Abnormal Urination Flashcards

1
Q

Nephron review

A
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2
Q

Presenting signs of kidney disease

A
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3
Q

Acute renal failure/ acute kidney injury

A
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4
Q

Acute tubular necrosis

A
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5
Q

Acute renal failure/ acute kidney injury History

A
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6
Q

Acute renal toxicoses- Aminoglycosides

A
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7
Q

Acute renal toxicoses- NSAIDs

A
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8
Q

Acute renal toxicoses- other causes

A
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9
Q

Acute renal failure/ acute kidney injury Diagnosis

A
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10
Q

Acute renal failure/ acute kidney injury Treatment

A
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11
Q

Acute renal failure/ acute kidney injury Monitoring

A
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12
Q

Acute renal failure/ acute kidney injury Prevention

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13
Q

CKD

A
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14
Q

CKD Physical Exam

A
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15
Q

CKD Clin Path

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16
Q

CKD Causes

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17
Q

CKD Diagnosis

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18
Q

CKD Treatment/ management

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19
Q

Gross haematuria

A
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20
Q

Gross haematuria diagnosis

A
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21
Q

Idiopathic renal haematuria

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22
Q

Idiopathic renal haematuria diagnosis

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23
Q

Neoplasia urinary tract

A
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24
Q

Cystic calculi

A
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25
Q

Cystic Calculi Diagnosis and Treatment

A
26
Q

Cystic calculi prevention

A
27
Q

Urethral haemorrhage

A
28
Q
A
29
Q

Urinary incontinence DDX

A
30
Q

Sabulous urolithiasis

A
31
Q

Sabulous urolithiasis diagnosis and treatment

A
32
Q

UTI

A
33
Q

UTI diagnosis and treatment

A
34
Q

Neuro causes of incontinence

A

* Spinal cord lesions –> UMN Bladder

  • usually not a big problem in horses
  • may not be recognized until overflow incontinence occurs
35
Q

Drinking 80L of water per day in hospital

Urinating large volumes (although not quantified)

A

Pergolide mesylate– 1 mg orally once daily

Within 72 hours- decrease in water intake– 80L/day to 37 L/day

  • Normalisation of blood glucose 12.1 mmol/L to 6.7 mmol/L

* Repeat visit 4 weeks– endocrine testing– endogenous ACTH result 103 pg/mL… Autumn reference < 47 pg/mL

* Clinically no PU/PD, normoglycaemia

* Increased pergolide to 1.5 mg dose

* Repeat visit 4 weeks

  • Endocrine testing– endogenous ACTH result: 98.2 pg/mL (winter reference < 29 pg/mL)
  • Clinically- acute episode of laminitis

* Increased pergolide to 2 mg dose

* Instituted remedial farriery

36
Q

PU/PD definitions

A
37
Q

Clinical signs PPID

A
38
Q

History PPID

A
39
Q

Clinical pathology PPID

A
40
Q

PPID Background

A
41
Q

PPID Pathophysiology

A

* Melanotropes are the endocrine cells of the pars intermedia

* Produce long precursor hormone pro-opiomelanocortin (POMC)

  • Peptide products of POMC have diverse and wide- ranging biological effects
  • still poorly understood
42
Q
A
43
Q

PPID Clinical signs

A
44
Q
A
45
Q

Preferred screening test in PPID Diagnosis

A
46
Q

PPID Diagnosis: Dex suppression test

A
47
Q

How to do DST and limitations

A
48
Q

Seasonality of DST in PPID Diagnosis

A
49
Q

PPID Diagnosis other tests

A
50
Q

PPID Diagnosis Insulin Status

A
51
Q

PPID Treatment

A
52
Q

PPID: Treatment… monitoring

A
53
Q
A
54
Q

What if pergolide isn’t working?

A
55
Q

PPID Management

A
56
Q

Hoof care

A
57
Q

Psychogenic polydipsia

A
58
Q

Water deprivation test

A
59
Q

Management of Psychogenic polydipsia

A
60
Q

Water deprivation test

A