Tom's lab work- Pancreatitis?

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Sonia & Tom (GA)

Sonia & Tom (GA)

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Just received by email, have not talked to the vet yet. I am converting the numbers but 1 jumps out at me:

Spec fPL-Feline 7.9 (range 0 -3.5 ug/L) - indicative of pancreatitis ???

Others numbers:

Creatinine 263 converts to 2.98 - elevated
Urea 20.7 converts to 57.98 - elevated
T4 15.4 converts tp 1.2 - normal
POtassium 5.3 - normal
USG 1.017
WBC 8.4 - normal
Phosporus 2.1 converts to 6.5 - normal
Calcium 2.50 converts to 10 - normal

I have to leave for a bit, will post comparison to previous when I come back.
Feedback and comments much appreciated...
 
The higher fPLI test result would indicate pancreatitis, yes. There are a couple other values to look for on the bloodwork as indicative of pancreatitis, one is amylase, usually abbreviated as AMYL and lipase, usually abbreviated as LIP. One or the other could be elevated. I have seen amylase elevated one time and lipase elevated another time.

Creatinine is kidney function and Urea or BUN increase can mean he is dehydrated. One of the treatments to help pancreatitis and kidney function is sub-Q fluid administration. Discuss that with your vet. Another important treatment is Pepcid AC, generic name famotidine.

Here is a list of pancreatitis treatments: http://www.felinediabetes.com/phorum5/r ... 722,876722
 
Vicky & Gandalf said:
The higher fPLI test result would indicate pancreatitis, yes. There are a couple other values to look for on the bloodwork as indicative of pancreatitis, one is amylase, usually abbreviated as AMYL and lipase, usually abbreviated as LIP. One or the other could be elevated. I have seen amylase elevated one time and lipase elevated another time.

Creatinine is kidney function and Urea or BUN increase can mean he is dehydrated. One of the treatments to help pancreatitis and kidney function is sub-Q fluid administration. Discuss that with your vet. Another important treatment is Pepcid AC, generic name famotidine.

Here is a list of pancreatitis treatments: http://www.felinediabetes.com/phorum5/r ... 722,876722
Click to expand...

Thank you. I can't find amylase or lipase on the lab report...
I added last lab for comparison:

Creatinine 263 converts to 2.98 - elevated. Was 2.58
Urea 20.7 converts to 57.98 - elevated. Was 34.17
T4 15.4 converts tp 1.2 - normal. Was 1.48
POtassium 5.3 - normal. Was 5.9
USG 1.017. Unchanged
WBC 8.4 - normal. Was 20.1
Phosporus 2.1 converts to 6.5 - normal. Was 4.95.
Calcium 2.50 converts to 10 - normal. Was 9.96
 
The spec fPLI is considered the best or at least most reliable diagnostic test for pancreatitis. At least in cats, serum amylase levels are an unreliable indicator of pancreatitis.

A. Plotnick said:
As for diagnostic testing, it has been suggested that two enzymes found in serum, amylase and lipase, were good indicators of pancreatic inflammation if they were elevated, but recent comparisons have shown that almost 50% of dogs with elevated serum amylase or lipase levels did not have pancreatitis. In cats, the situation is even worse. Serum amylase and lipase levels have no clinical usefulness at all for the diagnosis of feline pancreatitis. This is mostly because other organs in the body produce these enzymes, such as the stomach and small intestine. Also, these enzymes are excreted by the kidney, and the presence of concurrent kidney disease (which is fairly common in cats) can falsely elevate the serum amylase and lipase levels. Occasionally, an elevated white blood cell count and elevated liver enzymes may be present, but these findings are also not specific for pancreatic disease per se, and in fact may mislead clinicians into thinking that the primary problem is the liver, rather than the pancreas.
Click to expand...

Here's info on treatment and a roundtable discussion of pancreatitis as well as Jojo's post on pancreatitis.
 
The fPL value shows pancreas inflammation. If your kitty isn't dehydrated, the elevated Creat., BUN, and urea values along with the low USG (urine specific gravity) look like the beginnings of kidney issues. Try mixing in more water into kitty's food for the time being just to help the kidneys out. You might want to re-run the blood work in a month and see how things are changing.
 
I feel so bad. :sad: Picked it up only in routine tests...Why didn't I see something was wrong? Who knows how long he's been in pain... :cry:

I let him down. Now, even though I am intimidated by the prospect of having to do squids, I will learn.
 
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