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Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION

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<strong>Clinical</strong> <strong>Examination</strong> <strong>of</strong> the Urinary System<br />

renal failure, mercury poisoning and the recovery<br />

(diuretic) phase <strong>of</strong> acute renal failure.<br />

Idiopathic polydypsia – the calf drinks and urinates excessively<br />

and gets in the habit <strong>of</strong> drinking greatly<br />

in excess <strong>of</strong> its needs; it is able to concentrate its<br />

urine.<br />

Damage to tubular epithelium – this can occur in some<br />

cases <strong>of</strong> renal disease or damage by heavy metal<br />

poisoning; in these conditions the animal is unable<br />

to concentrate its urine.<br />

The water deprivation test is helpful in determining<br />

whether polyuria is permanent or reversible (see<br />

below).<br />

Anuria<br />

Anuria mostly occurs in cases <strong>of</strong> complete urethral<br />

obstruction, e.g. urolithiasis. It may also occur in<br />

terminal disease, complete renal failure and severe<br />

shock.<br />

Postrenal – pyelonephritis, cystitis, urolithiasis<br />

(early), enzootic haematuria (bleeding bladder<br />

tumours).<br />

Haemoglobinuria<br />

This is the result <strong>of</strong> rapid intravascular haemolysis <strong>of</strong><br />

the blood. Causes include the following:<br />

• isoerythrolysis – rare in cattle<br />

• babesiosis<br />

• leptospirosis<br />

• postparturient haemoglobinuria<br />

• bacillary haemoglobinuria – Clostridium haemolyticum.<br />

Myoglobinuria<br />

Causes include severe myopathy, especially calves<br />

with vitamin E and/or selenium deficiency, and<br />

downer cows.<br />

Oliguria<br />

Oliguria may be prerenal, renal or postrenal. Causes<br />

include the following:<br />

Prerenal – severe dehydration, shock, chronic heart<br />

failure<br />

Renal – acute nephrosis, glomerulonephritis<br />

Postrenal – ureteral or urethral obstruction.<br />

Proteinuria<br />

Causes include<br />

• glomerulonephritis<br />

• renal infarction<br />

• nephrosis<br />

• amyloidosis.<br />

Haematuria<br />

This may be renal or postrenal. Examples include the<br />

following:<br />

Renal – severe glomerulonephritis, sulphonamide<br />

poisoning, renal infarction<br />

Bile pigments<br />

The presence <strong>of</strong> bile pigments in the urine suggests<br />

liver dysfunction and jaundice. Ayellow froth is seen<br />

if a urine sample containing bile pigments is shaken.<br />

Further tests <strong>of</strong> renal function<br />

Estimation <strong>of</strong> blood urea and creatinine are useful indicators<br />

<strong>of</strong> the efficiency <strong>of</strong> renal function: the levels<br />

<strong>of</strong> both substances rise in cases <strong>of</strong> renal failure. Low<br />

levels <strong>of</strong> plasma protein are seen in a number <strong>of</strong> conditions,<br />

including severe renal damage.<br />

Water deprivation test<br />

This test is a useful indication <strong>of</strong> the patient’s ability<br />

to concentrate its urine to preserve the water content<br />

<strong>of</strong> the body. Urine samples are collected before and<br />

after a period <strong>of</strong> 12 hours during which the animal’s<br />

water supply is withheld. In normal animals the specific<br />

gravity <strong>of</strong> the urine rises to at least 1.030 after<br />

water deprivation. In animals with renal damage the<br />

specific gravity does not rise. The test should be used<br />

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