Page 2535 - Cote clinical veterinary advisor dogs and cats 4th

1272 Prostatomegaly Proteinuria

Prostatomegaly
VetBooks.ir CHARACTERISTICS OF PROSTATIC PALPATION

Disorder Signalment Size* Symmetry Texture Mobility Pain
BPH Older MI ≤ +++ Symmetric Normal Normal Absent
Acute prostatitis Any age MI + to ++ Symmetric Normal Normal Moderate to marked
Chronic prostatitis Any age MI + to ++ Symmetric Normal Normal Absent to mild
Cyst Any age MI ≤ ++++ Asymmetric ± Fluctuant Normal Absent to mild
Abscess Any age MI ≤ ++ ± Asymmetric ± Fluctuant Normal Mild to marked
Neoplasia Older MC or MI ≤ ++ ± Asymmetric Firm Fixed Absent to mild
*BPH is common in older, intact males, so concomitant BPH with any other cause of prostatic disease could result in a larger than expected prostate.
BPH, Benign prostatic hyperplasia; MC, male castrate; MI, male intact.

Proteinuria

Mechanism Examples
PRERENAL
Physiologic Strenuous exercise, fever, hyperthermia, venous congestion, seizures
Excessive load Paraproteinemia, myoglobinemia, hemoglobinemia, severe hyperproteinemia
RENAL
Glomerular
Glomerulonephritis
Infectious Lyme, brucellosis, dirofilariasis, ehrlichiosis, anaplasmosis,
chronic bacterial infections (e.g., endocarditis, pyoderma, gingivitis), leishmaniasis
Immune mediated SLE, membranoproliferative glomerulonephritis
Familial Many breeds (e.g., soft-coated wheaten terrier, bullmastiff, bull terrier, Dalmatian)
Neoplastic Leukemia, lymphoma, mastocytosis, histiocytosis
Inflammatory Chronic dermatitis, pancreatitis, polyarthritis, periodontitis, inflammatory bowel disease
Idiopathic Minimal change disease, membranous nephropathy
Glomerulosclerosis Systemic hypertension, hyperadrenocorticism, diabetes mellitus
Amyloidosis Familial, inflammatory (e.g., SLE, hepatozoonosis), idiopathic
Tubular Fanconi syndrome, tubular necrosis
POSTRENAL
Lower urinary Infectious or sterile cystitis, transitional cell carcinoma, urolithiasis, hemorrhagic cystitis
Genital Prostatitis, pyometra, vaginitis, perivulvar dermatitis

SLE, Systemic lupus erythematosus.

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