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Title: A clinical report submitted in partial satisfaction of the requirement for the Degree of Doctor of Veterinary Medicine (DVM)
Authors: Akter Tonny, Nasrin
Keywords: Hyperbilirubinemia, Jaundice, Icterus, TTPHRC, Hartmann’s solution.
Issue Date: Nov-2022
Publisher: Chattogram Veterinary and Animal Sciences University Khulshi, Chattogram-4225, Bangladesh
Abstract: Jaundice, also known as icterus, is characterized by a yellow discoloration of the sclera, unpigmented skin, and visible mucous membranes that results from a high bilirubin level in the blood and tissues. It is a clinical manifestation, not a disease, of an underlying problem. The present study was therefore aimed at learning how to manage a jaundice patient, the preferred method of diagnosis, and the necessary treatment. The study would cover the etiology, clinical symptoms, and utilization of ancillary aids in the diagnosis of pathologies that cause jaundice in cats. A 10-month-old cat with intermittent pyrexia, anorexia, lethargy, and bloody urine was brought to the TTPHRC (Teaching and Training Pet Hospital and Research Center) in Dhaka. It also had a history of not getting deworming medicines for the previous 6 months. Elevations in two liver enzymes, SGPT (Serum Glutamic-Pyruvic Transaminase) and SGOT (Serum Glutamic-Oxaloacetic Transaminase), linked to hepatocellular damage or membrane leakage, were observed in the biochemistry profile, as was hyperbilirubinemia. An ultrasound examination and an x-ray revealed hepatomegaly, splenomegaly, and cystitis in the case of diagnostic imaging evaluation. Following the diagnosis of jaundice, 60 ml of Hartmann’s solution was administered intravenously to achieve rehydration. Again, the antibiotic amoxicillin trihydrate, an anti-hemorrhagic drug, and an anti-inflammatory drug had been used, and supportive care was also given. The entire course of treatment lasted seven days. However, the patient had died within 4 days of treatment.
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