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BUN high

A 2-year-old MN DLH cat presented for lethargy. CBC/Chem/UA showed BUN of 41, urine specific gravity 1.041, 2+ proteinuria, urine culture (+) for Staphylococcus. Generalized cardiomegaly was noted on radiographs in addition to subnormal renal size.

The patient presented for pain in the area of the kidneys, dehydration, and anorexia with increased renal values. The patient initially improved after treatment with I.V. fluids, but the symptoms returned 5 days later. Cerenia, SQ fluids, and buprenorphine were added to the treatment plan. Preliminary blood chemistry revealed BUN 128, creat. 7.6 which improved to a BUN of 29 and a creat. of 2.2; all other parameters were WNL.

The patient is a 14 month old M Miniature Australian Shepherd dog who presented with an acute case of vomiting, lethargy and ataxia.  The owner was unaware of any exposure to toxins or ingestion of obstructive material. Physical exam: 10% dehydrated; mm pink but tacky; abdomen tender on palpation; weight wnl. CBC/Chem: WBC 21,120, decreased cholesterol and protein; elevated CK, ALKP, ALT, BUN and ammonia. Lepto negative.

The patient was presented for evaluation due to severe vomiting. The vomiting stopped but the patient was now anorexic. The patient was quiet with a thin body condition. CBC found a low WBC of 3.7. Blood chemistry found albumin 3.7, total protein 7.0, ALKP 43, BUN 43, and cholesterol 79.

A 3-year-old male Labrador Retriever dog was presented for anorexia and weight loss. CBC was within normal limits, however blood chemistry showed hyperproteinemia, hypoalbuminemia, low albumin/globulin ratio, marked azotemia, hyperphosphatemia, mild hypocalcemia, hyperkalemia, and hyperamylasemia. T4 was within normal range. The urine had a cloudy appearance; 3+ proteinuria and 3+ hematuria were present on urinalysis.

A 3-year-old intact male Labrador Retriever was presented for anorexia and weight loss. CBC was within normal limits, however blood chemistry showed hyperproteinemia, hypoalbuminemia, low albumin/globulin ratio, marked azotemia, hyperphosphatemia, mild hypocalcemia, hyperkalemia, and hyperamylasemia. T4 was within normal range. The urine had a cloudy appearance; 3+ proteinuria and 3+ hematuria were present on urinalysis.

A 13-year-old MN Border Collie was presented for anorexia. Blood chemistry revealed moderate to severe BUN, creatinine and phosphorus with minor ALT, CPK and globulin elevations. Urinalysis revealed isosthenuria was present with a urine PH of 6.0 and some epithelial cells. Clinical dehydration and depression was present. Survey abdominal radiographs and CBC were unreremarkable.

A 10-year-old FS American Eskimo dog was presented for stranguria, hematuria, pollajuria and just not herself. She was non responsive to therapy for UTI. Severe azotemia and moderate anemia developed. Urinalysis revealed proteinuria, elevated WBC, blood and transitional cells, and isosthenuria.

A 1-year-old MN DSH cat was presented for evaluation of vomiting for a duration of 3 days. The patient has a known history of frequently eating innapropriate things around the house (strings, foreign objects, etc…). The owner reported no urination or bowel movement for 2 days. No vomiting, coughing, sneezing, or diarrhea was noted. The physical examination was unremarkable. CBC and blood chemistry found an very elevated HCT of 52.7%, eosinopenia, thrombocytopenia, mild hyperglycemia, elevated BUN, elevated calcium, low albumin, and slightly elevated ALT.

 

A 12-year-old M intact Shih Tzu dog was presented for polydipsia of several months' duration. The serum biochemical profile revealed an elevated urea, increased ALT, increased GGT enzyme activities, hyperphosphatemia, hyperkalemia, hypercholesterolemia, and elevated triglycerides. Thrombocytosis was present on the CBC.