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Exam 1
Lower Urinary Tract Lesions
21
Veterinary Medicine
Professional
02/14/2017

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Cards

Term
What is cystitis? What usually causes it?
Definition
-inflammation of the urinary bladder
-most often due to bacteria (usually E. coli)
Term
What are some of the natural barriers to cystitis?
Definition
-repeated flushing
-urine osmolality & pH
-organic acids: excreted by epi
-IgA: secrted into bladder, reduces bacterial colonization
-defensins/cathelicidin
-neutrophil recruitment
-urethral length in males provides a barrier
Term
What are some predisposing factors to cystitis?
Definition
-stagnation of urine: spinal cord dz, bladder mass, urethral calculus, hypertrophied prostate gland
-trauma to bladder: chronic catheterization, rough calculi
-glucosuria (DM)
-chronic steroid therapy
Term
What are the two kinds of acute cystitis?
Definition
-acute bacterial cystitis
-chemical cystitis
Term
What gross lesions do we see w/ acute cystitis?
Definition
-wall thickened and can be hemorrhagic, ulcerated, and/or necrotic
Term
What microscopic lesions do we see w/ acute cystitis?
Definition
-hemorrhage, edema, ulceration, and neutropilic infiltration
Term
What are the three types of chronic cystitis?
Definition
-diffuse chronic cystiits
-polypoid cystitis
-follicular cystitis
Term
What is diffuse chronic cystitis?
Definition
-thickened hyperplastic mucosa w/ fibrosis & inflammation in lamina propria
Term
What is polypoid cystitis?
Definition
-solitary or multiple chronci inflammatory polyps
-often clinically and radiographically mistaken for neoplasia
Term
What is follicular cystitis?
Definition
-multiple small (2mm) well-circumscribed foci of lymphoid hyperplasia
Term
What is Bovine enzootic hematuria?
Definition
-Chronic Bracken fern ingestion
Term
What are the three types of Bovine enzootic hematuria?
Definition
-acute hemorrhagic cystitis
-chronic polypoid cystitis
-carcinoma
Term
When do we see bladder emphysema?
Definition
-diabetic animals w/ prolonged glucosuria
-can be seen radiographically
Term
What are some types of urolithes (bladder stones)?
Definition
-struvite
-cystine
-silica
-Ca-oxalate
Term
Are males or females more commonly affected by urolithiasis?
Definition
-males
Term
What is the common location or urolithiasis in cattle?
Definition
-ischial arch and sigmoid flexure
Term
What is the common ocation for urolithiasis in sheep & goats?
Definition
-localize at vermiform appendage
Term
What is the common location for urolithiasis in dogs?
Definition
-base of os penis
Term
What is the common location for urolithiasis if cats?
Definition
-penile urethra
Term
What is the common location for urolothiasis in swine?
Definition
-penile urethra
Term
What lesions do we see due to urolithiasis obstructing the urethra?
Definition
-bladder distension
-multifocal or diffuse hemorrhage
-smooth muscle degen and atrophy
-bladder can rupture causing chemical peritonitis and cellulitis
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