Case Submission Form 2012 Western Conference of Veterinary Diagnostic Pathologists Urinary Tract Pathology We are hoping to receive a variety of acute or early processes with a variety of genetic, toxic, degenerative and infectious inciting causes. We will be excluding the chronic, end stage renal lesions where the etiology is unknown. Please complete and forward this form, electronically and as a hard copy, for each case you submit. Cases can be from current or archived material. One block per case is preferred. Please submit cases at your earliest convenience and no later than May 1, 2012 Contributor: Affiliation: E-mail address: Block or Case #: Morphological diagnosis: Ancillary diagnostics: Etiology: Case Introduction (as you would like it to appear in the case book; animal signalment, clinical history, ± gross necropsy findings): For each case, please submit: Send everything to: - this case submission form - a block - one H&E section of the block - a specially stained section of the block (if one is essential for the proper interpretation of the case) Dr. Susan Detmer Dept. of Veterinary Pathology Western College of Veterinary Medicine 52 Campus Drive Saskatoon, SK S7N 5B4 CANADA Email: email@example.com For Customs purposes, indicate that the contents of your parcel have no commercial value and are for educational purposes only. A nominal value of $10.00 is suggested.