2021.Iss1,smallruminants Flashcards
Management of Urologic Conditions in Sm ruminants
What are risk factors for obstructive urotlithiasis?
-males» females
-Castrated males more common, in males are castrated at an early age
-Diets high in Ca, Mg, or P (struvite/ca phosphate formation); pelleted diets & diets deficient in Vit A
Management of Urologic Conditions in Sm ruminants
What are the most common sites for a urolith to obstruct?
urethral process
distal sigmoid flexure
Management of Urologic Conditions in Sm ruminants
what are the clinical manifestation or syndromes that exist following blockage of the urethra with a stone?
- partial or complete urethral obstruction
- urethral rupture
- bladder rupture
Management of Urologic Conditions in Sm ruminants
prolonged partial or complete urethral obstruction can lead to what
hydroureter, hydronephrosis, bladder wall damage, urethral strictures
Management of Urologic Conditions in Sm ruminants
What diets predispose to struvite or calcium phosphate stone formation?
-diets high in Ca, Mg, P,
-altered Ca: P ratio
-pelleted concentrate diets
-diets deficient in Vit
A
Management of Urologic Conditions in Sm ruminants
What diets predispose to ca carbonate & calcium oxalate urotliths
forages & concentrates containing legumes, oxalates, sweet potatoes, dock, apple & pigweed
Management of Urologic Conditions in Sm ruminants
Most urinary calculi form in an alkaline urine pH, what are factors that predispose to an alkaline urine pH?
-herbivore diet
-diets that are high in protein
-urinary tract infections
Management of Urologic Conditions in Sm ruminants
What is the single most important factors in prevention of urolithiasis?
water intake
Management of Urologic Conditions in Sm ruminants
What C/S are associated with a ruptured urethra
ventral & preputial edema
signs of uremia
(chronic cases)-hyperemic skin & edematous tissues begin to slough
Management of Urologic Conditions in Sm ruminants
what clinical signs are associated with a ruptured blader
gradual abdominal distention
signs of uremia
acute reduction in pain
Management of Urologic Conditions in Sm ruminants
What are complications associated with urethral catheterization & retropulsion?
urethritis
uretral rupture
urethral stricture formation
Management of Urologic Conditions in Sm ruminants
What is the cause of ulcerative posthitis?
gram pos: Corynebacteirum renale
Management of Urologic Conditions in Sm ruminants
What predisposes to Corynebacterium renale overgrowth?
-high protein diet exacerbates (>16%)
**normal inhabitant of the prepuce
Management of Urologic Conditions in Sm ruminants
Describe the pathogenesis of Corynebacterium renale leading to ulcerative posthitis:
1high protein diet (>16%)
2. excrete increased urea concen in urine
3. urea alkalinizes urine– allows urease producing bacteria in urinary tract ot break down urea releasing ammonia
4. ammonia causes irritation & ulceration of the prepuce leading to overgrowth of C. renale
5. infection: fibrosis, scarring 7 stricture of preputial opening– interefere with urination
Management of Urologic Conditions in Sm ruminants
Ulcerative posthitis is typically seen in males, how can it be passed to females?
Passed at. breeding– resulting in vulvitis
Management of Urologic Conditions in Sm ruminants
describe treatment of ulcerative posthitis
-clipping & cleaning area
-reestablish patency of prepuce
-topical antibiotic therapy (Neosporin)
-systemic antimicrobial therapy– penicillin/cephalosporin
-feeding an acidifying agent to diet (ammonium chloride)
Management of Urologic Conditions in Sm ruminants
What are preventative measures for ulcerative posthitis?
-dietary protein concen <16%
-maximize hay intake
-addition of urinary acidifier
Management of Urologic Conditions in Sm ruminants
What are causes of ulcerative vulvitus?
-mycoplasma spp, histophilus spp, trueperella pyogens
-enzootic vulvitis– C. renale (high protein diets)
-granular vulvitis– Ureaplasma spp
R/O: neoplasia, trauma, parasites & contagious ecythma
Management of Urologic Conditions in Sm ruminants
When are urinary tract infections most commonly seen in ruminants?
post-partum exposure to contaminants during parturition
Management of Urologic Conditions in Sm ruminants
What are the most common etiologic agents of urinary tract infections
C. renale
E coli
staph
strep
Management of Urologic Conditions in Sm ruminants
what is seen on urinalysis with urinary tract infectoin?
hematuria or pyuria
RBCs
Nets
bacteria