FLUTD & Idiopathic Cystitis Flashcards

Flashcards about Feline Idiopathic Cystitis (FIC) and Feline Lower Urinary Tract Disease (FLUTD)

What are some non-specific clinical signs of Feline Lower Urinary Tract Disease (FLUTD)?

Dysuria, pollakiuria, pain, vocalization, periuria, pigmenturia, and potentially obstruction. Generally no polyuria or polydipsia.

What is Feline Idiopathic Cystitis (FIC)?

Idiopathic cystitis is diagnosed when no underlying cause is identified for FLUTD (Feline Lower Urinary Tract Disease).

What percentage of FLUTD cases are attributed to Feline Idiopathic Cystitis (FIC)?

FIC may account for > 50% of all FLUTD cases.

List some differential diagnoses for FLUTD.

Behavioral problems, FIC, uroliths, UTI, and neoplasia.

What are the typical clinical signs of FIC?

Non-specific signs of lower urinary tract disease and few systemic signs (unless obstructed).

How is FIC diagnosed?

Diagnosis of exclusion, often presumptive based on history, physical exam, and potentially lab work and imaging.

List some risk factors associated with Feline Idiopathic Cystitis (FIC)?

Neutered status, age (approximately 2-7 years), breed, gender (male), dry food diet, overweight condition, environmental factors and stress.

What diagnostic testing is recommended for all new FLUTD cases?

UA (with sediment), urine culture, and radiographs.

What diagnostic testing is recommended for complicated FLUTD cases?

Serum chemistry, CBC, abdominal ultrasound, +/- contrast urethrocystography, +/- urethrocystoscopy (females), +/- biopsy.

What is the goal of FIC treatment?

Decrease frequency and severity of signs, reduce risk of obstruction, and "do no harm."

What diet modifications can be implemented for the management of FIC?

Canned food vs. dry as well as increasing water consumption.

What does MEMO stand for in the context of environmental enrichment for FIC management?

Litterboxes, Food & water, Social interactions, Other.

What is the website for the "Indoor Pet Initiative"?

indoorpet.osu.edu

What are some examples of feline pheromone products, and what is their intended use?

Feliway; minimize stress and aggressive social interactions; evidence is limited.

What are the benefits and risks of using tricyclic antidepressants (i.e. Amitriptyline) for FIC?

There are a few studies showing benefits; controversy exists; withdraw slowly to avoid "rebound".

What is the general consensus and effectiveness of Steroids or NSAIDs for treating FIC or HIC?

There is no evidence of beneficial effect in FIC or HIC.

What is the general consensus and effectiveness of Analgesics for treating FIC or HIC?

there is no evidence for or against.

What are the key points of FIC to remember?

FIC is common, much more common than any other FLUTD including infection, many cases (85%) are self limiting, and most cats do not require treatment and may not benefit from it including antibiotics

What are the the important and Practical considerations for FIC treatment?

If you think infection is likely → culture. If infection more than once, look for underlying disease .

What are several treatment options for cats with FIC needing treatment?

↑H2O, MEMO, diet , Analgesia.