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1014.e4  Urolithiasis, Other


            PEARLS & CONSIDERATIONS           •  Urethral obstruction is life-threatening. Stran-  Osborne CA, et al: Canine silica urolithiasis: risk
                                                guria should prompt immediate veterinary   factors, detection, treatment, and prevention. Vet
                                                                                   Clin  North  Am  Small  Anim  Pract  29:213-230,
                                                attention.
  VetBooks.ir  All of these uroliths are rare, and only the   SUGGESTED READING  Osborne  CA,  et  al:  Analysis  of  451,891  canine
           Comments
                                                                                   1999.
           cystine urolith can be medically dissolved.
                                                                                   uroliths, feline uroliths, and feline urethral plugs
           Prevention                         Lulich JP, et al: Canine and feline urolithiasis:   from 1981 to 2007: perspectives from the Min-
                                               diagnosis, treatment, and prevention. In Bartges
                                                                                   nesota urolith center. Vet Clin North Am Small
           •  Promote water consumption.       J, et al, editors: Nephrology and urology of small   Anim Pract 39:183-197, 2009.
           •  Cystine:  restricted-protein  diet,  urine   animals, Chichester, UK, 2011, Wiley-Blackwell,   Sanderson SL, et al: Evaluation of urinary carnitine
            alkalinization as necessary, ± long-term use   chap 69.                and taurine excretion in 5 cystinuric  dogs with
            of 2-MPG. Avoid breeding carrier dogs.                                 carnitine and taurine deficiency. J Vet Intern Med
           •  CaPO 4 : address hypercalcemic  disorders   ADDITIONAL SUGGESTED     15:94-100, 2001.
            directly (e.g., surgical correction of hyper-  READINGS
            parathyroidism). Avoid low-calcium diets   Bannasch D, et al: Changing paradigms in diagnosis   RELATED CLIENT EDUCATION
            (paradoxical hypercalciuria). Other therapies   of inherited defects associated with urolithiasis. Vet   SHEETS
            (e.g., thiazide diuretics, dietary modifications,   Clin  North  Am  Small  Anim  Pract  39:111-125,
            acidification of urine) may be warranted in   2009.                  Consent to Perform Abdominal Ultrasound
            cases with multiple recurrences.  Brons A-K, et al: SLC3A1 and SLC7A9 mutations in   Consent to Perform Cystotomy
           •  Silica: avoid feedstuffs high in silica (e.g.,   autosomal recessive or dominant canine cystinuria:   Consent to Perform General Anesthesia
                                               a new classification system. J  Vet Intern Med
            rice, soybean hulls).              27:1400-1408, 2013.               How to Collect a Urine Sample
                                              Koehler LA, et al: Canine uroliths: frequently asked   Urolithiasis
           Technician Tips                     questions and their answers. Vet Clin North Am
           Any small stones collected in voided urine   Small Anim Pract 39:161-181, 2009.  AUTHOR: Joseph W. Bartges, DVM, PhD, DACVIM,
                                                                                 DACVN
           should be submitted for analysis of type.  Kruger JM, et al: Canine calcium phosphate uroliths:   EDITOR: Leah A. Cohn, DVM, PhD, DACVIM
                                               etiopathogenesis, diagnosis, and management. Vet
           Client Education                    Clin  North  Am  Small  Anim  Pract  29:141-159,
                                               1999.
           •  Adherence to dietary therapy must be strict   Osborne CA, et al: Canine cystine urolithiasis: cause,
            for urolith dissolution.           detection, treatment, and prevention.  Vet Clin
           •  Animals with metabolic defects should not be   North Am Small Anim Pract 29:193-211, 1999.
            bred. Genetic tests are available for cystinuria
            in Newfoundlands and Labradors.














































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