A 12 year old male neutered DSH feline was presented to the AcaseAweek Clinic. The cat had two episodes of vomiting and is lethargic for one week. Owner reports that the cat is also PU/PD and inappropriately urinates on the counter and bed. He has been vocalizing more than normal and is showing signs of generalized weakness.
Physical Exam:
Weight: 4 kg
Temperature: 102.1 o F
HR/Pulse: 135 beats/m
RR: 24 breaths/m
CRT: = <2 sec
MM: pink but slightly tacky
BCS: 3/9
ENT: Normal
Oral: Putrid stench from oral cavity
LNN: Normal
Thorax & Abdomen: Normal
U/G: Normal
Skin Turgor: Reduced
MSk: Normal
Neuro: Normal
CBC and Biochemistry:
Platelets: 647 x 109/L [RR: 175 – 500 109/L]
BUN = 51 mg/dL [RR: 16-36]
CREA = 2.8 mg/dL [RR: 0.8-2.4]
ALT = 138 U/L [RR: 12-130]
Total protein = 9 g/dl [RR: 6.6-8.4 g/dl]
GLU = 588 mg/dL [RR: 71-159]
All other parameters within normal limits
Sample obtain via cystocentesis
Apparence: Straw colored and cloudy
Glucose = +++
SG = 1.024 (from refractrometer)
Blood = trace
pH = 6.0
Protein = ++
Leukocytes = +++
What will be your tentative and differential diagnosis?
What further diagnostic test(s) you will perform to confirm your diagnosis?
