chan doan hinh anh

The yellow arrow points to the kidneys and the blue arrow to the bladder.. The blue arrow points to the bladder and the red arrow points to a radiodense calculus.. This is the ultrasound

Arlene appears to be normally alert and interested in her surroundings.

Here is Arlene's lateral survey abdominal radiograph The yellow arrow points to the kidneys and the blue arrow to the bladder No abnormalities

are evident

This is a different case The blue arrow points to the bladder and the red arrow points to a radiodense calculus We cheated on this image in that the calculus was less dense on the original film so we image intensified it

to make it easier to see

This is the ultrasound image of Arlene's bladder The light blue arrow points to the lumen of the bladder The dark blue arrow points to the bladder wall which is uniformly thicker than normal It normally appears

as just a fine line

This is an ultrasound image of the bladder of a different case The light

blue arrow points to the lumen of the bladder There are calculi in this

bladder as noted by the white arrow

This is a double contrast cystogram of Arlene's bladder The light blue

arrow points to the lumen of the bladder with a puddle of radiopaque

contrast material The dark blue arrow points to the bladder wall which is

uniformly thicker than normal, confirming the ultrasound findings

Work Sheet #7

A 3-year-old, neutered, female, domestic shorthaired cat, Arlene, is presented with a history of dysuria and hematuria for 2 days The same problem occurred 1 year ago and the signs resolved in a few days (Arlene received ampicillin, administered orally for 5 days) The problem recurred 6 months ago A new veterinarian was consulted and prescribed keflex orally for 1 week The cat again returned to normal within 5 days The present episode is the third and the cat's owner is trying another veterinarian - you

On physical examination the cat seems normal The bladder is small and seems to become firmer as you palpate it Immediately after you finish palpating, the cat goes to the corner of the table, squats and urinates bright red urine Urinalysis on this sample shows: pH 6, Sp Gravity 1.045, protein-trace, glucose - negative, ketones - negative, occult blood-large, RBC - innumerable, WBC - 5-10/hpf

1 How would you define the cat's problem? What are your rule outs in the order of what

you think is most likely?

2 What is your diagnostic plan?

3 See Arlene's radiographs Given these findings, what is the most likely rule out and

what is your therapeutic plan?

4 What is the likelihood of recurrence of signs in this cat? How would you educate the

owner and try to prevent recurrence