Presenting Complaints Blind and progressive vestibular disease - presenting to the Neurology Service Pertinent History Mickey is presented to the VMTH with a 2-month history of progressive vestibular dysfunction and loss of vision OU. The owner first noticed him being clumsy when jumping on and off obstacles. Four to six weeks ago, he became gradually more unstable on his front limbs and would bunny hop when attempting to climb stairs. Three weeks ago the referring veterinarian noticed cataracts OU and he remarked that this cat came from a known litter of amyloid sufferers. Thoracic radiographs revealed slight cardiomegaly. Mickey has mydriasis and limited vision OU. A urinalysis showed +++ protein. T4 was normal at 1.4. Hematocrit was high at 48%. Albumin was mildly elevated at 3.95g/dl, BUN was high at 39.5mg/dl, and glucose was high at 224.4mg/dl (possibly stress induced). Rest of blood work was unremarkable. Today, Mickey is initially circling a lot, predominantly to the right; he loses his balance occasionally and falls to the right as well. He will also fall on his left side occasionally. He is very curious yet cautious, and he turns his head from side to side constantly. Mickey eats baked chicken breast, chicken baby food, and Iams dry food. He is a finicky eater. Physical Examination BARH, nervous, cautious. BCS: 5/9. T=101.0, P=244, R=32. INTEGUMENT: NSF EENT: Eyes - mydriasis OU; poor to unresponsive pupillary light responses (PLRs) both direct and consensual bilaterally; mucoid discharge OU; Mouth - moderate dental calculus MUSCULOSKELETAL: lean musculature, no atrophy CV: no murmur ausculted at this point, a soft gallop rhythm was noted. Mms pink; CRT
Posted on: Thu, 10 Jul 2014 09:56:52 +0000
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