A cat is missing its top two teeth, with lesions in the spaces turning into abscesses and radiographs showing bone lysis. What is the best action to take?

In the scenario presented, the most appropriate action would be to conduct cytology of the abscess. This is crucial because it allows for a definitive diagnosis of the nature of the lesions and abscesses. Understanding the cellular composition of the abscess can help determine whether it is due to infection, a foreign body reaction, or another underlying issue. This diagnostic step is essential before proceeding with any treatment.

By identifying the specific type of bacteria or inflammatory cells present, the veterinarian can make informed decisions regarding treatment options, which may include the appropriate antibiotics if an infection is confirmed. Additionally, if there are any neoplastic cells present, this would influence the subsequent treatment plan significantly.

Other actions, like performing a tooth extraction or administering antibiotics, could be necessary after cytological evaluation, depending on the results. However, initiating treatment without knowing the exact nature of the abscess could potentially lead to ineffective or inappropriate treatment. Similarly, recommending a soft diet is supportive but does not address the underlying issue directly. Therefore, cytology is a critical first step in addressing the cat’s health problem accurately.