Guest Rogersmom Posted October 17, 2015 Share Posted October 17, 2015 Roger is a blood donor for University of Penn Vet School. He just donated 10/15/2015 and the resulting lab results show that his BUN is 42 and his Creatinine 3.6 per mg/dL. They recommended that he see a vet. I can not take him to the vet until Monday night. Roger was 7 years old July 29, 2008. I could use some advise on this. PennVet Diagnostic Lab MJR-VHUP 3900 Delancey Street, Philadelphia PA 19104-6051 Phone: 215-898-8877 Fax: 215-898-9352 Web Address: www.vet.upenn.edu/pennvetdxlab Owner: PABB DONOR; PABB DONOR Pet name: PABB DONOR Pet ID/Chart 842338 SPECIES 22158-15 Order requested by Dr. Beth Callan 3900 Delancey Street PHILADELPHIA, PA 19104 Collection Date: 10/15/2015 Received Date: 10/15/2015 Reported: 10/15/2015 DOB:1/1/2011 U Sample ID 10/15/15 9:57 AM 22158-15= 5005.05 TEST NAME RESULT IN RANGE OUT OF RANGE UNITS REFERENCE RANGE RANGE CBC-ICO-CELLDYN MR RBC 8.43 x10^6/uL Hemoglobin 21.70 g/dL Hematocrit 63.90 % MCV 75.80 fL MCHC 34.00 g/dL MCH 25.70 pg RDW 16.70 % WBC 5.13 x10^3/uL Seg neutrophils 3.550 x10^3/uL Lymphocytes 1.247 x10^3/uL Monocytes 0.248 x10^3/uL Eosinophils 0.013 x10^3/uL Basophils 0.074 x10^3/uL Platelets 189 x10^3/uL MPV 11.7 fL Standard Chemistry Profile JW Glucose 154.0 mg/dL BUN 42 mg/dL Creatinine 3.6 mg/dL BUN/Crt 11.7 Phosphorous 5.6 mg/dL Calcium 9.2 mg/dL Magnesium 2.2 mg/dL Total protein 5.6 g/dL Albumin 2.7 g/dL Globulin 2.9 g/dL A:G 0.93 ALT 21 U/L AST 37 U/L ALP 138 U/L GGT 10.0 U/L Total bilirubin 0.6 mg/dL This report continues... (Final) Page 1 22158-15 Penn Vet Diagnostic Lab 22158-15 PABB DONOR, PABB Page: 2 TEST NAME RESULT IN RANGE OUT OF RANGE UNITS REFERENCE RANGE RANGE Standard Chemistry Profile (cont'd) JW Cholesterol 398.0 mg/dL Sodium 144.0 mmol/L Potassium 4.3 mmol/L Chloride 108.0 mmol/L ECO2 21.0 mmol/L Anion gap 19 mmol/L Osmol (calc.) 291.4 mOsm/kg 10/15/15 10:27 AM Slightly Lipemic Sample condition Slightly Hemolyzed END OF REPORT (Final) Page 2 22158-15 Quote Link to comment Share on other sites More sharing options...
NeylasMom Posted October 17, 2015 Share Posted October 17, 2015 Can you ask post the normal ranges for that lab? They should be included with the results. Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
tbhounds Posted October 17, 2015 Share Posted October 17, 2015 Those are pretty high renal values even for a greyhound. Little concerned about his blood proteins too--ghs do run on the lower side but, his are a tad lower. Most importantly how is he feeling? Acting? Good appetite, maintaining a consistent weight? He should be examined--I'm sure the vet may want to run further diagnostics. Quote Link to comment Share on other sites More sharing options...
Guest Rogersmom Posted October 17, 2015 Share Posted October 17, 2015 Thanks. The lab results did not have the ranges on it. Quote Link to comment Share on other sites More sharing options...
tbhounds Posted October 17, 2015 Share Posted October 17, 2015 Thanks. The lab results did not have the ranges on it. Don't need ref ranges-pretty clear what is out of range values. I'm sure your vet will address the concerns. Quote Link to comment Share on other sites More sharing options...
Guest Rogersmom Posted October 17, 2015 Share Posted October 17, 2015 Roger has only been eating half of his food the past few days but he never misses his treats. Quote Link to comment Share on other sites More sharing options...
MaryJane Posted October 17, 2015 Share Posted October 17, 2015 When you go to the vet bring in a first morning urine specimen so they can run some further tests. Quote Link to comment Share on other sites More sharing options...
NeylasMom Posted October 17, 2015 Share Posted October 17, 2015 (edited) Thanks. The lab results did not have the ranges on it.I was making sure there wasn't some weird disconnect because you were in a different country completely ignoring where you said this was through U of Penn so no worries. Definitely see your vet, and do a urinalysis. Also see if your vet can get a blood pressure reading. Was there an SDMA value on the results? Edited October 17, 2015 by NeylasMom Quote Jen, CPDT-KA with Zuri, lab in a greyhound suit, Violet, formerly known as Faith, Skye, the permanent puppy, Cisco, resident cat, and my baby girl Neyla, forever in my heart "The great thing about science is that you're free to disagree with it, but you'll be wrong." Link to comment Share on other sites More sharing options...
kudzu Posted October 17, 2015 Share Posted October 17, 2015 Roger has only been eating half of his food the past few days but he never misses his treats. Not good, especially combined with blood values. Get appt with your regular vet ASAP. While not an emergency at this point, don't put this off. I was making sure there wasn't some weird disconnect because you were in a different country completely ignoring where you said this was through U of Penn so no worries. New Britain. Old Britain. What's the diff? Well, ignoring that big pond in between. Quote Link to comment Share on other sites More sharing options...
Guest Rogersmom Posted October 17, 2015 Share Posted October 17, 2015 I do not know what a SMDA value is. I was at the vet's this morning before he was. We took the tip and took morning urine. I also did not give Roger anything to eat in the event they wanted to do a fasting blood test. An in house urinalysis and one being sent to the lab was done. A blood test for leptospirosis was also done. I do not expect the blood test to be positive as Roger has been inoculated against leptospirosis and is rarely around other dogs. The vet thought that Roger should have a low protein diet but changed his mind until the test results are back. Given Rogers many food allergies, finding a low protein food that he can eat will be a challenge. This is just my luck. I just stocked up on his food, the liver I put on it, and his favorite snacks (these are 53% protein). Roger did eat two meals today. I reduced the amount of food I put in his dish. His weight has gone from 93 pounds in January to 82 pounds today. He is drinking plenty of water and is not dehydrated. Quote Link to comment Share on other sites More sharing options...
Guest Rogersmom Posted October 18, 2015 Share Posted October 18, 2015 I just checked my phone messages. It seems that Roger has a urinary tract infection and the vet had antibiotics for him. I did not get the message in time to pick the meds up before the office closed and can not get them until Monday evening. Would an infection affect the blood test? No one checked for fever. Quote Link to comment Share on other sites More sharing options...
tbhounds Posted October 18, 2015 Share Posted October 18, 2015 Glad they are testing for lepto--I was going to suggest that yesterday but, thought that might have made you worry (renal values high w/an elevated GGT). Just an FYI-lepto is transmitted by wild mammals-raccoons etc. through their urine. If your hound drank from an infected puddle or stepped through it with a cut on his foot it could pick it up. (It could be transmitted to you too!). The vaccine doesn't offer 100% protection. So even vaccinated pets are still at a risk. Having a uti shouldn't affect the blood values. If you told me he wasn't drinking then, perhaps the renal values could be elevated due to dehydration. Quote Link to comment Share on other sites More sharing options...
MaryJane Posted October 18, 2015 Share Posted October 18, 2015 There could be a very slight (very slight) chance that there is a acute kidney infection and it is compromising the functioning of the kidneys and as a result - the lab values are elevated. But, again .. not likely. Quote Link to comment Share on other sites More sharing options...
tbhounds Posted October 18, 2015 Share Posted October 18, 2015 There could be a very slight (very slight) chance that there is a acute kidney infection and it is compromising the functioning of the kidneys and as a result - the lab values are elevated. But, again .. not likely. Very true if he has pyelonephritis. ;-) Quote Link to comment Share on other sites More sharing options...
msjpk Posted October 18, 2015 Share Posted October 18, 2015 Make sure they perform a UPC. Quote Link to comment Share on other sites More sharing options...
tbhounds Posted October 18, 2015 Share Posted October 18, 2015 Make sure they perform a UPC. A UPC is only necessary if they find protein in the urine after the uti is cleared up. To run a UPC with blood present in the urine to will receive inaccurate results ;-) Quote Link to comment Share on other sites More sharing options...
Guest Rogersmom Posted November 25, 2015 Share Posted November 25, 2015 Roger has completed his 30 course of doxycycline and had a sterile urine test done. The test showed no bacteria. He had a blood test done and his creatine went from 3.6 10/15/15 to 4.1 11/24/15. My vet feels that the leptospirosis may have damaged his kidneys. Roger's weight is 80 pounds It was 89 in January. Roger did not eat his past three meals. I with held treats from him in the hopes that he would eventually eat his breakfast. At 7:00 PM the breakfast was still untouched in his bowl. I gave him some cubed baked beef liver with rice and a lot of broth from cooking the liver. He did eat that. My vet wants us to see an internalist. I am struggling with finances. This is the time of year when I can make money working over time as an insurance enrollment specialist. Nothing seems to be working. My car died and I am trying to save up to buy another with no credit, one of my room mates moved out and did a stop payment on his check to cover his share of the expenses, and now my puppy is needing expensive medical attention. Roger is the only joy I have in my life. He just can not be sick. Quote Link to comment Share on other sites More sharing options...
tbhounds Posted November 25, 2015 Share Posted November 25, 2015 Maybe I missed it but, did the lepto test come back positive? Quote Link to comment Share on other sites More sharing options...
Guest Rogersmom Posted November 26, 2015 Share Posted November 26, 2015 Yes. That is why he was given an antibiotic for 30 days. His sterile urine test was then negative. Quote Link to comment Share on other sites More sharing options...
tbhounds Posted November 26, 2015 Share Posted November 26, 2015 Rodger may need to be hospitalized for a few days to diurese his kidneys. Basically, a few days of IV fluids. If his renal values don't improve after the fluids I'm afraid they will not. Quote Link to comment Share on other sites More sharing options...
GeorgeofNE Posted November 26, 2015 Share Posted November 26, 2015 Im so sorry you are going through this. But if your dog has lost over 10 pounds, clearly he IS sick. I know what it's like to struggle with finances and veterinary choices. Is there any chance that the place you donate his blood to might help you at a lower cost?? Quote Susan, Hamish, Mister Bigglesworth and Nikita Stanislav. Missing Ming, George, and Buck Link to comment Share on other sites More sharing options...
Guest Rogersmom Posted November 26, 2015 Share Posted November 26, 2015 Reading the signs of renal problems really upsets me. I had been telling my vet that his breath was very bad. They just said that it was because of body parts he licked. He was also constantly licking at his penis. His weight loss was explained as winter weight lost over the summer. I could cry. Roger goes to the vet often and has had all the shots he should have. I also feed him a very expensive food and cook beef liver for him to encourage him to eat his kibble. He has had five meals of rice, liver, and broth and seems to be more active. Quote Link to comment Share on other sites More sharing options...
Guest Rogersmom Posted December 2, 2015 Share Posted December 2, 2015 This costs $500 a day. It is not something I can afford. This makes me so sad. Quote Link to comment Share on other sites More sharing options...
Guest Rogersmom Posted December 4, 2015 Share Posted December 4, 2015 The results of Roger's blood and sterile urine analysis are back. He had an ultra sound of his abdomen which showed his kidneys are very swollen. The lab results show that he has protein losing nephropathy. HIs creatine level was 11/23/15 was 4.1. 12/1/15 it was 3.7. It was suggested that this was not improvement but a difference in labs. The concern is that Roger may throw clots in his lungs or legs. He is eating rice and broth eagerly. He is now taking benazepril, fish oil, and 1/4 of a baby aspirin. I just can not believe that this is the result of him getting lepto especially given that he has always been inoculated against it. I keep hoping that all of this is a mistake and his condition will reverse. I do not know how he could have contracted lepto. We are not around other dogs much except for Greyhounds in Gettysburg and Roger's Birthday party. I guess we will not have a birthday party this coming year. My little puppy just can not be sick. Roger's blood pressure was 210. It was thought that was due to the ultra sound and the sterile urine catch. Quote Link to comment Share on other sites More sharing options...
Batmom Posted December 4, 2015 Share Posted December 4, 2015 Lepto would more likely come from wild animal urine than from other dogs -- small puddle of water, moisture on the grass, etc. The vaccine doesn't protect against all strains, unfortunately, although I feel it is still worthwhile. Don't want to get your hopes up, but sometimes a dog does make a good recovery. Hugs to both of you and hopes for better times ahead. Quote Star aka Starz Ovation (Ronco x Oneco Maggie*, litter #48538), Coco aka Low Key (Kiowa Mon Manny x Party Hardy, litter # 59881), and mom in IllinoisWe miss Reko Batman (Trouper Zeke x Marque Louisiana), 11/15/95-6/29/06, Rocco the thistledown whippet, 04/29/93-10/14/08, Reko Zema (Mo Kick x Reko Princess), 8/16/98-4/18/10, the most beautiful girl in the whole USA, my good egg Joseph aka Won by a Nose (Oneco Cufflink x Buy Back), 09/22/2003-03/01/2013, and our gentle sweet Gidget (Digitizer, Dodgem by Design x Sobe Mulberry), 1/29/2006-11/22/2014, gone much too soon. Never forgetting CJC's Buckshot, 1/2/07-10/25/10. Link to comment Share on other sites More sharing options...
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