Session 23 - Urinary III Flashcards
What can cause hemoglobinuric nephrosis?
Increased circulating hemoglobin in a hemolytic crissi
What can cause hemoglobiuric nephrosis in sheep?
Chronic copper toxicity
What can cause hemoglobiuric nephrosis in cattle?
Leptosporosis + Babesiosis
What can cause hemogloburic nephrosis in dogs?
Babesiosis + AIHA
What can cause hemogloburic nephoris in horses?
Red maple leaf toxicity
By what pathologic mechanism does hemogloburic nephoris occur?
Renal ischemia + Increased serum hemoglobin
Passage of hemoglobin through glomeruli
Intratubular casts of hemoglobin pigment
Compounds tubular epithelial damage
What is the gross appearance of hemogloburic nephrosis?
Gun-metal blue to chocolate color of kidney
What causes myglobinuric nephrosis?
Acute, extensive muscle necrosis
What can cause myoglobinuric nephrosis in wildlife?
Capture myopathy
What is seen in horses with myoglobinuric nephrosis?
Azoturia
Acute rhabdomyolysis
What is another name for acute rhabdomyolysis in horses?
Monday morning disease
What is the pathogensis of myoglobinuric nephrosis?
Similar to hemogloburic nephrosis
Myoglobin seen earlier and more readily in urine
Why is myoglobin seen quicker then hemoglobin?
Smaller, no carrier protein needed
What does lilies cause in cats?
Acute tubular necrosis
What is renal papillary necrosis commonly associated with?
Hypoperfusion of the inner medulla
What commonly causes renal papillary necrosis in equine?
Phenylbutazone or Flunixin meglumine
What commonly causes renal papillary necrosis in dogs and cats
Ibuprofen + Aspirin + Acetominophen
By what mechanism does Acetominophen cause renal papillary necrosis?
Directly damages tubular epithelium
What can make NSAID toxicity worse?
Dehydration
How do NSAIDs cause renal papillary necrosis?
Reduction of prostaglandins which protect the kidney from ischemia
What cell type is responsible for prostaglandin release in teh kidney?
Interstitial cells
When are uroliths most common in cattle?
Males
Where are stones found most commonly in cattle?
Sigmoid flexure of males
What can exacerbate the effects of uroliths?
Dehydration
What kind of urolith is most common in cattle?
Silica or struvite