Hello,
This is a 6 years old m/n cat that presented for vomiting, lethargy. This cat has muscle and weight loss that appears to be chronic
Bloodwork revealed mild inflamatory leukogram and hypokalemia. Albumin was in low normal
AUS revealed possible pancreatitis and hydronephrosis on RK. I can still see parenchima and good flow on the “remaining” of the RK so I suspect acute ? How would you know if hydronephrosis is chronic, would be no more kidneys archytecture? Would you sent this to surgery right away or would you try 12-24 h of fluids, supportive tx first?
Thank you
Comments
stones up to 4 mm can pass accoridng to the literature but the ureter has to be in good shape and ufnctional. I would push fluids., abs and pain manage for 24 hours but have the owners prepped for sx or IR with SUB device.
Good info. Thank you EL
As renal function is normal and uretral obstructions usually acute, the chronic weight loss and clinical signs do not fit with renal disease. Screen for pancreatitis (fPl) and possibly GI disease.
If as Eric has recommended and going into the abdomen for IR or SUB biopsy the GI tract, pancreas, and liver.
That is what i sudpected. Recommended FNA spleen and fPLI as owner declined abything invasive, sx, SUB, biopsies.
Thank you