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]