Umbilical & Urinary Disorders Flashcards
Omphalitis:
Inflammation of external or internal umbilicus
Omphaloarteritis:
Inflammation of umbilical arterie(s)
Omphalophlebitis:
Inflammation of umbilical vein
Uroabdomen:
Leakage of urine into abdomen from ureters, bladder, or urachus
Omphalitis signalment
Neonates 1-30 days old
Most prevalent <14 d
Omphalitis pathophysiology:
Improper cord separation
Inflammation- improper application of iodine etc
Infectious- most common
Omphalitis clinical signs:
Frequent attempts to urinate/Straining
Urine dribbling from umbilicus
Swollen, painful umbilicus
Purulent material
Fever
CBC Findings with omphalitis:
Leukocytosis or leukopenia, hyperfibrinogenemia
Complications associated with Omphalitis:
Sepiticemia, Septic Joints, Osteomyelitis, Peritonitis, Pneumonia, Meningitis
Omphalitis Tx:
Medical- antimicrobials appropriate if mild
Surgical
Poor prognostic indicators after omphalitis sx treatment
Can’t resect entire infection
Umbilical vein infected
Sepsis +/- Synovial structure infection
Cause of umbilical hernias:
Congenital
Treatment options of umbilical hernias:
Conservative- easily reduced, often spontaneously regresses
Surgery- Not reducible (Strangulation = EMERGENT)
or failure to resolve
Signalment of Patent Urachus:
Neonate foals, calves, & small ruminants
Normal closure of the urachus:
Within hours of birth
Etiologies of Patent Urachus:
Congenital- failure to close (physics of it all)
Acquired- Closes then reopens (Inflammation, Infection, Increased Abdominal pressure- constipation, lifted)
Most common urinary malformation in foals:
Patent urachus
Tx options for patent urachus:
Medical- catheter, chlorhex dip, cautery
Should close within a few days
Sx- Umbilical resection (duration >3days)
**NEED TO MONITOR FOR SIGNS OF SEPSIS- monitor TPR & palpate joints
Signalment of uroperitoneum
Colts»_space;> Fillies
Bladder rupture during parturition
Etiologies of Uroperitoneum
Ruptured bladder- parturition/lifting, congenital malformations
Rupture of urachus- omphalitis
Clinical Signs of Uroperitoneum:
Born normal, crashes after 48-72 hr
Lethargy, Anorexia, Abd distension, stranguria, intermittent colic
Classic changes associated with uroperitoneum:
Hyponatremia, Hypochloremia, Hyperkalemia, Azotemia,
=>
Muscle Tremors, Neuro deficits, Cardiac abnormalities
Dx of Uroperitoneum:
Ultrasound
Abdominocentesis- Abdominal Creatinine/Serum creatinine ≥ 2
Why is uroperitoneum an emergency?
Hyperkalemia** Fix before anesthesia
Decreased lung capacity
Distended abdomen
Hypoxemia
Potassium goals prior to uroabdomen surgery:
K+ <5.5 mEq/L
Tx of Uroabdomen:
Correct Hyperkalemia
Slow Peritoneal Drainage
Calcium
Sx- urachal remnant resection, Cystorrhapathy (Bladder repair) & abdominal lavage