AD123 – Advance25 Complex Medicine for Advanced Practitioners
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, make the most of your time and avoid the post lockdown traffic jams. 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. There will be case based discussions, practical tips and live presentations in amongst recorded webinars and discussion forums.
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.
Live session: coagulopathies
Anna will deliver a live session on various coagulopathies from thrombocytopenia to hyperfibrinolysis syndrome. We will touch on interpretation of diagnostic tests and management of such cases.
Discussion forum: this is over to the delegates to raise any questions on haematology or immune mediated diseases. Suggested discussion topics include: anti-thrombotic therapy; approach to pyrexia of unknown origin or cases of immune mediated polyarthritis; when is CRP useful?
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.
Discussion forum: over to the delegates to raise any specific topics for discussion on gastrointestinal and liver disease. Suggested discussion topics include: faecal matter transplant, probiotics, copper hepatopathies, antimicrobial resistance. Feeding tubes – placement, management and complications.
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.
Live session: 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.
Discussion forum: over to the delegates to voice some topics for discussion. Suggested topics include: hypernatremia, hypercalcaemia, hypocalcaemia, other electrolyte disturbances. Use of Freestyle Libre monitors – uses and pitfalls, management of chronic diabetes.
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.
Discussion forum: the delegates can raise any uro-nephrology topic to discuss. Examples could include: is SDMA useful? Pitfalls in management of struvite urolithiasis; dietary management of stone disease.
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.
Discussion forum: we will be guided by the delegates, but some suggested topics could include management of Aspergillus and other fungal diseases, such as cryptococcus.
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 (maybe not in the last year!), 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)
We couldn’t have a CPD course in 2021 without mentioning coronavirus! FIP in cats is a commonly encountered fatal disease, but we are now seeing a glimmer of hope for treatment of this disease. What are the new treatments and what is the evidence? Have we got enough evidence to consider prescribing the novel drug(s)?
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.
Live session: Leptospirosis in the UK
Prevention, clinical presentation, diagnostic tests and treatment of Leptospirosis.
Discussion forum – any questions or discussion topics on infectious disease can be raised by delegates. Suggested discussion topics include: cases of SARSCoV2 in cats and other species, what does the human vaccine mean for cats? Should we always PTS cases of TB – if not, which cases? Babesia and IMHA – treatments for different Babesia species.
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Anna Threlfall BVSc MVetMed DipACVIM DipECVIM-Ca MRCVS RCVS, EBVS® and American Specialist in Small Animal Internal Medicine
Katherine Clarke BVSc BSAVA PGCertSAM MRCVS
Daniel Thompson MA VetMB PgCert VPS CertAVP MRCVS DipECVIM-CA. EBVS European Specialist in Small Animal Internal Medicine.
Eva Buresova DVM MRCVS
If you would prefer to reserve your place for 7 days whilst you arrange payment or check your commitments then click here