kitten with pruritis

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

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Kitten with Pruritis. Dennis B. DeNicola, DVM, PhD, DACVP Chief Veterinary Educator IDEXX Laboratories. “Kitten” – 6 month old DSH. 6 months old Intact female Domestic Shorthair Presented with clinical history of pruritis - PowerPoint PPT Presentation

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  • Kitten with PruritisDennis B. DeNicola, DVM, PhD, DACVPChief Veterinary EducatorIDEXX Laboratories

  • Kitten 6 month old DSH6 months oldIntact femaleDomestic Shorthair

    Presented with clinical history of pruritis

    Cat was depressed upon presentation but became extremely excited during blood collection process

  • Kitten 6 month old DSHWBC=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=16.69fLPCT=1.5%PDW=17.9%

  • Kitten 6 month old DSHErythronHCT=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)

  • Kitten 6 month old DSHErythronHCT=23.9%LOW( 30.0 45.0 )RBC=6.11M/L( 5.00 10.00 )HGB=8.5g/dL( 8.0 15.1 )

  • Kitten 6 month old DSHErythronHCT=23.9%LOW( 30.0 45.0 )RBC=6.11M/L( 5.00 10.00 )HGB=8.5g/dL( 8.0 15.1 )AnemiaMild

  • Kitten 6 month old DSHErythronHCT=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%

  • Kitten 6 month old DSHErythronHCT=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%AnemiaMild, regenerative

  • Kitten 6 month old DSHErythronHCT=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)

  • Kitten 6 month old DSHErythronHCT=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)AnemiaMild, regenerative, microcytic and potential mild anisocytosis

  • Erythron Data InterpretationAnemiaMildMicrocytic (decreased MCV) Regenerative (increased Reticulocyte Count)Potential mild anisocytosis (increased RDW)

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film InterpretationAnemia MildRegenerative - reticulocytosisPolychromasiaAnisocytosis

  • Erythron Blood Film InterpretationAnemia MildRegenerative - reticulocytosisPolychromasiaAnisocytosisBlood loss anemiaDeveloping Iron deficiency

  • Kitten 6 month old DSHLeukonWBC=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%

  • Kitten 6 month old DSHLeukonWBC=17.76K/L( 5.50 19.50 )High normal leukocyte count

  • Kitten 6 month old DSHLeukonWBC=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%

  • Kitten 6 month old DSHLeukonWBC=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%High normal leukocyte countMild monocytosis

  • Kitten 6 month old DSHLeukonWBC=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%High normal leukocyte countMild monocytosisLow normal lymphocytes in face of excitement !

  • Kitten 6 month old DSHLeukonWBC=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%High normal leukocyte countMild monocytosisLow normal lymphocytes in face of excitement !High normal eosinophils with possible stress

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film

  • Erythron Blood Film

  • Leukogram InterpretationNormal leukocyte countNo lymphocytosis in face of excitementProbable underlying glucocorticoid influence (stress)High normal eosinophil count in face of possible glucocorticoid influence (stress)High probability of underlying eosinophilic inflammatory condition

  • Kitten 6 month old DSHWBC=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=16.69fLPCT=1.5%PDW=17.9%