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Chronic Kidney Disease   803



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                  Figure 1. Postoperative picture of a four-year-old male Shih Tzu with  Figure 2. A four-year-old castrated male Shih Tzu two months after
                  CKD and probable uremic vasculitis involving the tail. The tail was   therapy was instituted for CKD. The dog’s coat quality had returned
                  amputated and a castration was performed to manage concurrent   to normal and overall clinical condition was improved.
                  prostatic disease.
                  azotemia progressively increased over the next six months. Subcutaneous fluid therapy (100 ml every other day) was added when
                  serum creatinine concentration exceeded 5 mg/dl. The dog died of progressive CKD 11 months after initial evaluation.

                  Endnotes
                  a. Prescription Diet k/d Canine. Hill’s Pet Nutrition, Inc., Topeka, KS, USA.
                  b. Tagamet. SmithKline Beecham Pharmaceuticals, Philadelphia, PA, USA.
                  c. Cytotec. GD Searle & Co, Chicago, IL, USA.
                  d. Carafate. Marion Merrell Dow, Kansas City, MO, USA.
                  e. Epogen. Amgen Inc., Thousand Oaks, CA, USA.
                  f. Clavamox. Pfizer Animal Health, Exton, PA, USA.
                  g. Rocaltrol. Roche Laboratories, Nutley, NJ, USA.

                  Bibliography
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                  Nephrology and Urology, 2nd ed. Gloucester, UK: British Small Animal Veterinary Association, 2007; 223-230.
                  Kerl ME, Langston CE. Treatment of anemia in renal failure. In: Bogaura JD, Twedt DC, eds. Kirk’s Current Veterinary Therapy
                  XIV. St. Louis, MO: Saunders Elsevier, 2009; 914-918.
                  Polzin DJ, Osborne CA, Ross S. Evidence-based management of chronic kidney disease. In: Bogaura JD, Twedt DC, eds. Kirk’s
                  Current Veterinary Therapy XIV. St. Louis, MO; Saunders Elsevier, 2009; 872-879.
                  Polzin DJ, Ross S, Osborne CA. Calcitriol. In: Bogaura JD, Twedt DC, eds. Kirk’s Current Veterinary Therapy XIV. St. Louis,
                  MO: Saunders Elsevier, 2009; 892- 895.
                  Ross S, Osborne CA, Kirk CA, et al. Clinical evaluation of dietary modification for treatment of spontaneous chronic kidney dis-
                  ease in cats. Journal of the American Veterinary Medical Association 2006; 229: 949-957.
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