Exam 4 Flashcards
What is the Adrenal Gland Contained of?
Endocrine gland only
- Produces hormones
- No ducts
What Three Hormones are Produced in the Endocrine Glands?
- Epinephrine (medulla)
- Hydrocortisone (cortex)
- Aldosterone (cortex)
Cushing’s Disease
Hyperadrenocorticism
Increase in cortisol
Symptoms: PU/PD, nocturia, weight gain, alopecia
Tx: Removal from steroids, remove adrenal gland
Addison’s Disease
Hypoadrenocorticism
Decrease in aldosterone, hydrocortisone
Symptoms: Bradycardia (increased K+), hypoglycemia
Tx: Glucocorticoids- prednisolone
Gross Anatomy of Urinary Tract
Kidney
- Perirenal fat: provides protection
- Pelvis: collection of urine
- Cortex: Filtration of the blood
- Medulla: reabsorption of water + electrolytes
- Hilus: where blood supply enters kidney
Ureter
Urinary bladder
Urethra
Microanatomy of Urinary Tract
Nephron
- Glomerulus: filtration of blood
- Juxtagolomerular apparatus: regulates prod. of RBCs
- Bowman’s capsule: catches the filtration
- Proximal convoluted tubule: filtration of electrolytes
- Loop of henle: reabsorption of water + electrolytes
- Distal convoluted tubule: reabsorption of water + electrolytes
Functions of the Kidney
- Filtration of Blood
- Drugs, urea, BUN - Reabsorption of H2O
- Maintains blood volume, prevents hypotension - Regulation of NaHCO3
- Acid/Base Balance - Regulation of electrolytes
- Regulation of erythrocyte production in bone marrow
Diabetes Insipidus
Lack of ADH production
Symptoms: constantly producing urine (very little H2O reabsorption)
Tx: Desmopressin acetate (H2O binder)
Uremia (Azotemia)
Elevated urea in the blood
3 Types
-Pre-renal: decreased BP, decreased urine output, increased waste products in the blood
-Renal: can’t remove the urea, nephron damage, decreased amount of enzymes
-Post-renal: kidney eliminates waste but obstruction prevents elimination of waste
Nephritis
Inflammation of the nephrons
-Chronic nephritis renal failure: fibrosis of the nephron –> renal atrophy (very common in geriatrics)
Symptoms: PU/PD, metabolic acidosis (tachycardia, tachypnea)
Tx: IV fluids to flush out waste, palliative care
Incontinence
Can't control urination Causes: -Neurologic: pressure on motor nerve causes loss of detrusser muscle -Hormonal: decreased estrogen- post OHE Tx: Phenylpropanolamine (Proin)
Lower Urinary Tract Infection (LUTI)
Bacteria growth in bladder
Causes: bacterial cystitis, uroliths, neoplasia (TCC)
Tx: antibiotics, change diet, sx
Transitional Cell Carcinoma (TCC)
Type of epithelial tissue, benign cell
Tx: sx, Piroxicam (NSAID), Mitocantrone + Vinblastine (chemo drugs)
Gross Anatomy of Reproductive Tract
Ovaries: dev. of ova
Ovarian bursa: ova ruptures into FT
Fallopian tubes: transports to uterine horns
Uterine horns: where fetus is located
Uterine body
Cervix: only open during estrus + parturition
Vagina
Ovariohysterectomy
Spay
Express bladder before
Best before 1st estrous cycle
2 ligatures around ovarian artery and vein, 2 ligatures around uterine body
Reasons for OHE
Prevent pregnancy Prevent pyometra Prevent breast cancer Population control Hemorrhaging during heat cycle
Tubule Ligation
Only tying off the fallopian tubes
Preventing ova from getting fertilized
How to Recognize Hemorrhage After Surgery
Pale mm Increased CRT Low PCV (<25%) Lethargic during recovery Increased HR Low BP \+/- abdominocentesis
Cells of the Ovary
- Germinal cell: only cell capable of meiosis
- Granulosa cell: estrogen production (maturing ova)
- Luteal cell: will migrate to the corpus hemorrhagica and develop the corpus luteum (CL), produces progesterone
- Fibroblast: will stimulate production of scar tissue of follicle is not impregnated