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 and signs that can speak for the kidney origin of the pain (1,3,4,7) : 1  Frequent urination. 2  Cloudy or foamy urine or blood in the urine. 3  Tenderness in the flank(s). 4  Dull pain provoked by a slight punch by a fist in the kidney area. 5  Nausea, vomiting, anorexia, fever, chills. 6  Body swelling (edema).