Cystitis and Urolithiasis Flashcards

1
Q

What is cystitis?

A

Inflammation of the bladder due to bacterial infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is cystitis often associated with?

A
  • Trauma to the bladder
  • Stagnation of urine
  • Paralysis of the bladder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the most common predisposing factors for cystitis?

A
  • Cystic calculus
  • Dystocia or difficult parturition
  • Late pregnancy
  • Contaminated catheterisation
  • Ascending infection from pyelonephritis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Why do animals with cystitis constantly want to urinate?

A

Stagnation of urine allows invasion of the mucosa, and causes irritation of the stretch receptors in the bladder wall, meaning the animal is constantly stimulated to urinate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the clinical signs for cystitis?

A
  • Frequent and painful urination accompanied by grunting
  • Maintenance of urination posture
  • Only very small volumes of urine are passed
  • Abdominal pain
  • Moderate febrile reaction
  • Pain on palpation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How will cystitis feel on rectal examination?

A

Bladder will feel thickened

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How is cystitis diagnosed?

A
  • Clinical signs
  • Presence of blood, pus and mucus in urine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the differentials for cystitis?

A
  1. Pyelonephritis
  2. Cystic calculi
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How do we treat cystitis?

A
  • ATB for 10-14 days
  • Free access to water and salt
  • Urine acidifiers - ammonium chloride
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

List some congenital defects of the urinary tract

A
  1. Patent urachus
  2. Urethral atresia
  3. Hypospadiasis
  4. Ectopic ureters
  5. Renal hypoplasia or dysplasia
  6. Polycystic kidneys
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is another name for urolithiasis?

A

Waterbelly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Which animals are most likely to have urinary calculi?

A

Males - especially castrated animals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where are urinary calculi most common in cattle?

A

At the distal sigmoid flexure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where are urinary calculi most common in sheep and goats?

A

Urethral process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the difference between urolithiasis in sheep and that in cattle?

A

In cattle - rarely cause obstruction.

In sheep/goats - obstructions are common.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why is urolithiasis more common in feedlot animals?

A

Longer urethra, with a bend, that narrows when it passes through the penis

17
Q

What is a consequence of urolithiasis?

A

Bladder rupture

18
Q

What are the different types of calculi?

A
  • Phosphate stones
    • Magnesium ammonium phosphate - struvite
  • Silicate stones
  • Oxalates
  • Protein containing compounds
19
Q

Which caculi are most common?

A

Struvite - magnesium ammonium phosphate

20
Q

What predisposes animals to struvite?

A

Diets that promote the production of alkaline urine and high phosphate content, i.e. concentrated feedstuffs

21
Q

How does struvite differ from silicate stones?

A

STRUVITE - soft, small, multiple and amorphous or sludge. Developing under alkaline diets

SILICATE - single and hard. Develop under acidic diets.

22
Q

How do we prevent struvite?

A
  1. Avoid diets high in phosphorus
  2. Maintain optimal Ca:P (2:1)
  3. Supplement diet with calcium
  4. Include more roughage in diet
  5. Feed alfalfa
  6. Acidify urine - ammonium chloride
23
Q

How do we prevent silicate stones?

A
  1. Reduce silica intake
  2. Increase water consumption
  3. Increase alfalfa and other legume intake
24
Q

How do we treat cystic calculi?

A

MEDICAL

  • Anti-spasmodics
  • IV fluids
  • Ammonium chloride - acidifies urine
  • ATB and NSAIDs

SURGERY

  • Removal
25
Q
A
26
Q
A