Urology/Nephrology

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Definitively diagnosing canine hyperadrenocorticism (Cushing's disease) can be exceptionally difficult because nonadrenal illness can affect the test results. However, I think that the urine cortisol:creatinine ratio (UC:Cr) serves an invaluable role in ruling out canine Cushing's disease since a dog with a normal UC:Cr almost assuredly does not have Cushing's disease.

Feline urinary problems can frustrate both owners and veterinarians. To help us discern whether the problem is medical or behavioral or due to litter box issues, we have the owners complete this form. Inappropriate housesoiling is often due to a combination of these issues, and this form helps us narrow in on the cause and correct it. --Maureen Owen, LVT Fishers, Ind.

Fort Lauderdale, Fla.-An Internet/mail-order pet pharmacy, once disciplined for violating pharmacy laws, asks that clients protest to the Federal Trade Commission (FTC) if they cannot obtain their pet's prescription from its veterinarian to purchase drugs online. PetMed Express, Inc., chided by state officials in 1999 after a two-year investigation into company practices, offers an online complaint form for clients whose veterinarians refuse to authorize prescriptions for "non-medical reasons." Veterinarians often are reluctant to write drug prescriptions that enable clients to buy medications from discount pharmaceutical companies instead of from DVM offices-a practice that traditionally reaps profits.

Interpretation of color is subjective, and therefore varies from person to person. The most reliable results are obtained when a standardized method is consistently used. Urine color should be evaluated by placing a standardized volume of urine in a standardized clear plastic or glass container and viewing the sample against a white background with the aid of a good light source.