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Kidney images- Lepto?

Sonopath Forum

Sonopath Forum

Kidney images- Lepto?

This dog was presented very very ill with sky high kidney values, isosthenuria, and icterus (bilirubin 11, normal 0.6-1.5). Lepto PCR is pending. It is a seven year old male neutered JRT. He weighs 18 lbs. What are normals for kidney size? I am seeing dilated pelvis, and hyperechoic papillary areas.

This dog was presented very very ill with sky high kidney values, isosthenuria, and icterus (bilirubin 11, normal 0.6-1.5). Lepto PCR is pending. It is a seven year old male neutered JRT. He weighs 18 lbs. What are normals for kidney size? I am seeing dilated pelvis, and hyperechoic papillary areas.

Comments

Anonymous
October 4, 2012 at 2:41 pm -

I’m not sure if jpegs
I’m not sure if jpegs uploaded, trying again…

Anonymous
October 4, 2012 at 2:41 pm -

I’m not sure if jpegs
I’m not sure if jpegs uploaded, trying again…

Anonymous
October 4, 2012 at 2:42 pm -

@pamdvm there are three
@pamdvm
there are three in all…

Anonymous
October 4, 2012 at 2:42 pm -

@pamdvm there are three
@pamdvm
there are three in all…

Anonymous
October 4, 2012 at 2:43 pm -

actually the second is the
actually the second is the same as the first but without measurements. This is a different image. I have more if anyone is interested

Anonymous
October 4, 2012 at 2:43 pm -

actually the second is the
actually the second is the same as the first but without measurements. This is a different image. I have more if anyone is interested

Anonymous
October 4, 2012 at 9:41 pm -

H Pam, lepto sure fits the
H Pam, lepto sure fits the clinical profile and in my experience acute lepto kidneys look like they did before lepto came to town. You go basically by the clinical presentation. When a chronic state is present however a CAH pattern (see attached liver image with confirmed lepto from the pathology 400 cd) in the liver and an interstitial nephrosis pattern may be present. The minor pyelectasia may be from the diuresis or if on fluids (up to 0.3 cm). Sounds like an iv ampicillin plasma transfusion deficiency and renal bx if not responding, bp, and arf protocol.

Anonymous
October 4, 2012 at 9:41 pm -

H Pam, lepto sure fits the
H Pam, lepto sure fits the clinical profile and in my experience acute lepto kidneys look like they did before lepto came to town. You go basically by the clinical presentation. When a chronic state is present however a CAH pattern (see attached liver image with confirmed lepto from the pathology 400 cd) in the liver and an interstitial nephrosis pattern may be present. The minor pyelectasia may be from the diuresis or if on fluids (up to 0.3 cm). Sounds like an iv ampicillin plasma transfusion deficiency and renal bx if not responding, bp, and arf protocol.

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