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VSPN CE Course TECH186-0213: The Complete Urinalysis Module 2-Abnormalities and Case Studies


INSTRUCTOR(S): Cheryl Stockman, MT (ASCP) & Joyce Knoll, VMD, PhD, DACVP
COURSE OPEN: February 13-March 16, 2013
REAL TIME SESSIONS (RTS): Wednesdays, February 20, 27, and March 6, 2013; 8:00pm-10:00pm ET (USA)
Course RTS Times in Your Area: World Clock Converter

Practice Sessions: 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 instructor 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: This intermediate course will focus on WHY laboratory urinalysis 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 build on information covered in The Complete Urinalysis Module 1, Module 1 is highly recommended.

VSPN CE Course: Open to VSPN and VIN members. This course has been submitted for RACE approval for veterinary technicians and veterinarians.

Course Description:
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 the veterinarian and veterinary technician and the thought processes incorporating all medical information available on each individual patient. Technical aspects of urinalysis will not be covered in Module 2 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.

This course consists of three (3) two (2) hour Real Time Sessions, supplemental library materials, interactive message board discussions, a mandatory end-of-course test, and may include online multiple choice quizzes (after each Real Time Session). Successful completion (scoring 80% or better) on the end-of-course test is required to earn a certificate of completion for the course.
*A portion of this course will be an audio presentation, please be prepared to listen.

Upon completion of this course, the participant should be able to Course Materials: Course materials will be available in the course library prior to each Real Time Session.

Required Textbooks: There are no required textbooks for this course.
Recommended Textbook:
Mundt, L. A. & Shanahan, K. (2010). Graff's Textbook of Routine Urinalysis and Body Fluids, 2nd ed. Philadelphia: J.B. Lippincott Co.

About the Instructor:
Dr. Joyce Knoll has been overseeing veterinary clinical pathology testing and teaching veterinary students at the Tufts Cummings School of Veterinary Medicine for 22 years. Cheryl Stockman has been a supervising medical technologist at Tufts Cummings School of Veterinary Medicine for 20 years working closely with Joyce Knoll, DVM, DACVP teaching clinical pathology to veterinary students. She has also worked as an assistant in a veterinary hospital for more than 20 years giving her the ability to understand and teach in both the academic and general practice fields.

Course Outline:
Weeks 1 (Real Time Session February 20): 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: (Real Time Session February 27): 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: (Real Time Session March 6): 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.


Tuition: $120 ($108 early bird special if enrolled January 30, 2013).
*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).
NOTE: To ensure participants are ready and prepared for classes, enrollment will close when the maximum number of participants is reached or at 5pm ET the day of the first Real Time Session unless otherwise noted. If the first Real Time Session is on a weekend, course enrollment will close on the Friday before the first Real Time Session.

*For more information on how online CE works, see the Participant Resource Center.

  1. 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.
  2. Each enrollee must be able to receive emails from and addresses. Email is our major form of communication with participants; personal emails are highly recommended rather than clinic/hospital email addresses.
  3. 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.
  4. For further assistance call 1-800-700-INFO (4636) or email (VIN CE) or (VSPN CE) Please include the course title, your full name, and contact information in your correspondence.
*Note: "This course is 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/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 VSPN's upcoming CE courses, check the VSPN Course Catalog.

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

VSPN CE Services:
1-800-846-0028 or 1-530-756-4881 or direct line to VIN/VSPN from the United Kingdom: 01452226154
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Charlotte Waack (; ext 193 (Illinois)
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Nanette Walker Smith (; ext 187 (Colorado)

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