Aloha! You're speaking to Dr. Michael SalkinMy condolences for your loss of Bracken. I need for you to please tell me whether test results are in common or international units. For example, is the BUN of 11 and calcium of 3.05 in mg/dL or mmol/L? The creatinine is most assuredly in mmol/L.Do you also have urinalysis results which you can post?
We might see skull and jaw lesions ("rubber jaw") in growing dogs with renal secondary hyperparathyroidism but this isn't something we expect to see in the adult - much less facial swelling due to this type of hyperparathyroidism. X-rays of her face should have been taken as soon as her face changed. They would have shown diffuse demineralization if hyperparathyroidism were responsible but either bone lysis or proliferation if cancer were present. A urinalysis as soon as the abnormal creatinine and calcium were found in January 11 was essential and I would have performed PTH and PTHrP blood tests to see the parathyroid glands were involved in renal disease or a malignancy causing hypercalcemia.The major problem I see is that Bracken wasn't addressed properly as long as 2 years ago. Now we're faced with trying to clarify why she died without having the necessary tools to do so. We're left with necropsying her at this point but she would have had to be refrigerated and necropsied within a day or so post-mortem. I regret that I can't be more specific for you. There's simply too much information missing.
answer to duplicate post: yes, I agree that neither the antibiotics nor corticosteroid were responsible for her renal failure. There was evidence of renal failure far earlier as mentioned above. Please stay in this conversation if you wish to consult further. I marked your new post as a duplicate as ordered by my moderator. This avoids your being charged twice.Please continue our conversation if you wish.
I understand the problem. We were only ever told that the blood tests were fine, so we couldn't do any more. It certainly seems that she was ill and the anti inflammatories and antibiotics could not have caused the renal failure. Would you agree?