Tuesday, January 1, 2019

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

An example of how to produce a Be Kind To Pets veterinary educational video. A movie structure is used. It starts with a "hook".

1.  HOOK
Your beginning must be strong visually as well as emotionally. Start your video with either

          a) A visual HOOK (atmosphere or action), e.g a problem has occurred.
          b) Puzzling event e.g. yellow 3rd eyelids, ears and gums in this case study
          c) Verbal argument
A short video clip of 1 minute is preferred. Images can be used if there is no video footage.

In this video, we will use footage of one video on Day 6 of treatment. 
1 Jan 2019.  Day 6 of treatment.
Jaundice - evident by yellow 3rd eyelids, ears and gums.

Yellow 3rd eyelids and ears in a cat are not normal. The cat has yellowish eyes, gums and belly skin. Why?



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




2. Show image of 
Narrate "This is a Be Kind To Pets Veterinary Educational Video......."




3.  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). There are other cats living in the house.

Town's members of parliament

High rises, car parks and malls

Newer apartments are being built in this new town

4.  DEFINITION OF JAUNDICE


5.  DIAGNOSIS
History, Physical Examination, Laboratory test (blood test, urine test, X-rays, ultrasound...)
Video clips

Show BLOOD TESTS Done using a table.
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

6.  TREATMENT
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.   

7.  OUTCOME
as at Jan 2, 2019
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.  

8. FOR MORE INFORMATION



9. CREDITS



                        
                        Full name of intern:
                        Date of video creation:

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2 videos are available. Edit them to get the relevant footage.

VIDEO 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.



VIDEO 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



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Original files







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