chronic renal changes in a 3 year old Bernese Mountain Dog
3 year old MN Bernese Mountain dog chronic PU/PD, weight loss over last 3 months, current renal azotemia (BUN 38, creat 4.5, SDMA 31), SpG 1.010 with UPC 0.4, culture pending but not an obvious infection on cytology. Adrenals normal size and rest of exam unremarkable. Blood pressure readings inconsistent, but did get one in…
Lymphoma vs. ureterolith/hydronephrosis
17 year old MN DLH presented for vomiting, lethargy and anorexia. Painful on abdominal palpation. Marked azotemia with mild increase in K initially. Phosphorous elevated and HCT low normal with rehydration. Renal values have been coming down on IVF. No uroliths seen in urinary bladder, one stone appreciated in left renal pelvis, but not obstructive….
azotemia and renal cyst
14 year old MN Pomeranian with acute azotemia following general anesthesia last month for cataracts (previous renal values were normal). Ultrasound shows this cystic structure as well as an enlarged and somewhat lobulated/anechoic left adrenal gland (hx of PU/PD and mild intermittent vomiting). Would you drain this cyst and how would you classify it? How…
There is pelvis dilation or not
A 2-year-old male neutered persian cross was presented with lethargy. Blood tests showed creatinine greater than 9.2mg/dL and phosphorus >20mg/dL. On US examination, neproliths were found in both kidneys. To me therse nephroliths are not causing obstruction of the renal pelvis and the renal pelvis is not dilated. I do get sometimes confused as to…
Renal Pathology
Neeko is a 7 year old Blue Healer Cross History of progressive deterioraltion in renal numbers. Recent labs: 6/17 8/17 SDMA :16 27 Creat: 2.1 …
Renal failure
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…