10-year-old spayed female Pointer
Presented for decreased appetite, azotemia, elevated liver enzymes
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- Gas in bladder lumen and wall
- Gas extending into both ureters and renal pelves
- Emphysematous cystitis, ureteritis, pyelitis
- Plan: urinalysis, check for diabetes, medical therapy
Candidates got 50% credit if they only saw the emphysematous changes in the bladder, and full credit if they found the emphysematous ureters and renal pelves.