Message Number: FHL14591 | New FHL Archives Search
From: "janicholls2002"
Date: 2012-01-23 19:33:56 UTC
Subject: [ferrethealth] Vets advice needed please - re: Bloods results - Very Sick ferret
To: ferrethealth@yahoogroups.com


Please help from Julie ( Devon - UK )

Please could you help translate the following BLOOD & URINE results in laymans terms if possible.
Symptoms 2 weeks ago =
1) weekness hind legs
2) very thin & very weak.
3) Thin green mucousey pooh.
4) Extremely lethargic.

Now not so weak on hind legs.
Dark runny pooh & a bit mucousey while being fed Hills A/D, but light & more formed on Carnivore Care.
Gaining appetite but all weight seems to be going on stomach.
Still lethergic but more interested in life however still only going 8 - 12 steps then flopping flat on belly for a couple of mins before another 8 - 12 steps etc etc

The first urine sample a couple of weeks ago showed blood++++ protein & billirubin+++
The second one done last week showed blood , I think billirubin again ? and definately glucose. The new vet then did a prick blood test to test for glucose in blood, result -negative.
Results from main arterial bloods taken as follows:-

In house = Hyperglycaemic 18.6 ( probably stress most likely ? )
Sent Off to lab = BIOCHEMISTRY
Albumin 23 g/L LOW ( 25 - 41)
Total Protein 77 g/L HIGH ( 51 - 74 )
ALT 211 IU/L HIGH ( 13 - 176 )
Alkaline phosphatase 99 IU/L HIGH ( 15 - 75 )
Bile acid 6.8
Urea 12.2 HIGH ( 1.90 - 7.49 )
Creatinine 42 ( 0 - 75 )
Triglyceride 1.0

HAEMATOLOGY
White cell count 13.8 ( 4.4 - 19.1 )
Haemoglobin 6.1 LOW ( 12.0 - 18.0 )
Red Cell Count 4.18 LOW ( 7.00 - 11.00 )
PCV 17.1 % LOW ( 43 - 55 )
MCV 40.9
MCH 14.6 pg
MCHC 35.7 g/dl
Platelets 188 LOW ( 300 - 900 )

Neutrophils 59% 8.14 ( 1.36 - 10.87 )
Lymphocytes 41% 5.66 ( 1.54 - 11.07 )

No polychromasia but marked agglutination within erythrocyte series. Mild lymphocytosis noted but no toxic or macrophaging leucocytes seen. Platelets appear normal on film despite reduced indicies.

Cinical comments

This ferrets blood results show a reduced PCV of 17.1%. I note this is a neutered female and anong with the low albumin, raised urea and low platelet count, I would be suspicious of gastrointestinal haemorrhage. I note that normal platelets were seen on the blood film. The raised ALT and Alk Phos values suggest some some hepatocellular damage and cholestasis as can occur in primary liver disease , or secondary to conditions such as gastrointestinal inflammation, Helicobacter mustelae infection and associated gastrtis/ulceration would probably be on my list of differenttials.
Diabetes mellitus is not commonly diagnosed in ferrets and the high glucose noted may be due to a stress response.

Please help me make some sense of this, Thank You - Julie





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