urinary system notes pt 2 Flashcards

1
Q

what species are silica uroliths important in?

A
  • important in ruminants > pastured animals
  • less common in dogs
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2
Q

how to reduce formation of silica uroliths in ruminants

A
  • Silica urolith formation can be reduced by adding salt to rations as this leads to increased water consumption
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3
Q

silica urolith shape in ruminants, generally

A
  • Silica uroliths in cattle are hard, dark-brown to white, often laminated, up to 1 cm in size and are round to oval
  • can be more angular if formed in the kidneys
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4
Q

silica stones in dogs
- where found?
- breeds?
- shape /. composition in dogs
- risk factor

A
  • mostly in males
  • usually found in the urethra and bladder
  • German shepherd dogs and old English sheepdogs
  • Unlike in cattle, silica bladder stones are very irregular in shape with multiple projections, often in a ‘jackstone’ configuration, and often contain struvite and/or calcium oxalate
  • Dry feed containing high levels of plant-derived ingredients are thought to predispose
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5
Q

struvite stone
- compositions
- colour / shape
- species
- dog breed

A
  • composed of magnesium ammonium phosphate hexahydrate
  • stones tend to be white to grey, chalky, usually smooth and they are easily broken
  • common in dogs, also cats and cattle
    > Pugs
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6
Q

struvite stone relationship with infection

A
  • commonly associated with infection, and ureases produced by some bacteria (e.g. Staphylococcus, Proteus) contribute to struvite supersaturation by increasing the urine pH and ammonium ion levels
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7
Q

biggest problem that struvites cause in cats?
- most common in who?

A
  • struvite containing sabulous (matrix/crystalline) urethral plugs that occur, mostly in male cats
    > combination of struvite crystals, protein, and cellular debris
    > most common in 2-7-year-old cats
    > castrated males have a higher risk and spayed females are least affected.
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8
Q

struvite in cattle
- how it generally causes issues?
- risk factor / prevention?

A
  • similar to cats > struvite crystals usually combine with a proteinaceous matrix rather than forming a hard calculus
  • cattle and sheep on high grain rations
  • can lead to obstruction in up to 10 % of steers
  • Dietary alterations can help prevent these stones from forming.
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9
Q

Oxalate uroliths general character
- predispositions?
- prevention?
- common in who?
- diets?

A
  • usually large, solitary stones found in the bladder that are hard, heavy, and white to yellow, often with jagged spines on the surface
  • hypercalcuria and hyperoxaluria predispose
  • dietary magnesium and citrate can help prevent urolith formation
  • (older, male) dogs, also cats (male and neutered animals)
    <><><><>
    Diets designed to lower urine pH to help control struvite urolithiasis increase the occurrence of oxalate urolithiasis
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10
Q

oxalate calculi associated with what neoplasia

A

parathyroid neoplasia

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11
Q

urate uroliths
- common in who? why?
- character / shape
- predispositions

A

Urate (purine) calculi
- most common in dogs, esp Dalmations
> secrete high levels of uric acid in the urine due to an autosomal recessively inherited defect in hepatocellular uptake of uric acid
<><>
- hard green to brown, laminated, spherical stones usually less than 5 mm and are usually multiple
- usually ammonium urate
<><>
- males
- PSS

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12
Q

Xanthine calculi
- what is xanthene?
- when do we see stones?
- breeds?

A
  • Xanthine is a purine metabolite not normally found in urine due to degradation by xanthine oxidase to uric acid
    <><><>
    In dogs:
  • primary autosomal recessively inherited form > animals have a defective xanthine oxidase enzyme
  • secondary iatrogenic form in animals treated with allopurinol > binds and inhibits xanthine oxidase activity
    <><>
  • Dachshunds, dalmations
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13
Q

cystine uroliths
- species
- character
- pH
- who is affected

A
  • dogs, some ferrets and cats
  • usually small, irregular light-yellow to red-brown, soft, friable, waxy stones
  • often contain other components
  • acidic urine causes precipitation
  • obstruction generally in males
    > nephroliths are common in Newfoundlands, as well as Irish and Scottish Terriers > defective reabsorption through proximal tubules
    > genetic predisposition
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