https://www.vetsurgeon.org/f/clinical-questions/19634/renal-insufficiency-in-schnauzer 8yo Male Neutered Schanuzer - presented for vomiting (about once a day for the last few days) Exam - weight loss and dehydration, no overt abdominal discomfort, normal temp Biochem - urea &gt;46, creatinine 512, phos 4.47, amylase 1015, abnormal specificen-USTelligent Community 10https://www.vetsurgeon.org/thread/117809?ContentTypeID=1Sun, 20 Jul 2014 23:50:13 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:2faea564-9439-4fea-bfc5-0c5231462a36Laura Marshall<p>Thanks Rory. These are things I&#39;m hoping to get done when we have courier service again on Monday. Very helpful, thank you. I&#39;ll post my ultrasound.</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/117800?ContentTypeID=1Sun, 20 Jul 2014 17:20:12 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:4d41ffd4-795a-42e0-8326-0575e0f307eaRory Bell<p>Hi Laura</p> <p>Difficult to comment with regard to the gastric lesions and chronicity of the renal disease. It might be worthwhile measuring at least a basal cortisol to exclude hypoadrenocorticism, and even if there is an inactive urine sediment, culturing a urine sample obtained via a sterile technique in case there of pyelonephritis, bearing in mind that bacteruria in such cases is intermittent so a negative culture does not altogether exclude this.&nbsp;</p> <p>If you have the facilities to measure blood pressure, this would be another useful thing to do.&nbsp;</p> <p>Even if there is an element of chronic kidney disease, bearing in mind that we don&#39;t know the temporal association between the possible pancreatitis / enteropathy and kidney disease (in terms of which came first), it would seem sensible to consider that the gastroenteropathy / pancreatitis might have &nbsp;caused a deterioration on renal function, so some of what is going on with the renal disease might have been acute in onset. It is possible that this dog has either acute, or acute on chronic renal disease, so I would not, for as long as you are seeing a drop in creatinine concentrations, be tempted to discontinue his intravenous fluids. Bearing in mind that he has a positive SNAP PL and gastric lesions, I&#39;d definitely run a quantitative PL, as gastroenteropathies can cause moderate elevations in circulating PL concentrations.</p> <p>If he goes off his grub again, or appears depressed, worthwhile considering that he has quite a few reasons why his abdomen might be sore, so opioid analgesia might be an idea.</p> <p>Hope this helps</p> <p>&nbsp;</p> <p>cheers</p> <p>rb</p><div style="clear:both;"></div>https://www.vetsurgeon.org/thread/117793?ContentTypeID=1Sun, 20 Jul 2014 13:40:22 GMT146601cc-3922-4be7-9974-7e1d4e45a66b:3737e0e0-524c-479c-b269-703ca61c9aabLaura Marshall<p>May have been a little premature as he looks really good today! Fingers crossed.</p><div style="clear:both;"></div>