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Problem-oriented approach to Dysuria

Problem-oriented approach to Dysuria. Jill McClure, DVM,MS Diplomate ACVIM, ABVP. Dysuria. abnormal urination or micturition stranguria - slow, painful attempts pollakiuria - frequent passage polyuria - larger-than-normal volume diuresis - increased production

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Problem-oriented approach to Dysuria

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

  2. 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

  3. 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 Minimum database for Dysuria

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

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

  6. Pollakiuria/Stranguria

  7. Pollakiuria/Stranguria

  8. Pollakiuria/Stranguria

  9. Inflammation bacterial cystitis Traumatic ruptured bladder urolithiasis Pollakiuria/Stranguria

  10. Toxic Cantharidin Nutritional meconium impaction Idiopathic “beans” Malformations pneumovagina urine pooling Pollakiuria/Stranguria

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

  12. Laboratory CBC UA Expanded lab CSF contrast radiography serology cystoscopy Urinary Incontinence

  13. Urinary Incontinence

  14. Urinary Incontinence

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

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