Severe anaemia, appears regenerative but reticulocyte
count is advisable for verification of regenerative response.
Blood
transfusion may well be indicated depending on clinical signs.
Left
shift neutrophilia is suggestive of inflammation or infection.
The
presence of a few circulating mast cells is very non-specific and can be
seen normally, but can also occur with mast cell tumours, allergy/hypersensitivity
responses and parasitism.
Severe
hypoalbuminemia could be caused by renal (e.g. amyloidosis, glomerulone-
phropathy) or GI losses (e.g. IBD, lymphangiectasia, lymphoma)
and reduced hepatic production.
In
view of the history and concurrent anaemia, GI haemorrhage is perhaps the
most likely cause of panhypoproteinemia in this case.
The
change in calcium and phosphate commonly occur as artefacts.
Uraemia
may be pre-renal with creatinine at this level, and measurement of USG should
assist further interpretation.
Marked
increase in ALT could be caused by extra-hepatic disease, although at this
level primary hepatic pathology is more probable.
Marked
elevation in CK could be due to the exertion associated with severe vomiting.
If
rodenticide ingestion is suspected then suggest checking clotting times
(APTT & PT).
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