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19 Cards in this Set
- Front
- Back
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What are the classic LUT signs
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Stranguria
Hematuria Pollakiuria |
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What is the most common site for stones
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Bladder
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Why might you need to do an appositional pattern (rather than an inverting one) when closing the bladder
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If the wall is too thickened
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How commonly is an in-dwelling catheter needed after cystotomy
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Usually not needed
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What is the most common urinary location for neoplasia
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The bladder
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What is the #1 bladder neoplasia
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TCC
It is aggressive locally and systemically |
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Where is TCC of the bladder usually found
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At the trigone
But, it is diffusely invasive and very hard to get clean margins |
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True/False: If the tumor is apical, you can do a partial cystectomy
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True
You can physiologically remove up to 75% of the bladder (but p may be incontinent d/t loss of reservoir capacity) |
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What is the Rx of choice for bladder TCC
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Piroxicam (a COX-1 NSAID w/ anti-neoplastic effects on this tumor)
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When performing a cystectomy, what bladder closure pattern should be used
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An appositional pattern
Not enough tissue typically remains to allow an inverting pattern to be used Place in-dwelling catheter for first 48hrs |
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Where are males most likely to experience urethral trauma
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In the prostatic urethra just caudal to the prostate
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True/False: The ability to urinate Rs/O the possibility of LUT rupture
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False
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True/False: The ability to pass a urinary catheter Rs/O partial urethral tear or bladder rupture
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False
It only makes a total urethral tear very unlikely |
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What should you do if you suspect a urethral tear (based on diagnostic imaging, etc.)
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Place a urinary catheter and closed urine collection system for ~10d. to allow it to heal by 2nd intention
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True/False: Placement of a urinary catheter to facilitate healing of urethral tear by 2nd intention leaves much concern for stricture formation
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False
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Where are calculi most likely to obstruct a dog's urethra
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At the base of the os penis
Use retrograde propulsion to flush these calculi back into the bladder before removal |
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If prostatic neoplasia does occur, what is the most common form of it
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AC
By the time you have dx'd it, it has already metted usually |
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What is the primary tx for all prostatic dzs but neoplasia
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Neuter!
In cases of neoplasia, neutering may allow surrounding cells to shrink, but not the tumor itself |
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If cysts/abscesses are found in the prostate, what should you do
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Drain the cysts/abscesses and bx the prostate
Then, omentalize the prostate to provide increased vascularity, lymphatics, and fibrin seal |
