- 1yr 11month female spayed pitbull with history of PU-PD, urinary incontinence (when sleeping), and excitatory incontinence since 4 months old.
- Nonresponsive to proin
- USG after 12 hour water deprivation was 1.018. No other abnormalities noted on U/A.
- Abdominal US shows bilateral unusual internal renal architecture with multiple echogenic bands in between the renal cortex and medulla . Left K/AO=4.84, Right K/AO=5.86. Bladder is normal. No other abnormalities seen.
- 1yr 11month female spayed pitbull with history of PU-PD, urinary incontinence (when sleeping), and excitatory incontinence since 4 months old.
- Nonresponsive to proin
- USG after 12 hour water deprivation was 1.018. No other abnormalities noted on U/A.
- Abdominal US shows bilateral unusual internal renal architecture with multiple echogenic bands in between the renal cortex and medulla . Left K/AO=4.84, Right K/AO=5.86. Bladder is normal. No other abnormalities seen.
- Sorry, no labs provided. Will recommend chemistries and SDMA.
- I suspect that the urinary incontinence is a separate issue i.e. estrogen dependent incontinence and excitatory incontinence that may be exacerbated by renal insufficiency PU-PD.
- Is this a typical presentation for renal dysplasia? Could this be secondary to an unknown renal insult?
Comments
Very likely dysplasia with
Very likely dysplasia with differentials being previous bacterial nephritis, resolved AKI, leptospirosis. The urinary incontinence is most lkely an overflow incontinence from the PuPd. Biochem/calcium/SDMA recommended.
Thank you Dr. Lobetti.
Thank you Dr. Lobetti.