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Species: Cat Breed: american shorthair Age: 2-5 years
my 4yr old cat had a puncture wound to the abdomen. 2 vets evaluated him. Gave him clavamox 1ml 2xs a day and butorphnol 1mg, 2-3xs a day. Started meds for two days then took him for a 3rd consult for surgery due to the price. 3rd consult did his bloodwork and said he was fine just that he had a heart murmor. 3 days into when th wound occurred they did surgry. Surgery went fine they prescribed the exact ml and medicine noted above. A day and a half later my cat couldn't stand. I took him back they said he was in shock. I had to put him down. I asked for his medical records and it shows that his WBC was high at 17.6, his MCHC were low at 28.7 and his platlets were low 110. This bloodwork was prior to surgery. Should the vet have done the surgery knowing he had an obvious infection??? The other two consults gave him Clavamox just in case he had an infection and said the surgery could wait a week or so, that it wasn't vital if they bandaged him up.
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Dr. Marie replied:
Oh, I am sorry to hear that you had to put Midnight down after this difficult experience.
From what you have told me, it sounds like the vets did everything right. The increase in white blood cells is minor and this increase would be expected with any type of inflammation. A low MCHC is not significant unless there is significant anemia (low red blood cell count).
The platelet count of 110 is only slightly lower than normal. We will commonly see a slightly low platelet count if there is a small blood clot in the sample when it is taken, which happens commonly.
Given this bloodwork and a cat with an infected wound I would have no hesitation in going ahead with surgery.
It's hard to say why Midnight went in to shock. It may be that the puncture had caused a serious infection inside his abdomen.
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Dr. Marie is a veterinarian who practices in a busy animal hospital in Ottawa, Ontario. She created Ask A Vet Question as a resource for good, accurate veterinary advice online. Dr. Marie treats dogs, cats, hamsters, guinea pigs, and rats. She has been a vet since 1999.
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