Clinical easily confused with cats trisomy inflammatory diseases malta park pet supplies are: cat v

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2 different causes of cat and dog anatomy (Figure 1): 1 cat main pancreatic duct of the pancreas and duodenum in an opening in the mastoid (bile duct sphincter) before it has first entered the bile ducts. Vice duct 2 about 80%, or the disappearance of a small cat. Accordingly, malta park pet supplies pancreas, duodenum, a "close" position and the mutual relationship constraints, one problem is easy to spread organ other two organs, organs of the same disease causing three, between the performance of various complex symptoms duct . For example: cat inflammatory bowel disease causes swelling and inflammation of the bile duct openings, while inflammation is passed up to the bile duct and pancreatic duct, on the other hand will result in the loss of biliary sphincter malta park pet supplies function and bile blockage, which in turn activates pancreatic duct bile reflux to causing pancreatitis; or cholangitis caused by bile duct blockage, caused by biliary bile reflux hepatitis and pancreatitis; pancreatitis serious time and cause local inflammation and intestinal bile duct cholangitis and cause hepatitis.
Cats cholangitis / biliary liver hepatitis standardization group was divided into three categories WSAVA: acute neutrophilic cholangitis (acute purulent, cat rare), chronic neutrophilic cholangitis (chronic suppurative), lymphocytes - plasma cells of the bile duct inflammation (immune-mediated). Its diagnosis and classification also need to organize diagnostic pathology. Laboratory examination showed hyperbilirubinemia, ALT, ALKP same level rises, the increasing level of ALT greater than or elevated degree ALKP, but also increased GGT. Other tests such as bilirubin in urine, complete blood count increased malta park pet supplies neutrophils. The final diagnosis and classification is also dependent on the diagnostic histopathology.
Laboratory malta park pet supplies diagnosis of pancreatitis malta park pet supplies in dogs cats not having specificity (e.g., a sharp increase in the dog lipase and amylase), and changes the cat amylase lipase as a measure of renal function is generally not used in cats and pancreatitis, and high visible Indexes cholesterol, high blood sugar, hypocalcemia, hypokalemia, etc., but not a specific target. Other tests such as complete blood count or anemia seen a slight increase in white blood cells. Imaging studies also have diagnostic significance only in severe pancreatitis, and pancreatic tumors can not be distinguished, pseudo cyst. U.S. Aide Shi cat developed pancreatic lipase immunoreactivity (fPLI) test is by far the sensitivity (79%) and specificity (80%) the highest inspection methods, Figure 2.
The third step, intestinal function malta park pet supplies tests, TLI, fPLI testing. Such as serum folate, VB12 and bile acids means lower intestinal bacterial overgrowth or the existence malta park pet supplies of inflammatory bowel disease. Meanwhile serum tryptase immunoreactivity (TLI) examination can determine whether exocrine pancreatic insufficiency (EPI), but not for the diagnosis of pancreatitis. fPLI detector for determining whether the presence of pancreatitis.
Clinical easily confused with cats trisomy inflammatory diseases malta park pet supplies are: cat virus (feline leukemia, feline immunodeficiency disease and Feline infectious peritonitis), cats fatty liver and tumors. Identification of viral diseases: feline leukemia (FeLV), feline malta park pet supplies immunodeficiency disease (FIV) in a mature market malta park pet supplies investigation kit as IDEXX SNAP FIV / FeLV Combo Test. The identification of Feline infectious peritonitis (FIP) is the more difficult, but can be from the following identification: FIP occurs mostly in young cats, but the majority of the three-body inflammation occurs in older cats; ascites incidence of FIP than the three-body inflammation much higher, and the typical; FIP ascites cytology large number of macrophages; FIP peritoneal nodules / lumps was sporadic, and not limited to the front abdomen; FIP serum globulin, decreased white ball; FIP has changes and neurological symptoms of the eye; FIP often hyperbilirubinemia but liver enzyme activity was normal. Identification of fatty liver cat: cat fatty liver also is a three-body inflammatory complication cat, but the cat on a simple fatty liver, the initial increase in white blood cells is not obvious; severity ALKP elevated ALT is much larger than ; GGT normal or only slightly elevated; B super display lesion characteristics and also different from the three-body organ inflammation.
6.1.1 Antibiotics: Antibiotics cat trisomy malta park pet supplies inflammation is not necessary to use because of inflammatory bowel disease, chronic cholangitis, pancreatitis main reason is not a bacterial infection, acute suppurative cholangitis may consider the use of sensitive antibiotics (bile culture and susceptibility testing), such as amoxicillin, cephalexin, quinolones. Metronidazole is preferred malta park pet supplies anaerobes, metronidazole only has anti-anaerobic effect, as well as immunomodulatory effects, even inflammatory bowel disease is also recommended, cat dose 7.5 mg / kg PO q8-12h. Acute suppurative cholangitis may be used in conjunction with antibiotics 3-6 months. malta park pet supplies Antibiotics should not be toxic to the liver to be used, such as chloramphenicol, clindamycin, erythromycin, lincomycin, hetacillin, streptomycin, sulfonamides, tetracyclines.
6.2.2 Nutrition Management: cat trisomy chronic inflammation in general malta park pet supplies are loss of appetite, when treatment often have weight loss, poor nutritional status, as fast as the dogs do not recommend treatment of pancreatitis and inflammation associated with trisomy most cats Cat fatty liver How to block the cat as soon as the process of fatty liver is also a priority, high-quality protein, high-energy, high-electrolytes, low-fat malta park pet supplies foods are recommended for initial treatment, if there is hepatic encephalopathy should reduce the amount of food protein. Jejunal feeding tube feeding can be taken or gastric feeding tube (without vomiting) be gavage. malta park pet supplies If the presence of inflammatory bowel disease, post management can use to maintain a low strain prescription foods.
Cats trisomy chronic inflammation is such a multi-organ disease, primarily in older age of onset, the symptoms varied with the diagnosis of a variety of means need be, a lot of positive test results to prove the diagnosis, but a negative result can not exclude the diagnosis . Diagnosis and treatment of a long time to go through the diagnostic process is basically a process malta park pet supplies of elimination of other disorders, the final gold standard histopathological diagnosis. Disease prognosis and treatment of many variables, including cats fatty liver complications, diabetes, cirrhosis malta park pet supplies of the liver, malta park pet supplies blood clotting disorders. The disease often requires lifelong malta park pet supplies maintenance malta park pet supplies and treatment, cat owners meticulous observation and meticulous malta park pet supplies care for its maintenance and timely treatment is important.
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