Lola is a 10 yr FS DSH weighing 12.56#
She has been battling chronic renal disease which is worsening. A previous echo was done back in May as pleural effusion developed with fluid therapy. Echl was not and not suggestive that heart disease was a cause of the fluid overload.
The subcutaneous fluid therapy at home was decreased but renal azotemia is worsening. Sorry I don’t have the numbers with me.
Lola is a 10 yr FS DSH weighing 12.56#
She has been battling chronic renal disease which is worsening. A previous echo was done back in May as pleural effusion developed with fluid therapy. Echl was not and not suggestive that heart disease was a cause of the fluid overload.
The subcutaneous fluid therapy at home was decreased but renal azotemia is worsening. Sorry I don’t have the numbers with me.
The rDVM has been consulting with a internist in California and he was questioning about the ureters if there is obstruction and pylectasia and question about the fluid that is evident around the fat around the kidneys. I don’t see any pyelectasia or ureter dilation and am not sure about the fluid that is there. A sample of the fluid hasn’t been collected and a follow up ultrasound was discussed. There was subcutaneous edema that I think is likely due to the subq fluids.
Any thoughts about the kidneys is appreciated.
Comments
The kidneys have a chronic
The kidneys have a chronic interstitial nephrosis pattern.. the usual cause of rf in cats but ther pericapsular fluid suggests acute insult… i.e. acute-on-chronic nephritis. There is trace pyelectasia in the last video but no obstruction. So something… infectious, toxin, thrombosis… has hit this kidney acutely to send it over th eedge. We see this in lepto dogs in the renal form all the time. Its a medical case and the fluid analysis and 25 g fna may help fill some holes… bx best but if in RF then may not live long enough to get the report back.
Also think of UTI that is
Also think of UTI that is complicating the established CKD – ideally culture but start on cephalosporin.