Rabbit

RE: Rabbit

mariette asselbergs — Wed, 30 Mar 2016 17:53:47 GMT

Hi Elaine.

I hope you don't mind but I posted your case (mentioning your name) on a forum I have access to as a post grad certificate student. We are just working on exotics this month so I hoped I could get some good advise for you from yet another expert.

This is was he wrote as a comment

"Thanks Marietta interesting case Of course the answer is we need more diagnostics. Full haematology and biochemistry, detailed imaging of this kidney, the other kidney and the ureters (plus bladder and urethra). In essence If total residual renal function is significantly compromised, further treatment may not be an option. For this kidney - assess if there is any functional renal cortex left, is the ureter unaffected, where is the calcification / calculi situated (is it all in the pelvis and if all else is normal could it be surgically removed). If this kidney is non functional, but the remaining kidney is normal, then a nephrectomy is indicated, then maintain the rabbit on a low calcium diet. I appreciate it is have low concentrate and no alphalpha hay, but vegies low in calcium should also be used. Neil (Forbes)

So not much extra for what has already been said on the forum.

Your first priority seems to be to try to get a better view of both kidneys and an idea about their functionality.

Please let us know how thing have gone?

Good luck!

Mariette

RE: Rabbit

Hannah Wynne Richards — Tue, 29 Mar 2016 09:00:57 GMT

Dorso Ventral - but don't apologise. Your English is far far better than my Portugese - and, anyway, some people on this site are addicted to initials!

Wynne

RE: Rabbit

Elaine zanatta — Mon, 28 Mar 2016 22:13:21 GMT

What does DV means?

I'm from Brazil, and i have poor english...

Elaine Zanatta.

RE: Rabbit

Emily Rainbow — Sun, 27 Mar 2016 13:46:41 GMT

Have you got a DV view?

RE: Rabbit

mariette asselbergs — Sat, 26 Mar 2016 17:50:19 GMT

Neil Forbes in his cert ECC lecture notes for exotics recommends that if the bladder has a lot of calcium grit ("sand like sediment"), then you can catheterise and flush the bladder a few times with warm saline while ballotting the bladder to keep the "sand" sort of swirling around and be flushed out.

I think a rabbit's kidneys are used to excrete lots of Calcium because that is how rabbits regulate their Calcium in the blood. It would also be worthwhile to treat for cunniculi, since it affects the kidneys. (28 days of daily fenbendazole, dosing exactly to avoid overdosing and suppression of bonemarrow).

Mariette

RE: Rabbit

grumpyoldman — Sat, 26 Mar 2016 16:15:05 GMT

[quote user="Andrew Kent"]ust to clarify a SUB is a ureteral rather than urethral bypass - it does nothing for urethral obstruction. It stands for sub-cutaneous ureteral bypass, they are a salvage procedure for cats with ureteral obstructions as their ureterovesicular junction position makes them bad candidates for ureteral stents.[/quote]

Sorry I was thinking of the cats with the second kidney disaster (ureters) that look like antifreeze not "blocked" urethras . The auto check was doing its worst. I thought the SUB was an interesting idea but every time we get a cat that could benefit they have no money.

RE: Rabbit

Andrew Kent — Sat, 26 Mar 2016 12:31:51 GMT

Just to clarify a SUB is a ureteral rather than urethral bypass - it does nothing for urethral obstruction. It stands for sub-cutaneous ureteral bypass, they are a salvage procedure for cats with ureteral obstructions as their ureterovesicular junction position makes them bad candidates for ureteral stents. I introduced them at Cambridge but they are now offered quite widely by referral centres including us (Willows), RVC, Dick Whites etc.

I'm not sure that anyone has placed one in a rabbit but I suspect that any implant would get rapidly encrusted in these species that have lots of calcium in their urine.

Andy

RE: Rabbit

grumpyoldman — Fri, 25 Mar 2016 10:01:55 GMT

sorry , SUB= sub urethral by-pass ,its plastic plumbing to by pass renal pelvic/urethral obstructions in cats ,placed fluoroscopically, I think Cambridge are doing it quite regularly ,but your right its probably got E cuniculi and other things ,and sounds toast to be honest.

RE: Rabbit

Hannah Wynne Richards — Fri, 25 Mar 2016 08:50:14 GMT

Grumpyoldman. I doubt you'd get a submarine into even a giant breed bunny.

Wynne

RE: Rabbit

Elaine zanatta — Thu, 24 Mar 2016 20:50:22 GMT

Hi Grumpyoldman!

I did not take to see renal function.

What worries me is the result of XRay ...

The animal keeps eating and playing.

Although it takes a lot of water and is losing weight.

Elaine.

RE: Rabbit

Elaine zanatta — Thu, 24 Mar 2016 20:38:58 GMT

Martin hello, thanks you for coming board.

As for the color of urine, urinalysis pair research because animal was losing weight and perianal region always wet with urine.

And the XRay attachment because it did not improve.

Elaine.

RE: Rabbit

grumpyoldman — Thu, 24 Mar 2016 20:27:03 GMT

Depends whether its sterile or infected with something bad ?, and renal function ? Not sure if anyone has tried to put a SUB in a bunny ?

RE: Rabbit

Elaine zanatta — Thu, 24 Mar 2016 20:23:34 GMT

Marie, i have attached a Picture of X Ray for evalution. I have the impression that much of the kidney is calcified.What do you think?

RE: Rabbit

Marie Kubiak — Thu, 24 Mar 2016 19:59:42 GMT

Both red pigmented urine and calcium crystals are normal findings but it would be useful to check urine for presence of blood.

If kidney stones are present you can surgically remove the stones or the kidney. I would recommend biochemical assessment of kidney function before any surgery as if the other kidney is not working well surgery is unlikely to give much improvement in clinical status. To have such problems at this age would suggest an obstruction to urinary flow or pyelonephritis has been present.

Marie

RE: Rabbit

Martin Atkinson — Thu, 24 Mar 2016 19:37:34 GMT

Hi Elaine

Welcome to our forum, it is a very valuable resource. I am no expert on rabbits but remember their urine can often be brightly coloured from white, through orange to red.

It seems you are concerned with your patient and have already done quite a lot to help. I'm sure that someone with a greater knowledge of this will be along soon.