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- Nov 5, 2018
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Hi, I have a 16 year old tabby. A couple months ago I noticed that she began to drink more water than usual (she always loved water more than my other kitties but she would drink lots... leave and then go back and drink some more) and she also started urinating more than usual. Along with that she was losing lots of weight. She was always on the thin side (around 9lbs) but the last year or so I noticed she lost so much weight. When i weighed her she was 7lbs .0.26oz. When i pet her I can feel every bone and I have been trying to do everything i can to get her to put on some weight but she seems to go up and down in weight extremely fast. So i took her to a vet in March 2018 and they did a blood test and urinalysis. I have a copy of the results if anyone can help me to understand them better i would greatly appreciate it!
Test Requested Results Adult Reference Range Units
Superchem
Total Protein 7.5 5.2-8.8 g/dL
Albumin 3.4 2.5-3.9 g/dL
Globulin 4.1 2.3-5.3 g/dL
A/G Ratio 0.8 0.35-1.5
AST (SGOT) 31 10-100 IU/L
ALT (SGPT) 40 10-100 IU/L
Alk Phosphatase 18 6-102 IU/L
GGT 10 1-10 IU/L
Total Bilirubin 0.1 0.1-0.4 mg/dL
BUN 58 (HIGH) 14-36 mg/dL
Creatinine 2.5 (HIGH) 0.6-2.4 mg/dL
BUN/Creatinine Ratio 23 4-33
Phosphorus 4.0 2.4-8.2 mg/dL
Glucose 137 64-170 mg/dL
Calcium 9.4 8.2-10.8 mg/dL
Magnesium 2.2 1.5-2.5 mEq/L
Sodium 156 145-158 mEq/L
Potassium 4.9 3.4-5.6 mEq/L
NA/K Ratio 32 32-41
Chloride 120 104-128 mEq/L
Cholesterol 126 75-220 mg/dL
Triglyceride 95 25-160 mg/dL
Amylase 1,071 100-1200 IU/L
PrecisionPSL 37 (HIGH) 8-26 U/L
PresisionPSL elevations correlate closely with abnormal PLI concentrations. In cats with appropriate clinical signs, this PrecisionPSL is supportive of, but not definitive, for a diagnosis of pancreatitis. In cats without clinical signs of pancreatitis, a mild elevation is an insignificant finding.
CPK 258 56-529 IU/L Comment(s) Hemolysis 4+ No significant interference
Test Requested Results Adult Reference Range Units
Complete Blood Count
WBC 14.8 3.5-16.0 10^3/uL
RBC 9.5 5.92-9.93 10^6/uL
HGB 13.6 9.3-15.9 g/dL
HCT 45 29-48 %
MCV 47 37-61 fL
MCH 14.2 11-21 pg
MCHC 30 30-38 g/dL
Blood Parasites
No blood parasites seen
RBC Comment
RBC Morphology Normal
Platelet Count 257 200-500 10^3/uL
Platelet Estimate Adequate
Neutrophils 11,692 (HIGH) 79 2500-8500 /uL
Bands 0 0-3
Lymphocytes 1,628 11 1200-8000 /uL
Monocytes 444 3 0-600 /uL
Eosinophils 1,036 (HIGH) 7 0-1000 /uL
Basophils 0 0 0-150 /uL Comment Blood smear reviewed by technologist.
Test Requested Results Adult Reference Range Units
T3 T3 <40 (LOW) 40-150 ng/dL Result Verified
Test Requested Results Adult Reference Range Units T4 T4 2.2 0.8-4.0 ug/dL
Test Requested Results Adult Reference Range Units Free T4 By Equilibrium Dialysis Free T4 Equilibrium Dialysis 30.8 10-50 pmol/L
Test Requested Results Adult Reference Range Units FeLV Antigen (ELISA) FELV (ELISA) NEGATIVE Antigen
Test Requested Results Adult Reference Range Units FIV Antibody FIV ANTIBODY NEGATIVE If recent infection cannot be excluded, retesting >60 days after last exposure is recommended.
Test Requested Results Adult Reference Range Units
Feline Coronavirus Titer FCV AT 1:400 POSITIVE <1:400 Antibody Titer
FCV AT 1:1600 POSITIVE NEGATIVE
Antibody Titer A positive FCV titer indicates exposure to a coronavirus. It does not differentiate between FIP, feline enteric coronavirus exposure, or vaccination. Diagnosis of FIP should be based on history, physical examination, and other laboratory findings.
Test Requested Results Adult Reference Range Units Hemotrophic Mycoplasma HEMOTROPIC MYCOPLASMA None Seen NEGATIVE
Test Requested Results Adult Reference Range Units Urinalysis Add-On Collection Method
Cystocentesis
Color YELLOW
Appearance CLEAR
Specific Gravity 1.016 1.015-1.060
pH 5.5 5.5-7.0
Protein NEGATIVE NEGATIVE
Glucose-Strip NEGATIVE NEGATIVE
Ketones NEGATIVE NEGATIVE
Bilirubin NEGATIVE NEGATIVE
Occult Blood NEGATIVE NEGATIVE
WBC 0-1 0-3
HPF RBC NONE 0-3 HPF
Casts NONE SEEN
Hyaline 0-3 LPF
Crystals NONE SEEN
HPF Bacteria NONE SEEN
None Seen HPF
SQUAMOUS EPITHELIA 0-1 0-3
Fat Droplets 4-10 HPF
So based on these results does she have early ckd (stage2?) she was eating Taste of the wild Rocky Mountain for a while and then she got bored of it so I switched to Fromm Gamebird but eventually she stopped eating that as well so I tried Fromm Hasen Ducken and she loved it for a while but then she stopped eating that as well just recently and wouldn't eat anything but the hills k/d that the vet gave me. I know that Hills isn't the best but this is all she will eat right now. Is it okay for her to be eating it right now if she is still in the early stages of CKD? (I'm worried about it being low in protein cuz she is already so thin) When i spoke to her vet at the time of the blood test in March she said she should be eating senior food or a renal diet. I would appreciated anyones help, thoughts, and/or opinions. Thank you!
Test Requested Results Adult Reference Range Units
Superchem
Total Protein 7.5 5.2-8.8 g/dL
Albumin 3.4 2.5-3.9 g/dL
Globulin 4.1 2.3-5.3 g/dL
A/G Ratio 0.8 0.35-1.5
AST (SGOT) 31 10-100 IU/L
ALT (SGPT) 40 10-100 IU/L
Alk Phosphatase 18 6-102 IU/L
GGT 10 1-10 IU/L
Total Bilirubin 0.1 0.1-0.4 mg/dL
BUN 58 (HIGH) 14-36 mg/dL
Creatinine 2.5 (HIGH) 0.6-2.4 mg/dL
BUN/Creatinine Ratio 23 4-33
Phosphorus 4.0 2.4-8.2 mg/dL
Glucose 137 64-170 mg/dL
Calcium 9.4 8.2-10.8 mg/dL
Magnesium 2.2 1.5-2.5 mEq/L
Sodium 156 145-158 mEq/L
Potassium 4.9 3.4-5.6 mEq/L
NA/K Ratio 32 32-41
Chloride 120 104-128 mEq/L
Cholesterol 126 75-220 mg/dL
Triglyceride 95 25-160 mg/dL
Amylase 1,071 100-1200 IU/L
PrecisionPSL 37 (HIGH) 8-26 U/L
PresisionPSL elevations correlate closely with abnormal PLI concentrations. In cats with appropriate clinical signs, this PrecisionPSL is supportive of, but not definitive, for a diagnosis of pancreatitis. In cats without clinical signs of pancreatitis, a mild elevation is an insignificant finding.
CPK 258 56-529 IU/L Comment(s) Hemolysis 4+ No significant interference
Test Requested Results Adult Reference Range Units
Complete Blood Count
WBC 14.8 3.5-16.0 10^3/uL
RBC 9.5 5.92-9.93 10^6/uL
HGB 13.6 9.3-15.9 g/dL
HCT 45 29-48 %
MCV 47 37-61 fL
MCH 14.2 11-21 pg
MCHC 30 30-38 g/dL
Blood Parasites
No blood parasites seen
RBC Comment
RBC Morphology Normal
Platelet Count 257 200-500 10^3/uL
Platelet Estimate Adequate
Neutrophils 11,692 (HIGH) 79 2500-8500 /uL
Bands 0 0-3
Lymphocytes 1,628 11 1200-8000 /uL
Monocytes 444 3 0-600 /uL
Eosinophils 1,036 (HIGH) 7 0-1000 /uL
Basophils 0 0 0-150 /uL Comment Blood smear reviewed by technologist.
Test Requested Results Adult Reference Range Units
T3 T3 <40 (LOW) 40-150 ng/dL Result Verified
Test Requested Results Adult Reference Range Units T4 T4 2.2 0.8-4.0 ug/dL
Test Requested Results Adult Reference Range Units Free T4 By Equilibrium Dialysis Free T4 Equilibrium Dialysis 30.8 10-50 pmol/L
Test Requested Results Adult Reference Range Units FeLV Antigen (ELISA) FELV (ELISA) NEGATIVE Antigen
Test Requested Results Adult Reference Range Units FIV Antibody FIV ANTIBODY NEGATIVE If recent infection cannot be excluded, retesting >60 days after last exposure is recommended.
Test Requested Results Adult Reference Range Units
Feline Coronavirus Titer FCV AT 1:400 POSITIVE <1:400 Antibody Titer
FCV AT 1:1600 POSITIVE NEGATIVE
Antibody Titer A positive FCV titer indicates exposure to a coronavirus. It does not differentiate between FIP, feline enteric coronavirus exposure, or vaccination. Diagnosis of FIP should be based on history, physical examination, and other laboratory findings.
Test Requested Results Adult Reference Range Units Hemotrophic Mycoplasma HEMOTROPIC MYCOPLASMA None Seen NEGATIVE
Test Requested Results Adult Reference Range Units Urinalysis Add-On Collection Method
Cystocentesis
Color YELLOW
Appearance CLEAR
Specific Gravity 1.016 1.015-1.060
pH 5.5 5.5-7.0
Protein NEGATIVE NEGATIVE
Glucose-Strip NEGATIVE NEGATIVE
Ketones NEGATIVE NEGATIVE
Bilirubin NEGATIVE NEGATIVE
Occult Blood NEGATIVE NEGATIVE
WBC 0-1 0-3
HPF RBC NONE 0-3 HPF
Casts NONE SEEN
Hyaline 0-3 LPF
Crystals NONE SEEN
HPF Bacteria NONE SEEN
None Seen HPF
SQUAMOUS EPITHELIA 0-1 0-3
Fat Droplets 4-10 HPF
So based on these results does she have early ckd (stage2?) she was eating Taste of the wild Rocky Mountain for a while and then she got bored of it so I switched to Fromm Gamebird but eventually she stopped eating that as well so I tried Fromm Hasen Ducken and she loved it for a while but then she stopped eating that as well just recently and wouldn't eat anything but the hills k/d that the vet gave me. I know that Hills isn't the best but this is all she will eat right now. Is it okay for her to be eating it right now if she is still in the early stages of CKD? (I'm worried about it being low in protein cuz she is already so thin) When i spoke to her vet at the time of the blood test in March she said she should be eating senior food or a renal diet. I would appreciated anyones help, thoughts, and/or opinions. Thank you!