Diagnosing Anorexia and Weight Loss
This 17-year-old FS DSH presented for anorexia and weight loss. The physical exam revealed palpably thickened small intestine and mild dehydration. The original CBC revealed moderate leukocytosis with a left shift and mild anemia and the patient was treated with broad spectrum antibiotics. Ten days later the cat exhibited mild persistence of signs and recheck bloodwork demonstrated mild leukocytosis with mild elevations in BUN, ALT, and amylase. The T4 value was high normal with a severely elevated free T4. The coagulation panel demonstrated twice normal PTT and mildly elevated fibrinogen. Urinalysis: PH 6.5, USG 1.042, cloudy appearance, protein 1+, microalbuminuria twice normal.