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Flashcards

LA- Cattle Urinary Diseases

Rebecca Hitchman 2 Clinical Veterinary Science English 52 cards

Cards in this deck (52)

  1. 1What are the general presenting complaints when dealing with urinary disease in cattle?- Abnormal appearance of urine
    - Abnormal passage of urine
  2. 2Why is History important when dealing with urinary disease in cattle?- some conditions ass. w/ poisons, external parasites or lack of vaccination
  3. 3How can a Urine Sample be collected from a cow?Options 1: wait for cow to urinate
    Option 2: stimulate vulva and perineum
    Option 3: Placement of urinary catheter
  4. 4How can a Urine sample be collected from a bull?- Massage prepuce or wash with warm water
    - Placement of urinary catheter
  5. 5What is the normal Urinalysis values for cattle?SG = 1.02-1.045
    pH = usually alkaline pH 7-8 (but if DCAB diet then will be acidic)
    Should check colour, and allow to settle for ~20 mins to see if RBC are present or deposits present
  6. 6Why is a blood sample taken when dealing with a potential urinary disease in cattle?Check biochemistry for Azotemia
    Check haematology for present of anaemia or lymphocytes
  7. 7What conditions are associated with Haemoglobinuria?- Babesia
    - Brassica toxicity
    - Post partum haemoglobinuria
    - Water intoxication
    - Bacillary haemoglobinuria
    - Leptospirosis
    - Copper poisoning
  8. 8What conditions cause Haematuria?- Cysitis
    - Pyelonephritis
    - Urolithiasis
    - Enzootic haematuria (Bracken poisoning)
  9. 9How can Haemoglobinuria be differentiated from Haematuria?- Urine sample with Haemoglobinuria will remain red when left to settle
    - Urine sample with Haematuria will settle out at bottom when left.
  10. 10What is the Aetiology and Epidemiology of Babesiosis in Cattle?AKA "Redwater"
    - Is common and important disease
    Aetiology: Babesia divergens
    Epidemiology: tick-infected areas from Spring to autumn, non-immune animals are greatest risk: Age immunity (>2yrs old less likely to get clinical disease)
  11. 11What is the Pathogenesis of Babesiosis?- RBC intracellular parasite
    - Replication cycles followed by cell rupture and spiking fever
    - Haemolysis, anaemia, icterus and haemoglobinuria
    - Drops in PCV can be sudden and dramatic
  12. 12What are the Acute Clinical Signs of Babesiosis in Cattle?-red urine (pink through to black),
    - pyrexia (to 43C),
    - anaemia (tachycardia and tachypnoea),
    -pipe-stem diarrhoea
    - rumen stasis,
    -depression
    - weakness,
    -ataxia
    - anorexia
  13. 13What are the Sub-acute clinical signs of Babesiosis in Cattle?- Transient dullness (immune animals)
  14. 14How is Babesiosis Diagnosed in Cattle?- History & clinical signs and location
    - Identification of the parasite on blood smears
  15. 15What is the Treatment for Babesiosis in Cattle?- Imidocarb diproprionate ("Imizol")
    + has a long withdrawal, 21 day milk & 213 day meat
    + Narrow therapeutic margin so need accurate wt
    + Cholinergic side effects (tachycardia, muscle tremors & drooling)
    - Oxytetracycline
    - Blood transfusion if PCV <15%
    - NSAIDs
  16. 16How can Babesia be controlled?- Tick control
    - Preventative use of imidocarb diproprionate
    - Graze calves (resistant) on affected land to build natural immunity into adulthood
    - Buy in cows from same types of cow
  17. 17What is the Aetiology of Brassica Poisoning and the Pathogenesis?- Is rare but important DDx for Babesia!
    Aetiology: Feeding Rape/ Kale (usually autumn)
    Pathogenesis: toxin converted to haemolytic fact in rumen causing haemolysis, icterus, anaemia and haemoglobinuria
  18. 18What are the Clinical Signs of Brassica Poisoning?- Peracute: collapse and death
    Acute: haemoglobinuria, dullness, weakness and anaemia 1-2 wks after grazing
    Also chronic and subclinical forms
  19. 19How can Brassica poisoning be diagnosed?- Clinical signs NOTE: NO PYREXIA unlike babesia
    - History
    - presence of Heinz-body anaemia
  20. 20What are the treatment options for Brassica poisoning?- Blood transfusion
  21. 21How can Brassica Poisoning be Prevented?- Strip grazing/ restrict intakes
    - Buffer feeding
  22. 22What is the Aetiology of Post parturient haemoglobinuria?-Is rare
    Occurs 3wks post partum generally
    - maybe ass. w/ low phosphate
  23. 23What are the Clinical Signs of Post Parturient haemoglobinuria?- Jaundice
    - Haemaglobinuria
    - Weakness
    - Dullness
    - Progressing to recumbency
  24. 24What is the Tx of Post parturient haemoglobinuria?- Blood transfuson
    - Foston? (drug tx)
    - ~60% die, remainder recover over a few wks
  25. 25What is the Aetiology and Epidemiology of Bacillary Haemaglobinuria?RARE
    Caused by Clostridium haemolyticum
    Epidemiology: localised areas of UK e.g. Derbyshire Hills & Snowdonia
    - more common in young cattle (and sheep)
  26. 26What are the Clinical Signs of Bacillary Haemaglobinuria?- Acute haemolytic disease
    - Sudden onset dullness
    - Fever
    - Severe anaemia
    - Jaundice
    - Haemaglobinuria
    Has 100% mortality.
  27. 27What is the Aetiology and Pathogenesis of Water poisoning?RARE conditions in calves
    - Water deprivation (e.g. frozen trough) followed by sudden access and over-hydration
    - Intravascular haemolysis and cerebral oedema occur
  28. 28What are the Clinical Signs of Water poisoning?- Hypothermia
    - Salivation
    - Nervous signs
    - Anaemia
    - Haemaglobinuria
  29. 29How can Water poisoning be treated?- Sedation (relax muscles)
    - Diuretics: to try and shift the water quickly
  30. 30What are common signs for the abnormal passage of urine?- Stranguria: straining to urinate
    - Anuria: inability to pass urine
    - Polyuria: incr. frequency or volume (uncommon presentation on farm)
    - Dysuria: difficulty/ pain in urination
    - Oliguria: reduced urine production
  31. 31What are potential causes of Stranguria in Cattle?- Vaginitis, cystitis
    - Urolithiasis (partial obstruction)
    - Other causes of tenesmus e.g. trying to calve
  32. 32What are potential causes of Anuria in Cattle?- Urolithiasis
  33. 33What are potential causes of Polyuria in Cattle?- End stage pyelonephritis
    - Chronic renal failure
    - Oak poisoning
  34. 34What are the potential causes of Dysuria in cattle?- Urethritis
    - Vaginitis
    - Cystitis
    - Balanoposthitis (inflammation of glans penis)
  35. 35What are potential causes of Oliguria in cattle?Pre-renal: shock, hypovolaemia, dehydration
    Renal: acute nephrosis
    Post-renal: urethral obstruction
  36. 36What is the Aetiology and Epidemiology of Pyelonephritis in Cattle?UNCOMMON BUT IMPORTANT
    Aetiology: Corynebacterium renale (ascending infection)
    Epidemiology: contagious, sporadic disease of cows with venereal spread
  37. 37What are the Clinical Signs of Pyelonephritis?- Wt loss
    - Reduced milk yield over wks
    - Fluctuating appetite
    - Stranguria
    - haematuria
    - Pyuria
    - Frequent painful urination (arched back)
    - Intermittent pyrexia
  38. 38How can Pyelonephritis be diagnosed?Perform a rectal exam: kidneys become enlarged with loss of lobulation, pain on palpation of kidney (only left is palpable). US guided rectal: Ureters thickened and calcified, bladder wall and mucosa thickened
    Urinalysis:
    + Dipstick: Blood, protein +++, pH 8-9
    + Smear: bacteria, WBC, epithelial cells
    + Culture
    Biochemistry: Azotaemia
  39. 39How can Pyelonephritis be Treated in Cattle?- Guarded prognosis as depends on infection duration
    - High doses of Procaine penicillin BID for 10-14 days
    - Possible urine acidifiers
  40. 40How can Pyelonephritis be Prevented in Cattle?- Isolate affected cattle
    - Hygiene at calving and AI
    - Consider the possibility of carrier bull
  41. 41What is the Aetiology of Cystitis in Cattle?SPORADIC BUT IMPORTANT
    - Ascending infection from environment
    e.g C. renale, E.coli, Proteus vulgaris
  42. 42What is the Incidence of Cystitis in Cattle?- Mostly sporadic, often post-partum
    - May be ass. w/ pyelonephritis
    - Females > males
  43. 43What are the Clinical Signs of Cystitis in Cattle?- haematuria +/- pyuria
    - Stranguria and dysuria
    - Mild pyrexia
    - Wt. loss (as not eating due to discomfort)
    - Possible bladder thickening per rectum
  44. 44What are the Tx options for Cattle with cystitis?- ABs (would not do a culture & sensitivity because there is a lot of contributing bacteria, therefore only perform if tx unsuccessful)
    - NSAIDs (to make more comfortable)
    - Encourage water intake (esp. in calves)
  45. 45What is the Aetiology of Urolithiasis in Cattle?UNCOMMON BUT IMPORTANT
    - Calculi: small stones of Ca or Mg ammonium phosphate form in bladder
    - Obstruction of the urethra: sigmoid flexure in bulls and vermiform appendage in rams
  46. 46What are the risk factors for Urolithiasis in Cattle?- Castrated males (as urethra generally smaller)
    - Excessive body condition
    - Calves on milk substitute
    - High levels of concentrates
  47. 47What are the clinical signs of Urolithiasis?- stranguria, oliguira and anuria
    - mild to severe colic, paddling hind limbs
    - calculi on preputial hair
    Rectal exam: pulsation of urethra in ischial arch region, distended bladder (unless ruptured) +/- bladder rupture, uroperitoneum and abdominal distention,
    +/- urethral rupture and sloughing of subcutaneous tissues ("water belly")
  48. 48How is Urolithiasis Tx in farm animals?- remove vermiform appendage in rams
    - Butyscopolamine (Buscopan) to relieve smooth muscle spasm (and allow stones to pass)
    - Urethral catheterisation +/- retrograde hydropulsion
    - Intravenous fluid therapy: diuresis, management of azotaemia
    - Surgical management: sub-ischial urethrostomy (poor long term prognosis)
  49. 49How can Urolithiasis in Cattle be prevented?- ensure correct Ca: P ratio in diet
    - Avoid excessive dietary magnesium in milk-fed calves
    - Manage body condition - esp. in old castrated males
    - Oral ammonium chloride to aid crystal dissolution
    - Ensure free access to drinking water
  50. 50What is Renal Failure secondary to?RARE!
    - acute infection/ septicaemia
    - Nephrotoxins (e.g. oak, lead)
    - Hypoxia due to reduced blood flow
    - Shock
  51. 51What is the Aetiology of Bladder Paralysis?UNCOMMON
    - dystocia; intrapelvic sacral nerve injury
    - crushing of sacrum and tail head; vertebral damage (become more of problem w/ calving than urinary problems therefore euthanised)
  52. 52What are the Clinical signs of bladder paralysis?- Dribbling urine
    - Voiding small amounts
    - Urine scalding

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2 Clinical Veterinary Science (Urinary Tract ) Flashcards on LA- Cattle Urinary Diseases , created by Rebecca Hitchman on 11/02/2019.
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