11w Pup with renal failure

Re: 11w Pup with renal failure

Neil Wheadon — Tue, 03 Jan 2012 09:44:05 GMT

On average you're never more than 2 metres from a rat even in urban areas.

Squeak, squeak

Re: 11w Pup with renal failure

vs0u — Mon, 02 Jan 2012 21:56:26 GMT

Where was the pup living? How would an 11 w o pup catch Lepto? I thought it was from contact with dirty water or rat urine (it may have been living in a barn on a farm of course)

You can also resize an image by opening it in the Paint programme that most computers have (open the image normally then there is an 'open' option at the top, select 'open for editing' or 'open with Paint') and selecting image, resize then save it as another name

Re: 11w Pup with renal failure

Luciano Nebiante PGCertSAS — Mon, 02 Jan 2012 17:55:40 GMT

[quote user="Louise Alexander"]

I have some pictures but they are too big and I don't know how to resize them, as soon as I find out how to I will post them!

[/quote]

Hi Louise,

you can try this simple on-line tool:

http://editor.pho.to/

You can select the picture from your computer and then, on the left side of the website you can see the tools: Rotate, crop and resize.

Resize is what you need.

After that you can save the image with a new name.

Hope this helps.

Anyway, for this topic my vote goes to Neil. I would start to suspect Leptospirosis.

Re: 11w Pup with renal failure

Louise6732 — Mon, 02 Jan 2012 16:44:47 GMT

I have some pictures but they are too big and I don't know how to resize them, as soon as I find out how to I will post them!

Re: 11w Pup with renal failure

Neil Wheadon — Mon, 02 Jan 2012 16:05:45 GMT

So shoot me down everyone, Leptospirosis??

This dog was from Bristol and Louise thanked me for alerting to Leptospirosis in Bristol.

Clinical signs as below

The incubation period is 4-12 days but may be as short as 2 days. Acute renal failure occurs in 80-90% of dogs that develop clinically significant disease. Early findings are nonspecific and include fever, depression, lethargy, anorexia, arthralgia or myalgia, and oculonasal discharge. This may progress within a few days to a uremic crisis characterized by vomiting, dehydration, lumbar pain from renomegaly and nephritis

Neil

Re: 11w Pup with renal failure

Louise6732 — Mon, 02 Jan 2012 15:50:21 GMT

Yes David I thought the USG was accetable. Unfortunately this USG was post-mortem and we didn't get a U+ sample when the pup was in the hospital. I offered the owners 24hrs of IVFT and meds to see if the renal parameters improved with this, but they declined, money was an issue.

There was approx 1-2ml of U+ in the bladder at PM.

I wasn't really considering an infectious cause given the findings, but I guess it can't be ruled out!

Louise

Re: 11w Pup with renal failure

Anonymous — Mon, 02 Jan 2012 15:13:55 GMT

That's a pretty detailed account, Louise! If the answer's in there then I'm sure someone will point it out.

Couple of questions popped to my mind:

1) Can we be sure the kidneys weren't working? And if so, was this secondary or part of the primary pathology?

USG of 1.030 is as concentrated as I would have expected a 11wk pup to be able to manage - I don't know firm figures, but don't think youngish pups have as high a concentrating ability as adult dogs - and therefore the azotaemia may have been pre-renal (i.e. dehydration from V+ and D+?)? Also I'm guessing wasn't on IVFT at 5xM for long fromwhat you wrote, but that could cause more dilute urine than pre-IVFT. Was there just a tiny amount of urine in bladder? I guess ARF a possibility and would be interesting to see H/P on kidneys, but as you say, pretty academic now.

2) Why not infectious?

Re: 11w Pup with renal failure

Louise6732 — Mon, 02 Jan 2012 14:56:18 GMT

Arlo, can you help me with the photos? I've tried the upload, when I click 'Save' nothing happens?

Thanks !