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The dark blue arrow points to the bladder wall which is uniformly thicker than normal.. It normally appears.[r]
(1)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
(2)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
(3)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
(4)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?