Page 1148 - Problem-Based Feline Medicine
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1140  PART 14  QUEEN AND KITTEN WITH PROBLEMS


          Cardiac defects in some cats may remain asymptomatic  Treatment
          for years without treatment (e.g. ventricular septal
                                                        Extend nursing or hand-rearing of kittens with
          defect, tetrology of Fallot).
                                                        delayed maturation.
          Congenital gastrointestinal defects carry a poor
                                                        Hand-feed gruel (food–milk mixture) to assist transi-
          prognosis for normal function following surgery.
                                                        tion to solid food.
                                                        House with other kittens of similar maturity.
          Prevention
                                                        Hand-reared kittens with “bottle addiction” may require
          Avoid drug administration, especially known terato-  increasing time intervals between feedings and for-
          gens, during pregnancy.                       mula offered in a dish before they will accept solid food.
          Avoid modified live virus vaccination during preg-
          nancy.                                        FLEA ANEMIA*
          Select breeding stock that is free of inherited diseases.
                                                         Classical signs
                                                         ● Inactivity.
          WEANING STRESS*                                ● Inappetence.
                                                         ● Pale mucous membranes.
           Classical signs                               ● Heavy flea infestation.
                                                         ● Kittens 2–8 weeks old.
           ● Reluctance to accept solid food in kittens
             6–8 weeks old.
           ● Crying, agitation.
                                                        Clinical signs
                                                        Progressive weakness and inactivity.
          Clinical signs
                                                        Pale or white mucous membranes.
          Reluctance to accept solid food in kittens 6–8 weeks
                                                        Heavy flea infestation or marked accumulation of flea
          old. Kittens suckle well on queen or bottle.
                                                        feces in hair-coat.
          Inability to compete with larger littermates around the
                                                        May develop systolic heart murmur secondary to
          food bowl.
                                                        anemia.
          Kittens may have a withdrawn or anxious personality.
                                                        Affects entire groups of cats with young kittens devel-
          Crying, agitation.                            oping the most severe anemia.


          Diagnosis                                     Diagnosis
          Good suckle reflex.                           Clinical signs are classic.
          Thrives with queen or littermates of similar size and  CBC reveals anemia and hypoproteinemia due to blood
          maturity.                                     loss. The anemia is usually regenerative unless concur-
                                                        rent iron deficiency develops.

          Differential diagnosis
                                                        Differential diagnosis
          Medical causes of failure to thrive can appear similiar.
                                                        Anemia secondary to hookworm infection is differenti-
          Excessive competition from littermates.       ated by fecal examination.
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