Louie is 14yr MN DSH. Presented to reg vet 7/6/09 for wt loss and ravenous appetite, but would not eat.
Labs: TT4 13.1, WBC 1.5, HCT 27, Platelets 71, K+ 3.7, TBili 0.6.
He had tested positive for FIV 5-6 yrs ago, but not retested recently, no symptoms.
They started methimazole at 2.5 mg BID, he received depomedrol and amoxi while labs pending. Started eating better.
At recheck on 8/3/09: TT4 13.1, HCT 32, WBC 1.5 platelets 51, K+3.7 TBili 0.2.
His methimazole was increased to 5 mg BID.
He continued to be somewhat interested if can opened, but unable/unwilling to eat much. I saw him shortly after that.
T= pale, wet tongue (was eating treats, so wet part not totally reliable)
P=thin and wiry.
Active pts: BL22S best, BL 18, BL20S, GB27.
Had some hx of disc pain, Spleen issues, UTI with stress, FBH. Stools good, occasionally dry. He was a little full feeling in middle jiao.
Started B12, San Ren Tang (worked great in last hyperthyroid cat) XCHT+QJ. He improved for a week, now quite lethargic past couple of days. Sent him back for labwork yesterday:
TT4 10.9
WBC 0.6
HCT 17
Platelets 33
K+ 3.5
Stopped methimazole -
I was a little afraid to tonify pathogen if FIV is starting to become active, but thinking now Bu Gan Tang or BZYQT? I do think the steroid injection helped for a while.
Thanks for your thoughts,
Marnee