Interpreting my two new cats' general panel chemistry screen & comprehensive screen CBC test results

pepper_kitty · Oct 24, 2015

Hey all,

I had long since forgotten about this site, but apparently made an account as a preteen that popped up when I tried to reregister now (I'm 22 now). The original cat that I posted about is still going strong and currently resides at my mothers house as he is around my age and has never moved since we got him.

I unexpectedly welcomed two kitties into my home recently. I wasn't prepared and had/have a lot on my plate right now. None the less, I've now fallen for these two and can't imagine not falling asleep to Miss Kitty purring on my tummy or Mr Kitty's silly evening antics as I browse the web before bed. Our household consists of 2 new cats(Mr and Miss Kitty-to be renamed?), one medium dog(Orca) and two small/medium sized parrots (Chico and Bowen)... Plus my girlfriend and I, in a 2 bedroom apartment it's quite the zoo and my routine is due for an overhaul.

I'm going to copy and paste the e-mailed results. The vet was less than helpful and I do not know what to think of the results, what changes I need to make etc.

IDEXX VetConnect 1-800-667-3411

Client: Hayes

Patient: MR. KITTY

Species: Feline

Breed: Himalayan

Gender: MALE

Age: 9M

Date: 10/20/2015
Requisition #: 20200814
Accession #: 6497668
Ordered by: Parminder Mangat

CHAMPLAIN ANIMAL CLINIC
3150 EAST 54TH AVE UNIT 190

604-439-0007

Account #CA_75P

Accession Level Comments

Code:

Accession Status: Final  general check up ** Added by TASHA KOWALEWICH DVM DACVIM DACVP on 10/21/2015 05:40:11 PM GMT ** CBC looks ok BIochemistry glucose- is high- stress is possible in view of age but monitor or check fructosamine pho- globulins due to age ck- muscle injury

GENERAL PANEL : CHEMISTRY SCREEN

Test

Result

Reference Range

Low

Normal

High

GLUCOSE

11.1

4.0 - 9.7 mmol/L

HIGH

UREA (BUN)

8.0

5.7 - 13.2 mmol/L

CREATININE

81

80 - 221 umol/L

SDMA

13 ¹

0 - 14 ug/dL

UREA (BUN)/CREATININE RATIO 25

PHOSPHORUS

2.2

0.9 - 2.0 mmol/L

HIGH

CALCIUM

2.47

2.20 - 2.70 mmol/L

SODIUM

150

147 - 157 mmol/L

POTASSIUM

5.1

3.7 - 5.2 mmol/L

SODIUM/POTASSIUM RATIO

29

29 - 42

CHLORIDE

117

114 - 126 mmol/L

BICARBONATE

21

12 - 22 mmol/L

ANION GAP

17

12 - 25

TOTAL PROTEIN

60

63 - 88 g/L

LOW

ALBUMIN

32

26 - 39 g/L

GLOBULIN

28

30 - 59 g/L

LOW

ALBUMIN/GLOBULIN RATIO

1.1

0.5 - 1.2

ALANINE TRANSAMINASE

28

27 - 158 IU/L

ASPARTATE TRANSAMINASE

18

16 - 67 IU/L

ALKALINE PHOSPHATASE

38

12 - 59 IU/L

GAMMA GT

1

0 - 6 IU/L

BILIRUBIN (TOTAL)

2.7

0.0 - 5.13 umol/L

CREATINE KINASE

611

64 - 440 IU/L

HIGH

CALCULATED OSMOLALITY

308

286 - 305 mmol/kg

HIGH

HEMOLYSIS Normal

ICTERUS Normal

LIPEMIA Normal

Comments:

1.

Code:

SDMA NORMAL INTERPRETATION: SDMA is a new test for evaluating kidney function. It typically increases earlier than creatinine (CREA) in dogs and cats with chronic kidney disease. If both SDMA and CREA are well within the reference interval, kidney function is likely good. If SDMA and/or CREA are at the upper end of the reference interval, early kidney disease cannot be ruled out. If SDMA is within the reference interval and CREA is increased, kidney disease is possible. Muscular dogs with normal kidney function may have a normal SDMA and a CREA that just exceeds the reference interval. A complete urinalysis should be performed to evaluate the urine specific gravity and for evidence of kidney disease.

GENERAL PANEL : COMPREHENSIVE CBC

Test

Result

Reference Range

Low

Normal

High

WBC

9.9

3.9 - 19.0 x10E9/L

RBC

6.8

7.1 - 11.5 x10E12/L

LOW

HEMOGLOBIN

99

103 - 162 g/L

LOW

HEMATOCRIT

0.30

0.29 - 0.45 L/L

MCV

43.6

39 - 56 fl

MCH

14.5

12.6 - 16.5 pg

MCHC

333

285 - 378 g/L

RDW

20.6

10 - 26 %CV

PLATELET COUNT

479

155 - 641 x10E9/L

% RETICULOCYTE 0.1 %

RETICULOCYTE-ABSOLUTE

6.8 ¹

3 - 50 x10E3/ul

% BASOPHILS 0.1 %

BASOPHILS

0.0

0.0 - 0.1 x10E9/L

% EOSINOPHILS 12.1 %

EOSINOPHILS

1.2

0.0 - 2.2 x10E9/L

% LYMPHOCYTES 44.0 %

LYMPHOCYTES

4.4

0.9 - 5.9 x10E9/L

MEAN PLATELET VOLUME *00.0 fl

% MONOCYTES 2.6 %

MONOCYTES

0.3

0.0 - 0.5 x10E9/L

% NEUTROPHILS 41.2 %

NEUTROPHILS

4.1

2.6 - 15.2 x10E9/L

Hematology Special Entries

Code:

PLT ASSESSMENT - Platelet Count Adequate - COMMENTS - RBC, WBC, Platelet Morphology - Normal

Comments:

1.	Code: `Degree of bone marrow response (10E3/uL): Normal if non-anemic < 50 Inadequate if anemic < 50 Mild 50 - 75 Moderate 75 - 175 Marked > 175`

IDEXX VetConnect 1-800-667-3411

Client: Hayes

Patient: MISS KITTY

Species: Feline

Breed: Himalayan

Gender: FEMALE

Age: 9M

Date: 10/20/2015
Requisition #: 20200887
Accession #: 6497672
Ordered by: Parminder Mangat

CHAMPLAIN ANIMAL CLINIC
3150 EAST 54TH AVE UNIT 190

604-439-0007

Account #CA_75P

Accession Level Comments

Code:

Accession Status: Final  general check up ** Added by BRITTNEY FIERRO DVM DACVP on 10/21/2015 02:53:23 AM GMT ** HEMATOLOGY Mild eosinophilia and basophilia--rule out parasites (GI, fleas), allergic or hypersensitivity response.  BIOCHEMISTRY Glucose may be artifact of delayed serum separation.

GENERAL PANEL : CHEMISTRY SCREEN

Test

Result

Reference Range

Low

Normal

High

GLUCOSE

3.7

4.0 - 9.7 mmol/L

LOW

UREA (BUN)

8.7

5.7 - 13.2 mmol/L

CREATININE

87

80 - 221 umol/L

SDMA

12 ¹

0 - 14 ug/dL

UREA (BUN)/CREATININE RATIO 25

PHOSPHORUS

2.0

0.9 - 2.0 mmol/L

CALCIUM

2.35

2.20 - 2.70 mmol/L

SODIUM

150

147 - 157 mmol/L

POTASSIUM

4.9

3.7 - 5.2 mmol/L

SODIUM/POTASSIUM RATIO

31

29 - 42

CHLORIDE

117

114 - 126 mmol/L

BICARBONATE

20

12 - 22 mmol/L

ANION GAP

18

12 - 25

TOTAL PROTEIN

63

63 - 88 g/L

ALBUMIN

30

26 - 39 g/L

GLOBULIN

33

30 - 59 g/L

ALBUMIN/GLOBULIN RATIO

0.9

0.5 - 1.2

ALANINE TRANSAMINASE

40

27 - 158 IU/L

ASPARTATE TRANSAMINASE

19

16 - 67 IU/L

ALKALINE PHOSPHATASE

23

12 - 59 IU/L

GAMMA GT

2

0 - 6 IU/L

BILIRUBIN (TOTAL)

2.4

0.0 - 5.13 umol/L

CREATINE KINASE

156

64 - 440 IU/L

CALCULATED OSMOLALITY

301

286 - 305 mmol/kg

HEMOLYSIS Normal

ICTERUS Normal

LIPEMIA Normal

Comments:

1.

Code:

SDMA NORMAL INTERPRETATION: SDMA is a new test for evaluating kidney function. It typically increases earlier than creatinine (CREA) in dogs and cats with chronic kidney disease. If both SDMA and CREA are well within the reference interval, kidney function is likely good. If SDMA and/or CREA are at the upper end of the reference interval, early kidney disease cannot be ruled out. If SDMA is within the reference interval and CREA is increased, kidney disease is possible. Muscular dogs with normal kidney function may have a normal SDMA and a CREA that just exceeds the reference interval. A complete urinalysis should be performed to evaluate the urine specific gravity and for evidence of kidney disease.

GENERAL PANEL : COMPREHENSIVE CBC

Test

Result

Reference Range

Low

Normal

High

WBC

15.3

3.9 - 19.0 x10E9/L

RBC

7.6

7.1 - 11.5 x10E12/L

HEMOGLOBIN

112

103 - 162 g/L

HEMATOCRIT

0.32

0.29 - 0.45 L/L

MCV

42.7

39 - 56 fl

MCH

14.8

12.6 - 16.5 pg

MCHC

347

285 - 378 g/L

RDW

22.0

10 - 26 %CV

PLATELET COUNT

393

155 - 641 x10E9/L

% RETICULOCYTE 0.1 %

RETICULOCYTE-ABSOLUTE

7.6 ¹

3 - 50 x10E3/ul

% BASOPHILS 2.0 %

BASOPHILS

0.3

0.0 - 0.1 x10E9/L

HIGH

% EOSINOPHILS 19.0 %

EOSINOPHILS

2.9

0.0 - 2.2 x10E9/L

HIGH

% LYMPHOCYTES 15.0 %

LYMPHOCYTES

2.3

0.9 - 5.9 x10E9/L

MEAN PLATELET VOLUME *00.0 fl

% MONOCYTES 2.0 %

MONOCYTES

0.3

0.0 - 0.5 x10E9/L

% NEUTROPHILS 62.0 %

NEUTROPHILS

9.5

2.6 - 15.2 x10E9/L

Hematology Special Entries

Code:

PLT ASSESSMENT - Platelet Count Adequate - COMMENTS - RBC, WBC, Platelet Morphology - Normal

Comments:

1.	Code: `Degree of bone marrow response (10E3/uL): Normal if non-anemic < 50 Inadequate if anemic < 50 Mild 50 - 75 Moderate 75 - 175 Marked > 175`

I have very little on their backstory and they appear to be neglected. They both were extremely matted from head to tip of the tail, extreme eye gooies, possible loss of vision in Mr Kitty, reeked of urine, on the thin side, and needing nourishment. I was told which breeder they were from, whom I've e-mailed but haven't received a response. The owner was a senior, new to cats, ESL, and wanted to become a breeder and got in over their head with a $10,000 vet bill.

Any input is much appreciated.

denice · Oct 24, 2015

I am not really able to read test results either, probably can get the same things out of it that you did. Possible early kidney disease in one and possible mild anemia on another one. I do know that a high glucose reading can be caused by stress.

I see at the bottom something about the kitties being malnourished matted etc, the usual state for a stray. If these blood test results are from shortly after you took them in I would have them ran again after a couple of months. I think you will get more reliable results after two months of good care then you will get now

pepper_kitty · Oct 24, 2015

I didn't get the results sent to my e-mail until late the following day after the vet visit even though the appointment was at 11am. The results were added to the file around 3ish AM for the first cat and later that day for the second cat, and then sent to me even later. I'm concerned that the sample sat too long before being analyzed. The vet also requested a x-ray for one of them, and I have yet to receive a copy or any findings. They also went ahead and neutered one while under sedative without anesthetic prior to receiving the test results. Their physical exam results weren't e-mailed to me either. I don't know their weight, heart rate, oral health condition, temp, ear issues, or any info on Mr Kitty's possible vision loss. They prescribed two meds for the male cat, one pill twice daily and eye drops... Both of which I'm finding extremely hard to give to him. They didn't give any advice on how to medicate either.

I wasn't there for the exams, my girlfriend was. I'll be calling the office tomorrow with a list of questions. I'll chime back on here with what they reply with (I'll take notes on paper), then share the recommended follow-up tests and treatment plan on here. Depending on what my research and advice from members on the forum think, I may contact another vet for a second opinion or possibly a second test. I'll be present for the next visit, so hopefully things will go smoother. This wasn't my favourite vet or alternate vet for routine things or my go-to 24hr vet. I made the mistake of sending them to a vet near my new house for convenience sake without even reading reviews or being present for the exam. My error.

If anyone can suggest questions that I should ask to get the thorough and detailed information that I want from the vet then that'd be great. I'm putting together a list with room to take notes while on the phone tomorrow.

Thank you!

denice · Oct 24, 2015

I would want to know the reason for the oral medication. I am fortunate my kitty that gets daily medication is easy to pill but many are not. Some people have had very good luck with pill pockets, kind of like hiding the pill in a soft treat. They are available in pet stores. If this is long term medicine there are possible other options, compounding into a liquid with a flavor that kitty likes and transdermal gels.

I would ask if the vet thought that there should be follow up on the high glucose level. There is a test for serum fructosamine concentration that is a better indicator of diabetes. One of my kitties had a high blood glucose reading once on routine blood work, the vet had the fructosamine checked and it came back normal.

I would also ask what his thoughts were on early kidney disease. One test, especially on a kitty that is currently in poor condition isn't a sure diagnosis of kidney disease but I would ask about it.

Interpreting my two new cats' general panel chemistry screen & comprehensive screen CBC test results

pepper_kitty

TCS Member

Thread starter

denice

TCS Member

pepper_kitty

TCS Member

Thread starter

denice

TCS Member

Latest Posts

Connect with us