Feline Medicine

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Calcium in circulation occurs in three forms: calcium bound to proteins (approximately 40%), calcium complexed to various anions such as citrate and phosphate (8%), and ionized calcium (iCa, approximately 52%. The latter is the biologically active form of calcium and clinically-relevant hypercalcemia only exists when the ionized fraction of calcium is elevated.

Hepatic lipidosis is the most common liver disease in cats in North America. In a retrospective study performed at the University of Minnesota evaluating liver biopsy specimens obtained from cats over a 10-year period, hepatic lipidosis accounted for 50% of all cases.

Pancreatitis is being diagnosed more and more frequently in cats. Cats typically have chronic pancreatitis whereas dogs usually suffer acute disease. The difference in presentation between the species as well as a lack of appropriate diagnostic tools led to pancreatitis in cats being widely underdiagnosed.

Megacolon occurs more frequently in cats than dogs and is usually seen in middle-aged to geriatric cats. The ascending, transverse, and descending colon are chronically large in diameter and filled with dry stool. A congenital form of the disease has been seen especially in Manx cats with rectal/anal atresia and a sacral spinal deformity.

While less commonly seen than in their canine counterparts, cats can suffer from an excessive production of cortisol by the adrenal glands. 85% of the cases of feline hyperadrenocorticism are due to a pituitary tumor whereas 15% stem from an adrenal tumor. Progesterone-secreting adrenal tumors have been documented a handful of cats.