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Problem-oriented approach to Dysuria

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Problem-oriented approach to Dysuria Jill McClure, DVM,MS Diplomate ACVIM, ABVP People never change if they are never challenged. I did say that . – PowerPoint PPT presentation

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Title: Problem-oriented approach to Dysuria


1
Problem-oriented approach to Dysuria
  • Jill McClure, DVM,MS
  • Diplomate ACVIM, ABVP

2
People never change if they are never challenged.
  • I did say that.
  • Jill McClure, DVM, MS

3
Dysuria
  • abnormal urination or micturition
  • stranguria - slow, painful attempts
  • pollakiuria - frequent passage
  • polyuria - larger-than-normal volume
  • diuresis - increased production
  • incontinence - failure of voluntary control

4
Minimum database for Dysuria
  • History
  • diet
  • previous disease
  • rabies exposure
  • sexual activity
  • estrus cycle
  • fecal passage
  • drug therapy
  • u-g or rectal exams
  • Physical exam
  • CNS signs
  • smegma
  • pendulous abdomen
  • oral ulcers
  • rectal exam
  • 3o perineal laceration

5
Minimum database for Dysuria
  • Laboratory exam
  • urinalysis
  • CBC
  • BUN, creatinine

6
Expanded database for Dysuria
  • Urethroscopy
  • Bacterial culture
  • Biopsy
  • Stone analysis
  • Toxic substances - cantharidin
  • Radiography

7
Pollakiuria/Stranguria
8
Pollakiuria/Stranguria
9
Pollakiuria/Stranguria
10
Pollakiuria/Stranguria
  • Inflammation
  • bacterial cystitis
  • Traumatic
  • ruptured bladder
  • urolithiasis

11
Pollakiuria/Stranguria
  • Toxic
  • Cantharidin
  • Nutritional
  • meconium impaction
  • Idiopathic
  • beans
  • Malformations
  • pneumovagina
  • urine pooling

12
Urinary Incontinence
  • History
  • respiratory disease
  • diet
  • foaling date
  • flaccid penis/tail
  • Physical Exam
  • cranial nerves
  • ataxia
  • tail tone, perineal sensation
  • status of bladder

13
Urinary Incontinence
  • Laboratory
  • CBC
  • UA
  • Expanded lab
  • CSF
  • contrast radiography
  • serology
  • cystoscopy

14
Urinary Incontinence
15
Urinary Incontinence
16
Urinary Incontinence
  • Infectious
  • EHV-1
  • Trauma
  • post-parturient
  • Toxic
  • Sorghum
  • Idiopathic
  • neuritis of the cauda equina
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