Musett'e latest bloodwork and need someone that can translate it into something I can understand because she has a lot of things that are either high or low, and now it seems that her regular vet disagrees with the dx the after hours vet gave her. But I still haven't heard back from her vet on how the dxes differ, so thought something in her bloodwork might jump out at someone.

What is in normal range is:

WBC 9.5 (ref-5.5-19.5)
Mono 2.0 (ref-1.0-4.0)
EOS 1 (ref none)
Posass D&C 4.3 (ref 4.0-6.0)
Bun 25 (10-30)
Creatin 0.6 (ref-0.5-2.0)
LDH 245 (ref-50-495)
T_Protein 5.6 (ref-5.5-7.5)
Calcium 8.6 (ref-8.0-11.0)
Amylase 1028(ref-300-2,000)

The Highs are:

MCV 55.4 (ref-39.0-55.0)
SEG_NEUTRO 89.0 (REF-35.0-75.0)
GLUCOSE 261 (REF 50-150)
TBIL 4.99 (REF 0.00-0.80)
DIR BILIRU 2.73 (REF 0.00-0.20)
ALK_PHOS 56 (REF-10-44)
AST (GOT) 112 (REF-60-110)
CHOLESTERL 244 (REF-70-200)

The Lows are:

RBC 3.32 (REF-5.50-8.50)
HGB 4.2 (REF-8.0-15.0)
HCT 18.4 (REF-30.0-45.0)
MCHC 22.8 (REF-30.0-36.0)
PLATELET 136 (REF-200-700)
LYMPHOCYTE 8.0 (REF-20.0-55.0)
SODIUM 144 (REF-147-156)
PHOSPHORUS 3.4 (REF-4.0-6.4)
T4 0.7 (REF 1.3-2.9)

Additional notes RBC inclusions seen/hpf & 15 nucleated rbc's seen/hpf

Any and all help in making sense of the numbers would be greatly appreciated.

Mel, Maxwell, Musette, Autumn & The Fur Gang
 
Am at work on my phone at lunch so this will be brief. Liver enzymes are slightly elevated but not awful. My big concern is why is she so anemic? I would have them double check that hemoglobin and hematocrit and run a retic count as well, although nucleated rbc's say she's trying to make red cells.

That is a pretty severe anemia that needs to be dealt with. No wonder she feels lousy.
 
I'm NOT a vet but...

The value MCV is mean corpuscular volume, the average size of a red blood cell. Hemoglobin (hgb) is a protein that carries oxygen, while hematocrit (hct) is a measure of how many red cells there are in blood.

Total and direct bilirubin (Tbil and Dbil) measure liver functions.

Those are the ones that I'm familiar with, hopefully others can add more information. I do know that lower than normal values in things involving red cells can be one indicator of anemia. Elevated liver functions would indicate that the liver is working harder than it should. But what those things mean altogether, I don't know.
What sort of diagnoses were the two vets disagreeing about? I hope they get things figured out for you.

Sending our best,

Kate & Leo
 
Just talked to Musette's regular vet...Musette is severely anemic, and they are still getting to the root cause of it but right now she is trying to replace her own red blood cells but is still losing them faster than she can create them...this is something that was completely missed by the after-hours vet. (fuming here) Musette was never in DKA, and only possibly suffering from pancreatis...for two weeks now the other vet was letting her RBC drop like a stone and doing nothing about it. No wonder she is so weak, I would be too if my red blood count was falling through the floor. But for now Musette is holding her own, still not sure we are going to pull her through thanks to the time wasted with the other vet, but her regular vet sure is trying much harder to figure out the cause and get her turned around. Her breathing is still ragged but her lungs are clear, her kidney's are beautiful and her liver values only slightly elevated, which could be from her trying to fight off whatever is causing her RBC to be dropping.

Fingers crossed that I got her out of the bad vet's care and into a good one quick enough to put a stop to whatever has been happening to my fluffy girl.

Mel, Maxwell, Musette, Autumn & The Fur Gang
 
Mel, Ask your vet about Hemobartonellosis a.k.a. Feline Infectious Anemia. The list of symptoms sound eerily familiar...

From http://www.cat-world.com.au/haemobartonellosis-feline-infectious-anaemia

- Anaemia
- Loss of appetite
- Weakness
- Pale mucous membranes (ie: pale gums)
- Weight loss
- Jaundice
- Fever
- Enlarged lymph nodes
- Enlarged spleen

Hemobart is transmitted by fleas and ticks and mosquitos and is treated with oxytetracycline or doxycycline. ETA: a blood transfusion might be necessary.

Continued prayers for Fluffypants and hugs for you...
 
Laura that is exactly what my vet is suspecting with her, however no fleas have been seen on her and all the animals here just got their monthly Advantage treatment and no one else is sick..so fingers crossed there. However, it sounds like it is also something that can lay dormant for awhile, and Musette was covered in fleas when we first adopted her as well as Autumn had them when she first arrived, however Musette and Autumn never interacted with each other...so what set it off in Musette if she had it dormant in her is still unknown...but they have started her on pred and have a couple donor cats that they are cross-typing to see if one of them can donate to Musette if we have to go to that extreme.

So right now we can just keep our fingers crossed that an answer is found and with it a solution.

Mel, Maxwell, Musette, Autumn & The Fur Gang
 
Hmmm, that's a puzzler for sure. And I hated to suggest it because I KNOW you give your cats monthly flea and tick treatments but....they say it only takes one. Or maybe a mosquito? Fortunately your vet has the donor cats. Most DSH cats are Type A but the Siamese, Persians and Himmies could also be Type B and that's a little harder to come by. Even the state of the art ER vet hospital I go to has to order Type B blood if the need it.

It's great to hear that your vet is already thinking flexibly and out-of-the-box as opposed to the Vet-Who-Must-Not-Be-Named. grr_red

Fingers, paws, toes and tails crossed that they'll figure her out!
 
More (((((Mel)))) hugs.

Please check over her paperwork and meds given by the ER vet and make sure she wasn't given the long acting AB Convenia at any time. It has been known to cause severe anemia.

I'm sure you're aware, but here's Dr. Lisa's page about it http://www.catinfo.org/?link=convenia In the stress of taking a cat to an ER vet after hours or on holidays I can see the detail of telling them "No Convenia" might be overlooked. I'm also sure they gave her lots of shots of something or other.

I'm glad that your wonderful vet is coming to the rescue! He's a keeper :-D
 
my vet thought that on Twinkie also. there is a test they can run. my vet said just drawing and looking at a slide is 50/50 cause of the short life span. can draw one today and nothing and a few hours later can show up but there is a test that can show if they were ever there. do not remember what that is called.
put twink on azythromyacin loading doses and then every 5 days for life. gums have pinked up and doing better
 
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