Tuesday, January 16, 2007

Image problems

I think what many users would like to see on a MediBlog is some detail of someone else who had the same problems and what happened to them. This would have to be voluntary of course but I think, especially in rare/cronic diseases or animal health, people are generally quite open about some experiences.

To illustrate the point I, unfortunately, have the cases of FIP in our cats which to share with the Net. Over there--> is a picture of Basil who was the first to be diagnosed with it. He is not a fat cat here, his insides have been surrounded by fluid, caused by a destructive reaction to a virus.
This is an x-ray of him. All the white haze is basically "fluid" surrounding his organs. His symptoms were basically just lethargy and loss of appetite before he started to swell up. The vet attempted to treat him with a new regime of Interferon + steroids. Unfortunately this had no effect on him and he was euthenased (put to sleep) shortly afterwards, following a series of fits.

This in an x-ray of Biggles, his half-brother taken about a week after Basil died:Here the dark area in his chest is the air in his lungs - a closer look shows some more white haze around them, this is fluid caused by FIP. Interestingly, Biggles' reaction to the virus was in his chest area - limiting his ability to breathe hence he did not swell up in the same way but was likely to die sooner.

He too was given the steroid and interferon treatment and he responded, within a couple of weeks the picture was different:

Biggles survived all through the summer on regular but reducing doses of treatment until he was off all treatment.

He then got ill again with weight loss and loss of appetite in Dec -Jan-2007. This time his latest symptoms were not quite as one would expected for a cat with FIP so an x-ray was to examine other possibilities: here the stuff at the bottom is his collar (complete with bells and magnet catflap key).
And this is where the limitations of clinical images on the internet can be seen - or rather not seen as there is, apparently, a mass in there somewhere near his heart. I'm not a vet so I wouldn't know an unusual mass if it jumped out and bit me but one would expect that to "see" a mass that the image would have to be better than you see here!

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