160 likes | 685 Vues
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
E N D
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 • incontinence - failure of voluntary control
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
Minimum database for Dysuria • Laboratory exam • urinalysis • CBC • BUN, creatinine
Expanded database for Dysuria • Urethroscopy • Bacterial culture • Biopsy • Stone analysis • Toxic substances - cantharidin • Radiography
Inflammation bacterial cystitis Traumatic ruptured bladder urolithiasis Pollakiuria/Stranguria
Toxic Cantharidin Nutritional meconium impaction Idiopathic “beans” Malformations pneumovagina urine pooling Pollakiuria/Stranguria
History respiratory disease diet foaling date flaccid penis/tail Physical Exam cranial nerves ataxia tail tone, perineal sensation status of bladder Urinary Incontinence
Laboratory CBC UA Expanded lab CSF contrast radiography serology cystoscopy Urinary Incontinence
Infectious EHV-1 Trauma post-parturient Toxic Sorghum Idiopathic neuritis of the cauda equina Urinary Incontinence