5-5 Leroy in hospital, p-itis

S

SqueeM3

Member
Long story short, Leroy went to the ER yesterday morning for p-itis and will be staying another night there because he keeps vomiting even with ant-nausea med (injectable Cerenia):confused: He was moved from the ER to IM today. Our regular vet has been in contact with the ER and the IM vet (a resident fresh out of vet school) who is covering the case. Today is actually his day off but I guess he likes to be kept up to date on his clients. FPLI result was off the chart again. Ultrasound today didn't show much other than an inflamed pancreas. Nothing new to note on the blood work.

I'm just a worrywort here 🫣 While it's nice to get a break from cleaning up pee and poop and hearing random yowling, I want Leroy home. Civvie is enjoying a break from Leroy's craziness.

Leroy could use some vines from his friends 😸
 
Thanks, Tim!

Rats are enjoying sofa time without a big scary thing looking at them😄 Crumbis saw the vet on Saturday for her resp infection. She's on meds for that now. I basically spent most of the weekend at the vet hospital 🤪
 
SqueeM3 said:
Picture I was sent last night:


View attachment 7

He's only wearing the cone because it makes him somewhat easier to handle.

The vet's secretary is going to get an update on him for me. Our vet isn't in today (he works 3 days a week now) but his vet tech will visit with Leroy. I'm hoping he can come home today 🤞

All the vines are appreciated!
Click to expand...
I don't think I have seen a picture of Leroy before. He's so beautiful, but looks scared, poor little man.
Hoping for improvement and a return to home for him today.
Is it his first time with pancreatitis?
 
No, he's had p-itis a few times before. The last one was last month but I was able to head it off with Cerenia. He recovered after a day.

Latest update:

Leroy vomited once last night but then ate again and kept it down, and has done well with his breakfast today. He is blepharospastic/anisocoric this am (his pupils are different sizes), so they are planning to stain the eye after rounds. Otherwise he looks good today, is well-hydrated, his abdomen is more comfortable. They have stopped his methadone, will decrease his fluids, and plan to send home this afternoon if all is well with supportive care +/- a drop for the eye if needed. Dr said she’d call you next but any questions I can pass along to her let me know.
 
SqueeM3 said:
Picture I was sent last night:


View attachment 7

He's only wearing the cone because it makes him somewhat easier to handle.

The vet's secretary is going to get an update on him for me. Our vet isn't in today (he works 3 days a week now) but his vet tech will visit with Leroy. I'm hoping he can come home today 🤞

All the vines are appreciated!
Click to expand...
What a handsome little guy. Sending more healing vines your way 🙏 ✨ 💞
 
SqueeM3 said:
Leroy can come home tonight 🎉 He'll be sent home with Cerenia and an eye ointment. He has a minor corneal ulcer 😕 No bupe for future use but I'll ask my regular vet tomorrow for that.
Click to expand...
Sooo happy Leroy can come home tonight!!! Definitely try to get hype from regular vet.
Seems to be the difference they all need for pain.

He’s had a tough few days and will be so happy to be home. We are sending tons of healing vines for Leroy ❤️‍🩹❤️‍🩹❤️‍🩹
 
Just talked to the secretary. She's going to talk with Leroy's regular vet about the bupe when he calls for his next check in thisafternoon. I know he'll be fine with it. I didn't feel comfortable asking the vet on Leroy's case since she isn't familiar with us and asking for bupe might raise red flags 😶 Oh, Leroy will be getting Zofran just in case. If Cerenia doesn't work, maybe Zofran will.
 
Wishing Leroy a speedy recovery. I'm glad he's coming home tonight, you must be so relieved. He's so so handsome btw!! Beautiful boy. Do they recommend anything for recurring p-itis? Is that a dumb question?
 
No, it's just manage the symptoms as they occur :(

Ultrasound results:

Abdominal Ultrasound
Comparison Study: 6/27/2024
Liver/Gallbladder: The liver is normal in size remains diffusely moderately hyperechoic. No discrete nodules or
masses are seen. The gallbladder is normal in size with a mildly thick wall and contains a small amount of
echogenic sediment. The common bile duct is normal in size (2.8 mm) with no obstructive lesions seen. The
duodenal papilla is normal. No intrahepatic bile duct enlargement is seen.
Spleen: Normal size, with smooth margins and a few small hyperechoic foci. No discrete nodules or masses
identified.
L Kidney: Normal in size (3.8 cm) with normal corticomedullary definition. No renal pyelectasia or central
mineralization is detected. A few small hyperechoic foci are seen within the cortices.
R Kidney: Normal in size (3.6 cm) with normal corticomedullary definition. Minimal mineral is present at the
caudal pole. No renal pyelectasia is detected.
L Adrenal: Normal thickness (2.2 mm) and echogenicity with no evidence of discrete nodules.
R Adrenal: Normal thickness (2.5 mm) and echogenicity with no evidence of discrete nodules.
Urinary Bladder: Normal in appearance. No evidence of wall thickening or mineral sediment/calculi.
GI Tract: All visible segments of the gastrointestinal tract (stomach, duodenum, jejunum, ileocecal junction,
colon) have normal size with normal wall thickness and layering. The duodenum adjacent to the right limb of
the pancreas is mildly corrugated.
Pancreas: The left limb of the pancreas is normal in thickness and echogenicity. At the junction of the body and
right limb, a few small hypoechoic nodules are detected (up to 7.5 mm compared to 5.6 mm previously). The
right limb of the pancreas has a mildly heterogeneous echogenicity.
Lymph Nodes: All observable lymph nodes are normal in thickness and echogenicity with no evidence
hyperechoic perinodal fat.
Peritoneal Cavity: The mesentery around the right limb of the pancreas is mildly hyperechoic. No free fluid is
detected.

Conclusion
________________________________________________________________________________________
1. Unchanged, diffuse hepatopathy. Most likely differential diagnosis include vacuolar hepatopathy from
reported diabetes mellitus; however, other concurrent hepatopathies (eg chronic hepatitis, hepatic lipidosis) is
possible.
2. Few small splenic and renal cortical hyperechoic foci that are considered incidental and seen with
endocrinopathies.
3. Mild right-sided pancreatitis with associated duodenitis. Similar to minimally progressive, few small
pancreatic nodules/cysts.
4. Mildly thick gallbladder wall with mild intraluminal sediment. Primary differential diagnosis is cholecystitis

FPLI test result is 21.5😬 Normal range is 0 to 3.5 ng/ml.

BG of 45 yesterday, looks like roughly +6ish 😮

Off to get Leroy now. Would have gotten him a little earlier but civvie needed dinner and so did I and Crumbis needed her meds. Vet added bupe to the list of take home meds.
 
You must log in or register to reply here.
Back
Top