Page 170 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
P. 170

Basic laboratory diagnostics                                                                                                                                                                                Basic laboratory diagnostics
       Serum/Blood substrate concentrations                                                                                                                                                               Serum/Blood substrate concentrations

       Innere Medizin
  VetBooks.ir






                                                                                       Increased urea concentration
                                                                                              (azotaemia)








                            Postrenal                                             Renal                                                                                                                       Prerenal







                                                                                                                                                                                                                          Relative
                                       Urinary tract        Chronic kidney                                                                                                                         Absolute
             Urinary tract trauma                                                Acute kidney injury                                                                                                                  (reduced plasma
                                       obstruction             disease                                                                                                                          (too much urea)
                                                                                                                                                                                                                          volume)




             – Bladder rupture     – Urolithiasis                               – Leptospirosis
             – Ureteral or urethral   – Urethral plug                           – Ischaemia                                                                                                      Increased urea         Dehydration
              destruction            (FIC [cat])                                  (e.g. after                                                                                                     production
                                   – Neoplasia                                    anaesthesia)
                                   – Urethral spasm                             – Toxins (e.g.
                                   – Enlarged                                     ethylene glycol,
                                     prostate (e.g.                               raisins, grapes)
                                     hyperplasia,                               – Drug toxicity
                                     abscess, neoplasia)                          (e.g. NSAIDs,                                                                                                Protein uptake from
                                   – Ureteral                                     amphotericin B,                                                                                              the gastrointestinal
                                     obstruction                                  aminoglycosides)                                                                                                  tract
                                     (urolith, stricture,
                                     neoplasia)



                                                                                                                                                                                     Gastrointestinal        Postprandial
                                                                                                                                                                                      haemorrhage           (mild increase)





                                                                                                                                                                                   – Ulcer
                                                                                                                                                                                   – Portal hypertension
                                                                                                                                                                                   – Neoplasia
                                                                                                                                                                                   – Inflammation














       160                                                                                                                                                                                                                            161
   165   166   167   168   169   170   171   172   173   174   175