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
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.
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