Document 1

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9180
Lab No. Specimen Type Clinician Student Date Ordered Date Accepted : : : : : :
9/11/2006 6:23:29 PM - mcs 9/11/2006 6:42:59 PM - tw 07000430 EDTA John August

Hematology
Clinical Pathology 05/28/2007

#168272 Kaibab, Patient #1 Tom Gregory Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Source/Description: blood Comments: Major Diagnosis:
wt loss

Panel Name
CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated) CBC W/Platelets (Automated)

Test Name
WBC Red Blood Cell Count Hemoglobin Packed Cell Volume Mean Corpuscular Volume Mean Corpuscular Hemoglobin Concentration Plasma Protein Fibrinogen (heat precipitation) Platelet Count (Automated) Segmented Neutrophils Absolute Neutrophil Band Absolute Bands Metamylocyte Absolute Metamylocyte Lymphocytes Absolute Lymphocyte Monocytes Absolute Monocyte Eosinophil Absolute Eosinophil Basophil Absolute Basophil Other Absolute Other NRBC Reticulocyte

Result
16.1 6.46 10.5 29.8 46.1 35.1 6.2

Flag

Reference
5.5 - 19.5 5.00 - 10.00 8.0 - 15.0 24.0 - 45.0 39.0 - 55.0

Unit
ul M/ul g/dl % fl. g/dl TS-g/dl mg/dl

31.0 - 35.0 6-8

clumped 61 9821

300000 - 800000 35 - 75 2500 - 12500 0-3 0 - 300

/ul %

15 2415 4 644 20 3220

20 - 55 1500 - 7000 1-4 0 - 850

H H

2 - 12 0 - 1500

<0.2

0.2 - 1.6

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Document 1

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9180
Lab No. Specimen Type Clinician Student Date Ordered Date Accepted : : : : : :
9/11/2006 6:23:29 PM - mcs 9/11/2006 6:42:59 PM - tw 07000430 EDTA John August

Hematology
Clinical Pathology 05/28/2007

Patient #1 Tom Gregory #168272 Kaibab,

Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Source/Description: blood Comments: Major Diagnosis:
wt loss

Panel Name
RBC Morphology Platelets Sample Notations - Integrity of Sample Neutrophil Morphology

Interpretation Name
Poikilocytosis Estimated Count Disclaimer: Sample <1/2 full, excess EDTA can result in decreased MCV and increased MCHC. Normal

Result
1+ appear adeq

Technologist Report:

Technologist: M Catherine Samway

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Document 2

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9180
Lab No. Specimen Type Clinician Student Date Ordered Date Accepted : : : : : :
9/11/2006 5:10:40 PM - mcs 9/11/2006 5:13:39 PM - mcs 07000430 Li Hep John August

Chemistry
Clinical Pathology 05/28/2007

#168272 Kaibab, Patient #1 Tom Gregory Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Source/Description: blood Comments: Major Diagnosis:
wt loss

Panel Name
Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes Panel-Small W/Lytes

Test Name
Glucose Cholesterol Blood Urea Nitrogen Creatinine Magnesium Calcium Phosphorus Total Protein Albumin Globulin Alanine Aminotransferase Alkaline Phosphatase Gamma Glutamyltransferase Total Bilirubin Sodium Potassium Chloride Enzymatic Carbon Dioxide Anion Gap (Calculated)

Result
86. 106. 29. 1.9 2.0 9.4 5.9 6.2 2.4 3.8 20. 35. <5. <.1 149. 4.3 124. 13. 17.

Flag

Reference
65 - 131 56 - 161 19 - 33

Unit
mg/dl mg/dl mg/dl mg/dl mg/dl mg/dl mg/dl g/dl g/dl g/dl U/L U/L U/L mg/dl mmol/L mmol/L mmol/L mmol/L mmol/L

.8 - 1.8 1.7 - 2.3 8.4 - 11.8 3.8 - 7.5 6.1 - 7.7

2.5 - 3.3 2.3 - 3.8

26 - 84 20 - 109 0 - 12 0 - .6 144 - 155 3.5 - 5.1

H L

113 - 123 19 - 26 12 - 19

Technologist Report:

Technologist: M Catherine Samway

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Document 3

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9180
Lab No. Specimen Type Clinician Student Date Ordered Date Accepted : : : : : :
9/11/2006 5:16:38 PM - mcs 9/11/2006 7:17:26 PM - tw 07000430 Urine John August

Urinalysis
Clinical Pathology 05/28/2007

Patient #1 Tom Gregory #168272 Kaibab,

Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Source/Description: urine Comments: Major Diagnosis:
wt loss

Panel Name
Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis

Test Name
Color/Transparency Specific Gravity PH (dipstick) Protein (urine dipstick) Glucose (urine dipstick) Ketones (urine dipstick) Bilirubin (urine dipstick) Blood (urine dipstick) Urobilinogen (urine dipstick) SSA Acetest Ictotest Comments Volume Submitted Volume Centrifuged Casts - hyaline Casts - granular Casts - WBC Casts- Other WBC - UA RBC-Urine Bacteria (urine) Squamous Epithelial Cells Transitional Epithelial Cells Renal Epithelial Cells Urine Lipids Sperm (Urine) Crystals- Triple phosphate Crystals-Calcium Carbonate Crystals - Calcium Oxalate

Result
yellow/cl ear 1.017 6.0 30 neg neg neg large 0.2 trace

Flag

Reference

Unit

1.020 - 1.040 6.000 - 7.000

GMS/100 ml

mg/dl

0.100 - 1.000

mg/dl

4 3

ml ml /lpf

0-1

/lpf /lpf /lpf

1-2

/hpf /hpf

0-1

/lpf /lpf /lpf

few

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Document 3

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9180
Lab No. Specimen Type Clinician Student Date Ordered Date Accepted : : : : : :
9/11/2006 5:16:38 PM - mcs 9/11/2006 7:17:26 PM - tw 07000430 Urine John August

Urinalysis
Clinical Pathology 05/28/2007

Patient #1 Tom Gregory #168272 Kaibab,

Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Source/Description: urine Comments: Major Diagnosis:
wt loss

Routine Urinalysis Routine Urinalysis Routine Urinalysis Routine Urinalysis

Crystals-Bilirubin Crystals-Amorphorous Crystals-Other Other Sediment few

Panel Name
Special Notes Special Notes

Interpretation Name
Save for Urine Chemistries: Note: Urine saved for UPROT viable for 3 days only, UCREAT viable indefinetly. Save for Culture

Result

Technologist Report:

Technologist: M Catherine Samway

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Document 4

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9185
Lab No. Clinician Student Date Ordered Date Accepted Test Code
FIV/FELV COMBO

Laboratory Test Results

Clinical Immunology 05/28/2007

: : : : :

70050

Patient #1 Tom Gregory #168272 Kaibab,

Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs

9/11/2006 4:39:56 PM - rg 9/11/2006 4:45:34 PM - rg

Test Name
FIV/FELV COMBO

Result
both negative

Interpretation

Document 5

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9180
Lab No. Specimen Type Clinician Student Date Ordered Date Accepted : : : : : :
9/11/2006 5:09:26 PM - mcs 9/11/2006 5:11:33 PM - mcs 07000430-U Urine John August

Chemistry
Clinical Pathology 05/28/2007

Patient #1 Tom Gregory #168272 Kaibab,

Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Source/Description: urine Comments: Major Diagnosis:
wt loss

Panel Name

Test Name
Microprotein-Urine Urine Creatinine

Result
59. 82.6

Flag

Reference

Unit
mg/dl mg/dl

Technologist Report:

Technologist: M Catherine Samway

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Document 6

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9188
Case No Client Name Animal Name Species
168272 Gregory, Tom Kaibab Feline

Laboratory Test Results

Clinical Microbiology Lab 05/28/2007

PatientClinician #1 Admitting Admssion Date

Specimen Site Collection Date Completion Date

Zoran 02/12/2007 cystocentiesis 09/12/2006 09/16/2006

6255001 Accession No Sample Submitted urine Final Exam Status

Procedure Requested Additional Comments Organism #1:

quantitative urine culture SEE COMMENT

Bacillus species (bacill)

Antibiotics Amikacin
Amoxicillin/CA Ampicillin Cephalothin Chloramphenicol Clindamycin Doxycycline Erythromycin Marbofloxacin Penicillin Tetracycline Trimethoprim/Sulfa

bacill(1) S
S S S S S S S S S S S

S=susceptible I=intermediate R=resistant Call if additional susceptibilities needed

Comments:
Bacillus > 10 ^5 cfus/ml

Microbiologist:

Technician
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Document 7

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9081 Radiologist : Robert C Cole Admission No : 433125 Exam Date Final Date : 9/11/2006 : 9/14/2006 4:19:58 PM

RADIOLOGY REPORT
Radiology
05/28/2007

#168272 Tom Gregory, Kaibab Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs

Patient #1

Interpretation Thorax: Opposite lateral and VD views of the thorax are available for evaluation. There are multiple small mineralized areas within the lung parenchyma. There is a circular soft tissue opacity at the level of the 6th rib ventral to the heart seen on both lateral views. It is not seen on the VD views suggesting its on mid line. The cardiac silhouette and pulmonary vessels are normal. There is an increase in density of the vertebral bodies. Abdomen: Lateral and VD views of the abdomen are available for evaluation. There are mineralized opacities over both kidneys. The animal is thin and therefore is resulting in poor detail, however, the kidneys appear to be mildly small. There is gas within the small bowel loops. Rad Imp: Mineralized regions within the thorax are of doubtful clinical significance. These may represent previous granulomas, mineralized vessels, or mineralized bronchial glands. No evidence of nodular metastatic disease. The single nodule that is over the area of the 6th rib is of uncertain clinical significance. Given the opacity, this may represent early mineralization. Mineral in both kidneys. Small kidneys suggestive of chronic renal disease. Possible skeletal hyperostosis. 168272 - 09/11/06 *R Cole

Code #

RADIOLOGY

Document 8

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9081 Radiologist : Anne Bahr Admission No : 433125 Exam Date Final Date : 9/11/2006 : 9/14/2006 11:43:43 AM

RADIOLOGY REPORT
Ultrasound
05/28/2007

#168272 Tom Gregory, Kaibab Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs

Patient #1

Interpretation Abdominal Sonography: The liver, spleen, and urinary bladder were imaged and were normal. Both kidneys were small irregular and had severe loss of the corticomedullary differentiation with mineralization that shadows in both of them. No evidence of obstruction was identified. The small intestines were imaged and had normal wall layering but the muscularis layer was pronounced and overall thickness of the intestinal wall measured up to 4 mm which has thickened. A couple of small mesentery lymph nodes were identified. Conclusions: Diffuse thickening with maintenance of wall layering consistent with IBD. Probable chronic progressive renal disease with calculi and mineralization in both kidneys. 168272 - 09/11/06 *A Bahr

Code #

RADIOLOGY

Document 9

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9180
Lab No. Specimen Type Clinician Student Date Ordered Date Accepted Test Name
Cobalamin (B12) Folate TLI Feline Pancreatic Lipase Immunoreactivity

TAMU - G.I Lab

Outside Lab 05/28/2007

: : : : : :

07009089 Clot Tube John August 9/12/2006 7:50:31 AM - dm 9/21/2006 8:38:28 AM - dm

Patient #1 Tom Gregory #168272 Kaibab,

Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Source/Description: blood Comments: Major Diagnosis: Result
149 34.5 156.4 42.7

Flag
L H H H

Reference
290 - 1500 10 - 22 12 - 82 2 - 6.8

Unit
ng/L ug/L ug/L ug/L

Interpretation

Technologist Report:

Technologist: Pathologist Report:

Pathologist:

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Document 10

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9568 Accession No Pathologist Path. Resident Service Date Report Date Specimen Col. : S06-0634 : Dr. R. Pool : : : : Dr. G. Gomez 9/14/2006 9/15/2006 9/14/06 1:30-3:30 p.m.

BIOPSY

#168272 Tom Gregory, Kaibab Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Admission No: 422973

Patient #1

HISTOPATHOLOGY REQUEST TISSUES SUBMITTED: A. Duodenum B. Duodenum 2 C. Colon D. Ileum E. Stomach CLINICAL DIAGNOSIS: None PREVIOUS BIOPSY NUMBER/DATE: No HISTORY: Weight loss, ultrasound - thickened bowel; chronic kidney disease

HISTOPATHOLOGY REPORT GROSS: A. Duodenum: Fifteen endoscopic biopsies ranging in size from 2 x 2 mm to 6 x 2 mm. B. Duodenum 2: Sixteen endoscopic biopsies ranging in size from 1 x 1mm to 8 x 3 mm. C. Colon: Eight endoscopic biopsies ranging in size from 2 x 1 mm to 2 x 6 mm. D. Ileum: Twelve endoscopic biopsies ranging in size from 1 x 1 mm to 6 x 2 mm. E. Stomach: Nine endoscopic biopsies ranging in size from 2 x 2 mm to 6 x 2 mm. MICROSCOPIC: A. Duodenum: Some of the poor quality specimens appear to have blunt and possibly fused intestinal villi and the crypts in some specimens are distended with mucus. There is a moderate increase in a mixed inflammatory cell infiltrate in the lamina propria that besides lymphocytes and plasma cells also include eosinophils and a few neutrophils B. Duodenum 2: Similar to above. C. Colon: Multiple specimens exhibit mild goblet cell hyperplasia with some crypts being distended with mucus and one crypt abscess; however, the lymphoid infiltrate in the lamina propria was within normal amounts. D. Ileum: Only tips of villi were sampled and no interpretation could be provided. E. Stomach: While the biopsy specimens were adequate for interpretation, there were no remarkable changes present in the mucosa. MORPHOLOGIC DIAGNOSIS: A. Duodenum: Mild chronic lymphoplasmacytic and eosinophilic inflammation with apparent blunt and fused intestinal villi. B. Duodenum 2: Similar to above C. Colon: Mild goblet cell hyperplasia with one crypt abscess

The Pathology data on the VMIS Information System may be used freely, within the Texas A&M Veterinary Medical Teaching Hospital and College of Veterinary Medicine, for clinical or academic/research purposes. Dissemination of this information to external parties, by means of publications, grants, and seminars, for example, is prohibited without prior approval of the Pathologist of Record.
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05/28/2007

g yp p yp D. Ileum: Only tips of villi sampled in these nondiagnostic biopsy specimens E. Stomach: Unremarkable but good quality specimens COMMENTS: There appears to be mild chronic inflammatory changes only in the duodenum without apparent significant disease alterations in the other specimens.

The Pathology data on the VMIS Information System may be used freely, within the Texas A&M Veterinary Medical Teaching Hospital and College of Veterinary Medicine, for clinical or academic/research purposes. Dissemination of this information to external parties, by means of publications, grants, and seminars, for example, is prohibited without prior approval of the Pathologist of Record.
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Document 11

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9180
Lab No. Specimen Type Clinician Student Date Ordered Date Accepted : : : : : :
10/17/2006 11:21:06 AM - ek 10/17/2006 12:07:24 PM - ab 07001747 Li Hep Andrew Hanzlicek

Chemistry
Clinical Pathology 05/28/2007

Patient #1 Tom Gregory #168272 Kaibab,

Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Source/Description: blood Comments: Major Diagnosis:

Panel Name
Mini Panel Mini Panel Mini Panel Mini Panel Mini Panel

Test Name
Blood Urea Nitrogen Creatinine Calcium Phosphorus Albumin

Result
30. 2.4 11.1 5.4 3.2

Flag

Reference
19 - 33

Unit
mg/dl mg/dl mg/dl mg/dl g/dl

.8 - 1.8 8.4 - 11.8 3.8 - 7.5 2.5 - 3.3

Technologist Report:

Technologist: Al Brandt

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Document 12

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9180
Lab No. Specimen Type Clinician Student Date Ordered Date Accepted : : : : : :
10/17/2006 1:19:32 PM - dm 10/17/2006 1:23:00 PM - ab 07001757 Li Hep John August

Chemistry
Clinical Pathology 05/28/2007

Patient #1 Tom Gregory #168272 Kaibab,

Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Source/Description: blood Comments: Major Diagnosis:
CKD

Panel Name
Ionized Calcium

Test Name
Ionized Calcium

Result
5.66

Flag

Reference

Unit
mg/dl

Technologist Report:

Technologist: Al Brandt

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Document 13

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9180
Lab No. Specimen Type Clinician Student Date Ordered Date Accepted Test Name
TLI Feline Pancreatic Lipase Immunoreactivity

TAMU - G.I Lab

Outside Lab 05/28/2007

: : : : : :

07010095 Clot Tube John August 10/17/2006 11:24:22 AM - ek 11/1/2006 8:48:41 AM - dm

#168272 Kaibab, Tom Gregory Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Source/Description: blood Comments: Major Diagnosis: Result
42.4 8.1 H

Patient #1

Flag

Reference
12 - 82 2 - 6.8

Unit
ug/L ug/L

Interpretation

Technologist Report:

Technologist: Pathologist Report:

Pathologist:

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Document 14

Veterinary Medical Teaching Hospital

Texas A&M University / College of Veterinary Medicine College Station, TX 77843 (979) 845-9180
Lab No. Specimen Type Clinician Student Date Ordered Date Accepted Test Name
Cobalamin (B12) Folate

TAMU - G.I Lab

Outside Lab 05/28/2007

: : : : : :

07002100 Clot Tube Deb L Zoran 2/12/2007 12:14:28 PM - ek 2/14/2007 8:25:27 AM - ek

Patient #1 Tom Gregory #168272 Kaibab,

Spayed Female Feline, American Domestic Long Hair DOB: 05/01/95 Weight: 7.3lbs Source/Description: blood Comments: Major Diagnosis: Result
1001 22.4 H

Flag

Reference
290 - 1500 10 - 22

Unit
ng/L ug/L

Interpretation

Technologist Report:

Technologist: Pathologist Report:

Pathologist:

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