Tuesday, January 1, 2019

3389. INTERN An obese jaundiced cat. Is there any hope of recovery?

HOOK

Yellow 3rd eyelids and ears in a cat are not normal. The cat has jaundice.  Gums and belly skin are also yellowish.





Look at one of these two normal cats. The ears are white. What causes jaundice in this cat?







This is a





Setting
This cat lives in Singapore, a city-state of around 6 million residents. Over 80% of the residents live in apartments. Sengkang is a new neighbourhood with many apartments recently built.
(Show Sengkang West pictures are you narrate)










Definition of jaundice


Diagnosis


Treatment



Outcome as at Jan 2, 2019



One video of Day 6 of treatment. 

1 Jan 2019.  Day 6 of treatment.

Jaundice - evident by yellow 3rd eyelids, ears and gums.

The cat was given anti-vomiting for the past 3 days and hand fed Hills' A/D and K/D. The cat has improved slightly based on absence of bilirubin in a recent urine test.

A 3rd blood test showed lower liver enzyme indicating that the cat's liver is recovering from treatment including Ornipural injections.
However, the creatinine levels are high indicating kidney failure. The cat is on daily fluid therapy via subcutaneous route. No more vomiting as at Jan 1 as the cat had anti-vomiting injections for the past 5 days.   

Conclusion
Out of 4 cats, this cat eats much more at a young age. She is the only one to become obese. It is likely that she is suffering from hepatic lipidosis  (define).

As at Jan 3, 2019, the ears and eyelids are less yellow. The cat is on daily dialysis with fluid.  

TABLE OF BLOOD TESTS SUMMARY.


The 3rd blood test showed liver enzymes have decreased (show figures). This means that the cat is recovering from liver disorder.  However, the cat has kidney failure as evident by the high creatinine and urea levels (show figures). He is on daily dialysis with 200 ml of fluid under the skin till the kidneys recover.

Blood tests of total white cell count, neutrophils, lymphocytes, platelets (show figures) show no abnormality. This indicates that the cat has no blood-borne bacterial or viral infections. The cause of
jaundice is likely to be hepatic lipoidosis



2 videos are shown.

VIDEOS 1
Date: 19 December 2018.

The first consultation on 17 December 2018 as the cat has been vomiting.
Now the ears and eyes and not eating. First blood test taken.




VIDEOS 2
Date:  1 January 2019. The owner was unable to feed and medicate the cat as the cat vomits after being given medication.


This video shows Day 6 of inpatient treatment for anti-vomiting treatment






Credits



Other names.....



FOR MORE INFORMATION









---------------------------
Original files







No comments:

Post a Comment