heh. if you're looking for cases to quiz yourself on, here's one: 3 year old DSH s/f cat. presented saturday for raised 3rd eyelids and lethargy. owner thought she may have been attacked by something 2 days previous because she came home dirty, but couldn't find any wounds. T=103.9. CBC-low normal WBC, normal granulocytes HCT = 45. started clavamox and gave subq LRS. represented on monday, owner says has been vomiting at home, she hasn't been giving the clav. T=103.6. urinated in kennel on way in; white towel, bright yellow (icteric) urine. Recheck CBC and hct = 38, granulocytes low, WBC now slightly low. chem panel all normal except increased total bilirubin. blood smears--many reticulocytes, some cells with small inclusions that take new methylene blue. IV catheter and LRS, started on injectable oxytetracycline. Today, temp down to 102.3, no vomiting so switched to oral doxycycline. drinking on her own but poor appetite. recheck CBC, HCT = 38, granulocytes have jumped from around 5 to 15. what's up with that?
![[personal profile]](https://www.dreamwidth.org/img/silk/identity/user.png){kind=small}
no subject
Date: 2006-10-11 05:09 am (UTC)3 year old DSH s/f cat. presented saturday for raised 3rd eyelids and lethargy. owner thought she may have been attacked by something 2 days previous because she came home dirty, but couldn't find any wounds. T=103.9. CBC-low normal WBC, normal granulocytes HCT = 45. started clavamox and gave subq LRS.
represented on monday, owner says has been vomiting at home, she hasn't been giving the clav. T=103.6. urinated in kennel on way in; white towel, bright yellow (icteric) urine. Recheck CBC and hct = 38, granulocytes low, WBC now slightly low. chem panel all normal except increased total bilirubin. blood smears--many reticulocytes, some cells with small inclusions that take new methylene blue.
IV catheter and LRS, started on injectable oxytetracycline.
Today, temp down to 102.3, no vomiting so switched to oral doxycycline. drinking on her own but poor appetite. recheck CBC, HCT = 38, granulocytes have jumped from around 5 to 15. what's up with that?