large animal urinary disorders Flashcards

1
Q

what is cystitis?

A

trauma to bladder

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2
Q

what species does cystitis effect?

A

any species

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3
Q

what is the cause of cystitis?

A

trauma, contaminated/repeated catheterization, calculi in bladder, difficult parturition

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4
Q

cystitis is more common in?

A

females

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5
Q

what are the clinical signs of cystitis?

A

urination attempts with little amounts, remaining in urination stance after urinating, urine dribbling, painful urination

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6
Q

what bacteria contributes to cystitis?

A

E. coli

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7
Q

what is found on the urinalysis when diagnosing cystitis?

A

hematuria, pyuria, protein, turbid urine

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8
Q

how do we treat cystitis?

A

antimicrobials, chronic cases - antibiotics 10 days due to bacteria localizing in bladder wall

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9
Q

what is urolithiasis also known as?

A

water belly, urinary calculi, stones

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10
Q

can dietary treatment for dissolution of stones a method of treatment?

A

no

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11
Q

what is the cause of urolithiasis?

A

normal urinary solutes may precipitate out of urine to form calculi

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12
Q

what factors contribute to the pathogenesis of urolithiasis?

A

increased urine concentration, urinary stasis, bladder infection, high grain/low roughage, pH, diets high in minerals, low vitamin A, high estrogen levels

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13
Q

what are calculi ramifications in relation to urolithiasis (what can calculi do)?

A

totally block urethra, partially block urethra, partial flow causes necrosis

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14
Q

what are the clinical signs of urolithiasis?

A

abdominal pain, straining to urinate, hematuria, “icicle” build up in winter,

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15
Q

what happens during a urethral rupture?

A

urine leaks causing pitting edema in ventral abdominal wall

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16
Q

what are the clinical signs of a bladder rupture?

A

pain stops, toxic, anorexia, coma

17
Q

what do we look for when we complete a urinalysis in relation to urolithiasis?

A

erythrocytes, epithelial cells, crystals, bacteria

18
Q

in horses, what is the most common calculi?

A

calcium carbonate

19
Q

how do we treat urolithiasis in a gelding?

A

bladder - laparoscopic removal, urethra - express manually or cut through median raphe

20
Q

how do we treat urolithiasis in mares?

A

remove with hand or forceps

21
Q

how do we treat urolithiasis in rams?

A

urethral - snip off urethral process

22
Q

how do we treat urolithiasis in a steer?

A

urethra - penile urethrostomy

23
Q

what is the result after a penile urethrostomy on a steer?

A

urinates from behind

24
Q

how do we prevent urolithiasis?

A

Ca:P in recommended range, ensure adequate water consumption, supply adequate roughage, acidify urine with ammonium chloride

25
in what species does patent urachus occur?
foals
26
what does the urachus connect?
bladder to the umbilicus to the allantoic sac
27
when does the urachus close?
at birth or shortly after
28
what will we see If the urachus fails to close?
urine will be seen dribbling from the umbilicus
29
what does a patent urachus cause?
vulnerability to pathogens
30
what are the clinical signs/diagnosis for a patent urachus?
urine dribbling, cystitis, septicaemia and or joint sepsis
31
what are the 4 treatment options for patent urachus?
spontaneously correct, urinary catheter, topical cauterizing agent (iodine), surgery to remove
32
what are urethral diverticular concretion known as?
smegma/bean problems
33
smegma/beans is more common in?
males, horses spending all of time in arenas due to soil build up
34
what are the clinical signs of smegma/beans?
dysuria, urine spraying, swelling of the distal penis near the urethral opening
35
what is the treatment for smegma/beans?
clean area, mild soap or lubricant added to water, rinse well
36
where does bean accumulate?
urethral diverticulum
37
how is bean created?
the build up of smegma forms a bean