MULT211-1015: Systems C: Organ System Pathophysiology and ABVP Core Examination Review
Module 5 of the Organ System Pathophysiology and ABVP Core Examination Review Series

In some of the course Real Time Sessions the lecture will be predominantly audio
while in others the lecture will be predominantly text.

Enrollment is closed.

Instructors: Katherine M. James, DVM, PhD, DACVIM
Ellen Behrend, VMD, PhD, DACVIM
Joe Bartges, DVM, PhD, DACVIM, DACVN
Julie R. Fischer, DVM, DACVIM (Internal Medicine)
Milan Hess, DVM, MS, DAC
Susan Little, DVM, ABVP Feline

Course Open: October 29, 2015-January 24, 2016
Real Time Sessions (RTS): Thursdays, November 5, 12, 19, December 3, 10, 17, 2015; January 7 and 14, 2016; 9:30-11:30 pm 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 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: This intermediate course will be open to veterinarians actively interested in an overview of small animal reproduction, fluids/electrolytes/acid-base, urology, nephrology and endocrine information. This course is the fifth of six modules in the Organ System Pathophysiology and ABVP Core Examination review series. The MULT207-1014: Pathologic Basis of Disease and the MULT208-0215: Principles of Medicine courses are recommended prerequisites.
VIN CE Course: Open to veterinarians. This course is approved by RACE for veterinarians. The Veterinary Information Network (VIN) is RACE Provider #22.

Course Description:
The fifth of six modules in the Organ System Pathophysiology and ABVP Core Examination review series, this course is designed to cover the pathophysiological basis of disease in small animals based on pathophysiological and discipline-specific concepts. Clinical examples will be used to illustrate these concepts.

The Organ System Pathophysiology and ABVP Core Examination Review series of courses may be used as a comprehensive review for the ABVP examination for small animals. This series of courses repeats every other year. Individual instructors may change some of their material year-to-year, but much of the core content is repeated. It should be noted that these courses are not designed specifically as a preparation for test taking. The instructors do not have access to information on the question types. Furthermore the questions used on the examination may be a few years behind the current knowledge and practice, whereas the course will strive to be more current. We recommend using the course to

1. keep progressing through the topics so all topics will have been studied prior to the exam and
2. provide participants with feedback on their strongest and weakest topics to guide their individual exam specific preparations.

This course consists of eight (8) 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

• better understand the pathophysiologic basis of disease of the small animal reproduction, fluids/electrolytes/acid-base, urology, nephrology and endocrine body systems.
• apply the pathophysiological basis of disease to generate better and complete differentials for problems.
• apply the pathophysiological basis of disease to improve case management.

Course Materials: 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.

Course Outline:
Week 1 (Real Time Session November 5, 2015): Fluids/Electrolytes/Acid Base
Instructor: Katherine M. James, DVM, PhD, DACVIM
Format: Audio
Content:

• Compare and contrast what is sodium balance versus what is water balance
• The difference between sodium content and sodium concentration
• Disorders of sodium balance particularly edema
• Disorders of water balance: hypernatremia and hyponatremia
• PUPD
• Selected other electrolyte topics as time allows
• Review of acid-base disorders via the library materials

Weeks 2 (Real Time Session November 12, 2015): Feline Reproduction
Instructor: Susan Little, DVM, ABVP Feline
Format: Audio
Content:

• Understand the basics of the feline reproduction cycle and the role of key hormones.
• Learn how to diagnose and manage common problems in feline reproduction, such as ovarian remnant syndrome, mammary hyperplasia, and dystocia.

Weeks 3 (Real Time Session November 19, 2015): Canine Reproduction
Instructor: Milan Hess, DVM, MS, DAC
Format: Audio
Content:

• Understand the basics of the canine reproduction cycle and the role of key hormones.
• Learn how to diagnose and manage common problems in canine reproduction, such as ovarian remnant syndrome, mammary hyperplasia, and dystocia.

*** BREAK - November 26, 2015 ***

Week 4 & 5 (Real Time Session December 3 & 10, 2015): Endocrinology
Instructor: Ellen Behrend, VMD, PhD, DACVIM
Format: Audio
Content:

• Calcium and adrenal gland disorders
  • Pathophysiology of hypoadrenocorticism
  • Clinical signs of and tip-offs to the presence of hypoadrenocorticism
  • Treatment of hypoadrenocorticism
  • Diagnosis of hyperadrenocorticism
  • Treatment of hyperadrenocorticism
  • Regulation of serum calcium concentration
  • Differential diagnoses for hypercalcemia and their diagnosis
  • Overview of feline idiopathic hypercalcemia
  • Treatment of hypercalcemia
• Thyroid gland and glucose disorders
  • Diagnosis of hypothyroidism
  • Diagnosis of hyperthyroidism
  • Use of topical Tapazole for treatment of hyperthyroidism
  • Pathophysiology of diabetes mellitus
  • Diagnosis of diabetes mellitus
  • Dietary therapy for diabetes mellitus
  • Insulin therapy
  • Oral hypoglycemic agent therapy
  • Monitoring diabetic therapy
  • Differential diagnoses of hypoglycemia

Week 6 (Real Time Session December 17, 2015): Nephrology
Instructor: Julie R. Fischer, DVM, DACVIM (Internal Medicine)
Format: Text
Content:

• Chronic kidney disease
  • Pathophysiology of CKD
  • Common sequelae of CKD
  • Evidential basis for therapy in CKD including management of:
  • Nutritional support
  • Hypertension
  • Hyperphosphatemia
  • Acidosis
  • Anemia
• Glomerular Disease
  • Pathophysiology of proteinuria mechanism
    • Clinical consequences
  • Management of clinical manifestation of glomerular disease, ACE inhibitors, ARBs
    • Dietary therapy
    • Management of hypertension
    • Management of hypercoagulability

Week 7 & 8 (Real Time Session January 7 & 14, 2016): Urology
Instructor: Joe Bartges, DVM, PhD, DACVIM, DACVN
Format: Audio
Content:

• Describe the neurologic innervation to and the muscular structure of the urinary bladder and urethra
• Compare and contrast disorders of micturition - urine retention and urine leakage - including clinical findings, physical examination findings, diagnostic testing, and management
• Describe defense mechanisms for urinary tract infections and diagnosis and management of simple and complicated urinary tract infections including prophylactic measures
• Describe potential mechanisms for feline idiopathic cystitis and management
• Compare and contrast urolithiasis including struvite, calcium oxalate, urate, and cystine and management

CE Credits: 16

Tuition: Member $336 ($302 early bird special if enrolled by October 22, 2015)
Non-Member $482 ($434 early bird special if enrolled by October 22, 2015)

*To ensure participants are ready and prepared for classes, enrollment will close at 5 pm ET on May 7, 2015 or when the maximum number of participants is reached.
*For more information on how online CE works, see the Participant Resource Center.

To Enroll:
Enrollment is closed.

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 @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.
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 800-846-0028 ext. 797 or email CEonVIN@vin.com. Please include the course title, your full name, and contact information in your correspondence.

*Note: "This course is approved for 16 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 VIN CE at 800-846-0028 ext. 797 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 office 800-846-0028 ext. 797 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 office at 800-846-0028 ext. 797.

*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: 01 45 222 6154
or direct line to VIN/VSPN from Australia: 02 6145 2357

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