WEST LAFAYETTE, IND.—Purdue University veterinarians set precedent for diagnosis and treatment of a kidney tumor in a 23-year-old horse. Jan Hawkins, DVM, Dipl. ACVS, associate professor of large animal surgery, Purdue University, removed the horse's kidney through its flank using no general anesthesia. The right kidney was removed using a hand-assisted laparoscopic technique.
Auburn, Ala.-Auburn University's College of Veterinary Medicine has developed a canine kidney transplant protocol that promotes increased tolerance of transplanted organs between unrelated dogs. It also offers the possibility that the transplant recipients may not be required to take high-doses of immunosuppressive drugs for the rest of their lives.
Chronic renal insufficiency is a common problem in cats. Many cats will live for years with very few clinical signs while others will progress more rapidly. Unfortunately, most will ultimately succumb to the disease. Conventional monitoring of these cats has included periodic blood chemistries and complete blood cell counts assessing for: progression of azotemia, alterations in electrolyte and acid-base balance, changes in the calcium and phosphorous levels and progression of non-regenerative anemia. Long-term management of these cases is typically aimed at correcting electrolyte and acid-base abnormalities, supplementing water soluble vitamins, alleviating gastrointestinal side effects and controlling serum phosphorous levels. In
Fort Collins, Colo.-A recent study of more than 3,000 veterinary staff-owned
dogs from more than 350 veterinary clinics across the United States found evidence
of early kidney damage in approximately one out of every four dogs.
Signalment: Canine, Golden Retriever, 7 years old, male, castrated, 72.2 lbs. The dog presents for progressive worsening PU/PD and generalized weakness for four to five weeks. The dog is showing anorexia and vomiting thick yellow bile since last evening. The dog has collapsing episodes in the rear legs. Therapy has included NPO for two days, intravenous fluids and metoclopramide.
Recently, a colleague in private practice asked my opinion about the likely benefit of obtaining an ultrasound-guided percutaneous needle biopsy of the kidney of an azotemic, isosthenuric, 8-year old domestic shorthair cat. She indicated that evaluation of a serum chemistry profile, hemogram and urinalysis revealed findings consistent with idiopathic chronic renal failure.