Enrollment is closed.
Joe Bartges, DVM, PhD, DACVIM, DACVN
Mark Epstein, DVM, DABVP Canine, DABVP Feline, CVPP, DAAPM
Steve Holmstrom, DVM, DAVDC
Susan Little, DVM, ABVP Feline
Sandra Mitchell, DVM, ABVP Feline, ABVP ECM
Larry Nagode, DVM, MS, PhD
Michael Zigler, DVM, Cert. V. Ophthal.
MULT309-0814: Advanced Topics in Feline Medicine 2014
In some of the course Real Time Sessions the lecture will be predominantly audio
while in others the lecture will be predominantly text.
August 26-November 14, 2014
REAL TIME SESSIONS (RTS):
Tuesdays, September 2, 9, 16, 23, 30, October 14, 21, 28, November 4; 8:00-10:00 pm ET (USA)
Course RTS Times in Your Area:
World Clock Converter
In order to prepare you for a successful experience
in your CE course, we request you attend a Practice Session prior to the first
Real Time Session. Please arrive promptly at the start time; each Practice Session
is up to 1 hour in length.
For more information, please visit the
CE Practice Area
*The instructors for this course will be using audio which will require you to have a headset or speakers to listen.
If you have any concerns regarding your computer's audio capabilities, please be sure to attend
one of the Practice Sessions.
Level and Prerequisites:
course will be open to veterinarians
actively interested in extending their knowledge of feline medicine.
VIN CE Course:
Open to veterinarians only.
This course has been submitted for RACE approval for veterinarians.
The Veterinary Information Network (VIN) is RACE Provider #22.
This course focuses upon extending the participants' knowledge of feline medicine,
covering topics in a variety of fields, including: ophthalmology, hypercalcemia/calcitriol,
chronic kidney disease, FLUT, stomatitis and tooth resorption, pain modifying modalities,
emerging infectious diseases, and pediatric care and management.
This course consists of nine (9) 2-hour Real Time Session, supplemental library materials,
interactive message board discussions, and a mandatory end-of-course test.
Successful completion (scoring 80% or better) on the end-of-course test is required
to earn a certificate of completion for the course.
To learn more about the requirements for earning a CE certificate, please refer to
Receiving Your CE Credit and Course Completion Certificate
Upon completion of this course, the participant should be able to
- For Week 1: Pediatric Care and Management
- explain the care and feeding of orphaned kittens to clients and support staff.
- list the common congenital conditions associated with morbidity and mortality in kittens.
- differentiate which treatments are appropriate for pregnant queens in the peri-natal period.
- For Weeks 2 and 3: Ophthalmology
- explain the pathophysiology of various ocular diseases in the cat.
- interpret findings on ophthalmic examination to define possible diagnoses.
- recommend diagnostic tests, evaluate results to confirm the diagnosis,
and explain possible outcomes and prognosis.
- For Week 4: Calcitriol, FGF-23 and Parathyroid Hormone Relationships
- explain the metabolic interactions of calcium and phosphorus and their
regulating hormones to achieve homeostasis of both these minerals
including all relevant feedback relations among both the ions and
their hormones including parathyroid hormone, calcitriol, fibrous
growth factor 23 (FGF23) and Klotho.
- define the therapeutic consequences of clinical use of calcitriol doses
in regulating parathyroid hormone including specifically the reversal
of its major attributes when elevated in blood as a uremic toxin.
- explain why parathyroid hyperplasia may be the dominant cause of excess PTH in
the blood of the uremic patient and define the pathogenetic influences
that drive its development.
- differentiate the several direct renoprotective roles of calcitriol
from its roles to regulate parathyroid hormone and form an opinion as to which
is more important in the uremic patient.
- For Week 5: Chronic Kidney Disease
- use the IRIS grading system to guide diagnosis of CKD.
- use the IRIS grading system to guide management of CKD.
- For Week 6: Feline Lower Urinary Tract (FLUT) Disease
- list common causes of FLUTD in young and old cats.
- describe treatment of urolithiasis in cats.
- describe management of cats with idiopathic cystitis.
- For Week 7: Stomatitis and Tooth Resorption
- diagnose chronic feline gingivostomatitis
- explain the current treatment methods of feline gingivostomatitis
- interpret and stage tooth resorption in the cat
- For Week 8: Pain-Modifying Modalities
- describe the essential concepts of pain physiology
- recognize and assess pain in cats
- describe mechanistics and special considerations of analgesic medications in the cat
- synthesize principals and applications of surgical pain prevention and
treatment strategies in cats
- synthesize principals and applications of chronic pain management strategies in cats
- For Week 9: Emerging Infectious Diseases
- recognize newly emerged pathogens as distinct from more common related ones
- diagnose several newly emerged feline pathogens
- interpret clinical signs of disease associated with newly emerged feline pathogens
Course materials will be available
in the course library prior to each Real Time Session.
Required Textbook(s): There is no required textbook for this course.
About the Instructors:
The instructors for this course reflect a topic-specific expertise and were
assembled for their ability to teach discipline-specific content
in relationship to clinical cases.
(Real Time Session September 2):
Pediatric Care and Management
Instructor(s): Sandra Mitchell, DVM, ABVP Feline, ABVP ECM
Week 2 & 3
- Pre-natal care and concern for mom
- Birthing complications
- Fading kittens, those critical first 3 days
- Birth defects, breed tendencies to congenital defects
- Orphan kittens, mistakes by those kind hearted enough to try to raise them
- Special medical conditions of orphaned kittens
- Diseases of the first 8 weeks
- How to work on something SO small
(Real Time Session September 9 & September 16):
Instructor(s): Michael Zigler, DVM, Cert. V. Ophthal.
- Feline eyelid disorders
- Feline conjunctival and corneal disorders
- Feline Uveitis
- Feline glaucoma
- Feline retinal disease
- Horner's syndrome
- Internal and external ophthalmoplegia
- Haws syndrome
(Real Time Session September 23):
Calcitriol, FGF-23 and Parathyroid Hormone Relationships
Instructor(s): Larry Nagode, DVM, MS, PhD
Required Reading (prior to September 23 Real Time Session):
Calcium, Calcitriol, and Renal Hyperparathyroidism - VIN Medical FAQs;
Calcitriol, calcidiol, parathyroid hormone, and fibroblast growth factor-23 interactions
in chronic kidney disease.
Both documents are located in the course library under Real Time Session (RTS) 4 > Materials.
- Metabolic activations of vitamin D -formation of calcitriol -relations to safety as drug
- Renal Secondary Hyperparathyroidism
- Use of calcitriol to control renal secondary hyperparathyroidism
- Regulation of blood levels of calcitriol including roles of FGF-23 and Klotho
- Interactions of calcitriol, PTH, FGF-23, and Klotho in control
of calcium and phosphorus metabolism
- Clinical consequences of elevated FGF-23 in uremic patients
- Roles of hyperphosphatemia worsening clinical outcomes of uremic patients
- Mechanisms of and critical role for parathyroid gland hyperplasia
in the generation of excessive and toxic levels of PTH in uremic patients
- Toxic mechanisms of PTH in multiple tissues of patients
with uremic hyperparathyroidism
- Roles of "trade-off" mechanisms at three levels
1) phosphorus, 2)calcitriol and 3) calcitriol plus FGF-23
in generating the hyperparathyroidism of chronic renal failure
- Pleiotropic effects of calcitriol with relationships of
its several renoprotective roles that are largely separate
from its PTH controlling roles in patients with chronic renal failure,
with emphasis on controls of the RAAS system by inhibition of renin formation
- Relations of calcitriol to renal growth factors,
cytokines and chemokines of several types impacting outcome
of chronic renal disease
- Life prolongation in CKD victims provided by calcitriol
(Real Time Session September 30):
Chronic Kidney Disease
Instructor(s): Joe Bartges, DVM, PhD, DACVIM, DACVN
**** BREAK - October 7 ****
- IRIS classification
- Management including nutrition and pharmacologic therapy
- Management of CKD associated proteinuria
- Management of CKD associated systemic arterial hypertension
(Real Time Session October 14):
Feline Lower Urinary Tract Disease
Instructor(s): Joe Bartges, DVM, PhD, DACVIM, DACVN
- Causes of Feline Lower Urinary Tract disease
- Idiopathic Cystitis
(Real Time Session October 21):
Stomatitis and Tooth Resorption
Instructor(s): Steve Holmstrom, DVM, DAVDC
- Inflammation Definitions
- Clinical Signs
- Laboratory Findings
- Tooth Resorption
- Possible Causes
(Real Time Session October 28):
Instructor(s): Mark Epstein, DVM, DABVP Canine, DABVP Feline, CVPP
- Pain Physiology in a Nutshell
- Recognition and Assessment of Pain in Cats
- Analgesic Drugs: Mechanisms and Special Considerations in the Cat
- Prevention and Treatment of Surgical Pain: Principals and Applications in Cats
- Management of Chronic Pain in the Cat: Principals and Applications
(Real Time Session November 4):
Emerging Infectious Diseases
Instructor(s): Susan Little, DVM, ABVP Feline
CE CREDITS: 18
- Highly virulent Cryptococcus infections
- New Demodex species
- Invasive Aspergillus infections
- Clinical manifestations of Streptococcus infections
- Feline aelurostronglyosis
- Avian influenza H5N1 in cats
- Methicillin-resistant Staphylococcus aureus
- Feline Morbillivirus
Member $378 ($340 early bird special if enrolled by August 19, 2014)
Non-Member $537 ($483 early bird special if enrolled by August 19, 2014)
*To ensure participants are ready and prepared for classes,
enrollment will close at 5 pm ET on September 9, 2014
or when the maximum number of participants is reached.
*For more information on how online CE works, see the
Participant Resource Center
Enrollment is closed.
- Enrollment qualifications: VIN CE courses are open to
VIN member and non-member veterinarians. Veterinarians enrolling in a VSPN CE course
must be a VIN member. Veterinary support staff must be a VSPN member to enroll in a
VSPN CE or a VIN CE course open to VSPN member enrollment.
- Each enrollee must be able to receive emails from @vspn.org
and @vin.com addresses. Email is our major form of communication with participants;
personal emails are highly recommended rather than clinic/hospital email addresses.
- Each person is individually responsible for his/her own registration.
To ensure that all information received is secure and correct, please do not enroll
for a course on behalf of another individual.
- For further assistance call 1-800-700-INFO (4636) or email
Please include the course title, your full name, and contact information in your correspondence.
*Note: "This course is submitted for approval for 18 continuing education credits in jurisdictions
which recognize AAVSB RACE approval; however participants should be aware that some
boards have limitations on the number of hours accepted in certain categories and/or
restrictions on certain methods of delivery of continuing education."
Call VSPN/VIN CE at 1-800-700-4636 for further information.
(Attendees are encouraged to check with their licensing jurisdiction(s) for
information regarding recognition by their board).
Course withdrawal and refund policy:
A complete refund of the paid course price will be
issued when your withdrawal request is received prior to the listed start date of the course.
If you wish to withdraw after the start date please contact the VIN/VSPN office 1-800-700-INFO (4636)
to discuss eligibility for a pro-rated refund.
* Note: To ensure rapid handling of your request for withdrawal, we recommend that you
call the VIN/VSPN office at 1-800-700-INFO (4636).
*For more information on VIN's upcoming CE courses, check the
VIN Course Catalog
The CE team:
Katherine James, DVM, PhD, DACVIM (SAIM)
VIN Education Coordinator
VIN CE Services: CEonVIN@vin.com
800-846-0028 or 530-756-4881; ext. 797
or direct line to VIN/VSPN from the United Kingdom: 01452226154
800.700.4636 | CEonVIN@vin.com | 530.756.4881 | Fax: 530.756.6035|
777 West Covell Blvd, Davis, CA 95616
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