Dane, 6 mo MI, presenting for vomiting. Renal azotemia, anemia and thrombocytopenia w/ hematuria and proteinuria (orange color to urine). Ultrasound – loss of C-M distinction w/ appearance of debris is medulla. Inc. echogenicity/patchy compared w/ spleen. Normal liver and GI. Plump lymph nodes, 9.5 mm. Suspecting infection/Lepto or toxin. Lepto urine PCR pending. Would you agree that Lepto should be high on the list?
Dane, 6 mo MI, presenting for vomiting. Renal azotemia, anemia and thrombocytopenia w/ hematuria and proteinuria (orange color to urine). Ultrasound – loss of C-M distinction w/ appearance of debris is medulla. Inc. echogenicity/patchy compared w/ spleen. Normal liver and GI. Plump lymph nodes, 9.5 mm. Suspecting infection/Lepto or toxin. Lepto urine PCR pending. Would you agree that Lepto should be high on the list?
Comments
Other than minor pyelectasia
Other than minor pyelectasia and slight cortical thickening nsf which means ARF… lepto/infectious, toxin, addisons.. not likely congential dysplasia as architecture is pretty solid
Thanks much!
Thanks much!