Updates on Select Kidney and Lower Urinary Tract Medical Disorders- prerecorded
May 9, 2020
Gary Oswald D.V.M.
Diplomate, American College of Veterinary Internal Medicine
Largo, FL
Dr. Gary Oswald is an ACVIM Diplomate (Internal Medicine) that has been involved in private specialty internal medicine practice since 1987. He established Tampa Bay Veterinary Specialists and Emergency Care Center and served as a practicing internist and medical director. Dr. Oswald is the author of numerous published case reports and medicine articles and is a frequent continuing education presenter in the US and abroad.
In this 5 hour CE course, Dr. Oswald will present lectures via Zoom format.
Dr. Oswald will use didactic lectures and case examples to emphasize important issues concerning the diagnosis, treatment, and prevention of kidney and lower urinary tract in dogs and cats. Emphasis will be placed on answering frequently asked questions encountered by the presenter based on referral consultations. Journal style notes will be used to support the lectures.
Speakers & Topics
“UR in Luck” Practical Updates in Kidney & Lower Urinary Tract Medicine.
Lecture 1. Updates on the diagnosis and treatment options for IRIS Stage 1-2 Chronic Kidney Disease in dogs and cat.
Objectives.
To review the differences and possible causes and ramifications of chronic kidney disease (CKD) in cats vs dogs.
To discuss the use of established and newer tests to detect early CKD.
To review diet and drug management in patients with early IRIS 1-2 CKD.
- Has SDMA or AI become the preferred means of diagnosing CKD?
- When and how should urine protein screening be used in geriatric patients?
- When should a therapeutic renal diet be started in CKD patients?
- Antihypertensive and antiproteinuric therapy preference – amlodipine, ACE-Is or ARBs?
- When is immunosuppressive therapy indicated in dogs with PLN?
- When to consider vitamin D, calcium and PTH management in CKD?
Lecture 2. Updates on treatment recommendations for IRIS Stage 3-4 Chronic Kidney Disease in dogs and cat.
Objectives.
To review and learn how to manage the common clinical issues associated with advancing (IRIS 3-4) chronic kidney disease.
To understand which drug, supplements and diet choices are most likely to improve life quality in CKD patients.
- This dog/cat doesn’t like the oral phosphorus binder. How important is this drug and what are my choices?
- Appropriate use of erythropoeitin analogs in anemic CKD patients.
- Appropriate use of fluid therapy, antiemetics, antacids and appetite stimulants in hyporexic CKD patients.
Lecture 3 and 4. Updates on the diagnosis, rational antibiotic treatment and prevention strategies of Bacterial Urinary Tract Infections in dogs and cats.
Objectives.
To discuss current diagnostic recommendations for examination of urine.
To review and distinguish the differences between bacterial urinary tract infection and subclinical bacteriuria.
To update current recommendations on the treatment of subclinical bacteriuria, sporadic and chronic recurrent urinary tract infections.
To review specific antibiotics used in the treatment of bacterial urinary tract infections. To discuss strategies to prevent reoccurrence of bacterial urinary tract infections.
- What is “asymptomatic” bacteriuria and why is it important?
- What are the preferred antibiotics, treatment length and follow up in uncomplicated UTI patients?
- How do I select an appropriate antibiotic in recurrent UTI patients?
- What follow-up testing is recommended in monitoring UTI treatment success?
- What predisposing disorders should I look for in patients with recurrent UTI?
- What prevention strategies should be considered for recurrent UTI?
- Is oral cranberry effective? What about other drugs or supplements?
- Does improving vulvar and vaginal health help reduce female UTIs?
- Feline bacterial UTIs and pyelonephritis – is the approach different compared to dogs?
Lecture 5. Lower Urinary Tract Potpourri : Brief updates on Urinary Incontinence, FLUTD and Calcium Oxalate Uroliths.
Objectives.
To review accepted treatment options and introduce newer treatments for involuntary urinary incontinence in dogs.
To update current recommendations regarding diet, drug and environmental modification for cats with feline lower urinary tract disease.
To update diet, drug and additional treatment considerations for the specific management of calcium oxalate uroliths in dogs and cats.
Lower Urinary Tract Disorders
- How to use phenylpropanolamine in urinary incontinence management.
- How to use estrogen compounds in urinary incontinence management.
- When to consider collagen bulking agent therapy in urinary incontinence.
- When to consider surgical treatment in urinary incontinence management.
- Feline Interstitial Cystitis – is it a struvite-related or stress-related disease?
- Which works best in preventing FLUTD reoccurrence – prescription urinary diets,
environmental modifications or drugs ? - Struvite stones can be dissolved but how do I get rid of those pesky Calcium
Oxalate stones ?
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