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Old 05-20-2010, 06:17 AM   #263
ladyjane
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Location: Texas
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Quote:
Originally Posted by ally173 View Post
i wanted to share this just in case someone might see something that her vet missed; thanks much

Biopsy results:
Microscopic description: the endoscopic biopsies of the gastric mucosa contain no visible microscopic lesion. The endoscopic biopsies of the duodenal mucosa contain diffuse infiltrates of lymphocytes and plasma cells throughout the lamina propria of the intestinal villi. The villi are somewhat thicker than normal and blunted as a consequence of the inflammatory infiltrates. The surface epithelium of the villi is intact and there is no evidence of erosion, ulceration or neoplasia. The microscopic findings in the small intestinal mucosa are consistent with a moderately severe, diffuse lymphoplasmacystic enteritis, i.e. chronic, idiopathic, IBD.

Microscopic interpretation: 1- gastric mucosa: No visible microscopic lesion
2- Duodenal mucosa: moderately severe, diffuse chronic, idiopathic IBD

Her recent blood tests done in March 2010; let me know if you need to know any other result

Abnormalities
Test result ref range
HGB 19.7 (12-18 g/dl) high
HCT 55.4 (37-55%) high
Neutrophil seg 56 (60-77%) low
Lymphocytes 40 (12-30) high
Eosinophil 1 (2-10%) low
Absolute Eosinophil 84 (100-1250/ul) low
Monocytes 3 (3-40%) borderline

GI panel: normal
Trypsin- like immunoreact 25 (5-35ug/l)
Folate 13.4 (4.8-19 ug/l)
Cobalamin (b12) 558 (284-836 ug/l)
Spec cPL 166 (=<200ug/l)
I do not see how anyone could read and interpret these results. This is something that should be done by a vet imho...and certainly not in a bubble. It takes so much more to diagnose a pup than that!

Honestly, if you are uncomfortable with your vet's diagnosis and planned course of treatment, a consult with a board certified internal med specialist would be the next step imho.

I am also going to suggest again that you have your vet do a consult with a vet nutritionist. That is not an expensive thing to do and would be logical in my opinon; because not only would you be getting some guidance on what to feed, but it would be like another opinion from a vet!
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