Felis ISSN 2398-2950

Renal disease investigation

Contributor(s): David Godfrey, Yvonne McGrotty

Introduction

  • Accurate clinical evaluation of renal disease can be accomplished by a series of diagnostic procedures.
  • Physical examination and a complete history of the patient are important in the diagnosis of renal disease since most signs are relatively non-specific.
Important in differentiating acute from chronic disease.
  • Examination of urine and blood samples is essential in the diagnostic process.
  • Normal urine production is the total effect of glomerular and tubular function.
  • Renal function tests Renal function assessment are discussed in a separate component.
  • This approach is a guide to the investigation of renal disease and, although examples of tests are quoted, the lists are by no means complete.
  • At present there is no specific or repeatable test that can quantify the effects of renal aging.
 

Is it likely that the patient has renal disease?

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Other relevant investigations

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Laboratory investigation

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Do the laboratory screening tests support renal involvement?

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Is the damage affecting the tubules or glomerulus?

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Is there evidence of acute injury or chronic kidney disease?

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Prognosis

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Monitoring

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Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Braff J, Obare E, Yerramilli M et al (2014) Relationship between serum symmetric dimethylarginine concentration and glomerular filtration rate in cats. Journal of Veterinary Internal Medicine 28 (6), 1699-1701 PubMed.
  • Lee Y J, Chan J P, Hsu W L et al (2012) Prognostic Factors and a Prognostic Index for Cats with Acute Kidney Injury. J Vet Intern Med 26 (3), 500-505 PubMed.
  • King J N, Tasker S, Gunn-Moore D A et al (2007) Prognostic Factors in Cats with Chronic Kidney Disease. J Vet Intern Med 21 (5), 906-916 PubMed.
  • Miyamoto K (2001) Clinical application of plasma clearance of iohexol on feline patients. JFMS (3), 143-147 PubMed.

Other sources of information


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