Page 74 - Rule Outs in Small Animal Medicine, Problem-oriented Assessment of Problems in Physical Examination and Clinical Pathology, 2nd Edition
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Internal Medicine                                                                                                                                                                                                   Internal Medicine
       Urinary tract                                                                                                                                                                                                           Urinary tract



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                                                                                             No micturition





                                                                                      Enlarged                                                                                                               Bladder small/
                                                                                       bladder                                                                                                               not palpable




                                                                                                                                                                                                                              Decreased
                                                      Difficult/impossible                                                                                             Easy to                 Postrenal      Micturition       urine
                                                         to express                                                                                                    express                 disorder      not observed
                                                                                                                                                                                                                              production


                                                                                                                                                                                             – Bilateral
                                                                            Obstruction of
                             Functional                                       the urinary                                                                           â LMN bladder              ureteral                       Anuric renal
                            disturbance                                     tract caudal to                                                                             p. 67                  rupture                          failure
                                                                             the bladder                                                                                                     – Bilateral
                                                                                                                                                                                               ureteral
                                                                                                                                                                                               obstruction
                                                                                                                                                                                             – Bladder
                                                                                                                                                                                               rupture
             Urethral        Reflex       â UMN  bladder    Extraluminal      Intramural       Intraluminal                                                                                                                 – Ischaemia
             spasm         dyssynergia        p. 66                                                                                                                                                                         – Leptospirosis
                                                                                                                                                                                                                            – Intoxication
                                                                                                                                                                                                                              (e.g. ethylene
                                                                                                                                                                                                                              glycol,
         – Pain                                             – Prostatic    – Neoplasia       – Urolithiasis                                                                                                                   raisins,

           (e.g. FIC [cat],                                  hyperplasia   – Inflammation    – Inflammatory                                                                                                                   grapes)
           prostatitis)                                     – Prostatitis    (e.g.             plug (FIC)                                                                                                                   – Chronic
         – After                                            – Prostatic      proliferative                                                                                                                                    kidney
           catheterisation                                   neoplasia       urethritis)                                                                                                                                      disease
                                                            – Inflamma-                                                                                                                                                       (aniuric
                                                             tion of                                                                                                                                                          stage)
                                                             periurethral
                                                             tissue
                                                            – Neoplasia
                                                             of
                                                             periurethral
                                                             tissue






















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