Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Ketoacidosis in Diabetic

Sonopath Forum

Champion (9 year old Puggle) came in with diabetes and ketoacisosis.  Had a raging UTI and mild liver enz elevations in addition to the high BG (kidney enzymes normal) and SG of 1.041

Treated w/ IV’s, insulin, Baytril and 24 hours later dog doing well and eating. Only concern is hematuria.

Sent Champion home and decompensated over the weekend. Owner told us ER diagnosed kidney failure.

Champion (9 year old Puggle) came in with diabetes and ketoacisosis.  Had a raging UTI and mild liver enz elevations in addition to the high BG (kidney enzymes normal) and SG of 1.041

Treated w/ IV’s, insulin, Baytril and 24 hours later dog doing well and eating. Only concern is hematuria.

Sent Champion home and decompensated over the weekend. Owner told us ER diagnosed kidney failure.

I thought the kidneys looked odd with hyperechoic cortices and a rim of less echogenic cortice at the capsule. My question isn’t so much the course or outcome of the case (O elected Euth). But if the kidney images show any hint of the coming renal “failure” ?? I don’t have much information to go on other than what the owner told us second hand from the ER. 

 

thanks in advance

Sam

 

Comments

EL

This is a nice example of

This is a nice example of diabetic nephropathy with the hyperechoic corticomedullary band. You will see this in nearly every diabetic dog to some degree. Not sure where the hematuria is coming from specifically from the image set.

franklinanimalclinic

Thanks for the thoughts.

Thanks for the thoughts. Since this case went South on me in a hurry I was just looking to see if their was something in the U/S that I could have used before hand to predict the kidneys were going to cause problems. But not having the labs from the ER I’m not really sure just what was going on.

Sam