distended abdomen in cat

Re: distended abdomen in cat

Zita Okarina — Thu, 14 Apr 2011 03:27:51 GMT

Too bad, I didn't do any cytology on the fluid.

The peritoneum and pancreas was ok when we opened it up. Only some lessions and roughened on mesenterium. Oh, and yes GPT is ALT.

I'm still waiting the progress for another few days ahead. Will catch up later.

Re: distended abdomen in cat

Richard Fox — Tue, 12 Apr 2011 20:16:05 GMT

Good old Wiki & Michael ;)

http://en.wikipedia.org/wiki/Alanine_transaminase

Re: distended abdomen in cat

Michael Woodhouse — Tue, 12 Apr 2011 19:46:48 GMT

GPT another name for ALT

Re: distended abdomen in cat

Alex Gough — Tue, 12 Apr 2011 17:19:04 GMT

Ah. Sounds like we are agreeing with each other then!

alex

Re: distended abdomen in cat

Richard Fox — Tue, 12 Apr 2011 16:41:11 GMT

I didn't say they were normal (I did say IF?) - It was to prompt the OP to check the globulins and if normal or not markedly elevated then FIP unlikely - tis all glutamic pyruvic transaminase (GPT)? Perhaps that is the globulin value - dunno?

Re: distended abdomen in cat

Alex Gough — Tue, 12 Apr 2011 16:26:03 GMT

Sorry to be thick but does GPT mean globulins? If not, I dont think it was stated that globs were normal.

alex

Re: distended abdomen in cat

Richard Fox — Tue, 12 Apr 2011 14:45:03 GMT

[quote user="alex gough"]

I know its unusual, but unusual things happen quite often in my experience.

[/quote]

Happens to me every day ,my epitaph shall be "never say never!". But if globs normal would be unusual for a florid immune complex disease. BTW Liverpool University offers FCoV immunochemistry on cytology samples of exudates/fluid. I don't have any experience of the in-house (presumed) Snap test?

We get our tissue biopsies, consistent with FIP, sent for IHC for FCoV - Macrophages containing FCoV antigen are diagnostic for FIP.

Re: distended abdomen in cat

Alex Gough — Tue, 12 Apr 2011 13:21:15 GMT

I know its unusual, but unusual things happen quite often in my experience, and you can get a FCoV titre of 0 in wet FIP. Also not sure what the sens/specificity of an in house kit for FIP is - anyone know?

Re: distended abdomen in cat

Richard Fox — Tue, 12 Apr 2011 12:59:09 GMT

TBH is CoV titre is normal and there is no hyper globulinemia than FIP pretty unlikely? Abdo effusions in cats have a varied aetiology and cytology is often non-diagnostic - have you performed cytology on the fluid to be sure?

Differential white cell count? is this a neutrophilia that would suggest an active inflamm focus - did the peritoneum look roughened or have any adhesions that would suggest a peritonitis? Pancreas OK?

Re: distended abdomen in cat

Alex Gough — Mon, 11 Apr 2011 16:23:24 GMT

Still could be FIP with a negative on a coronavirus titre if it is wet form. What did the fluid look like? Did you get a globulin level?

Heart disease is another cause of ascites - could this cat have a congenital cause of congestive heart failure?

Did you biopsy anything?

alex