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Subject:
From:
Sukie Crandall <[log in to unmask]>
Date:
Mon, 25 Feb 2002 23:02:59 -0500
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Certainly looks neurologic - the two items that are of interest in the
bloodwork are the elevated white count - anything over 10,000 indicates
inflammation, and the really low albumin (probably need to recheck that
level.
 
Inflammation within the skull, such as bacterial meningitis rarely
registers as a very high white count, and this 10,000+ is well within
the realm of possibilities.
 
You mention some abdominal swelling - if the albumin is truly less than
one (would be really rare - never seen one that low) then the swelling
in the abdomen is probably low-protein ascites.  When the protein in the
blood gets extremely low (such as <1.0) the serum actually migrates out
of the blood vessels.  In such cases, you will have swelling all over the
body - starting in the abdomen, but also in the distal extremities, and
the underside of the body (due to gravity).
 
While edema around the body might explain some of these symptoms (the
brain, with a lack of lymphatics to remove edema fluid, handles any edema
very poorly), I would rerun that albumin first and foremost, to confirm
this very marked abnormality.
 
With kindest regards,
Bruce Williams, DVM
[Posted in FML issue 3705]

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