Minnesota Urolith Center PDF Details

The Minnesota Urolith Center Quantitative Urolith Analysis Form is a critical document designed to streamline the submission process of pet stones for comprehensive examination. At its core, the form gathers essential information, starting with the basic details such as the date submitted, veterinarian's name, clinic details, and progresses to more specific data including the owner's and patient's name, species, breed, and a detailed medical history. The form addresses key areas such as the stone's mineral composition, whether urine was cultured, antibiotic usage, and dietary history, painting a full picture necessary for a thorough analysis. Attention is also given to how the stone was retrieved, the source of the sample, and any prior occurrences of uroliths. Notably, for cases involving feline urethral plugs, specific submission preferences are outlined, ensuring the sample's integrity upon receipt by the Minnesota Urolith Center. Supported by an educational gift from Hill’s Pet Nutrition, Inc., the form serves as a foundational tool in diagnosing and understanding urolithiasis, with the ultimate goal of fostering better preventive measures and treatments. It underlines the importance of detailed documentation in facilitating accurate analysis, leading to tailored dietary and management recommendations that are critical for the prevention of future stone formation.

QuestionAnswer
Form NameMinnesota Quantitative Urolith Analysis Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesuniversity of minnesota urolith lab, minnesota urolith lab, minnesota urolith center submission form, minnesota urolith center

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LAB USE ONLY

DATE REC'D

# SUBMITTED

MINNESOTA UROLITH CENTER QUANTITATIVE UROLITH ANALYSIS FORM

PLEASE SUBMIT STONES DRY IN UNBREAKABLE CONTAINER (FOR PLUGS SEE BELOW)

**Please copy this form**

Date submitted

DOCTOR NAME:

CLINIC NAME:

ADDRESS:

PHONE NUMBER:

FAX NUMBER:

Owner's Name

Patient's Name/ID#

Species

Breed

Birth Date

If yes, date of detection:

Mineral composition?

Was the urine cultured before/during stone retrieval? . . . . . . . .

. . . . .Yes

No

Bacterial growth? . . . . . . . Yes

No

Isolates:

 

 

Were antibiotics given prior to stone retrieval? . . . . . . . . . . . .

YesNo

Type/dosage:

Were urine acidifiers or alkalinizers given prior to stone

retrieval?Yes No Type/dosage:

Gender: (circle one)

M

MC

 

F

FS

Unk

Source: (check all areas samples obtained from)

 

 

Upper Urinary Tract

 

Lower Urinary Tract

 

(

)

Kidneys

 

(

 

)

Bladder

 

 

 

 

 

 

 

 

 

 

 

(

)

Ureters

 

(

 

)

Urethra

 

 

 

 

 

 

(

 

)

Voided

 

Other

Date retrieved or voided

What brand of diet was fed prior to urolith retrieval/diagnosis?

How long was this diet fed?

Was a prescription diet fed? Yes No

If yes, which one?

 

(check one)

 

 

c/d(s)

dry

(

 

)

canned (

)

c/doxl

 

 

 

 

 

 

 

dry

(

 

)

canned (

)

 

 

 

 

 

 

 

 

k/d

dry

(

 

)

canned (

)

 

 

 

 

 

 

 

 

l/d

dry

(

 

)

canned (

)

 

 

 

 

 

 

 

 

s/d

dry

(

 

)

canned (

)

 

 

 

 

 

 

 

 

u/d

dry

(

 

)

canned (

)

 

 

 

 

 

 

 

 

w/d

dry

(

 

)

canned (

)

 

 

 

 

 

 

 

 

z/d

dry

(

 

)

canned (

)

 

 

 

 

 

 

 

 

Other

How long was this diet fed?

Previous Uroliths? . . . . . . . .Yes

No

Unk

Was allopurinol given prior to stone retrieval? . . . . . . . . . . . . .

 

Yes

 

No

Dosage and duration:

 

 

 

 

Previous illness or injury:

 

 

 

Dx:

 

;

Date

 

Dx:

 

;

Date

 

FOR FELINE URETHRAL PLUGS ONLY

Preferred method for plug submission: 1/2 dry, 1/2 in formalin

How was the plug preserved? (check)

 

 

 

1.

No preservative

(

)

 

 

 

 

 

 

2.

10% buffered formalin

(

)

3.

Other

 

 

 

 

If sample is very small, please submit dry.

MAIL TO:

MINNESOTA UROLITH CENTER

Dr. Carl Osborne

Dept. of Small Animal Clinical Sciences

College of Veterinary Medicine

Univ. of Minnesota, 1352 Boyd Avenue

St. Paul, MN 55108

612/625-4221 FAX 612/624-0751

Supported in part by an educational gift from Hill’s Pet Nutrition, Inc

MINNESOTA UROLITH CENTER

Hasan Albasan, DVM, MS

UNIVERSITY OF MINNESOTA

• Carl A. Osborne, DVM, PhD

Kathleen Carpenter, CVT

College of Veterinary Medicine

Laura Pederson, BS

Thomas F. Fletcher, DVM, PhD

1352 Boyd Avenue

David J. Polzin, DVM, PhD

Frédéric Jacob, DVM

St. Paul, MN 55108

Sheri Ross, DVM

Lori Koehler, CVT

Lab Phone (612) 625-4221

Laurie L. Swanson, CVT

Chalermpol Lekcharoensuk, DVM •

Fax (612) 624-0751

Lisa K. Ulrich, CVT

Jody P. Lulich, DVM, PhD

 

 

_______________________________________________________________________________

WHAT PREVENTATIVE MEASURES SHOULD I TAKE UNTIL I RECEIVE QUANTITATIVE MINERAL ANALYSIS RESULTS?

Urolith formation is a process that typically takes several weeks (eg. infection induced struvite), to months (eg. calcium oxalate)rather than days. The most common "cause" of rapid recurrence of uroliths is incomplete removal at the time of surgery.

Until quantitative mineral analysis on the urolith is completed, we recommend the following

steps.

-Perform post-operative radiographs of patients with multiple urocystoliths. Double contrast cystography may be necessary if the urocystoliths were not easily observed on pre- operative survey films.

-If small stones are detected on post-operative films, they may be able to be removed non- surgically either by catheter retrieval1, or voiding urohydropropulsion2 after healing takes place.

-Feed a diet unlikely to enhance urolith formation. We typically feed a diet that avoids mineral excess, and promotes a neutral urine pH. We often feed a diet designed for mild to moderate renal insufficiency. If possible, feed a canned diet to promote dilute urine. Once urolith results are received, refer to accompanying recommendation sheets.

-Obtain cystocentesis urine samples to monitor for, and prevent secondary urinary tract infections.

1Osborne CA, Lulich JP, Unger LK: Nonsurgical retrieval of uroliths for mineral analysis. In Current Veterinary Therapy XI. pp 886-889, 1992.

2Lulich JP, Osborne CA, Unger LK, et al: Nonsurgical removal of urocystoliths by voiding urohydropropulsion. In Journal of the American Veterinary Medical Association. Vol 203, pp. 660-663, 1993.

Osborne CA, et al.: Canine and Feline Urolithiases: Relationship of Etiopathogenesis to Treatment and Prevention. In Canine and Feline Nephrology and Urology, Osborne and Finco 1995, pp 798-888

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Provide the essential information in the Owners Name, Patients NameID, Species, Breed, Birth Date, Typedosage, Were urine acidifiers or, retrieval, Typedosage, Yes, Gender circle one, M MC F, FS Unk, Was allopurinol given prior to, and Source check all areas samples field.

minnesota urolith center form pdf Owners Name, Patients NameID, Species, Breed, Birth Date, Typedosage, Were urine acidifiers or, retrieval, Typedosage, Yes, Gender circle one, M MC F, FS Unk, Was allopurinol given prior to, and Source check all areas samples blanks to fill

Note the main details in How long was this diet fed, Was a prescription diet fed Yes No, If yes which one check one dry, canned canned canned canned, No preservative buffered, If sample is very small please, MAIL TO MINNESOTA UROLITH CENTER, How long was this diet fed, Previous Uroliths Yes, Unk, and Supported in part by an section.

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