Trevor is a 4 year old Beagle that ate ~200 ibuprofen 3 days ago. Was able to induce vomiting w/in 20 minutes and gave charcoal, but within 3 hours of presentation was seizuring and hypothermic.
Treated w/ high volume fluids, anti-convulsants and Intralipid…Today is eating/drinking and acting like a normal Beagle (tried to get into the garbage to get a McDonald’s bag). Bloodwork was normal except for an ALT of 151. The Urine has a lot of active sediment and glucose, bili, urobili on the dip stick.
Trevor is a 4 year old Beagle that ate ~200 ibuprofen 3 days ago. Was able to induce vomiting w/in 20 minutes and gave charcoal, but within 3 hours of presentation was seizuring and hypothermic.
Treated w/ high volume fluids, anti-convulsants and Intralipid…Today is eating/drinking and acting like a normal Beagle (tried to get into the garbage to get a McDonald’s bag). Bloodwork was normal except for an ALT of 151. The Urine has a lot of active sediment and glucose, bili, urobili on the dip stick.
I scanned the kidneys and to me the medulla seems off…more echoic than I’d expect and I feel like I see pyelectasia…But I have not had a case to really scan that I was looking for acute renal changes so I was hoping for someone to look these over and tell me if I’m right or point out acute changes if they are there.
Thanks,
Sam
Comments
There are some mild renal
There are some mild renal changes, which are are unlikley as a result of the ibuprofen so more likley some early pre-existing renal changes. Would monitor urine for an presence of RTE cells and serum SDMA, urea, creatinine and liver enzyme activity, as AKI and toxic hepatitis is highly likley in this case.
I agree with Remo not much
I agree with Remo not much going on here but I see trace pyelectasia on the LK but if on fluids this is normal up to 3-4 mm dilation… any proteinuria with the glucosuria?? maybe fanconi starting?