Case 5

QUESTION 1

When presented with a case of inappropriate urination, be sure to ask the owners specific questions that will help guide your rule-out list and focus your diagnostic test selections. Define the clinical signs along with some possible differentials.

1. Stranguria

2. Pollakiuria

3. Hematuria

4. Polyuria

A. Frequent, large-volume urination-pyelonephritis; drug effect; metabolic or endocrine disease

B. Frequent, small-volume urination-lower urinary tract infection/inflammation

C. Straining to urinate-obstruction in the bladder (trigone) or urethra

D. Blood in the urine-bladder calculi or crystalluria; thrombocytopenia; upper or lower urinary tract inflammation

a) 1 = B, 2 = A, 3 = C, 4 = D

b) 1 = C, 2 = B, 3 = D, 4 = A

c) 1 = C, 2 = D, 3 = A, 4 = B

d) 1 = D, 2 = B, 3 = C, 4 = A

e) 1 = A, 2 = B, 3 = D, 4 = C

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