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Veterinary Clinical Podcasts

18 Chronic kidney disease (CKD) - Part 1

Veterinary Clinical Podcasts

Dominic Barfield

814108, Medicine, Science, Rvc, Higher, Education, Royal, Veterinary, Health & Fitness

5.0643 Ratings

🗓️ 22 May 2014

⏱️ 29 minutes

🧾️ Download transcript

Summary

Chronic kidney disease (CKD) is a common problem in cats and dogs, especially as they get older. In this first of two podcasts on CKD we discuss topics such as the anatomy and function of the kidney, why the kidney may become dysfunctional and what the consequences are, some terminology, and causes of kidney disease. In the second part we will look at clinical aspects of CKD in terms of patient approach and management. I am joined for both episodes once again by Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please rate the podcasts in iTunes and write a review too! Thanks.


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Transcript

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0:00.0

So hello and welcome back to this Small Animal Clinical Podcast series, brought to you from the Royal Veterinary College in London. My name is Shailen Jassani.

0:09.5

Today it's my great pleasure to welcome back to the podcast, Dr. Roseanne Jepson.

0:14.7

Rosanne, you will remember, is a diplomat of the American College of Veterinary Internal Medicine and a lecture in internal medicine at the

0:22.3

RVC's Queen Mother Hospital for Animals. So thanks very much, Rosanne, for agreeing to

0:27.2

take part in yet another podcast. So today, I'd like to discuss something which is a pretty big

0:34.3

problem that affects many dogs and cats, and that is chronic

0:38.4

kidney disease, or at times we'll refer to it as KD. This is obviously a pretty big topic,

0:45.5

and so we're going to try and cover it in two separate podcasts. Today in part one, we'll talk about

0:50.8

some of the more theoretical information, some physiology, some pathology, that kind of thing. And then in part two, which we'll talk about some of the more theoretical information, some physiologies, some

0:54.8

pathology, that kind of thing. And then in part two, which we'll publish at a later date,

1:00.4

we will focus more on the sort of clinical aspects of the management of those patients.

1:06.4

So as always, I'd like to start with the basics really by asking if you could please

1:09.8

remind us about the kind of basic anatomy and functions of the kidneys, please.

1:15.7

Sure, Shailen.

1:17.5

So the kidney is an organ that has many different important functions.

1:24.4

Obviously, we think of it mainly in terms of producing or getting rid of waste products,

1:29.6

excreting things through the urine.

1:31.7

But it's also important from a homeostatic point of view in terms of regulating blood pressure,

1:38.5

acid base regulation, and also it's an important site for production of erythropewitetin which obviously we need for the bone marrow to produce red blood cells.

1:49.4

So there are lots of different important functions for the kidneys.

1:54.7

And then in terms of the anatomy of the kidney, well it's quite complex.

2:00.7

We have an outer cortex and an inner medulla.

...

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