Help! diagnosis, urgent!

flcat

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Hi, trying to assist in diagnosing a cat remotely, the cat is in a third world country with severely limited medical availability, the few vets there are basically clueless.

2-3 year old female, lethargic, skin and bones, not eating, fluid in belly.

wbc high 21.3
lym high 61.50% (absolute number is 13.2)
mid high 21.10%
gran low 17.40%
rbc low 2.89
hgh low 48.00
hct low 12.20
mchc high 393.00
rdw sd low 23.40
plt low 29.00
p lcr low 5%
albumin normal 26.72
tp high 83.03 (top of range is 79)

This is the only blood available.

No facility to test the belly fluid, all they say it is orange, and when a drop of it is place in a test tube, it sinks to the bottom.

Cat fed a lot of raw meat, chicken heads in particular.

The vet stated FIP, I disagree fully with this. I think it is parasitic or cancer in the GI.

Any input at all is appreciated.
 

stephanietx

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Fluid in belly is usually FIP. Parasites cause bloating, but there's no fluid involved. It could also be intestinal lymphoma, which is not going to be treatable in that area. The only way to know for sure is to get a necropsy after the kitty passes.
 
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flcat

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Hi, that is probably why they think FIP, but the blood tests just do not line up with the FIP diagnosis in my opinion.

They actually do have available treatment options, far more than diagnosis options.

I thinking there is hemorrhaging in the GI, hence why the orange tint to the fluid they described.

The only reason i was thinking parasites is because damage to the GI tract, could this happen? Along with what little blodd test results we have.
 
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flcat

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Also thinking, salmonella poisining possible?
 

FeralHearts

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Sadly without the availability of testing the docs are only able to go by best guesses and their experience - their experiences can tell a lot. Sometimes more than tests IMHO. If you see the same things enough times you get to recognize it. It's why they are educated guesses.

Though I do understand where you are coming from and why you would be looking at/for other possible options and diagnosis. Especially having so little information to work with. I understand this is a rock and a hard place.

On the plus side here you mentioned there is limited diagnostic availability, but, you said there are far more treatment options.

The question, in my humble opinion at the moment, would be "is if the cat is strong enough to endure the treatments", or can the kitty get the care need to make them strong enough so that any treatments can be given. Does that make sense?

Getting her to eat for example, as I'm sure you are aware, is going to be really important right now. I'm not a vet, doc, I would just think that would be a main concern and I hope you are getting some help with that.

I'm sorry this is happening. I can imagine how hard it is.


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FeebysOwner

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Hi. How long has the fluid been there? I am going to tell you that with FIP, it will take a cat down fast. I've been there, done that - long before there were any hopes of treatment. Usually, the fluid from FIP is straw colored, so it being orange would seem a bit suspicious, unless there are other factors attributing to it. Try joining one (or both) of these groups and see if they will respond. I am sure it would be preferable to have actual test results, but you can start with what you have and see where it takes you.
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