NAVC clinicianâs brief ................................................................................................................whatâs the take-home? Correct Answer: DHeart murmur grade 3 to 4/6 Most elderly small-breed dogs with syncopehave accompanying mitral regurgitation (Figure 1). How to Proceed 1.
The list of signs and symptoms mentioned in various sources for Medullary Sponge Kidney includes the 19 symptoms listed below: Blood in urine (haematuria) Renal colic (severe episodic lower back/flank pain that may radiate to groin) Pain on urination. Difficulty in passing urine. Fevers. Rigors.
Symptoms can include: 1  Changes in urination â making more or less urine than usual, feeling pressure when urinating, changes in the color of urine, foamy or bubbly urine, or having to get up at night to urinate.  Swelling of the feet, ankles, hands, or face â fluid the kidneys can't remove may stay in the tissues.