Hooo-Hooo Hooo-Hooo Vol. 13 Issue 01 - Page 8

WildLife Group of the SAVA Table 01: VENOUS SAMPLE Patient ID: Caracal ACID / BASE 37.0° C pH 7.245 mmHg pCO 2 39.6 mmHg pO 2 78.0 mmol / L HCO 3 act 16.8 mmol / L HCO std 16.5 mmol / L BE(B) -9.8 mmol / L BE(ecf) -10.5 mmol / L 3 ctCO 2 mmol / L CO-OXIMETRY HcT 26 % tHb 8.8 g / dL OXYGEN STATUS 37.0° C O 2 SAT 93.5 % CORRECTED 37.0° C pH(T) 7.245 pCO 2 (T) 39.6 mmHg pO 2 (T) 78.0 mmHg Na + 141.4 mmol / L K 3.61 mmol / L ELECTROLYTES + Ca 1.31 mmol / L Ca ++ (7.4) 1.23 mmol / L Cl - 117 mmol / L AnGap 11.2 mmol / L Lac 2.29 mmol / L Temperature 37.0° C pAtm 658 mmHg F 1 O 2 21.0 % + uL x 10^12/L and a total nucleated cell count of 74300 cells/uL. Further analysis of this highly cellular fluid, revealed septic neutrophilic inflammation with mixed bacterial population, including free coccoid-like, rod-like and filamentous bacteria noted to be free and phagocytosed in neutrophils and macrophages. The presence of foreign material was likely due to gastrointestinal tract leakage. There were abnormally high numbers of squamous cells, which originated from the oral cavity. These cells could be differentiated from skin contamination, as they were non-keratinized and still contained nuclei. After the ultrasound, the caracal was re-anaesthetized and taken to theater for abdominal lavage and reassessment. Intra operatively, the abdomen was found to be full of a whitish coloured fluid, with milk remnants left within the stomach. Three, minute perforations were found on the lesser curvature of the stomach, which were visually imperceptible but located by squeezing the stomach and observing the leakage of milk (Fig 6). After these perforations were closed, no further leakage was noted. Post-operative treatment included: Cefazolin, Flagyl, Termgesic, Ulsanic (0.5 g/PO before feeding) and Omeprazol (12 ml bolus IV and then 0,5 ml/hour) to assist in gastric protection and healing. After the second surgery, Milo was transferred onto tinned Hills AD food and kitten pellets for about 2 weeks. His food was progressively increased, according to his body weight and slowly moved to a more natural diet. After 6 weeks, Milo was well, but developed a 3 cm hernia at the surgical site (Fig 7). This was surgically corrected, without any further complications. METABOLITES Figure 5 8