Kitty cats sometimes feel like a nut!! (Watch keyboard cat's video here!) A pistachio nut intestinal obstruction in this case of the month submitted by the late night emergency and critical care vets at Garden State Veterinary Services, in Iselin New Jersey, USA. Telemedicine interpretation from Monteporzio Catone (Rome), Italy by Dr. Eric Lindquist
A 1-year-old MN DSH cat was presented for evaluation of vomiting for a duration of 3 days. The patient has a known history of frequently eating innapropriate things around the house (strings, foreign objects, etc…). The owner reported no urination or bowel movement for 2 days. No vomiting, coughing, sneezing, or diarrhea was noted. The physical examination was unremarkable. CBC and blood chemistry found an very elevated HCT of 52.7%, eosinopenia, thrombocytopenia, mild hyperglycemia, elevated BUN, elevated calcium, low albumin, and slightly elevated ALT.