3264. A 13-year-old cat vomits for 3 days. She has Stage 4 chronic kidney disease (severe azotemia)

Sep 6, 2018

The 13-year-old cat had never been sick since young and so, there was no visit to the vet.
She vomited 3 days in a row and so the owner brought her to consult me.
Blood test provides evidence of Stage 4 chronic kidney disease with very high creatinine levels above 5 mg/dL.

Tongue ulcers on the right and left sides of the tongue is a sign of kidney disease in cats.

  

X-rays show severely enlarged kidneys.
Blood test on Sep 5, 2018

Haemoglobin 7  (8-15)
Red cell count 3.8  (5-10)
Total white cell count 4.5   (5.5 - 19.5)
    N = 88%  Absolute 3.95
    L=5%  Abs  0.25
   M=6.3%  Abs 0.28
   E=0.8%   Abs  0.04
   B=0.1%   Abs  0.01

 Haematocrit  0.22  (0.25-0.45)
MCV  60                 (39-55)
Platelets 185    (300-800)

 Urea 72.5  (7.2-10.8)
Creatinine  1142  (71-160) umol/L
                  =12.9mg/dL
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umol/L x 88.42 = mg/dL

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Creatinine  mg/dL   Feline

Stage 1              Stage 2                  Stage 3                           Stage 4
No azotemia      Mild                      Moderate                        Severe
Less than 1.6      1,6-2.8                 2.9-5                             More than 5

This case, creatinine level  is 12.9mg/dL,   = severe azotemia

         








Day 2. The cat has been given 2 bottles of IV drips.