common bladder disorders kristin loria n.
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Common Bladder Disorders Kristin Loria. Signalment – 4 year old female spayed Hound Presenting Complaint – Inappropriate Urination Lab findings – None she just walked in your door

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Signalment – 4 year old female spayed Hound

Presenting Complaint – Inappropriate Urination

Lab findings – None she just walked in your door

Possible Tests to rule out Ddx – Blood work (CBC, Chem), urinalysis, urine culture, radiographs, Ultrasound

U/S Ddx – Calculi, tumors, cystitis(possible UTI)

History
calculi

Radiopaque or radiolucent calculi are seen as hyperechoic focal echogenicities that shadow in the dependent portion of the bladder

Are usually located in the dependent portion of the bladder but may adhere to the wall with severe inflammation

Calculi
cystitis

Typically Cranioventral

Can be generalized if severe

If the bladder is not fully distended the wall may appear thicker

cystitis
emphysematous cystitis1

Infection with E. Coli

Infection with Clostidium species

Diabetes Mellitus

The gas bubbles will follow the wall contour

Can be confirmed by radiographs – lucencies associated with the bladder

emphysematous cystitis
polyps

Polyps are rare

Must be confirmed by biopsy

Neoplasia more common

Polyps
transitional cell carcinoma
Transitional Cell Carcinoma

Trigone and Urethra

transitional cell carcinoma2

Most common bladder tumor in dogs

Focal wall thickening, could have generalized thickness (diffuse tumor)

Fixed mass extending into the lumen of the bladder

U/S guided catheter biopsy – lesion pushed to catheter by transducer pressure or cystoscopy

Check iliac LN and thoracic rads

Transitional Cell Carcinoma
keep in mind

To differential Ddx – remember moving objects will settle to the dependent part of the bladder.

Dorsal in down, ventral is up.

Sampling for TCC - No aspirates

Inappropriate urination could be behavioral, pollakiuria, PU/PD, stranguria (ask more questions to clarify)

Keep in mind