猫猫耳朵,嘴巴,鼻子,后脚爪发紫,怀疑渗血

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患宠信息:布偶猫/弟弟/2岁1个月

咨询描述:症状描述:耳朵,嘴巴,鼻子,后脚爪发紫,怀疑渗血 患病时长:第一次发现是耳朵估计有半个月了,但是没太在意以为是猫挠的,今天发现鼻子嘴巴这里已经紫了 医院检查:报告显示怀疑血栓,但是猫后腿很有劲摸着也不凉,呼吸不急促,精神状态也不是特别不活泼,抱他出来检查的时候挣扎幅度很大。 用药情况:因为地方小没法做心超但是怀疑血栓又没发确定就给开了点维c 然后他5天前检查出了杯状,又在打干扰素治疗 布偶猫2岁,未绝育

问题大致一样,细节不同?

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曹元钊

执业兽医师

您好,根据您所描述的信息,首先这个猫的白细胞非常高,其中高的主要是中性粒细胞,一般倾向于细菌感染或者是有非常明显的免疫反应亢进。第二,这个猫浑身的这种发紫病灶的现象,我会有点怀疑是紫癜。3这个猫的血小板偏低,有可能只是正常的现象,但是也有可能是它出现了局部的血小板聚集 但是这个猫的凝血酶原的时间是降低的,就是说它起码没有出现延长凝血功能障碍。 从这个角度来说,我倾向于给这个猫咪提供抗生素抗炎药物,对症治疗,观察反应。

这几天有给他吃****,差不多有五天了但是症状反而更明显了,当地医院说仪器可能有问题可能把血小板识别成别的东西了

曹元钊

执业兽医师

这样吧,您在用户端申请开药。我提供个对症治疗的方案给您,至于说把血小板识别成其他东西,这种确实有可能,比如说血小板聚集,然后识别成了其他的一些细胞,但是这个解释不了紫癜的现象。所以我还是倾向于他,应该是一个免疫反应异常

曹元钊

执业兽医师

处方是不要钱的

曹元钊

执业兽医师

处方如下,****一天一次,一次20毫克,口服14天,**一天两次,每次一片,口服14天,******一天两次每次一片,口服14天,这三个药结合治疗14天左右,或者说10天以后需要复诊一下,是因为需要调整药物

嗯我买到了先给他吃上了,刚才去医院又查了一遍报告结果几乎没啥变化,那边医生说几乎没有凝血能力了,在那边打了止血针还有维生素k2先观察着

曹元钊

执业兽医师

您先按照我说的吃吃药看看,7天之后复查。

医生建议及处方根据当前病情给出,仅适用于本次问诊

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猫咪因呕吐2023年12月18号到2024年1月13号在医院进行治疗,其间一直诊断不明,一开始血常规中性偏高一点,c反应不高,打消炎止吐不好,怀疑梗阻,开腹手术无异常,后淀粉酶高,但特异性fPl一直正常,按胰腺炎治疗5天,查c反应蛋白很高,换抗生素恩替**3天后查血正常,没有呕吐,回家后一直喂**适中能量胃肠道处方粮,近几天发现猫咪好像饿得很快,量上面就多喂了一些,不知道是不是这个原因,今天下午大约3点猫咪又呕吐了,呕吐的有未消化的食物也有液体,但精神还可以,一直在找吃的,因为担心怕它再呕吐,到了晚上9点过才喂少量的**粮,结果11点过又吐了

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