Disease Of The Ruminant Urinary System Flashcards

1
Q

What is normal on a ruminants urine sample?

A
Colour - clear with no visible calculi
No blood / haemoglobin
SG - 1.020 - 1.045
pH - normally alkaline 
Protein - usually trace only 
Glucose - usually trace
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2
Q

What is a sign that a cow is in pain when she urinates?

A

Tail moving up and down

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3
Q

What are the differentials for haematuria?

A
Pyelonephritis 
Cystitis
Urolithiasis
Enzootic haematuria
Acute bracken poisoning
Toxic nephrosis
Glomerulonephritis 
Renal infarction
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4
Q

What are the differentials for haemoglobinuria?

A

Babesiosis
Post-parturient haemoglobinuria
Bacillary haemoglobinuria - Cl. hameolyticum

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5
Q

Hypospadia

A

= failure of the male urethra to close
Fatten fine
Farmer should check weekly, hose and apply Vaseline

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6
Q

Pyelonephritis

A

Corynebacterium renale
E.coli

More common in suckler cows - spread by natural service
Can be seen following dystocia

CS: weight loss, mild Pyrexia, dysuria, blood and pus in urine, examine per rectum - swollen painful kidneys

Tx: Amoxicillin (best, treats e.coli too), oxytetracycline

1/3 get better, 1/3 recur, 1/3 no response

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7
Q

Cystitis

A

Often secondary to dystocia

Lots of straining = lower urinary tract inflammation

Tx: amoxicillin, oxytetracycline

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8
Q

Amyloidosis

A

Immune complex deposition in the kidneys secondary to chronic infection

CP: off food, ill, PU PD, swollen kidneys, PLN, low albumin, pale swollen kidneys

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9
Q

Enzootic haematuria

A

Older cows
Long term ingestion of bracken causes tumours in the gut and bladder (SCC)

Leads to haematuria

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10
Q

Acute bracken poisoning

A

Bracken contains thiaminases = CCN due to thiamine deficiency

Retinal atrophy - bright blindness
Bone marrow toxicity - pancytopaenia + thrombocytopaenia
Haematuria, bloody diarrhoea, petechiae

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11
Q

Toxic nephrosis

A

Oak / acorn poisoning

  • 3-5 days after Autumn storm
  • ingestion of fresh oak leaves in the spring

Tannins = AKI
Sudden death, anorexia, bloat, constipation, tarry diarrhoea, death in 4-7 days

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12
Q

Bacillary haemoglobinuria

A

Uncommon
Wet conditions on high pH pasture

Clostridium hameolyticum + fasciola hepatica
,
Fatal - oedema, anaemia, jaundice, haemoglobinuria

Prev - vaccinate, fluke control

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13
Q

Babesiosis / red water

A

Babesia divergens - spread by ixodes ricinus
Bought in or younger animals are more susceptible
Spring / Autumn rise

Cs: Pyrexia, anaemia, haemoglobinuria, diarrhoea
Later: constipation, anaemia and jaundice

Dx: blood smear, thin smear, parasites, PCV anaemia, ELISA

Tx: imidocarb

  • 213 day meat withdrawal - likely that the animal will not be able to enter the food chain!
  • inform DVM if you treat an animal
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14
Q

Post-parturient haemoglobinuria

A

Older high yielding diary cows
Haemoglobinuria 1-4 weeks post-calving due to a low phosphorous diet

CS: sudden onset haemoglobinuria and jaundice

Tx: foston IV - guarded prognosis

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15
Q

Urolithiasis

A

2-4 month old lambs
Mature goats that were castrated in the first month of life
Bull beef calves

High concentrate diet, Ca:P imbalance, not enough water

CS: restless, abdominal pain, dysuria, anuria, preputial crystals
- bladder will eventually rupture

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16
Q

What sites are prone to urolithiasis?

A

Sigmoid flexure, urethral appendage, pelvic urethra

17
Q

Burdizzo incompetence

A

Ruptured urethra if placed too high

Same signs as urolithiasis - obstruction then bladder rupture

Animal will have to be PTS on welfare grounds

18
Q

How can you treat urolithiasis?

A

If bladder intact…
Sedate - xylazine
Local anaesthetic to aid penis extrusion - especially in the goat
Flush the urethra with local anaesthetic to reduce urethral spasm
Palpate calculi
Partially amputate appendage
Use a curved catheter with a guide wire to pass obstruction

If US available can attempt percutaneous bladder catheterisation

If bladder has ruptured exploratory laparotomy under GA and repair bladder

IVFT - to treat post- renal azotaemia

19
Q

How can you perform a urethrostomy in male cows to relieve urolithiasis?

A

Standing and epidural anaesthesia
Midline incision 4 inches below the anus
Transect penis distally to leave a 4 inch stump
Suture stump to skin
Indwelling catheter and do not allow to scab over

20
Q

What is water belly?

A

Subcutaneous oedema due to bladder rupture

Tx: multiple incisions to produce drainage, necrotic tissue sloughs off

Post op care - bath / clean, antibiotics, house fly treatment, welfare

21
Q

How can you prevent recurrence of urolithiasis?

A

Urinary acidification

  • ammonium chloride
  • acid sodium phosphate

More access to water
No added magnesium
Calcium : phosphate ratio 1:2
1% NaCl in the diet