renal Flashcards
Acute on chronic kidney disease in dogs: Etiology, clinical and clinicopathologic findings, prognostic markers, and survival Dunaevich JVIM 2020
Short-term outcome of dogs with ACKD is comparable to those with AKI but long-term prognosis is guarded. The IRIS AKI grade at presentation is a prognostic indicator of short-term outcome.
Cystatin C and Iris: Advances in the Evaluation of Kidney Function in Critically Ill Dog Paes-leme FRontiers 2021
the measurement of serum cystatin C immediately on admission to the ICU was superior in the early identification of patients with AKI when compared to the IRIS classification and serum creatinine in critically ill dogs.
Evaluation of Symmetric Dimethylarginine (SDMA) in Dogs with Acute Pancreatitis GOri Vet Sci 2020
SDMA was not significantly different between survivors and non-survivors. Although further studies are warranted, SDMA may be a useful tool in canine AP, as a high SDMA may be related to subclinical kidney impairment.
Urine neutrophil gelatinase-associated lipocalin to diagnose and characterize acute kidney injury in dogs Monari JVIM 2020
Urinary NGAL is a sensitive marker for AKI in dogs, but its specificity is affected by systemic inflammation. Increased urinary NGAL in both I-AKI and VR-AKI also suggests the presence of tubular damage in transient AKI. Combining urine chemistry data with IRIS criteria could facilitate AKI characterization in dogs.
Clinicopathological features of cutaneous and renal glomerular vasculopathy in 178 dogs Walker vet rec 2021
The time frame over which AKI may develop is longer than previously reported, neurological signs can be identified at presentation or during hospitalisation, and thrombocytopenia is even more common than previously reported.
Hypertension, retinopathy, and acute kidney injury in dogs: A prospective study Cole 2020 JVIM
Systemic hypertension is common in dogs with AKI. Systemic hypertension might be associated with Fluid overload which itself is associated with nonsurvival. Monitoring for Systemic Hypertension and fluid overload is therefore warranted in dogs with AKI.
Prospective evaluation of 5 urinary biomarkers as predictors of acute kidney injury in nonazotemic, hospitalized dogs Nivy JVIM 2021
hypothesis: Urinary (u) activity of γ-glutamyl transpeptidase (GGT) and alkaline phosphatase (ALP), and concentrations of heat-shock protein 70 (HSP70) and interleukins (ILs) -6 and -18, are predictive biomarkers for AKI and survival.
The predictive value of individual urinary biomarkers was reduced by moderate sensitivities and specificities. SDMA showed moderate discriminatory utility for AKI prediction, and often displayed discordant results with sCr.
Retrospective evaluation of acute kidney injury in dogs with pit viper envenomation (2008-2017): 56 cases Martinez JVECC 2020
Development of AKI in dogs following pit viper envenomation carries an increased risk of mortality that is associated with severity of shock at presentation and increased doses of antivenom administration.
Retrospective evaluation of Vitis vinifera (grapes) ingestion in dogs presented to emergency clinics in the UK (2012-2016): 606 Cases Croft JVECC 2021
All dogs survived to discharge. One out of 33 cases with repeated creatinine concentration developed IRIS AKI grade I within 24 hours following ingestion, when current emergency treatment guidelines were followed in whole or part.
Association of markers of endothelial activation and dysfunction with occurrence and outcome of pulmonary hemorrhage in dogs with leptospirosis Sonderegger 2021 JVIM
Soluble intercellular adhesion molecule 1, VEGF, and Ang-2 do not discriminate leptospirosis from AKI-nL. In dogs with leptospirosis, sICAM-1 and VEGF predict outcome and sICAM-1 might identify dogs at risk for pulm haemorrhage.
soluble intercellular adhesion molecule 1 (sICAM‐1), vascular endothelial growth factor (VEGF), and angiopoietin‐2 (Ang‐2)
Retrospective evaluation of the clinical course and outcome following grape or raisin ingestion in dogs (2005-2014): 139 cases JVECC 2020 Reich
The prevalence of AKI and mortality was low in dogs with confirmed grape or raisin ingestion. Due to the retrospective nature of the study, conclusions about the utility of gastrointestinal decontamination and other therapies cannot be made.
Comparison of clinicopathological patterns of renal tubular damage in dogs with acute kidney injury caused by leptospirosis and other etiologies Zamagni vet J 2020
when compared to other aetiologies of intrinsic AKI, canine leptospirosis was characterised by increased glucosuria and kaliuresis.
Prospective randomized controlled blinded clinical trial evaluating biomarkers of acute kidney injury following 6% hydroxyethyl starch 130/0.4 or Hartmann’s solution in dogs Boyd 2021 JVECC
There were no differences in change over time of urine AKI biomarkers in dogs treated with 10 - 40 mL/kg HES or CRYST over 24 hours. Larger clinical trials with patient-centered outcomes are required to investigate the safety of HES in dogs.
Toxicosis with grapes or raisins causing acute kidney injury and neurological signs in dogs Jvim 2020
15 grape/raisin ingestion
Toxicosis with grapes or raisins causing acute kidney injury and neurological signs in dogs 73% had severe forebrain, cerebellar, or vestibular signs may be an important feature of Grape/raisin toxicity and dominate the early clinical picture.The described features suggest a reversible functional brain injury specific to GRT and unrelated to uremia.
Evaluation of changes in the epidemiology of leptospirosis in dogs after introduction of a quadrivalent antileptospiral vaccine in a highly endemic areaJVIM 2020 FRancey
Use of the L4 vaccine was associated with significantly decreased odds of disease.
Hyperammonemia in azotemic cats JFMS 2021 Carvalho
A correlation exists between blood ammonia and BUN, Cr and phosphorus in cats with renal azotemia
Hyperammonemia was documented in 4/18 (22%) cats, with a median of 95 µmol/dl (range 85-98 µmol/dl)