We did ultrasound, showed normal kidney size, shape, but questionable interior was told it could be
toxicity, infection, or
renal dysplasia. We were given a regimen of sub q fluids, doxy, omeprazole, phoslo, and azodyl.
Took her home, still acting normal followed the routine for 7 days, dog still seemed fine, retested and all her elevated le vels were coming down well but not yet in range. It was assumed at this point it was toxicity or infection and to keep on the meds 2 more weeks and test.