5 • 643 Ratings
🗓️ 31 May 2013
⏱️ 23 minutes
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Polyuria/polydipsia (PU/PD) is a common presenting complaint in small animal practice; a number of different disease states can disrupt normal physiology resulting in this problem. In this episode I discuss PU/PD with Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the QMHA. Some of the things we discuss include what we mean by polyuria and polydipsia, background pathophysiology that can lead to this problem, and a rational approach to the PU/PD patient.
Find out more about CPD from the RVC featuring Rosanne here
If you have any comments or suggestions, please get in touch (email [email protected]; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.
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0:00.0 | So hello and welcome to this Small Animal Clinical podcast brought to you from the Royal Veterinary College in London. |
0:09.5 | My name is Shane and Chassani, and today it's my great pleasure to welcome Dr. Roseanne Jepson. |
0:15.0 | Rosanne is a diplomats of the American College of Veterinary Internal Medicine |
0:17.9 | and a lecture in internal medicine at the RBC's Queen Mother |
0:21.5 | Hospital for Animals. So thanks very much, Rosam, for joining me today. |
0:24.9 | No problem, Michelle, and it's great to be here. |
0:27.4 | So, Rosam, today, I would like to discuss a rational approach to the problem of polyurea and polydipsia |
0:33.2 | in dogs and cats, which I think is a relatively common presenting complaint. |
0:39.4 | We won't have enough time to go into it in a huge amount of depth, |
0:42.9 | but what I hope we can do is to provide the listeners with an overview of how we like to think about these cases |
0:47.8 | and how they might want to go about approaching these cases. |
0:52.1 | So the first thing I wanted to do is basically to clarify what we mean by |
0:56.5 | polyurea and polydipsyr. So in other words, does every animal that is urinating and drinking |
1:02.1 | more than normal have PUPD or are there certain criteria that we need to use to actually define |
1:07.8 | these abnormalities? Well, I think to start with obviously the exact definition of polyurean, polydipsia, |
1:16.9 | are an increase in urination and an increase in thirst. |
1:21.5 | And I think we have to have some kind of decision-making process |
1:25.2 | in when we're going to investigate them as actual clinical |
1:27.9 | problems. In terms of whether there are specific criteria, then I guess yes, in terms of textbook |
1:35.2 | definitions, we'll see it commonly stated that an animal is polydipsic if they're drinking |
1:40.9 | more than 2 mils per kilo per hour or a total of greater than 100 |
1:45.8 | mils per kilo per day and so those I guess are the sort of finite definitions that we use |
... |
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