AD133 – Advance25 – Complex Medicine for Advanced Practitioners 1

£997.00 (+VAT)

This course commences on Monday 30th October 2023, with the last session taking place on Wednesday 6th December 2023. The forum will remain open for two weeks after the last session.

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Advance25TM Courses help you to develop your knowledge and clinical skills in a defined area of small animal practice. These fully flexible online courses include tutor support and discussion forums. The course materials are all recorded, and you have full access for a 12 month period. The course runs for a six week period, and you’ll get tutor support for a further 2 weeks via the course forum in case you need to catch up. After that, you’ll still have full access to all of your course materials although the tutor support will end. Complete your learning and get your CPD Certificate for 25 Hours of CPD.

There are course notes for you to download, and self-assessment quizzes to test your learning. Your tutors are on hand to help you throughout your course, and discussion forums allow on-going case questions and answers.

Complete your study, pass your self-assessment quizzes and get your personalised CPD Certificate for 25 Hours of CPD.

Apply theory to the patients you’re likely to see in your practice with these new courses. Use your new knowledge and skills straight away in your practice.

Revisit your course materials at any time during your 12 months’ access to refresh your knowledge whenever you have a relevant patient.

This six week course will focus on complex and often frustrating medical conditions from confusing Addisonian cases and transfusion medicine to chronic diarrhoea. There will also be interesting discussions on topical issues including FIP and mycobacterial infections. This will be suitable for Advanced Practitioners hoping to broaden and deepen their knowledge in a variety of topics.

Week 1: Haematology and immunology (Anna Threlfall)

Session A: ‘The Drugs Don’t Work’. Management of immune mediated diseases beyond glucocorticoids.

Steroids are the mainstay of management of most immune mediated diseases. However, there are many situations when steroids do not seem to be ‘enough’, they are causing significant side effects, or they are not appropriate. In these cases, other immunomodulatory drugs might need to be considered. This webinar will discuss what other drugs are available in the UK, and review the evidence on their use in various immune mediated diseases.

Session B: Anaemia and transfusion medicine

Anaemia is a very common presentation in small animal practice. We will not talk about anaemia in huge depth, but rather focus on transfusion medicine and when certain blood products are indicated. Blood types in dogs and cats will be reviewed, with reference to newly discovered blood groups and the relevance of these. This presentation will be case-based using real cases to illustrate important points.

Session C: coagulopathies

Anna will deliver a session on various coagulopathies from thrombocytopenia to hyperfibrinolysis syndrome. We will touch on interpretation of diagnostic tests and management of such cases.

Week 2: Gastroenterology and hepatobiliary disease (Katherine Clarke)

Session A: Chronic diarrhoea, a case-based approach

Chronic diarrhoea is one of the most common reasons that animals are presented to both first opinion and referral practitioners. It is often a source of considerable frustration to all parties involved! A logical approach to investigation and management is of critical importance in these cases. Katherine will talk through some cases to highlight key parts of the diagnostic pathway and dispel some myths about both diagnostics and treatments.

Session B: ‘The ALT is high, what next?’ Investigation and management of acute and chronic hepatopathies

Increased liver enzymes can be identified in both apparently healthy patients undergoing routine blood tests for screening purposes, and very unwell animals. The point at which such abnormalities should be investigated is often debated, and the diagnostic pathway to follow can be challenging. This presentation will discuss the logical approach to investigation of acute and chronic hepatopathies. General treatment approach will also be discussed, with the main focus on management of chronic hepatopathies.

Week 3: Endocrinopathies (Daniel Thompson)

Session A: Diabetic ketoacidosis

This session will cover the presenting features of diabetic ketoacidosis and a detailed, logical approach to management.

Session B: ‘The Great Pretender.’ Approach to diagnosis and management of complex Addisonian cases

Hypoadrenocorticism can present in a host of different ways; it is well known as “the Great Pretender”. This session will explore the different types and presentations of hypoadrenocortcism (acute vs chronic; primary vs secondary; typical vs atypical) and the routes to diagnosis and management of such cases.

Session C: Approach to PU/PD

Many cases of PU/PD can be frustrating to understand and reach a final diagnosis. We will talk through a logical approach to PU/PD including when a modified water deprivation test is and is not (!) indicated.

Week 4: Uronephrology (Eva Buresova and Anna Threlfall)

Session A: Investigation and management of proteinuria in dogs and cats (Eva Buresova)

The importance of measuring a urinary protein : creatinine ratio is commonly underestimated in our patients. Eva will discuss the relevance of proteinuria, and the approach to investigation and management of such cases. The recent literature on the use of telmisartan and other relevant drugs will be reviewed.

Session B: ‘From Rolling Stones to Dire Straits’. Urolithiasis; beyond struvite and calcium oxalate (Anna Threlfall)

Struvite and calcium oxalate urolithiasis are commonly encountered in our patients, and management strategies are fairly well known, though cases can still be very frustrating to manage. This presentation focuses on less common urolith composition and management strategies that could be considered. Medical treatment and minimally invasive management techniques will be discussed.

Week 5: Respiratory disease (Eva Buresova)

Session A: It ‘Won’t Stop Running’. Approach to the never ending nasal discharge

This webinar will focus on chronic nasal discharge. This is a common and frustrating presentation and a logical approach is paramount to achieve a final diagnosis. The main differential diagnoses and management strategies will be discussed.

Session B: Lower airway and pulmonary parenchymal disease

This will be a case-based presentation, highlighting some common and less common lower airway and pulmonary parenchymal diseases in both dogs and cats. Clinical and radiographic presentations will be reviewed, together with treatment modalities and prognosis.

Week 6: Infectious Disease (Dan Thompson and Katherine Clarke)

Session A: ‘Home and Away’; A focus on vector borne diseases (Dan Thompson)

With pet travel becoming increasingly common, we are seeing more vector borne diseases in pets the UK. This session will focus on the diagnosis and treatment of Leishmania and Ehrlichia in dogs.

Session B: Current affairs. Coronavirus in cats and TB in the UK pet population (Katherine Clarke)

FIP in cats is a commonly encountered fatal disease, but we are now seeing hope for treatment of this disease. What are the new treatments and what is the evidence to support their use?

Mycobacterial infections have been present in the pet population for many years. Are case numbers increasing and why? Katherine will cover the different groups of mycobacterial diseases and some novel and non-invasive diagnostic techniques.

Session C: Leptospirosis in the UK

Prevention, clinical presentation, diagnostic tests and treatment of Leptospirosis.

Click here to view the full dates for this course


Anna Threlfall BVSc MVetMed DipACVIM DipECVIM-Ca MRCVS RCVS, EBVS® and American Specialist in Small Animal Internal Medicine


Daniel Thompson MA VetMB PgCert VPS CertAVP MRCVS DipECVIM-CA. EBVS European Specialist in Small Animal Internal Medicine.


What do Vets Say About this Course?

‘Lectures were highly detailed and of right level for advanced practitioners. I have already applied info from this course to cases seen in my practice.’

 Menai Heyes MRCVS

‘I thoroughly enjoyed this Advance25 course. I have struggled to find courses which strike the correct balance between refresh of the essential knowledge whilst building on what I know through more thoroughly exploring the literature, recent advances and the topic in more detail. The course tutors managed this, whilst keeping it relevant to clinical practice and delivering interesting lectures. The forum discussions were always friendly, informative and felt like a place that all the attendees could discuss cases and really learn from the experience and knowledge of the lecturers.’

Shona Haydon MRCVS

‘Really enjoyed it and speakers clearly enthusiastic about their work and knowledge. It has given me lots more confidence and advice on the diseases covered so I will be able to follow this through into my work in practice.’

Ashleigh Bartlett MRCVS

‘Long availability of sessions allowing learning at my own pace.’

Dan Makin MRCS

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Overseas customers will be charged VAT. However we will refund the VAT to you within 3 working days.

Any Questions? Call us now on 0151 328 0444

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