7 month old FI Golden without clinical symptoms. Pre-spay blood work showed mild anemia, Bun 43, creat 1.5, K 5.5, SpG on first morning sample 1.014. Kidneys did not look concerning to me, but would love your input and also recommendations on what you would do next for this adorable pup.
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Forgot to mention – normal ACTH stim!
Kidneys not typical for dysplasia but still possible – other differentials would be acute kidney injury (toxins, hypoxia), bacterial nephritis, leptospirosis. Further assessment would be history of possible toxin exposure, urine culture, UPC, blood pressure, and serology/PCR for leptospirosis. Renal biopsy would be required to fully exclude dysplasia.
Thank you, Dr. Lobetti!
I agree not typical for dysplasia. Lepto, other AKI or consider congenital Addisons as well