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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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
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 inflammationCalculi
Trigone and Urethra
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 radsTransitional Cell Carcinoma
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