Clinical Examination of Farm Animals - CYF MEDICAL DISTRIBUTION
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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