Canine renomegaly | Renomegaly in dogs and cats

Renal enlargement is usually detected by physical examination or by abdominal radiography or by ultrasonography. A quick rule of thumb is that the kidney length on abdominal radiographs should be approximately equivalent to 2.5 to 3.0 times the length of the second lumbar vertebra in cats and 2.5 to 3.5 times length of the second lumbar vertebra in dogs. Enlarged kidneys with a normal shape can be caused by edema, acute inflammation, diffusely infiltrating neoplasic disease, unilateral compensatory hypertrophy, trauma (intracapsular hemorrhage), or hydronephrosis. Enlarged, abnormally shaped kidneys may be caused by renal neoplasia, cysts, abscesses, hydronephrosis, or hematomas.
Ultrasonography and intravenous urography can be used to further define kidney shape and reveal internal details. Ultrasonography is particularly useful for evaluating enlarged kidneys associated with fluid accumulation (e.g., hydronephrosis, abscesses, and perirenal and parenchymal cysts), and can also be used to guide fine-needle aspiration or needle biopsy of the affected kidney. Kidney biopsy is often necessary to confirm the cause of the renomegaly; however, biopsy is contraindicated if only one kidney is present or if a bleeding disorder, hydronephrosis, a cyst, or an abscess is suspected.

Canine renomegaly diagnostic plan:

History
Physical examination
Abdominal palpation
Urinalysis
Blood Work
Blood pressure measurement
Abdominal x-rays
Kidney biopsy

Canine renomegaly treatment:

Fluid therapy
Sodium bicarbonate
Drugs to control stomach acidity
Phosphate binders
Blood transfusions
Anabolic steroids
Dialysis peritoneal

Canine renomegaly diatery plan:

A diet with controlled and appropriate levels of protein, phosphorus, sodium, and calories.

We would love to hear your pet's story. Please add a comment.

MORE VETERINARY ARTICLES