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Common Bladder Disorders Kristin Loria

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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Common Bladder Disorders Kristin Loria

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  1. Common Bladder DisordersKristin Loria

  2. 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

  3. 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

  4. Mild Calculi

  5. Moderate

  6. Severe Calculi

  7. Suspended with bladder agitation Sediment

  8. Typically Cranioventral Can be generalized if severe If the bladder is not fully distended the wall may appear thicker cystitis

  9. focal cystitis

  10. Cystitis

  11. emphysematous cystitis

  12. 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

  13. polypoid, cystic protrusion

  14. Polyps are rare Must be confirmed by biopsy Neoplasia more common Polyps

  15. Transitional Cell Carcinoma Trigone and Urethra

  16. Transitional Cell Carcinoma

  17. 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

  18. 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

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