Feline Caval Invasion
This 14-year-old MN DSH presented for weight loss, increased respiratory effort, and progressive anorexia. The physical exam confirmed minor tachypnea, poor body score, grade 2/6 systolic heart murmur, but was otherwise normal. The CBC presented mild leukocytosis with a left shift. The blood chemistry was normal except for a moderate elevation in amylase and mild elevation in CPK. Urinalysis: PH 6.5, USG 1.026, glucose 2+, blood 3+, epithelia rare.