Idexx VetTest - Page 84

H–28
IDEXX VetTest* Chemistry Analyzer Operator’s Manual
History and physical exam
CBC, biochemical profile,
urinalysis (examine urine
sediment and specific gravity)
Renal PostrenalPrerenal
- Active sediment - Pollakiuria - Azotemia
 Active sediment
 Pollakiuria
 Azotemia
+ Active sediment
+ Pollakiuria
- Azotemia
+ Hemoglobinuria + Myoglobiniuria
+ Bence Jones proteinuria (myeloma)
IDEXX Urine Protein:Creatinine Ratio
+ Urinary tract infection
+ Stones + Tumors
If postrenal ruled outIf prerenal ruled out
<0.5 canine
<0.4 feline
Within reference range
0.5 canine 0.4 feline Monitor, investigate, treat
<0.5
canine and feline
Within
reference
range
≥0.5<1.0
canine and feline
Monitor
≥1.0<2.0
canine and feline
Monitor,
investigate
≥2.0
canine and feline Monitor, investigate, treat
aimetozA-aimetozA +
Investigate
azotemia
Kidney disease
with proteinuria
Repeat urine
P:C ratio in
two weeks
Investigate potential
causes of immune-
mediated
glomerulonephritis or
interwstitial nephritis
Work up for
proteinuria