After identifying a dog or cat that tests positive on the IDEXX Urine P:C Ratio, what is the next step?
As described in the diagnostic protocol, the first step is to localize the protein to the kidney by ruling out prerenal and postrenal causes of proteinuria. This is done by assessing the physical examination, complete urinalysis (including sediment exam), serum chemistry panel and complete blood count for evidence of underlying disease conditions that could be responsible for the proteinuria. The next step outlined in the diagnostic protocol is to rule out transient proteinuria by repeating the IDEXX Urine P:C Ratio. After both of these steps are completed, the diagnostic protocol aids in the evaluation of urinary protein loss.