Hematuria and HBuria Flashcards
How to differentiate Hematuria and HBuria?
spin it down. hematuria will settle.
What are the definitions of Hematuria, HBuria and Mburia?
hemat - RBCs in urine on urine sediment. When spun, the supernatant will have blood. Included blood clots
Hburia - hb in urine, after spinning will still all be red
Myuria - mb in urine. Only differentiate by increased serum CK and AST.
what are hemat, hburia, and mburia?
clinical signs, not Dx
Where can the blood come from? what are the probable locations based on when it shows up when urinating?
urethra, bladder, kidney. Early (urethra) to late in urination (kidney)
What are the differentials for urethra?
calculi, trauma, and urethritis
What are the differentials for the bladder?
bracken fern, cysitis, papilloma, neoplasia, calculi, and polpys
What are the differentials for the kidney?
pyelonephritis, infarction, trauma, MCF, and endotoxic shock
HOw to Dx Calculi?
hematuria, colic and straining to urinate, enlarged urethra or ureter from rectal, post-renal azotemia
What is the treatment for urinary calculi?
mainly surgical, salvage the animal before uremic, medical like xylasine, NSAIDs, and IV fluids, Or walpole’s solution to guide acetic acid into the bladder.
prevention of calculi
water access, increase forage speciifcally longstem forage (esp for struvites), ammonium chloride ( but will decrease palatability)
What is associated with bacterial urethritis? How will it show?
pseudomonas infection which will manifest as hemospermia and needs time to rest.
What is the etiology of Brackedn fern?
pteridium aquilinum
CLinical signs of bracken fern
blood +/- clots in the urine, bladder wall thickening +/- tumors, anemia, sporadic
Treatment of the bracken fern
get rid of it from the diet, supportive
Background on cystitis in ruminants
females, C renale and e coli.
Clinical signs of cystitis. What don’t you see?
dysuria, decreased rate of urine flow, thickened bladder wall. NOT hematuria
treatment of cystitis
responds to penicillin. It only hits gram negatives because it hits such high concentrations in the urine.
Pyelonephritis clinical signs
in females, same etiologies as cystitis, reduction in feed intake and production, PAINFUL, enlarged smooth painful kidneys
treatment of pyelonephritis
penicillins and supportive care
prognosis of pyelonephirits
guarded.
What is athe most common cause of renal infarction?
NSAIDS and dehydration
Where is the pathology
acute tubular necrosis in the LOH
Clinical signs of renal infarction
polyuria, anuria, and dysuria as well as renal azotemia
Treatment of renal infarction
fluids for normal perfusion
