Hey all,

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As promised, below is the written recommendations from UTCVM on Poppy and 
Grizzabella.? Thoughts?



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Subject: Current FeLV recommendations







Mr. Roberts, I apologize again for the delay.? Here are discharge instructions 
for "the girls".? Please let us know if we can be of any further assistance.? 
The format is a little skewed, but should still be readable.


Thank you!


emily


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TITLE: DISCHARGE INSTRUCTIONS 


DATE OF NOTE: SEP 22, [EMAIL PROTECTED]:49 ENTRY DATE: SEP 22, [EMAIL 
PROTECTED]:50:08 


AUTHOR: JAMES,TERI-LEE EXP COSIGNER: PURVIS,EMILY D 


URGENCY: STATUS: UNCOSIGNED 


(19-27-27) GRIZZABELLA 


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DR. TODD DOLEN


CREEKSIDE ANIMAL HOSPITAL


1209 HIGHWAY 68


SWEETWATER, TN 37874


FS 2002 SEL/PNT 


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DATE OF ADMISSION: SEP 11, [EMAIL PROTECTED]:45


DATE OF DISCHARGE: SEP 11, 2007


CLINICIAN(S): Emily Purvis DVM


STUDENT: Teri-Lee James, Senior Student


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===============================================================================


Diagnosis - Feline Leukemia Virus, positive ELISA adn IFA


Thank you for bringing Poppie and Grizzabella to UTCVM!


Poppie and Grizzabella were referred to UTCVM because they tested positive for 


FeLV at your referring veterinarian's office.


On physical exam both Poppie and Grizzabella appeared to be in good health and 


all of their physical parameters were within normal limits.


We took a blood sample from both cats and submitted them for an ELISA and an 
IFA 


test for FeLV. The ELISA test was initially positive at Dr. Dolen's office, but 


sometimes that can be false, so we retested. The ELISA tests for viral antigens 


circulating freely in the cats' bloodstream. The IFA test detects antigen 


present on infected blood cells and indicates bone marrow infection.


Both Poppie and Grizzabella tested positive on both tests, indicating that the 


virus has infected their bone marrow. Most cats that test positive on the IFA 


test remain persistently infected for life.


FeLV is transmitted from cat to cat via the oronasal route and by bite wounds. 


The virus replicates in lymphoid tissue and travels via infected cells to the 


spleen, thymus and to lymph nodes throughout the body as well as to the 
salivary 


glands. Eventually the bone marrow becomes infected, producing infected white 


blood cells and platelets. 


Many cats remain asymptomatic throughout life. Weight loss is the most common 


clinical sign, followed by fever, dehydration, rhinitis (nose infections), 


diarrhea, conjunctivitis (redness of the eyes) and oral infection. Infected 


cats may also develop bone marrow disorders, such as decreased red or white 


blood cell lines. FeLV infected cats also are at a higher risk developing 


lymphoma (cancer) and secondary infections due to immune suppression. 


Treatment for FeLV may include immune-modulating and antiviral medications. 


However, these treatments have not been shown to be particularly effective in 


many cases, particularly if cats are not showing clinical signs associated with 


the disease. 


CARE REQUIRED:


At this time we recommend that Poppie and Grizzabella have a complete blood 


count, blood chemistry with electrolytes, and urinalysis performed as a 
baseline 


evaluation. This can be done at your referring veterinarian's office or at 


UTCVM. Depending on the results of these tests additional diagnostic work may 


be indicated, including urine culture, thoracic and abdominal radiographs 
and/or 


abdominal ultrasound.


Poppie and Grizzabella should continue to have annual physicals and semi-annual 


labwork performed. Often times, changes on the labwork precede actual illness, 


so frequent monitoring can sometimes catch a problem early. If they have any 


abnormalities in their bloodwork or other diagnostic tests now or at some time 


in the future it may be appropriate to start one of the immune modulating 


medications that is available.


Thank you again for entrusting us with the care of your beloved pets. If you 


have any further questions of concerns please do not hesitate to call.





Emily?Purvis DVM

University?of?Tennessee

Veterinary?Teaching?Hospital

Small?Animal?Intern


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