FIND OUT WHY
I have a case that I'm hoping someone can shed some light on. It is a 17 year old MN DSH that my colleague performed extractions on on 1/2/2018. He had several broken teeth on the lower mandible, resorptive lesions and several missing teeth from a prior dental. He has a heart murmur (III/VI), but his BW and proBNP where normal; (BUN/Cr/SDMA were at the high end of normal). The dental went well; however, the left mandible was thicker according to my colleague than the right. She discussed this with the owner and they decided not to pursue a biopsy. I do not have the anesthetic drugs in front of me (but I think he received torb/midaz and propofol) and there are no dental rads to share (I know….I'm not thrilled either…but we are working on it as a hospital). He was monitored and to my knowledge, there were no concerns with temperature, blood pressure or heart rate. My concern is that the cat is not himself behavior-wise at home…he is hiding, when he is brought out to his food dish, he runs and hides, he is sleeping on the owners bed (not like him at all), not wanting to eat unless coaxed, his temperature is low, he seems depressed and his third eyelid on his left eye is raised (the day after the dental he had anisocoria, but now that has since resolved). His heart rate and murmur are stable, but I have never seen anything like this. He has been on Gabapentin since before the dental; however, the owners stopped giving it a few days ago. He is on Miralax for constipation issues he had a few years ago (no issue since then). I truly am at a loss; is this a neurologic reaction to medication or anesthesia? Other than a little redness around the extraction sites in the left mandible, the mouth looks unremarkable.
Thoughts? I can get more information tomorrow regarding the procedure if need be.
Thank you in advance.