Acute onset vomiting, anorexia and lethargy in 10 wk FI DSH. Blood work revealed BUN>140, creat 9.7, K 9.2, iCa 0.85, HCT 38. Responding well to IV fluids and producing urine. No evidence of ureterolith. Kidneys appear more hyperechoic than spleen, with some loss C-M distinction, but otherwise unremarkable. My understanding is that congenital could look normal. With inc. in echogenicity, would you put toxin higher on list? Other thoughts?
Acute onset vomiting, anorexia and lethargy in 10 wk FI DSH. Blood work revealed BUN>140, creat 9.7, K 9.2, iCa 0.85, HCT 38. Responding well to IV fluids and producing urine. No evidence of ureterolith. Kidneys appear more hyperechoic than spleen, with some loss C-M distinction, but otherwise unremarkable. My understanding is that congenital could look normal. With inc. in echogenicity, would you put toxin higher on list? Other thoughts?
Comments
This image is pretty non
This image is pretty non specific. I would consider infectious or toxic or the “zebra” opotential of addisons
Thanks, Eric. The cortex was
Thanks, Eric. The cortex was bright, so thought I needed to keep congenital on the list. Thankfully the kittens BUN and creat came down substantially, so hoping it was a toxin without repercussions!
sure congential always
sure congential always possible but i think the structure is too clean for that… most congenital dysplasias have sonographically disrupted architecture.
Check out these renal dysplasias from the search archive
http://sonopath.com/members/case-studies/search?text=renal+dysplasia&species=All