Samples Material Flashcards
Increased BUN, Increased Creatinine, and Variable Specific Gravity is characteristic of _____ Azotemia
Post-Renal Azotemia
*Usually with Post-Renal you will Know based on Physical Exam. Ex. Tom Cats straining to Urinate
Total Protein is Made up of What Two things?
Albumin
Globulins- Alpha, Beta, Gamma
Protein considered a Beta Globulin that is Synthesized by the Liver and Functions in Coagulation and Inflammation
Fibrinogen
Panhyperproteinemia, with Increases in both Albumin and Globulin, what is the Differential?
Dehyrdation
Increased BUN, +/- Increased Creatinine, and Increased Specific Gravity are Hallmark for with Azotemia?
Pre-Renal Azotemia
*May or May not have Increased Creatinine
During Pre-Renal Azotemia in a Dehydrated animal, Urine Volume will Decrease and Urine Specific Gravity will ____
Increase
*Increased USG is due to Increased Water Conservation. USG will range between 1.030-1.060
Red Urine is spun down, The Supernatent is now Clear or Yellow, What is in the Urine?
RBC’s
Dipstick Urinalysis measures _____ Bilirubin
Conjugated
Larger Cells in Urine Sediment that often have Visible Nucleus and Granular Appearance that when Present on Urine Sediment Indicates Inflammation
White Blood Cells
*Most commonly Neutrophils
*2xs Larger than RBCs
In What Species is Lipid in the Urine not very Significant?
Cats
*Few Lipid Droplets in Urine Sediment is Normal
True/False: During Inflammation, the Liver downregulates Albumin Production
True
*During Inflammation Albumin decreases and Globulin Increases
Kidney is Incapable of Altering the Amount of Water Leaving the Body leading to a USG of 1.007-1.013
Isosthenuria
*The kidney is doing Nothing
True/False: Decreased Creatinine is NOT clinically significant
True
Large, Thin often Angular Epithelial Cells that are commonly seen in Urine Sediment of Free Catch Urine that is Rarely Pathogenic
Squamous Epithelial Cells
Most prominant Ketone in Animals, that is Not Detected on Dipstick Urinalysis
B-Hydroxybuterate
During Renal Failure, When GFR is Less than 25% of Normal, Phosphorus excretion is Impaired leading to _____
Hyperphosphatemia
*Decreased GFR leads to Hyperphosphatemia
Occassionally in Pre-Renal Azotemia, Creatinine will Increase. In which two Animals this most common?
Greyhounds
Neonatal Foals
Increased BUN, Increased Creatinine and Decreased Specific Gravity is characteristic for which Azotemia?
Renal Azotemia
*Isosthenuric
When you Get Renal Azotemia, at least ____% of Nephrons are Non-Functioning
75
Biomarker that Begins to Increase with only 40% Loss of Renal Tubular function and is a great test to Rule out Chronic Renal Failure in Cats
Symmetric Dimethylarginine (SDMA)
*Helpful to Diagnose Cats that may be Developing Renal Failure- Can pick it up Earlier
Inability to Concentrate Urine causes _____, where 66% of Nephron is non-Functioning typically with Isosthenuria
Polyuria
*Common with Renal Failure
Liquid Portion of Blood that Contains All the Proteins
Plasma
In _____ Azotemia you Kidney looses its Concentrating ability leading to Isosthenuria
Renal
In Dipstick Urine Analysis, ____ should not be Present in Healthy Puppies and in Dogs the Renal Threshold is 180mg/dl
Glucose
*Cold Urine Fasely Decreases Urine Glucose
Epithelial Cells of the Bladder and Proximal Urethra
Transitional Cells
What Techinique uses an Instrument that directs a beam of Light through a Solution that Measures the Amount of Light absorbed
Spectrophotometry
Measures the Frequency with Which a Test result will be Normal in Animals without the Disease
Specificity
*Closer to 100% the Better
Any Substance, structure, or process that can be measures in the Body or its products and influence or predict the incidence of outcome or disease
Biomarkers
*Ex. BUN and Creatinine are Biomarkers
Red Urine is spun down, the Supernatent is still Red what is in the Urine?
Hemoglobin or Myoglobin
In a patient with Hypoalbuminemia due to _____, Glucose, Cholesterol and Urea will be Decreased while Globulins will be Increased
Liver Failure
______ are not Present in the Urine in Normal Healthy Animals, but will develop in animals with a Negative Energy Balance
Ketones
Globulins Synthesized by Lymphoid Tissue that Function in Immunity
Gamma Globulins
*Ex. IgG, IgM
Small Protein that makes up 30-50% of Total Protein that is Synthesized by the Liver and Catabolized by all Tissues
Albumin
Number One Differential for Pre-Renal Azotemia
Dehydration
True/False: Small amounts of Bilirubin Crystals are normal in HIghly Concentrated Urine of all Species
False
*Only Normal in Dogs. Abnormal in all other Species
Syndrome associated with Glomerular Nephropathy that leads to Hypoalbuminemia, Hypercholesterolemia, Edema, and Hypercoagulability due to Loss of Anti-thrombin
Nephrotic Syndrome
Two Differentials for Ketonuria on Dipstick Urinalysis
Negative Energy Balance
Diabetic Ketoacidosis
Positive Blood Dipstick Urinalysis due to ____ is commonly caused by Myocyte Damage and the Supernatent will Stay Red after Centrifugation
Myoglobinuria
Neoplasia such as Plasma Cell Tumors and B-Cell lymphoma lead to _______
Hyperglobulinemia
*Plasma Cell Tumors produce a Lot of One type of Globulin
Pre-Renal Azotemia due to Increased Urea Production is commonly caused by _____
Upper GI Bleed
Smallest Protein with the Highest Negative Charge and Biggest Peak on Electrophoresis
Albumin
Renal Azotemia leads to Decreased _____, leading to Increased BUN and Increased Creatinine
GFR
Larger Proteins that don’t Migrate as Far and have Small Negative Charge
Globulins
*Gamma Globulin has Smallest Negative Charge
True/False: Antibiotics such as Sulfa Family Drugs and Anti-convulsants can lead to Drug Associated Cystals in the Urine
True
Most Common Urine Crystal in Dogs and Cats
Struvites
Yellow- Orange Urine is indicative of ____
Bilirubin in Urine
Bloodwork of ____ Renal Disease commonly shows Azotemia, Hyperkalemia and Severe Acidemia
Acute
*Metabolic Acidosis
Nonregenerative Anemia, Azotemia, Hyperphosphatemia, Hypokalemia and Polyuria are characteristic of ____ Renal Disease
Chronic
*Typically have Normal Potassium or Hypokalemia- Differentiate Between Acute Renal Disease
Paraproteinuria (Bence-Jones) can be seen with _____, where small amounts of Immunoglobulins are being released
Multiple Myeloma
Dehydration, Inflammation, and Neoplasia lead to ______
Hyperglobulinemia
In ____ Renal Disease, Patients present with Good Body Condition Scores, GI signs, Oliguria, Hyperkalemia and Depression
Acute
*Vomiting, Diarrhea. Oliguria leads to Increased Potassium in the Blood
If Peritoneal Creatinine is Greater than 2 times Creatinine in the Blood, that is diagnostic for ____
Uroperitoneum
_____ leads to Hyperglobulinemia that Increases Proportionally with Albumin
Dehydration
Smallest Epithelial Cells that are Cuboidal To round with Central Nuclei. Typically if you see these on Urinary Sediment you are concerned about Renal Tubular Injury
Renal Cells
In ____Azotemia, You should check if the Patient has been on NSAID therapy or Prednisone
Pre-Renal
*NSAID and Prednisone leads to GI Ulceration
Measurement that Gives us an Idea of the Kidneys Ability to Conserve Water and Produce Concentrated Urine
Urine Specific Gravity
*Requires 33% Functional Nephrons
Refractometer provides an ____ of the Total Protein
Estimate
*Not completely Accurate
Technique where Proteins on Gel are Stained and Quantified with a Densitometer providing a Percentage and Absolute Amount
Electrophoresis
*Used commonly on Patients with High Total Protein- Determines if we Have a Single Type of Protein like in Neoplasms or Multiple types of Protein like in Inflammation
Excessive Urea in Blood with Clinical Signs of Renal Failure
Uremia
In _____ Renal Disease, patients have a Poor Body condition score, GI signs, Polyuria and Depression
Chronic
*Very thin and Tend to be Polyuric
Crystals found in Miniature Schnauzers with Urolithiasis, Patients with Hypercalcemia, and Acute Renal Failure
Calcium Oxalate Dihydrate
Orange Granules in Crystal Bundles found in Urine Sediment that is most common in Icteric Patients
Bilirubin
*Icterus
Glomerular Nephropathy Renal Disease commonly leads to _____ Syndrome, which is a Protein-Losing Nephropathy leading to Abdominal Transudation with Hypoalbuminemia and Hypercholesterolemia
Nephrotic
Yellow Crystals on Urine Sediment that form Aggregates of Granular Material with no Defining Shape and no Clinical Significance
Amorphous