Diagnosis and discussion of foreign body in intestinal tract of a cat
1. Basic information
Name: Lion
Gender: Female (sterilized)
Age: 1 year
Source: Domestic food: Craving cat food and wet food
Food environment: Raised separately at home
2. Medical history
1. Medical history: Herpes, cup-shaped, coronavirus nucleic acid positive, prone to sneezing and runny nose during season change.
2. Immunity and deworming: Complete immunity. I Walker and deworm it once every three months.
3. Last night, there was a hairball in the vomit, and then I vomited white foam. I vomited about ten times in one night. Poor mental state and no appetite. Feeding probiotics at home has no effect!
III. Physical examination
Mental status: poor mental status;
Weight: 3.4kg; Physical status: BCS 5/9
Body temperature: 38.2℃;
Oral mucosa: pink, moist, CRT less than 2s; Hydration degree: OK, no obvious dehydration
Heart rate: 180 beats/min No heart noise; Pulse: normal; breathing: 40 beats/min; Abdominal palpation: no obvious clumps were palpated
IV. Problem list
Vomiting, poor mentality
V. Differential diagnosis 6. Diagnostic plan (including results interpretation)
1. Blood routine
2. SAA
3. FPL
4. Abdominal ultrasound
effusion in the stomach, and local small-scale effusion. No abnormalities were found in pancreatic ultrasound.
7. Preliminary diagnosis
1. Pancreatitis; 2. Gastroenteritis
8. Treatment plan
1. Infusion supplement body fluids, broad-spectrum antibiotic treatment.
The mental state improved slightly on the first day after treatment, but the food was still not collected. On the third night, I still vomited at home and didn’t eat, and was in poor mental state. Hen squats.
2023.1.15 reviewed B-ultrasound, with a large amount of effusion in the stomach, dilation of the small intestine segment, local soft tissues around the small intestine segment increased echoes, and slow peristalsis in the small intestine segment; after informing the relevant risks, barium meal angiography was performed, and intestinal peristalsis was used. I took X-rays the next afternoon and X-rays the next morning.