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TECH186-1010: The Complete Urinalysis Module 2-Abnormalities and Case Studies

Cheryl Stockman, MT (ASCP) & Joyce Knoll, VMD, PhD, DACVP

October 21-November 20, 2010
Real Time Sessions: Wednesday evenings, October 27 and November 3 and 10, 2010; 8:30pm-10:30pm ET (USA)

Urinalysis is important part of the medical database and part of a routine workup of veterinary patients. This course will build on information covered in The Complete Urinalysis Module 1, which focused on HOW to perform a complete urinalysis. This course will focus on WHY those results are important and how these results, in the context of clinical signs and in combination with and other supporting laboratory abnormalities (e.g. CBC and chemistry profile), can be used to diagnose patient disease by a clinician. This course will provide some background information on data interpretation, but is not designed to make you into a clinician; the goal is to expand and broaden the teamwork of veterinarian and veterinary technician's and thought processes incorporating all medical information available on each individual patient. Technical aspects of urinalysis will not be covered in this course and it is expected that participants will already be familiar with these issues either through having taken The Complete Urinalysis Module 1 or through other educational courses.

Dr. Joyce Knoll and Ms. Cheryl Stockman comprise a team that works together in clinical pathology to aid clinician's diagnostic abilities in veterinary medicine. They have team taught several courses on VSPN and VIN CE as well as taught individually to those in the veterinary profession for the past several years. This course will consist of three (3), two (2) hour real-time sessions, detailed presentations with slides when appropriate, and library materials provided on all topics. There will be multiple choice homework quizzes designed to enhance course effectiveness and material retention as well as interactive message board discussions.

Upon completion of this course, the participant should be able to interpret

TEXTBOOK: There is no required text for this course; however the instructors recommend the following:


Week 1: Interpretation of Urine Sediment Abnormalities
Content: In this session we will use a series of clinical cases to illustrate how some urine sediment abnormalities can be useful in making a diagnosis. Abnormalities to be discussed will include hematuria, pyuria, casts, and pathologic crystals.

Week 2: Interpretation of Urine Chemistry Abnormalities
Content: In this session we will use a series of clinical cases to illustrate how some urine chemistry abnormalities (in association with findings in the sediment) can be useful in making a diagnosis; and how incorrect laboratory collection or handling can affect the ability to make a correct diagnosis. Abnormalities to be discussed will include proteinuria, hemoglobinuria, myoglobinuria, glucosuria, and bilirubinuria.

Week 3: Interpretation of Specific Gravity in conjunction with Serum Chemistry Abnormalities
Content: This session will introduce the concept of azotemia, its causes, and its classification scheme. Through a series of cases, we will discuss how urine specific gravity can be used to assess kidney function and distinguish pre-renal azotemia, as a result of blood loss or dehydration, from renal azotemia caused by kidney disease.

LIBRARY MATERIALS: Library materials will be made available prior to the topic week so participants will have plenty of time to prepare for the real time sessions and discussion.

MESSAGE BOARD DISCUSSIONS: Message board discussions regarding the topic presented will begin on the day the course opens and continue for one week following the last real time session. These discussions will be held in the VSPN CE course area.


$120 ($108 early bird special before October 7, 2010).
*Enroll in both Modules before September 22, 2010 and receive a 15% discount off the regular course price. *Students currently enrolled in and taking at least 2 classes or 5 units at an AVMA accredited or CAAHT approved Veterinary Technician Program may be eligible to receive a 50% discount off the regular rate for this course (upon verification of student status). You must include the following information in the comments section of the CE enrollment form in order to be eligible for this discount: your program director's name and contact information (email/phone) and school name.

** NOTE: Enrollment will be closed when the maximum number of participants is reached or at 5pm ET the day of the first real time session

**The Participant's Resource Center includes all you need to know about online CE with VIN and VSPN.


  1. Each person must individually be a registered member of VSPN ( Membership in VSPN is free.
  2. To enroll in any VSPN CE course click on the ENROLL NOW link below the course title on the right side of the page at
  3. Each enrollee must be able to receive emails from and addresses. This is our major form of communication with participants. It is highly recommended that course participants use their own, personal emails rather than clinic/hospital email addresses.
  4. VIN Member veterinarians SHOULD NOT register for their staff. Please have the staff member register through VSPN. Please email if you have questions.
  5. VIN Member veterinarians ARE ELIGIBLE to take this course; we are requesting RACE accreditation for both veterinarians and veterinary technicians. **Please access the course enrollment through
Note: "This course has been submitted for approval for 6 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 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: Withdrawal prior to the listed start date of a course entitles the registrant to a complete refund or a credit toward a future VSPN or VIN CE course, whichever is preferred. Withdrawal within 1 week after the listed start date (i.e. including no more than one real-time session) entitles the registrant to a credit toward any future VIN CE course. (Does not apply to courses with only one real-time session.) After the first real-time session, a registrant may withdraw due to special circumstances and receive prorated credit towards a future VIN course. These requests will be handled on an individual basis. The amount of the prorated credit will be determined based on 65% of the time remaining in the course at the time of withdrawal. It is not possible to withdraw retroactively.
Note: To ensure rapid handling of your request for withdrawal, we recommend that you call the VIN office at 1-800-700-INFO (4636).
** For More Information on VSPN's upcoming CE Courses, check out

Nanette R. Walker Smith, M.Ed., RVT, CVT, LVT
VSPN Content Director & CE Coordinator

VSPN CE Services:
1-800-846-0028 or 1-530-756-4881
Charlotte Waack (; ext 193
Chris Upchurch (; ext 197
Darci Palmer (; ext 179
Debbie Bess (; ext 178
Nanette Walker Smith (; ext 187


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