Font size
WorksheetsCase #1: SPOTTY
Total questions: 10
Worksheet time: 6mins
What is an important clue from the patient history that can point you to the diagnosis in this case? (2 answers!)
raw food diet
breed
urination changes
entire male status
What diagnostic tests do you want to prioritize? (2 answers!)
urinalysis
hematology
biochemistry
radiographs (VD and R Lat)
The radiographs showed a large number of small, urinary calculi in the bladder. The urinalysis had the following results: USG 1.043, dark yellow color with small amount of frank blood, pH 6.0, normal otherwise. What is your diagnosis?
calcium oxalate uroliths
struvite uroliths
urate uroliths
purine uroliths
Besides dalmations, what other breeds are predisposed to urate urolithiasis?
bulldogs, german shepherds, domestic shorthairs
french bulldogs, boston terriers, russian blues
pugs, chihuahuas, tabby cats
bulldogs, russian terriers, siamese, egyptian maus, birmans
What are some Key Nutritional Factors important to the management of urate urolithiasis in Dalamatians? (KNFs are nutrients that are important to provide in specific amounts (increased or decreased) based on scientific evidence).
low protein diet
low purine non acidifying diet
high protein diet
high magnesium and phosphate diet
T or F:
An over-the-counter non-dietetic food is likely to provide nutritional management of urate urolithiasis or crystalluria as effectively?
True
False
Why may Spotty’s raw food diet have increased his risk of getting urate uroliths?
It is unbalanced, likely with too much phosphate
It likely made his urine pH too acidic
It caused him to produce less urine
It predisposed him to bladder infections
Would you make a food recommendation for Spotty? If so, what?
Yes, recommend a urinary diet (like Hills c/d)
Yes, recommend a urinary diet (like Hills u/d)
Yes, recommend a kidney care diet (like Hills k/d)
No, dietary dissolution of urate stones is not possible
Which stones can medical dissolution (diet changes) be used to get rid of them?
Struvite and urate only
Calcium oxalate and urate only
Struvite, urate and cystine only
All uroliths can be medically dissolved
When is medical dissolution of uroliths NOT an option?
When an obstruction is present or there is a high risk of obstruction
When the stone is in the urethra
When the stone is calcium oxalate
All of the above
