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SA Sx > Sx of the Bladder > Flashcards

Sx of the Bladder Flashcards

1
Q

What are the surgical diseases of the bladder?

A 
Urachal abnormalities
Ruptured bladder
Cystic calculi
Neoplasia
Urinary incontinence
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2
Q

What is defined as: embryonic channel allowing communication between bladder and allantoic sac

A

Patent urachus

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3
Q

What are the CS of a patent urachal canal?

A

Urine dribbling from umbilicus, omphalitis, ventral abdominal dermatitis, UTI

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4
Q

What is the dx test for patent urachus?

A

contrast in umbilicus

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5
Q

What is the tx for patent urachus?

A

sx removal of urachal tube

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6
Q

What is a vesicouraacheal diverticulum?

A

External opening is closed but bladder attachment is patent

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7
Q

What are the tx options for vesicouracheal diverticulum?

A

partial cystectomy and diverticulectomy

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8
Q

What is a urachal sinus?

A

Persistent distal urachas remains open

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9
Q

T/F: urine retrieval with a catheter rules out bladder rupture

A

FALSE

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10
Q

What are CS of a bladder rupture?

A

Dehydration, acidosis, azotemia, hyperkalemia and death in 90 hrs

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11
Q

What are radiological evidence of a ruptured bladder?

A

free abdominal fluid, absence of bladder, decreased serosal detail

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12
Q

What is the most reliable dx test for a ruptured bladder?

A

Positive contrast urethrocystogram

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13
Q

What is the first tx concern for a patient with a ruptured bladder?

A

Stabilize first- fluids and abdominocentesis

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14
Q

What is a tube cystotomy indicated for?

A

Urinary diversion to stabilize LUT obstruction (patients that cannot be catheterized)

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15
Q

When is a cystopexy indicated?

A

Tube cystotomy
perineal hernia
Urinary incontinence associated with pelvic bladder

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16
Q

T/F: cystic calculi are common

A

TRUE

17
Q

What are dx tests performed for cystic calculi?

A

Rads
Pneumocystography
Double contrast cystography
U/S

18
Q

What are non sx tx options for cystic calculi?

A

Hydropropulsion
Transurethral cystoscopy
Dietary modification
Electrohydraulic lithotripsy

19
Q

What is the most common sx of the bladder-especially for urolith removal?

A

Cystotomy

20
Q

what is the preferred approach for a cystotomy?

A

Ventral approach

21
Q

Where should the stab incision for a cystotomy be made?

A

apex of the bladder

22
Q

How long post-op until 100% strength is regained in the bladder?

A

14-21 days post-op

23
Q

what is the most common bladder tumor in canines and what area is affected?

A

TCC- scottish terrier

Trigone area

24
Q

What is the second most common urinary tract tumor in felines and what area is affected?

A

TCC of the bladder

Apex region

25
Q

What is a chemotherapy drug that predisposes a patient to TCC?

A

Cyclophosphamide

26
Q

What are the chemo drugs used for TCC patients?

A

Piroxicam, cisplatin and mitoxantrone

SA Sx (22 decks)

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