Nathalie Cunha

Replying to [email protected] 19/07/2022 - 17:48

Hi Scott,

Thank you so much for explaining it again about the reticulocyte number and percentage 🙂

If it is non regerative anemia what would be the reason to perform a Coombs test? I thought they were used with IMHA (regenerative anemia).
I think you would send of a sample for an indirect immunofluorescent antibody assay after you have a positive snap test for FeLV. I thought there was also a test to see if it already ‘infected the bone marrow’?
I think FeLV can explain:
– the anemia
– the thrombocytopenia (if it is true thrombocytopenia and not caused by aggregates)
– elevation of the globulines
– the lymfocytosis

Next to the Coombs confusing me I also wonder about the bilirubine?
Since there is no hemolysis the hyperbilirubinemia should be hepatic or posthepatic –> so is ultrasound of the abdomen maybe a next step?
How high would you expect the bilirubine in the blood to be before a cat gets jaundice? Reading the history of this cat it doesn’t have jaundice …

And the monocytosis … I wrote down from the webinar where did the white cells go that differentials are:
– FIP
– Chronic infection
– Cel and tissue damage
I thougt FIP would be a possibility with the non regenerative anemia, high globulines and high bilirubine but there is no history of fever episodes and the albumine/globuline ratio is not under 0,4 …

So I guess this sums up that I am still confused with the case because I don’t have an explanation for everything yet but I would maybe do an abdominal ultrasound as a next step?

Kind regards

Nathalie

So my earlier question made it obvious that the calculation of the absolute reticulocyte count is still not clear to me.
But I will go for regenerative anemia here.

I think MCV is probably high due to RBC clumping/agglutination.
Lymfocytosis, monocytosis possible elevated due to inflammation, infection … maybe we should do al FIV/FeLV test?
Elevated globulines maybe is a respons to an infectious disease?
Presence of ghost cells, elevated bilirubine and positive Coombs maybe indiactive for immune mediated hemolysis?

So what to do?
Testing first for FIV/FeLV and maybe PCR for Mycoplasma MAYBE as a first step?

AHHHHHH …. this is so difficult ….

Hi Scott,
I have a question about autotransfusion.
Is there a time frame untill when you can take the blood out and use it.
For example: a post surgery spay bleed. What is the ‘time frame’ that you can take this blood out and use it for autotransfusion… for 2 hours after the bleed started, 6 hours, 8 hours …. ? Same for trauma … is there a moment that you say the trauma happened to many hours ago so you can’t use the blood for autotransfusion anymore?
Kind regards
Nathalie

Replying to [email protected] 09/03/2022 - 15:46

Thank you Scott for the response!

Hi everyone,

I was already feeling guilty after lesson 2 that I always advised the owner to starve the animal for 12-24 hours … Up until now I always said no food for 12-24 hours and afterwards give Hills id or RC gastro intestinal. I have a lot of owners that want to cook themselves when their pet has GI problems. I usually tell them to cook white pasta/rice and boil some chicken BUT now I wonder if that is the right advise.

Replying to [email protected] 02/03/2022 - 10:57

Hi Scott,

Would it be possible to share your thoughts on the case? We have a very worried puppy owner and we we are mainly wondering if there is something more that we can do or that we have to send the patient to the university.
Kind regards
Nathalie