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Kitten with Pruritis Dennis B. DeNicola, DVM, PhD, DACVP Chief Veterinary Educator IDEXX Laboratories.

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Presentation on theme: "Kitten with Pruritis Dennis B. DeNicola, DVM, PhD, DACVP Chief Veterinary Educator IDEXX Laboratories."— Presentation transcript:

1 Kitten with Pruritis Dennis B. DeNicola, DVM, PhD, DACVP Chief Veterinary Educator IDEXX Laboratories

2 “Kitten” – 6 month old DSH 6 months old Intact female Domestic Shorthair Presented with clinical history of pruritis Cat was depressed upon presentation but became extremely excited during blood collection process

3 “Kitten” – 6 month old DSH WBC=17.76 K/  L(5.50 – 19.50) LYM=2.36 K/  L(0.90 – 7.00) MONO=1.78 K/  LHIGH(0.10 – 0.79) NEU=12.29 K/  L(2.50 – 12.50) EOS=1.29 K/  L(0.10 – 0.79) BASO=0.05 K/  L(0.00 – 0.10) %LYM=13.3% %MONO=10.0% %NEU=69.2% %EOS=7.2% %BASO=0.3% HCT=23.9%LOW(30.0– 45.0) RBC=6.11M/  L( 5.00 – 10.00 ) HGB=8.5g/dL( 8.0 – 15.1 ) RETIC=102.8K/  L %RETIC=1.7% MCV=39.1fLLOW ( 41.0 – 58.0 ) RDW=22.7%HIGH( 17.3 – 22.0) MCHC=35.5g/dL( 29.0 – 36.0 ) MCH=13.86pg(12.50 – 17.60) PLT=905 K/  LHIGH (175 – 600) MPV=16.69fL PCT=1.5% PDW=17.9%

4 “Kitten” – 6 month old DSH Erythron HCT=23.9%LOW( 30.0 – 45.0 ) RBC=6.11M/  L( 5.00 – 10.00 ) HGB=8.5g/dL( 8.0 – 15.1 ) RETIC=102.8K/  L %RETIC=1.7% MCV=39.1fLLOW( 41.0 – 58.0 ) RDW=22.7%HIGH( 17.3 – 22.0) MCHC=35.5g/dL( 29.0 – 36.0 ) MCH=13.86pg(12.50 – 17.60)

5 “Kitten” – 6 month old DSH Erythron HCT=23.9%LOW( 30.0 – 45.0 ) RBC=6.11M/  L( 5.00 – 10.00 ) HGB=8.5g/dL( 8.0 – 15.1 )

6 “Kitten” – 6 month old DSH Erythron HCT=23.9%LOW( 30.0 – 45.0 ) RBC=6.11M/  L( 5.00 – 10.00 ) HGB=8.5g/dL( 8.0 – 15.1 ) Anemia Mild

7 “Kitten” – 6 month old DSH Erythron HCT=23.9%LOW( 30.0 – 45.0 ) RBC=6.11M/  L( 5.00 – 10.00 ) HGB=8.5g/dL( 8.0 – 15.1 ) RETIC=102.8K/  L %RETIC=1.7%

8 “Kitten” – 6 month old DSH Erythron HCT=23.9%LOW( 30.0 – 45.0 ) RBC=6.11M/  L( 5.00 – 10.00 ) HGB=8.5g/dL( 8.0 – 15.1 ) RETIC=102.8K/  L %RETIC=1.7% Anemia Mild, regenerative

9 “Kitten” – 6 month old DSH Erythron HCT=23.9%LOW( 30.0 – 45.0 ) RBC=6.11M/  L( 5.00 – 10.00 ) HGB=8.5g/dL( 8.0 – 15.1 ) RETIC=102.8K/  L %RETIC=1.7% MCV=39.1fLLOW( 41.0 – 58.0 ) RDW=22.7%HIGH( 17.3 – 22.0) MCHC=35.5g/dL( 29.0 – 36.0 ) MCH=13.86pg(12.50 – 17.60)

10 “Kitten” – 6 month old DSH Erythron HCT=23.9%LOW( 30.0 – 45.0 ) RBC=6.11M/  L( 5.00 – 10.00 ) HGB=8.5g/dL( 8.0 – 15.1 ) RETIC=102.8K/  L %RETIC=1.7% MCV=39.1fLLOW( 41.0 – 58.0 ) RDW=22.7%HIGH( 17.3 – 22.0) MCHC=35.5g/dL( 29.0 – 36.0 ) MCH=13.86pg(12.50 – 17.60) Anemia Mild, regenerative, microcytic and potential mild anisocytosis

11 Erythron – Data Interpretation Anemia Mild Microcytic (decreased MCV) Regenerative (increased Reticulocyte Count) Potential mild anisocytosis (increased RDW)

12 Erythron – Blood Film

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18 Erythron – Blood Film Interpretation Anemia Mild Regenerative - reticulocytosis Polychromasia Anisocytosis

19 Erythron – Blood Film Interpretation Anemia Mild Regenerative - reticulocytosis Polychromasia Anisocytosis Blood loss anemia Developing Iron deficiency

20 “Kitten” – 6 month old DSH Leukon WBC=17.76K/  L( 5.50 – 19.50 ) LYM=2.36K/  L( 0.90 – 7.00 ) MONO=1.78K/  LHIGH( 0.10 – 0.79 ) NEU=12.29K/  L( 2.50 – 12.50) EOS=1.29K/  L( 0.10 – 0..79 ) BASO=0.05K/  L( 0.00 – 0.10 ) %LYM=13.3% %MONO=10.0% %NEU=69.2% %EOS=7.2% %BASO=0.3%

21 “Kitten” – 6 month old DSH Leukon WBC=17.76K/  L( 5.50 – 19.50 ) High normal leukocyte count

22 “Kitten” – 6 month old DSH Leukon WBC=17.76K/  L( 5.50 – 19.50 ) LYM=2.36K/  L( 0.90 – 7.00 ) MONO=1.78K/  LHIGH( 0.10 – 0.79 ) NEU=12.29K/  L( 2.50 – 12.50) EOS=1.29K/  L( 0.10 – 0..79 ) BASO=0.05K/  L( 0.00 – 0.10 ) %LYM=13.3% %MONO=10.0% %NEU=69.2% %EOS=7.2% %BASO=0.3%