– 10 year old FS Chihuahua with waxing and waning symptoms of lethargy, poor appetite, vomiting and sore abdomen

– bloodwork consistent with renal failure, mild anemia, hyperphospatemia, hypercalcemia; mild elevation ain ALP, other liver parameters normal

– SNAP cPLI has been positive and rDVM worried about possibility of pancreatitis with renal failure

– u/s shows fairly normal pancreas (so cPLI may be false positive due to azotemia or gastritis)

– the renal cortices are thick, quite hyperechoic and there is a meduallary rim sign and pyelectasia

– 10 year old FS Chihuahua with waxing and waning symptoms of lethargy, poor appetite, vomiting and sore abdomen

– bloodwork consistent with renal failure, mild anemia, hyperphospatemia, hypercalcemia; mild elevation ain ALP, other liver parameters normal

– SNAP cPLI has been positive and rDVM worried about possibility of pancreatitis with renal failure

– u/s shows fairly normal pancreas (so cPLI may be false positive due to azotemia or gastritis)

– the renal cortices are thick, quite hyperechoic and there is a meduallary rim sign and pyelectasia

– rDVM has not performed a urine pro:cre ratio nor BP (has been recommended)

– pet has been on Fortekor, Clavaseptum, famotidine, at home SQ fluids and phosphate binder, Cerenia

I would call this an interstitial nephrosis pattern which goes with renal failure on lab work – could Lepto do this? Lyme nephritis? Toxin? End-stage kidney disease of unknown cause?