The present study was aimed to record and analyze the prevalence of obstructive urolithiasis in domestic animals like cattle, buffalo, horse, goat, sheep, dog and cat presented at RVP-TVCC, Indian Veterinary Research Institute. A total of 777 cases were reported during the academic session starting from April 2018 to March 2019 from Bareilly and its surrounding regions. Incidence were highest among ruminants 92.92% comparing to other domestic animals 7.08%. Among the different animal species, caprine were found to be the most affected, followed by buffalo and canine. A positive correlation was noted between the occurrence of obstructive urolithiasis and the season with maximum number of cases being reported during the winter season December -February. The female to male ratios in urolithiasis affected animals were 1:81, 1:75 and 1:22 for buffalo, goat, and dog, respectively indicating higher occurrence in male animals. Majority of the goat 67.89% and buffalo 84.80% presented with obstructive urolithiasis were also found to be fed exclusively with a grain rich diet that are excess in phosphorous thereby contributing to urolith formation. The role played by behavioral changes associated with different seasons and the dietary status of the animal plays a significant role in the pathophysiology of urolithiasis. Such an interplay between the season and the dietary imbalance will lead to higher incidence of obstructive urolithiasis in domestic animals.
BACKGROUND The aim of the study is to study the clinical profile of diabetic ketoacidosis in children with type 1 diabetes to identify the precipitating factors, to assess the metabolic alterations due to this illness and to correlate these parameters with the outcome. MATERIALS AND METHODS This was a prospective observational study and 33 children admitted in PICU during the study period were recruited for the study. RESULTS 24 children were newly-diagnosed cases and 9 children were already established cases of type 1 diabetes. Mean age group was 10.7 years. Major precipitating causes of DKA in established cases were intercurrent respiratory infections and omission of insulin. Nausea, vomiting, thirst and polyuria were the most common symptoms. Mean duration of symptoms before diagnosing DKA were 20 days in newly-diagnosed cases and 4 days in established cases. ¾ of children had dehydration at the time of admission. Severity was more in younger children. Commonest biochemical abnormality was hypokalaemia. Late diagnosis and delay in the initiation of treatment were the commonest predisposing factors for the development of cerebral oedema. CONCLUSION DKA is a life-threatening complication of type 1 diabetes and the red flag signs of bad outcome were young age, late diagnosis, late referral and late initiation of treatment. Hence, a high index of suspicion is necessary to diagnose DKA in first presentation of diabetes as well as in established cases.
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