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Nephritis ?

Sonopath Forum

Sonopath Forum

Nephritis ?

Hello,

This is an 1.5 years old large Rottweiler MN ( neutered at 6 months). He is vomiting and anorexic. Bloodwork showed established inflamation with moderate  increase in BUN and Creatinine. USG was 1.015. X-rays were wnl. UA pending

AUS : hyperechoic thin cortex with disrupted architecture on both kidneys.

Despite being neutered as a puppy prostate appears to be symetrical enlarged. MILN was approx 0.8 cm

I have 2 questions :

Hello,

This is an 1.5 years old large Rottweiler MN ( neutered at 6 months). He is vomiting and anorexic. Bloodwork showed established inflamation with moderate  increase in BUN and Creatinine. USG was 1.015. X-rays were wnl. UA pending

AUS : hyperechoic thin cortex with disrupted architecture on both kidneys.

Despite being neutered as a puppy prostate appears to be symetrical enlarged. MILN was approx 0.8 cm

I have 2 questions :

1. Can this 2 findings ( prostate and kidneys) being related? Can this be neoplastic ? like lymphoma even though the MILN is under 1 cm and maintain length to height ratio?

2.My DDX for kidneys findings are Nephritis/Ethylene Glycol/ Nephrosclerosis/ Neoplasia. I suspect an acute process. Can this be lepto? Any thoughts?

 

Thank you

 

 

 

Comments

EL
March 8, 2017 at 12:03 pm -

Wow, renal and prostatic lsa

Wow, renal and prostatic lsa certainly is primary on the list. Dr Ondreka’s team is doing a study exectly on this at U of Giessen. I would fna the prostate and kidney and see. If you get a + hit for lsa please email us at info@sonopath.com and we may be able to include this in the study.

vetecho
March 8, 2017 at 9:29 pm -

Thank you EL. Can this kidney
Thank you EL. Can this kidney presentation be toxin insult ? Like ethylen glycol?Not entirely sure if prostate or retroperitoneal fat in the region of pancreas. I did recommend FNA of the kidneys. Will clarify at FNA time.

vetecho
March 8, 2017 at 9:31 pm -

Correction: Thank you EL. Can
Correction: Thank you EL. Can this kidney presentation be toxin insult ? Like ethylen glycol?Not entirely sure if prostate or retroperitoneal fat in the region of prostate . I did recommend FNA of the kidneys. Will clarify at FNA time.

Pankatz
March 9, 2017 at 12:16 pm -

Renal dysplasia also a

Renal dysplasia also a possible rule-out?

EL
March 9, 2017 at 12:39 pm -

Good thought jacquie on renal

Good thought jacquie on renal dysplasia with secondary degenerative… toxin possible but what concerns me here is the complete disruption of curvinear detail of the cm junction and rest of the kidney … which is a main neoplastic criteria… see examples of ethylene glycol, renal dysplasia, and renal round cell neoplasia here respectively from the sonopath search archive:

http://sonopath.com/members/case-studies/cases/nephrosis-intratubular-oxylates-suggestive-antifreeze-toxicity-10-month-o

http://sonopath.com/members/case-studies/cases/congenital-renal-dysplasia-10-month-old-fi-english-bulldog

http://sonopath.com/members/case-studies/cases/left-renal-mass-suggestive-round-cell-neoplasia-cytology-9-year-old-mn-mi

 

vetecho
March 9, 2017 at 5:43 pm -

From my understanding the
From my understanding the majority of renal dysplasia comes with small kidneys but not always.
Will atempt FNA to rule out LSA.
Thank you

EL
March 11, 2017 at 6:00 am -

That is not always the

That is not always the case… small is a form but some are normal size just disrupted architecture

randyhermandvm
March 11, 2017 at 9:45 pm -

How about a severe

How about a severe Leptospirosis?

vetecho
March 12, 2017 at 9:58 am -

Good thought Randy.
Was

Good thought Randy.

Was vaccinated for Lepto, normal liver values. At the time ofUS lepto test was pending.

 Will try to find out;if positive I’ll update outcome

Calin

 

 

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