Renal disease cases

Question 1

Cat Sass case

Answer 1

severe renal azotemia, grade IV (588)

AST increase is probably secondary

negative fPL

Question 2

Possible Causes of acute severe azotemia.

Answer 2

toxicosis (like lilies)

Question 3

First thing you should do after identifying azotemia.

Answer 3

measure urine specific gravity

if the urine is too dilute then the kidneys aren’t working

Question 4

What do you want to check from urine after SG?

Answer 4

rule out infection so check for bacteria, blood, leukocytes etc.

Question 6

Treatment of acute kidney injury grade IV cat Sass.

Answer 6

Hospitalize, don’t send home

IV Ringers 5ml/kg/h at first (twice
maintenance)

antiemetic maropitant

appetite stimulant?

Question 7

What blood parameters to monitor during hospitalization of acute kidney injury grade IV cat Sass?

Question 8

When should Sass’s bloods be controlled after discharge?

Answer 8

in 2 weeks
(2-4 weeks okay)

Question 9

Why should you ask if there’s bile in vomit?

Answer 9

to evaluate whether pylorus is patent

Question 10

after acute kidney injury but under 3 months duration - we have?

Answer 10

acute kidney disease

uses the same grading as AKI

Question 11

uremia can cause diarrhea