AD137 – Advance25 – Complex Medicine for Advanced Practitioners 2
The Forum has now closed for this Advance25 course, therefore no tutor moderation is available.
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 tutor is 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 challenging pyrexic cases and interpretation of confusing endocrine tests. There will also be interesting discussions on topical issues including Brucella. This will be suitable for Advanced Practitioners hoping to broaden and deepen their knowledge in a variety of topics.
Week 1: Immune mediated and infectious disease (Anna Threlfall)
Session A: Approach to pyrexia of unknown origin
Pyrexia of unknown origin is a common presentation in veterinary patients. This can be indicative of anything from a cat bite abscess to a complex immune mediated disease. A logical approach to these challenging cases is essential to ensure that appropriate treatment is instigated. Anna will go through the logical diagnostic steps in such cases in order to achieve a final diagnosis (although there are always cases where we do not find the cause despite a very thorough search!)
Session B: Brucella. Why do I need to be concerned?
Over the past 12-24 months, there has been a huge amount of concern raised in the veterinary press about Brucella. Why is this and should you be worried? What is Brucella? Which animals should you test and how should you test them? What are the human health and safety concerns? What do you do if you diagnose a patient with Brucella? This session will answer the most commonly asked questions about Brucella and guide you through what to do with such cases.
Week 2: Gastroenterology (Katherine Clarke)
Session A: The approach to the canine patient with acute gastrointestinal signs
Acute gastrointestinal signs are one of the most common reasons dogs are presented to their vet. These cases present with a spectrum of clinical signs from systemically well but with large intestinal diarrhoea to collapsed and hypoglycaemic secondary to acute haemorrhagic gastroenteritis. Katherine will discuss the potential aetiologies of these signs, what diagnostics and treatment we should contemplate and when to consider ‘acute-on-chronic’ disease.
Session B: Canine Parvovirus; a new update on an old foe
Parvovirus has been routinely vaccinated against in the UK dog population since the 1970s, however it is far from an eradicated disease. Historically a malady associated with a near 100% mortality rate, our ability to treat this disease has vastly improved leading to significantly improved survival rates. Katherine will discuss diagnosis, treatment (including newer ideas such as faecal matter transplant and early enteral nutrition) and vaccination.
Week 3: Hepatobiliary disease (Katherine Clarke)
Session A: Gallbladder disease
When should I worry about gallbladder sludge? Is bactibilia always clinically important? How do I know if this patient has a bile duct obstruction? What should I do if I think my patient has a forming gallbladder mucocele? Katherine will attempt to answer these questions while we discuss diagnosis and management of some of the most commonly diagnosed gallbladder diseases in cats and dogs.
Session B: Acute hepatopathies; a case-based approach to these challenging cases
Acute hepatopathies can be highly demanding cases to manage, especially when an inciting cause of their disease cannot be identified. Katherine will use cases to discuss how to approach these often very sick patients, what differentials should be on the list, the diagnostic tests to consider (including the role of liver biopsy) and the treatment options we have available.
Week 4: Haematology (Anna Threlfall)
Session A: Polycythaemia. The PCV is high – should I worry and what should I do?
Polycythaemia can be relative in the case of a dehydrated patient. However, we can also see absolute polycythaemia, which is a relatively uncommon phenomenon where there is a true increase in red blood cell number. This can cause variable and often vague clinical signs. Anna will explain the pathophysiology of polycythaemia, the different causes and potential treatment options for this interesting condition.
Session B: Hypercoagulability and use of antithrombotic agents in veterinary patients
This session will focus on the use of antithrombotic agents in veterinary patients. What conditions are associated with increased risk of thrombotic complications? When should we start (and stop) antithrombotic therapy? Which drugs, or combinations or drugs should we consider for which conditions?
Week 5: Endocrinology 1 (Daniel Thompson)
Session A: Interpreting endocrine testing and the Diagnosis of Hypothyroidism in Dogs
Diagnosis of endocrine disease is often complex and is rarely black and white. Part of diagnosis in most cases with be specific testing, however this can be very challenging to interpret reliably. This lecture focuses on how to preform and interpret endocrine testing in order to maximise your certainty and accuracy in endocrine diagnosis, utilising specific examples of situations and diseases to illustrate. Thyroid disease particularly is dogs is both over and under diagnosed. Due to the effect of other conditions on measurable thyroid markers, testing is fraught with complication and misinterpretation. This lecture seeks to understand both the optimal time for thyroid testing, the appropriate tests for a confident diagnosis and the challenges and pitfalls with confirming clinically relevant abnormalities.
Session B: The Future of Feline Diabetes: The Gliflozins
Treatment and management of feline diabetes has remained remarkably similar for well over three decades, however the options for management of this disease are shortly to undego a huge change. A new class of drugs is becoming available that seek to replace insulin, and will offer an injection-free option for a very select group of cats. However, due to significant risks of complications, this medication will also have the potential to create hitherto unseen challenges in patients, requiring acute awareness and prompt action if and when they occur.
Week 6: Endocrinology 2 (Daniel Thompson)
Session A: Cushing’s Syndrome and Hypercortisolism: addressing the perennial uncertainties in diagnosis, treatment and monitoring
Hypercortisolism (Cushing’s disease; Hyperadrenocorticism) is a notoriously challenging disease to diagnose, treat effectively and monitor. This lecture focusses on improving diagnostic security, optimal treatment strategies and effecting monitoring for patients on treatment in both an optimal and practical sense.
Session B: Hypercalcaemia and diseases of the parathyroid gland
This lecture will briefly review the causes and consequences of hypercalcaemia, followed by an in-depth approach to both hyperparathyroidism and hypoparathyroidism, including diagnosis, acute stabilisation and chronic management.
*NB You do not have to complete Complex Medicine for Advanced Practitioners 1 to do this course. This is a separate course covering different topics.
Click here to view the full dates for this course
Click here for Complex Medicine for Advanced Practitioners 1
Anna Threlfall BVSc MVetMed DipACVIM DipECVIM-Ca MRCVS RCVS, EBVS® and American Specialist in Small Animal Internal Medicine
Katherine Clarke BVSc BSAVA PGCertSAM MRCVS DipECVIM CA
Daniel Thompson MA VetMB PgCert VPS CertAVP MRCVS DipECVIM-CA. EBVS European Specialist in Small Animal Internal Medicine.
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