Final Flashcards
(99 cards)
What are the 3 factors that affect the quality of excretory urography?
glomerular filtration
renal concentrating ability
patients hydration status
What will be seen if glomerular filtration is decreased in a excretory urography?
decreased renal density (contrast is passively filtered)
What will be seen if renal concentrating ability is decreased?
more water will dilute contrast –> less opaque
What must be done to the patient before an excretory urography?
empty GI tract
evaluate renal function prior to procedure and x-rays
well-hydrated
What tests does giving contrast in excretory urography affect?
urinanalysis -inc SG, false positive proteinuria, alters cells, creates crystals
inhibits bacteria growth
What are the 2 side effects of excretory urographies?
contrast induced diuresis (dilation, messes up US)
contrast induced acute renal failure
What are the 3 contraindications for excretory urogram?
pre renal azotemia/oliguria
renal insufficiency/failure - poor contrast
multiple myeloma - bence jones precipitate with contrast
What is the definition of delayed pyelogram in an EU?
> 3 minutes after nephrogram
What does renal dilation indicate on an EU?
pyelonephritis
What are the two most common uroliths in dogs and cats?
struvite and calcium oxalate
What uroliths can be dissolved medically?
struvite, cysteine, and urate
What uroliths can not be dissolved but medical therapy can be used for prevention?
oxalate and silica
Term for technique of breaking uroltihs by electrohydraulic shock to remove bladder stones.
Lithotripsy
What urolith is urease positive bacteria and consequently UTIs associated with?
struvite
What are risk factors for calcium oxalate uroliths?
acidifying diet, hyperparathyroidism
Does acidic or alkalinic blood increase ionized calcium measurement?
acidic
What are the differential diagnosis for hypercalcemia and low phosphorus?
primary hyperparathyroidism
hypercalcemia of malignancy
(both increase PTH)
What are the differential diagnosis for hypercalcemia with increased phosphorus?
renal disease
addisons
hypervitaminosis D
What is the most common cause of hypercalcemia in cats?
idiopathic
also neoplastic
How does hypercalcemia affect the kidney?
interferes with ADH - low urine SG
What dog breed gets primary hyperparathyroidism?
keeshonds
What are rabbits and guinea pigs susceptible to in regards to urinary system? (TQ)
rabbits - hypercalciuria
guinea pigs - urolithiasis
What should be considered when treating avians for renal disease?
diuresis does not work (have 10% mammalian nephrons)
What drug inhibits uric acid formation when treating avians for renal disease?
allopurinol