I have a new patient that came in with a dx of CLL. Emma is an 11 yo female spayed DSH. She is both FIV and FeLV neg. She was seen initially at the conventional vet for limb pain and swelling. Blood work showed increased WBC due mainly to lymps at around 29K. She was dx last month with immunophenotypeing with CLL.
Current BW
LYM- 36K
MONO - 5.8 K
O reports waxing/waning limb swelling on different limbs. Patient will limp on the effected limb during these events.
On PE she was very bright and alert. Pulse was thin/def.
Her tongue was pale pink, fairly normal kittle tongue. BCS is 5/9. She has had no weight loss/v/d.
O reports appetite is ok. In the past she has been a voracious eater. Stools are normal.
No other health problems in the past save for one possible seizure event 5 years ago.
She appears to have some heat seeking behavior, likes to lie in the sun and on the couch.
She is on a good, high quality commercial diet. Her owner tried a home cooked diet but she wound not eat this or a commercial raw diet. O is going to try making a raw diet at home.
The kitty is not on any meds at this time.
Any thoughts on herbs for this kitty?? She has some signs of damp in the past I think with the increased appetite? He pulse seems a bit efficient, but she was really wiggly during that part of the exam.
I did speak with an oncologist at Idexx. She couldn't think of any reason for the limb pain/edema as LN appear WNL. She did recommend check rads and an abdominal ultrasound.
Any and all thoughts/advise would be so appreciated! I will hopefully see you this summer in Vermont!!
Thanks
Delia