– 9 year old diabetic FS Min Schanuzer presented for vomiting
– bloodwork indicates hypoalbuminemia (17), hyperglycemia, ALP 200’s
– free flow urine positive for protein, glucose, ketones (urine pro:cre ratio pending)
– ul/s showed mildly enlarged, mildly hyperechoic liver (typical for diabetics I think); no evidence of mucocele
– jejunal LN’s reactive; a small gastric LN seen – GI normal
– 9 year old diabetic FS Min Schanuzer presented for vomiting
– bloodwork indicates hypoalbuminemia (17), hyperglycemia, ALP 200’s
– free flow urine positive for protein, glucose, ketones (urine pro:cre ratio pending)
– ul/s showed mildly enlarged, mildly hyperechoic liver (typical for diabetics I think); no evidence of mucocele
– jejunal LN’s reactive; a small gastric LN seen – GI normal
– adrenals, GI tract and rest of scan unremarkable except for the kidneys: hyperechoic, subjectively thickened cortices with decreased CM distinction, focal mineralization and mild pylectasia (bilaterally)
I have recommended a urine culture to r/o pyelonephritis but are these kidney findings consistent with possible glomerulonephritis, amyloidosis? Screen for Lyme, Lepto?
