So hello, welcome back to this Small Animal Clinical podcast series, brought to you from the Royal

Rettany College in London. My name is Shailen Gisani. Today it's my great pleasure to welcome back to the podcast, Dr.

Roseanne Jepson. Rosanne, you'll remember, as a diplomat of the American College of Retton

Internal Medicine and a lecturer in internal medicine at the RVC's Queen Mother Hospital for Animals.

So thanks very much, Rosanne, for joining me again. And as of today, you are the most frequent

guest. I'm trying to think of the word there. A peer, I'm as much as a peer. On this podcast

series. So thank you very much for that as well. So Rosan, today is part two of our podcast on chronic kidney disease in dogs and cats.

In part one that I published a few weeks ago, we focused more on the kind of theoretical aspects.

And what I'd like to do today is to concentrate on the more clinical aspects of the approach

to and the management of the patient with chronic kidney disease. So I'd like to start by asking

you in what sorts of patients might you consider chronic kidney disease as a potential diagnosis?

So is there anything in the signament, history or indeed your physical exam that might kind of

increase your suspicion that that might be what you're dealing with with the patient in front of you?

Yeah.

So, I mean, I think the classic patient presenting with chronic kidney disease is going to be the older patient,

particularly if we're

thinking about tubular interstitial nephritis causing chronic kidney disease in both dogs and in cats.

So we're always going to be heightened to the possibility of KD in those older patients.

But certainly it can affect younger patients too, so I wouldn't rule it out. And then in terms

of the history, actually that's going to be some really important information for us. We're looking

for clinical signs potentially of polyurea and polydipsia. As the disease progresses, those

patients may have had some degree of weight loss.

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