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UTI: Ruminant Urinary Disease - Coggle Diagram
UTI: Ruminant Urinary Disease
usually
ascending infection
cystitis
CS
pollakiuria
dysuria
stranguria/dysuria
straining
frequent posturing
tail-swishing
treading
arched stance after urinating
+/- gross hematuria
+/- pyuria
pyelonephritis
CS
signs of cystitis
fever
anorexia
lethargy
decreased milk production
colic
renal pain
ureteral pain
culprits
Corynebacterium renale
gram + rod
normal flora of lower M/F repro tract
E. coli
pathogenesis
within 3mo of calving
abnormal anatomy
physical damage from
breeding
stones
catheter
dystocia
neuro problems leading to incomplete voiding
diagnosis
palpation of bladder/kidneys
US
bladder
kidneys
one or both?
need to determine...
cystitis alone?
pyelonephritis?
causative agent
urine culture
urinalysis
increased WBCs and RBCs
chem
azotemia and e- derangement
bilateral pyelonephritis
widespread loss o fxntional nephrons
CBC
normal for uncomplicated urethritis/cystitis
pyelonephritis
hyperfibrinogenemia
neutrophilia
high TP (globulins)
mild non-regen anemia
treatment
procaine penicillin
first-line therapy for
C. renale
suitable for initial therapy against e.coli
high [urine]
2x/daily
adjust therapy based on
response w/n 4 days to pencillin
c&s
isolate affected cows to minimize spread
if pyelonephritis, longer therapy course
prognosis for cystitis much better than pyeloneph