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The aim of learning is not knowledge but action.

The aim of learning is not knowledge but action. Wish I’d said that…….. Jill McClure, DVM, MS Diplomate, ACVIM, ABVP. Educational Objectives. to recognize clinical problems which may suggest renal disease to recite a list of differentials (rule-outs) for selected clinical problems

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The aim of learning is not knowledge but action.

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  1. The aim of learning is not knowledge but action. Wish I’d said that…….. Jill McClure, DVM, MSDiplomate, ACVIM, ABVP

  2. Educational Objectives • to recognize clinical problems which may suggest renal disease • to recite a list of differentials (rule-outs) for selected clinical problems • to recite a diagnostic and/or treatment plan for selected specific disease of the urinary system

  3. Educational Objectives • to identify problems from a history and set of clinical and/or laboratory data • to interpret clinical and laboratory data by following an algorithm in order to arrive at a presumptive diagnosis

  4. Problem-oriented approach • Recognize a problem • Know what tests to request • Know how to interpret he results • Know how to manage the diagnosis

  5. oliguria/anuria polyuria: polydipsia dysuria abnormal urine edema chronic weight loss diarrhea colic metabolic lameness What is the problem?????

  6. Oliguria/Anuriadecreased / no urine output • Normal urine output = 1-2 ml/kg/hr • ~ 15 l /1000 horse/day • affected by environment, water intake, diet

  7. Decreased urine output • Failure to form (renal failure) • Failure to pass(obstruction or diversion)

  8. What is a minimum data base? • pieces of information to collect BEFORE starting to think • problem-specific

  9. History previous disease drugs therapy toxins feed Physical exam document problem urethral patency injury preventing posturing hydration status rectal exam Minimum data base for oliguria/anuria

  10. Lower tract patent suspect ARF CBC BUN, Cr Electrolytes Minerals Albumin, protein UA FE Minimum data base for oliguria/anuria

  11. Patent lower tract renal biopsy toxin analysis cantharadin heavy metals Expanded Data Base for oliguria/anuria

  12. What is an algorithm? • logical pathway used to interpret findings in order to arrive at a diagnosis • a road map for diagnosis

  13. Oliguria/Anuria

  14. Oliguria/Anuria

  15. Toxic antibiotics aminoglycosides drugs NSAIDS bugs cantharadin pigments myoglobin Vascular hypovolemia Toxic heavy metals Rule-outs for oliguria/anuria with patent lower tract

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