– 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?