Case 8

At Misou's recheck the next week, her owners report that her tube feedings are going well, and she has not vomited. She has even nibbled a little food on her own. She has gained 0.5 lb since being discharged from the hospital.

Here are the results of her recheck CBC and serum chemistry profile:

CBC

Patient values

Reference range

WBC (/µl)

12,500

3,500-16,000

-Neutrophils (/µl)

9,600

2,500-8,500

-Monocytes (/µl)

900

0-600

-Lymphocytes (/µl)

1,700

1,200-8,000

-Eosinophils (/µl)

1,300

0-1,000

Hct (%)

32

29-48

Hgb (g/dl)

10.1

9.3-15.9

RBC morphology

Normal

Platelets (/µl)

200,000

200,000-500,000

Serum chemistry profile

Patient values

Reference range

BUN (mg/dl)

25

14-36

Creatinine (mg/dl)

1.2

0.6-2.4

Phosphorus (mg/dl)

4.6

2.4-8.2

ALP (IU/L)

120

6-102

ALT (IU/L)

75

10-100

GGT (IU/L)

1

1-10

Total bilirubin (mg/dl)

0.5

0.1-0.4

Glucose (mg/dl)

178

64-170

Sodium (mEq/L)

147

145-158

Potassium (mEq/L)

5

3.4-5.6

Triglycerides (mg/dl)

155

25-160

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