Proteinuria is a common and clinically relevant finding when performing a urinalysis, but is not always followed up in a consistent manner by the clinician; Stacie Summers explains the significance of proteinuria in cats and how best to approach the problem.

Renal and ureteral surgery in small animals can be challenging, even for the most experienced surgeon; Lilly Aronson gives an overview of the best options currently available for treating upper urinary tract obstructions.

Kidney disease is one of the most common causes of morbidity and mortality in older cats; Hannah Sargent and Jonathan Elliott review the best methods for early detection of the disease.

Most practices nowadays will have access to an ultrasound machine, using it for selected imaging of clinical cases; in this paper Greg Lisciandro discusses how a structured approach to abdominal scanning can be part of the clinician’s first-line physical exam, and demonstrates how this can help rapid identification of renal abnormalities and related problems.

Feeding protein-restricted diets to cats with kidney disease has been a mainstay of the therapeutic approach to such cases for many decades, but controversies still remain; Meredith Wall and Nick Cave review the current state of knowledge and offer some advice for the clinician.

Proteinuria secondary to primary hypertriglyceridemia is a common yet under-recognized metabolic disorder of Miniature Schnauzers; Eva Furrow describes the diagnostic process and treatment options.

Veterinary practice is being challenged as never before with the COVID-19 pandemic; this article outlines steps to consider which can help the team and the business successfully meet the challenges presented by the crisis.

Unique problems may require unique solutions, but to survive during the COVID-19 pandemic it is necessary for every veterinary practice to take a long hard look at minimizing costs and also to consider ways in which income can be maintained during this difficult time.