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==Clinical Significance==
 
==Clinical Significance==
Azotaemia may cause the clinical syndrome of [[Uraemia|'''uraemia''']], affecting multiple organ systems.
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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:
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*'''Pre-renal azotaemia''' occurs when the kidney receives insufficient oxygen to maintain its metabolism:
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**'''Dehydration/hypovolaemia''', reducing renal blood flow.
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**'''Heart failure''' results in a reduced cardiac output, reducing renal blood flow.
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**'''Anaemia''' reduces the amount of oxygen delivered to the kidneys.
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**'''Portal hypertension''' may result in splanchnic pooling of blood and reduced renal blood flow.
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*'''Renal azotaemia''' results from direct insults to the kidney:
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**'''Exogenous toxins''' including heavy metals, [[Aminoglycosides|aminoglycosides]], [[Tetracyclines|tetracyclines]], polymixin B, cisplatin, lilies in cats and grapes in dogs.
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**'''Endogenous toxins''' including haemoglobin, myoglobin and calcium.
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**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]]).
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**'''Glomerulonephritis''' and '''[[Amyloidosis|amyloidosis]]'''.
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**'''Neoplasia''', including adenocarcinoma in dogs and lymphoma in cats.
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*'''Post-renal azotaemia''' results from obstructions to the urinary tract:
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**'''[[Urolithiasis - Small Animal|Urolithiasis]]'''
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**'''Rupture of the urinary tract''', often due to trauma and causing [[Uroabdomen|uroabdomen]].
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**'''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]]
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