Nephrology & Urology

50 Resources on Nephrology & Urology

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Cats and Kidney Disease: Fact or Fiction

Most veterinarians manage feline kidney disease all the time, but how much of what you do is based on fact and how much is based on myth? The answers may surprise you. This session exposes some myths and reviews current recommendations for diagnosing and managing feline kidney disease.Please note:If you were an attendee at this NAVC Conference and received a general CE certificate, please be sure to check with your state licensing bureau regarding your eligibility to receive online credit for...

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Chronic Renal Disease: It's Time for Calcitriol and High Protein Diets

Cats can live longer and more comfortably with proper care and treatment. Help improve the life of your client's cat. Learn tips and tricks about use of drugs, vitamins and diets in management and treatment of chronic renal disease. Please note:If you were an attendee at this NAVC Conference and received a general CE certificate, please be sure to check with your state licensing bureau regarding your eligibility to receive online credit for an individual session.Supported and produced by...

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The Blocked Goat

Urolithiasis has multifactorial causes of diet, environment and anatomic components. Medical treatment alone is generally unrewarding. When urethral obstruction is complete, surgical intervention is appropriate. Surgical correction may be considered a short term salvage procedure. Early detection and early surgical intervention lead to better outcomes. Which surgical correction is chosen depends on many factors including: value and intended use of animal: (breeding, pet, slaughter); location...

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New Alternatives for Minimally Invasive Management of Uroliths: Nephroliths

AbstractUrolithiasis is a common clinical problem in small animal veterinary patients. Management of upper urinary tract calculi can be particularly challenging in small animals, as traditional surgical removal can be associated with significant morbidity. In humans, minimally invasive treatment options have replaced traditional surgical removal in many cases. This article reviews the current literature on the various types of lithotripsy and some of the newer minimally invasive options...

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Hypertension, Proteinuria, and ACE Inhibitors in CKD: The Good, Bad, and Ugly

By altering pre-glomerular resistance, healthy kidneys can maintain relatively stable glomerular capillary pressures despite variations in systemic blood pressure. This pressure regulatory process is termed renal autoregulation. Autoregulation can be reduced when renal disease results in loss of nephrons. Compromised autoregulation allows high systemic blood pressure to be transmitted to glomerular capillaries. This glomerular hypertension has been documented by micropuncture studies in dogs...

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Update On Significance, Diagnosis, and Treatment of Proteinuria

SIGNIFICANCE Proteinuria is associated poorer clinical outcome in dogs and cats with kidney disease regardless of whether hypoalbuminemia or clinical signs due to hypoproteinemia (such as nephrotic syndrome) are present. In both dogs and cats the severity of proteinuria correlates with the likelihood of disease progression, uremic crisis, and eventual death. These associations between proteinuria and poor outcome are not limited to glomerular diseases— dogs with chronic renal failure and...

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Evidence-based Microalbuminuria Testing

Conventional urine dipsticks are the standard initial screening test for detection of proteinuria. Urine albumin concentration must be approximately 30 mg/dl_ or greater to be detected by this method. However, normal urine albumin concentration in dogs and cats is in fact significantly lower than this limit of detection: although there are slight differences between cats and dogs, the upper end of the reference range is approximately 1 mg/dl_. The range between these numbers (1—30 mg/dL) is...

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Don’t Be a Dipstick: Plasma Proteins and the Kidneys

Plasma Proteins and the kidneys: The function of albumin and globulin and their imbalance effects on mainly the kidneys, but also the effects in the liver, immune system, and GI system. The following laboratory testing and how to interpret results will be covered: Chemistry, Urinalysis, Urine Protein Sulfosalicylic Acid Precipitation Test (SSA), urine protein:creatinine ratio, ALB:Glob ratio and microalbuminuria. We will also discuss protein losing nephropathy: signs, diagnosis and treatment....

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Hypertension

chapter-177 To view a presentation, you must have the latest version of Flash or a browser that supports HTML5 Hypertension may be the most under-diagnosed systemic illness affecting companion animals. Blood pressure elevations are commonly divided into primary and secondary hypertension. Primary hypertension is the result of an imbalance in the relationship between cardiac output and systemic vascular resistance. Although more than 90% of all human hypertension cases...

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Urinalysis

Proceedings of the NAVC Conference To view a presentation, you must have the latest version of Flash or a browser that supports HTML5 FORMATION OF URINE When blood enters the renal corpuscles, a portion of the plasma, along with its wastes, is filtered through the glomerulus into the next portion of the tubule, the proximal convoluted tubule. Large proteins and cells do not enter the tubule unless there is damage to the glomerulus. The filtered fluid passes slowly through the rest of...

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