Acute on Chronic Kidney Disease in a Non-Descript Bitch
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Keywords:
ACKD, anemia, HCM, resistive indexAbstract
A nine-year-old female mongrel dog was presented to Veterinary Clinical Complex, College of Veterinary Science, Proddatur with history of acute onset of anorexia, vomiting and tarry colored diarrhea. Upon clinical examination, subnormal rectal temperature, blanched conjunctival mucous membranes and moderate dehydration were observed. Auscultation of thorax revealed the presence of grade III systolic murmurs. Anemia, leukocytosis, azotemia, hypoproteinemia and hypoalbuminemia were also observed. Renal vascular doppler showed an increased renal resistive index (RRI) and pulsatility index (PI). Transthoracic echocardiography revealed hyperkinetic left ventricle with concentric hypertrophy. Based on the above findings, the case was diagnosed as Acute on Chronic Kidney Disease (ACKD) with secondary Hypertrophic Cardiomyopathy (HCM). The patient was treated with antibiotic, ACE inhibitor and supplements.
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References
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