{"id":23484,"date":"2021-06-22T15:34:54","date_gmt":"2021-06-22T15:34:54","guid":{"rendered":"https:\/\/todaysveterinarypractice.com\/?p=23484"},"modified":"2022-02-10T15:45:55","modified_gmt":"2022-02-10T15:45:55","slug":"nutritional-management-of-a-puppy-with-congenital-renal-dysplasia","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/nutrition\/nutritional-management-of-a-puppy-with-congenital-renal-dysplasia\/","title":{"rendered":"Nutritional Management of a Puppy With Congenital Renal Dysplasia"},"content":{"rendered":"

Nutritional management and optimal diet selection for pets with multiple medical conditions or conflicting nutritional goals can prove challenging. Nutritional management is particularly complicated for growing animals with nutritional deficiencies that can result in serious and lifelong consequences (e.g., skeletal malformation resulting from inappropriate calcium or phosphorus intake in growing puppies). For these patients, there is typically not a \u201cone size fits all\u201d solution, and each nutritional plan should be curated on a case-by-case basis. One approach is creating a problem list after a full nutritional assessment, with accompanying nutritional goals, determination of priorities and potential side effects\/risks, and comparison of nutrients of concern among various diet options.\u00a0<\/span><\/span><\/p>\n

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The 2021 Case Report Challenge<\/a>, brought to you by Dechra Veterinary Products<\/a>:<\/strong>\u00a0A panel of judges will choose 5 finalists whose case reports will be published in Today\u2019s Veterinary Practice<\/i> during 2021. TVP<\/i>\u2019s Facebook followers will then select the grand prize winner from among the 5 finalists; the winner gets a trip to VMX 2022, including registration, hotel, and airfare.<\/span><\/p>\n

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The patient in this case report was a 7-month-old intact female mixed breed puppy (her breed and expected adult body weight were unknown) referred to the Cummings School Of Veterinary Medicine at Tufts University’s clinical nutrition service<\/a> by her primary care veterinarian. The purpose of the referral was to discuss nutritional management for renal dysplasia. The diet options and management discussed in this report illustrate one potential approach for this specific patient and should not be generalized to all dogs with similar conditions.<\/span><\/p>\n

History\u00a0<\/span><\/h2>\n

The patient was originally presented to the primary care veterinarian due to frequent urination and increased drinking since her adoption a few months earlier. Aside from the polyuria and polydipsia, the clients reported no concerns; the patient was up-to-date on all vaccinations and was not receiving any medications. Blood work revealed elevated kidney values, and the veterinarian recommended that the patient be seen by an internal medicine specialist for further diagnostic testing. After additional laboratory work and diagnostic imaging had been performed, the clients consulted our clinical nutrition service to determine optimal dietary management.\u00a0<\/span><\/span><\/p>\n

Nutrition Consultation<\/h2>\n

A full dietary history indicated that the patient had been eating Weruva Grain Free Funky Chunky Chicken Soup with Pumpkin, Grandma Mae\u2019s Country Naturals Puppy Food, Bixbi Pocket Trainers Training Treats (bacon flavor), Happy Howie\u2019s Meat Roll (lamb and turkey), peanut butter, frozen banana pieces, baby carrots, and green bean pieces. For daily supplements, she was receiving Nutramax Proviable-DC capsules and Nutramax Welactin Omega-3 Supplement for Dogs.<\/span><\/p>\n

Physical Examination<\/h3>\n

At the time of examination, the patient weighed 20.5\u00a0kg and had a body condition score of 5\/9 and normal muscle condition. No significant abnormalities were detected.<\/span><\/p>\n

Diagnostic Tests\u00a0<\/span><\/h3>\n

The internal medicine service performed the following:<\/span><\/p>\n

Urinalysis\u00a0<\/span><\/strong><\/p>\n