Line 5: |
Line 5: |
| | | |
| ==Clinical Significance== | | ==Clinical Significance== |
− | Azotaemia may cause the clinical syndrome of [[Uraemia|'''uraemia''']], affecting multiple organ systems. | + | Azotaemia may cause the clinical syndrome of [[Uraemia|'''uraemia''']], affecting multiple organ systems. The causes of azotaemia are usually divided into pre-renal, renal and post-renal: |
| + | *'''Pre-renal azotaemia''' occurs when the kidney receives insufficient oxygen to maintain its metabolism: |
| + | **'''Dehydration/hypovolaemia''', reducing renal blood flow. |
| + | **'''Heart failure''' results in a reduced cardiac output, reducing renal blood flow. |
| + | **'''Anaemia''' reduces the amount of oxygen delivered to the kidneys. |
| + | **'''Portal hypertension''' may result in splanchnic pooling of blood and reduced renal blood flow. |
| + | *'''Renal azotaemia''' results from direct insults to the kidney: |
| + | **'''Exogenous toxins''' including heavy metals, [[Aminoglycosides|aminoglycosides]], [[Tetracyclines|tetracyclines]], polymixin B, cisplatin, lilies in cats and grapes in dogs. |
| + | **'''Endogenous toxins''' including haemoglobin, myoglobin and calcium. |
| + | **Infection as in '''pyelonephritis''', '''interstitial nephritis''' (as caused by [[Leptospirosis - Cats and Dogs|''Leptospira spp.'']] or '''granulomatous nephritis''' (as caused by the dry form of [[Feline Infectious Peritonitis]]). |
| + | **'''Glomerulonephritis''' and '''[[Amyloidosis|amyloidosis]]'''. |
| + | **'''Neoplasia''', including adenocarcinoma in dogs and lymphoma in cats. |
| + | *'''Post-renal azotaemia''' results from obstructions to the urinary tract: |
| + | **'''[[Urolithiasis - Small Animal|Urolithiasis]]''' |
| + | **'''Rupture of the urinary tract''', often due to trauma and causing [[Uroabdomen|uroabdomen]]. |
| + | **'''Neoplasia'''. |
| | | |
| [[Category:To_Do_-_James]][[Category:Dog]][[Category:Cat]][[Category:Horse]][[Category:Donkey]][[Category:Pig]][[Category:Sheep]][[Category:Cattle]][[Category:Blood_Sample]] | | [[Category:To_Do_-_James]][[Category:Dog]][[Category:Cat]][[Category:Horse]][[Category:Donkey]][[Category:Pig]][[Category:Sheep]][[Category:Cattle]][[Category:Blood_Sample]] |