2011_01_29 SPitzer Update # 2 He's home

Previously

Spitzer is now home, on 6 additional meds, plus Lantus BID:
azithromycin, 0.5 mL @ bedtime
pepcid, 1/4 tablet @ bedtime
metronidzaole, BID
cyclosporin, BID
ondansetron, BID
sucralfate, TID

Discharge Report:
DIAGNOSIS/DIFFERENTIALS: Spitzer has been diagnosed with upper respiratory infection and small intestinal gastroenteritis and ulceration of unknown cause.
His upper respiratory infection could be due to herpes virus, mycoplasma, or other upper respiratory viruses. We have an upper respiratory PCR panel pending.
Possible causes for small intestinal inflammation and ulceration include inflammatory bowel disease, infectious/granulomatous disease (feline infectious peritonitis [FIP], bacterial, fungal), and less likely neoplasia.
Spitzer has been doing well in hospital, eating and drinking with no vomiting. He had a large bowel movement last night that was mostly formed. At this time, we would like to get Spitzer feeling better before considering further diagnostics for his gastrointestinal disease. I would recommend rechecking in 1-2 weeks, depending on how he is doing, we can discuss further diagnostics including surgical intestinal biopsy vs. endoscopic biopsies, and cobalamin/folate blood testing.
PHYSICAL EXAM:
Weight: 3.4 kg (7.5 lb)
Heart Rate: 230 bpm
Temperature: 103.4
Respiratory Rate: 36 bpm
DIAGNOSTICS PERFORMED AT THIS VISIT:
• Abdominal ultrasound: Severe segmental ulcerative enteritis (inflammation of the gastrointestinal system). Infiltrative round cell tumor is possible (lymphoma). Diffuse mild small intestinal altered wall layering suggesting a chronic enteropathy. Mild jejunal lymphadenopathy (enlarged lymph nodes around the intestines). Minimal peritoneal effusion. Unchanged hepatopathy (enlarged liver), bilateral renomegaly (enlarged kidneys) and possible pancreatitis.
• CBC, chemistry: Mild elevation in BUN (kidney value) suspect due to gastrointestinal ulceration and elevated blood glucose
• FPL: Pending 1-2 days
• Urinalysis: Concentrated urine, protein
• Upper respiratory PCR panel: Pending 3-5 days.

 

Keeping fingers and paws crossed for you and Spitzer. cat_pet_icon

 

sending our hugs your way!

 

I'm glad he's home.