renoliths, chronic kidney changes and possible infarcts?

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renoliths, chronic kidney changes and possible infarcts?

Mr. Kitty has ongoing PU/PD that is worsening.  Has always had a good appetite, but recently decreased.  Intermittent vomiting.  BUN 60, creat 3.2, normal lytes and PCV.  Urine SpG 1.025, pH 6, w/ inactive sediment and C&S pending.  

Small, very patchy renal cortices w/ renoliths bilaterally.  Changes appear chronic.  Wondering about infarcts vs. infection vs. previous toxin.  Was uncomfortable during exam of pancreas, but I did not think it appeared that remarkable.  

Comments

EL

This is a mixed bag of

This is a mixed bag of interstitial nephrosis, pelvic stones, and renal infarcts… acute on chronic scenario. With the BUN at 60 the anorexia is likely the renal failure and potentially the pancreas given the hypoechoic irregular parenchyma.

EL

This is a mixed bag of

This is a mixed bag of interstitial nephrosis, pelvic stones, and renal infarcts… acute on chronic scenario. With the BUN at 60 the anorexia is likely the renal failure and potentially the pancreas given the hypoechoic irregular parenchyma.

kromero

Excellent – thank you. 

Excellent – thank you. 

kromero

Excellent – thank you. 

Excellent – thank you. 

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