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Slips, trips, and falls are major hazards in veterinary practices, where wet floors and bustling activity are everyday challenges

Better flooring, better hospitals

Anne Chauvet, DVM, DACVIM, CHT-V, takes listeners into the world of veterinary neurology 

The physical exam approach to the neurologic patient

The week-long celebration honors the hard work and dedication of practice management professionals

Practice Manager Recognition Week officially begins 

Sue Ettinger, DVM, DACVIM (Oncology), discusses the importance of cancer awareness with Adam Christman, DVM, MBA, in recognition of National Pet Cancer Awareness Month

Kicking off National Pet Cancer Awareness Month

Check out the latest news in the veterinary industry with these 5 recent position promotions

Paws and profits: Career advancements in the veterinary industry

Mariana Pardo, BVSc, MV, DACVECC, provided an overview on breathing patterns, respiratory sounds, lung auscultation; and what these different sounds, patterns, and signs may mean—and more—in her lecture at the 2024 NY Vet Show 

A guide for assessing respiratory emergencies

A powerful tool for addressing inflammation early in dogs with otitis externa

The urology & nephrology page is a comprehensive resource for Veterinary news, animal health, & pet care insights on urology & nephrology. Read more at dvm360.

Urology And Nephrology | Veterinary News & Animal Health | dvm360

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 urology & nephrology page is home to a plethora of resources involving the latest advancements in diagnosing, managing, and treating, urology & nephrology. From expert insights into the latest trends to interviews, videos, podcasts, news, and beyond, find out everything you need to know about urology & nephrology here.

A urinalysis is an essential component of the minimum database, but it is often not performed for numerous reasons. It is important to understand the barriers to urinalyses being performed in order to propose productive solutions that will ensure best medicine for our patients. In addition, there may be a lack of standardization within urine sediment examinations leading to variability in results. This podcast will highlight current concerns around urine sediment analysis and discuss upcoming solutions to workflow efficiency and result consistency.

Review the justification for a urinalysis being an essential component of a minimum database along with the current recommendations for performing a urinalysis as part of diagnostic health screenings.

Present current compliance towards performing a urinalysis within veterinary practice and what factors lead to its exclusion from a minimum database.

Discuss the segments of the urinalysis workflow that introduce potential error or imprecisions.

Introduce Artificial Intelligence and Differentiate Superficial vs Deep Learning AI.

Introduce potential solutions to overcome workflow and standardization concerns.

List clinical instances in which a urinalysis would be performed.

Understand current barriers to more frequent use of the urinalysis in veterinary hospitals.

Evaluate potential sources of error or lack of standardization in urinalysis workflow and results within the veterinary hospital.

Recognize the differences between various types of artificial intelligence and understand how deep learning artificial intelligence can advance the accuracy of urine sediment evaluation.

Learn and earn CE credits online with dvm360 Flex

Podcast CE: Streamlining urinalysis with artificial intelligence

Veterinarians should become familiar with new definitions and recommendations for managing urinary tract infections in dogs and cats to promote antimicrobial stewardship.

Updates in management of urinary tract infections in small animal medicine

Common canine uroliths, including struvite, were covered during a session at the Fetch dvm360 Conference in Atlantic City

Diagnosing and treating canine struvite uroliths

Natalie Marks, DVM, CVJ, CCFP, Elite FFCP-V, talks about 2 of the most common forms of incontinence

Neurogenic vs overflow incontinence

These videos offer information on oxidative stress, chronic kidney disease, diagnostics, and treatment

3 must-sees on nephrology

Management of the condition includes postoperative therapy
and follow-up care

Identifying and treating canine and feline urolithiasis

Natalie Marks, DVM, CVJ, CCFP, Elite FFCP-V, offered guidance for finding the underlying cause of incontinence in pets

Diagnosing the cause of incontinence in patients

Identifying the underlying cause of a patient's incontinence can be difficult in general practice, which is why Natalie Marks, DVM, CVJ, CCFP, Elite FFCP-V, offered some guidance in an interview with dvm360.

During the interview, Marks discussed her lecture “UrINe or UrOUT–Common Cases Involving Micturition Management,” which she presented at the Fetch dvm360 Conference in Atlantic City, New Jersey. Marks explained that when determining the cause of incontinence, starting with a thorough history and a physical exam is important. According to Marks, neurogenic incontinence is often accompanied by proprioception loss, hind limb paresis, pain, decreased reflexes, and more, which can provide insight into where to look.

Natalie Marks, DVM, CVJ, CCFP, Elite FFCP-V: 

So when we have a patient who is incontinent, in general practice, it can be challenging at times to determine the ultimate, primary cause behind that. So often, what we do is, of course, start with a history and really good physical exam, because if we have neurogenic incontinence, often we have a clue from the physical exam itself—we have conscious proprioception loss, we have paresis in the hind end, we have pain, we have decreased reflexes, we may even have paralysis—and often that gives us a clue of where to look, and in those cases…referral, advanced imaging, and follow up treatment is done more at a specialty center.

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Dr Christopher G Byers explains oxidative stress and EPO synthesis in CKD patients

Dr Byers dvm360 CKD interview Fetch on Demand

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gives you access to the best sessions, speakers, and over 30 CE credits. Learn when, where, and how it fits into your busy life. Whether you’re catching up between appointments, learning from the comfort of home, or squeezing in a quick session over coffee, Fetch On-Demand gives you the flexibility you need to earn CE credits on your terms.

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Chronic kidney disease (CKD) affects a significant amount of animals across the nation. In an interview with dvm360, Christopher G. Byers, DVM, DACVECC, DACVIM (SAIM), CVJ, explains how oxidative stress can damage kidney tubular cells and lead to further kidney injuries. He also explains how CKD can diminish the kidney's capacity to generate erythropoietin (EPO), which is crucial to the creation of new red blood cells.

Christopher G. Byers, DVM, DACVECC, DACVIM (SAIM), CVJ:

 So, unquestionably, oxidative stress can cause damage to kidney tubular cells, which can lead to kidney injury. The kidney cells are truly vulnerable to oxidative stress because there's lots of mitochondria, and it's the mitochondria that are damaged by oxidative stress, and so we can see renal tubular function affected deteriorated by various oxidative stressors that occur in the body. And we are now learning that we can measure some of these markers of oxidative stress, as we serially monitor patients with chronic kidney disease.

Christopher G. Byers, DVM, DACVECC, DACVIM (SAIM), CVJ, explains the effects of oxidative stress on tubular cells and how EPO synthesis leads to non-regenerative anemia in CKD patients

Oxidative stress and EPO synthesis in CKD patients

Lucy Sumners, RVT, VTS(ECC), discusses technician care for patients with acute kidney injury.

Technician care for kidney injury

Lucy Sumners, RVT, VTS(ECC), a lead veterinary technician specialist at the University of Florida Small Animal Hospital in Gainesville, presented an education session on acute kidney injury management at the 2024 Southwest Veterinary Symposium in Fort Worth, Texas. In an interview with 

®, she discussed the veterinary technician’s role in caring for patients with acute kidney injury.

The following is a transcript of the video:

: My goal with this talk is also to empower technicians, kind of wherever they are at it doesn't have to be emergency. They can be in specialty or they can be in general practice, because these patients are going to be seen anywhere at some point in their kind of range as they go through and so the nursing care that I wanted to kind of empower them with this is early recognition. So for patients that come in that have a little bit of elevation in their kidney values. Where is it coming from? Do we have a concurrent heart disease? Is there a heat stress event? Is there an infectious process?

And then, if therapies are started at your clinic, what can you do to monitor how well your therapies are working? So the easiest way, and what people forget, is that you can do body weights on the patients, and it is no extra cost. It is very non invasive, but you can tell just by their body weight and their urine output, if they are in fact, if their kidneys are functioning or if they're even producing urine at the same time. 

You don't have to have any fancy equipment just to scale, and so I just wanted to emphasize that you don't need to be at a teaching hospital in order to take care of these patients, but the nursing care that goes into it for these guys is a lot of just kind of comfort. They can be very uncomfortable, very nauseous, painful, because kidney pain is pretty significant. And so the the kind of tender, loving care aspect of nursing care is really important for these guys, making sure they have adequate nutrition, adequate water. We're the ones that are working with them minute to minute, and so we'll see if they're nauseous as we do something, or if they all of a sudden become painful, or if their mentation changes, and we can alert the doctors to those changes and kind of make suggestions as we go through.

Lucy Sumners, RVT, VTS(ECC), discussed management of acute kidney injury at the 2024 Southwest Veterinary Symposium and in an interview with dvm360.

Technician care for acute kidney injury

Tips for diagnosing chronic kidney disease in cats

Interview with Natalie Marks

In a preview of her upcoming lecture at Fetch Nashville, Natalie L. Marks, DVM, CVJ, Elite FFCP-V, shares how veterinary teams can diagnose chronic kidney disease (CKD) in cats, what diagnostic tests you can utilize along the way, and the importance of everyone, including specialists, being on the same page when it comes to the language surrounding CKD. 

The following is a partial transcript of the video:

: Some of our [cats with] chronic kidney disease will have acute on chronic [condition] so they're sort of coasting along at their baseline and all of a sudden something spikes and we need to know if there's been an acute kidney injury on top of their underlying chronic disease. The other 2 pieces I want to point out there would be, if you can, we want to do a low colony urine culture, because that really does look for any low grade infection that might be a source like pyelonephritis. Every ill cat should [also] have a feline leukemia and FIP current test for status so we know their viral status. It's really nice if you can have a FT4 by Equilibrium Dialysis to really make sure we don't have some brewing hyperthyroidism because we know kidneys and thyroid hate each other and that can be a delicate balance. And then finally, blood pressure. You definitely want to have a current blood pressure, ideally the average of 3 so that we can really see if hype if hypertension is part of this too.

Natalie Marks, DVM, CVJ, Elite FFCP-V, emphasizes how standardizing the diagnostic workup for chronic kidney disease  can help better diagnose and assess this illness in feline patients

Diagnosing chronic kidney disease in feline patients

	"In human medicine, anywhere from 30% to 50% of all antibiotics are inappropriately prescribed," says Jason Stull, VMD, MVPM, PhD, DACVPM. Veterinary practices can do better! Dr. Stull recommends picking a team in your practice to keep on top of antibiotic use in the clinic and gather resources on implementing best practices.

	Some resources for best antimicrobial practices from Dr. Stull:

Client education posters from the American Veterinary Medical Association

Website and app for antimicrobial use in urinary tract infections in small animals from the Canadian Veterinary Medical Association

Guidelines on antimicrobial use for urinary tract infections in cats and dogs from the International Society for Companion Animal Infectious Diseases

Guidelines on antimicrobial use for superficial pyoderma in dogs from the International Society for Companion Animal Infectious Diseases

Dr. Jason Stull has three ways to curb the disturbing trend of antimicrobial resistance.

Resist the resistance! Be the antibiotic steward in your veterinary practice

	"If you're a veterinarian struggling with [your patients'] chronic conditions-cancer, osteoarthritis, kidney disease-start to educate yourself," says Ernie Ward, DVM.

	Ward's journey began 15 years ago and transformed the way he thinks today about pet nutrition and veterinary medicine.

	"I really became frustrated with managing chronic disease and conditions in veterinary practice," Ward says. Through his own research, he figured out that "many of these supplements are important."

Some DVMs are weak on supplements, with pet owners doing their own questionable research and dosing and feeding their pets accordingly for such conditions as cancer, osteoarthritis and kidney disease. It's high time for you to dig into the science, says Dr. Ernie Ward, and see how they can help with pets' chronic conditions.

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