Clinical Urinary Medicine (EQ) Flashcards
What type of kidney Failure is most common in horses?
AKI
What are the 3 types of AKI, and which is more common in foals than adults?
Pre-renal
Renal
Post-renal (foals)
Apart from azotaemia, what other electrolyte disturbances may be seen with AKI?
Dec: Na, Cl, Ca
Inc: P
How is Equine AKI Tx?
IV 0.9% NaCl/Hartmanns
What are the clinical signs of equine CKD?
WL, Lethargy, poor coat
PUPD
Gastroenteritis
Oral ulcers/Tartar/halitosis
What should be done for Tx of an oliguric horse?
Furosemide (diuresis)
Dopamine (renal vasodilator)
SYNERGY!
How is equine CKD diagnosed?
Isosthenuria (1.008-1.014) w/azotaemia
Mild anaemia
Electrolyte abnormalities
After H/B/U - which 2 additional diagnostic tests can be performed on a horse with CKD?
US
Endoscopic collection of ureter samples
How is CKD treated?
Palliate - water/salt always available
Low protein diet
What are most EQ urinary stones made from?
CaCO
How are nephroliths and urteroliths diagnosed?
Palpation/US
Remove affected kidney
How are uroliths diagnosed?
Palpation/endoscopy
How are urethral calculi treated?
Removed surgically + ABs
inc salt, dec Ca
How should urethritis of the male horse be treated?
Clean + mild topical antibacterial agents
WHat are your 3 main Ddx for PUPD in the horse?
Renal Failure
PPID
Psychogenic consumption
