There are conditions that can be missed if urinalysis is not performed, writes Candice P. Chu, DVM, PhD, DACVP. She says these three results can be missed without urinalysis: Proteinuria Glucosuria: Fanconi syndrome Bacteriuria: Subclinical bacteriuria Source: Clinician’s Brief, September 2023. Link. Relatively inexpensive . . . urinalysis should be considered as … [Read more...]
Top 5 severe adverse effects of antimicrobials
ICYMI. Although mild adverse effects are reported with many antimicrobials, alarming and severe adverse effects are possible even with commonly used drugs, share authors Mackenzie Gray, DVM, and Kate KuKanich, DVM, PhD, DACVIM. They list their top serious antimicrobial adverse effects and prevention strategies to help ensure patient safety. Antimicrobials referenced with … [Read more...]
Worth a Glance – August 31, 2023
Last week’s AHD Bulletin – Animal Health Digest Bulletin, August 24, 2023. Link. Most read post(s) from the August 24th AHD Bulletin – Quotes that epitomize Myers-Briggs types. Link. Customer experience thoughts for Link. The inside-out approach to customer centricity. Link. Place keeper: 2023 Veterinary Conferences provided by Galaxy … [Read more...]
CBD and THC use in cats
Dawn McClusky, DVM, shares an article by Lisa Sams Ebner, DVM, MS, DACVAA, CVA, referencing a study to determine the safety and palatability of cannabinoids. In the study the most common adverse effects included vomiting, lethargy, and ataxia. The study was funded by Canopy Animal Health. Source: Clinician’s Brief, March 2022. Link. Ebner reminds veterinarians that … [Read more...]
Considerations for fresh pet food diets
Pet food choices are not simple anymore. Variations include kibble size, shape, nutrition sources, canned diets and, more recently, fresh options all making calorie control a challenge for pet owners and veterinarians. Cailin Heinze, VMD, MS, DACVIM (Nutrition), shares her perspectives on some of the terms, delivery methods, marketing efforts and more in this opinion … [Read more...]
Causes of surgical site infection unclear in post-colic surgeries
Commentary Surgical site infections are a major concern regardless of the species. There are myriad articles and studies of specific surgery types and conditions. Surgery suite sanitation and infection control papers add more content to libraries. Estimates suggest that four percent to 10 percent of horses will experience colic at least once in their lifetimes. Although … [Read more...]
Is culture always the answer when treating bite wounds in dogs?
Dogs with bite wounds from other dogs are commonly presented in companion animal practices, but use of culture and susceptibility testing and antimicrobial agents varies, writes Joshua B. Daniels, DVM, PhD, DACVM. The frequent prescribing of less than the recommended dosage observed in this study should prompt re-evaluation of dosages in clinic formularies as well as dosage … [Read more...]
Brief Media is now VetMedux™
Brief Media has a 20-year history serving the veterinary business. Its anchor brands, Clinician’s Brief® and Plumb’s™ have consistently met the needs of veterinarians and veterinary teams. Acknowledging the changing needs of its constituency, VetMedux represents the evolution of a media company into a point-of-care partner operating alongside veterinarians to guide the most … [Read more...]
It’s important to use all the otitis options (with video)
Amy Mohl, DVM, shares tips on getting recurrent Malassezia spp otitis under control. Citing a retrospective case series, the study excerpt shares key pearls including: Anesthetized ear flush procedures are underused for treatment of chronic otitis externa. Flushing with sterile saline can remove thick debris, which can be an impediment to successful management. Source: … [Read more...]
Top 6 conditions found during canine rectal exams
Christopher Lea, DVM, DABVP, shares the importance of rectal exams to detect possible clinical diseases and subclinical disorders. He says this is increasingly important as dogs age. In a related video, Dr. Justine Lee, DACVECC, DABT, demonstrates how to perform a rectal examination in a dog. Sources: Clinician’s Brief, January 2023. Link. VETgirl Veterinary … [Read more...]
Administering clindamycin
Tips like this are good reminders for new associate DVMs, technicians and for representatives to share. Source: Clinician’s Brief, April 17, 2023. Link. … [Read more...]
Anal sacculitis and an ear ointment option
A retrospective review found that while obesity and poor stool quality have been implicated in development of anal sacculitis, definitive conclusions about the relationship between obesity and anal sacculitis could not be made. The data did show atopic dermatitis was the most common comorbidity. Infusing a steroid/antibiotic/antifungal otic solution following expressing and … [Read more...]
Chill protocol to manage aggressive and fearful dogs
Renata S. Costa, DVM, MPhil, MANZCVS, et al share a Chill Protocol which is a combination of orally administered medications to facilitate procedural management of animals that exhibit signs of anxiety and/or aggression. The Chill Protocol can be prescribed to healthy patients that are known to be aggressive, fearful and/or anxious during hospital visits. Source: Clinician’s … [Read more...]
Effect of pre-appointment gabapentin in hyperthyroid cats
Handling or restraining noncompliant, fractious cats can make drawing blood and completing procedures difficult. Doing so may result in increased patient stress or anxiety and potential injuries for veterinary technicians and DVMs involved. Paul DeMars, DVM, DABVP, reviews a study on the use of gabapentin sharing these key pearls: Gabapentin (20 mg/kg PO) given to … [Read more...]
Step-by-step guide to abdominal palpation in dogs and cats
If you’ve ever wondered what a veterinarian is feeling for when examining a dog or cat, this guide helps explain it. A good abdominal palpation can catch all kinds of hidden problems but it takes practice and skilled hands to know which organs are normally palpable or nonpalpable and to identify abnormalities. Source: Clinician’s Brief, November 2022. Link. … [Read more...]
5 conditions affecting the pinnae
Pet care services personnel are often first to notice changes in skin conditions on pets in daycare and boarding facilities or when presented for grooming. The pineal margins and pinnae of dogs and cats can be affected by many dermatologic diseases and disorders. Andrew Rosenberg, DVM, DACVD, shares five common conditions that affect only the pinnae, are most severe on the … [Read more...]
Worth a Glance – January 5, 2022
Top five most read posts from December 2022 - Middle managers are exhausted. Top teams need to listen. Link. Find happiness at work instead of quiet quitting. Link. What a cat friendly veterinary experience looks like. Link. The top pet products of 2022. Link. Thank you! Link. ================================================= Quiz: Surgical … [Read more...]
Handling tardy clients
Opinion Staying on schedule is a multi-faceted challenge in all medical professions. Ben Spinks, MBA, CVPM, SPHR, addresses chronically late clients and ways to appeal to them. The written policy, grace period and early arrival for check-in are all good guidance. However, being on time and on schedule is also the responsibility of practices’ scheduling commitment. It can … [Read more...]
Cannabinoids in veterinary medicine (video)
Complimentary Content For those who did not join live, The Bridge Club’s in-depth conversation with experts from across the profession addressed questions it has about cannabinoids. Cheryl Good, DVM, moderated conversation with guests: Mark Cushing, J.D. CEO, of Animal Policy Group Jeffery Pollard, DVM, DABVP, from the advocacy committee, Veterinary Cannabis … [Read more...]
Let’s review: Drugs used to prevent heartworm in dogs and cats
Lindsay A. Starkey, DVM, PhD, DACVM, tackles what has become a plethora of drugs available to prevent heartworm. She reviews the macrocyclic lactone-based drugs the Food and Drug Administration approved for prevention of heartworm disease and Environmental Protection Agency approved mosquito repellents. Source: Clinician’s Brief, October 2022. Link. INSIGHTS: We recently … [Read more...]
Rapid growth in hookworm prevalence and resistance
Hookworm prevalence has increased from 4 percent in 2018 to almost 50 percent three years later, according to a study published in Clinician’s Brief in August 2020 <Link>. Kim Campbell Thornton shares a troubling situational perspective on prevalence across the U.S. and the challenges of growing drug resistance for all three major classes of dewormers. We recommend ALL … [Read more...]
NSAID overdose in dogs: Positive outcomes require the right therapy.
Addressing what to do and the urgencies of treating a NSAID overdose, Tina Wismer, DVM, MS, DABVT, DABT, says research shows most patients have a positive outcome with appropriate therapy. The upcoming holiday season is a good reason to remind pet owners of the need to keep pet and human drugs out of the reach of pets, including monitoring guest behaviors in our … [Read more...]
Worth a Glance – September 15, 2022
Last week’s most read posts - Five metrics veterinary practices should track. Link. Touring a veterinary hospital with Temple Grandin, PhD, Marty Becker, DVM (video). Link. Last AHD Bulletin - Animal Health Digest Bulletin, Thursday, September 8, 2022. Link. Top recommended veterinary products Source: DVM 360®. Link. 748 companion animal … [Read more...]
Test yourself on which dog shampoo to use
Knowing how and when various shampoo products for dogs are used can provide multimodal interventions and support therapies helpful for dermatologic treatments. Source: Clinician’s Brief, May 2022. Link. … [Read more...]
Worth a Glance – September 1, 2022
Last week’s most read posts Stop the high turnover in the front office (video). Link. Wendy Hauser, DVM: Client trust, human-animal bond and meeting client concerns. Link. Last AHD Bulletin - Animal Health Digest Bulletin, Thursday, August 25, 2022. Link. =================================== 28 pet food industry mergers and acquisitions 2022 Source: … [Read more...]
Canine aggression, treatments, when to refer
Sharing results from a study on canine aggression treatment protocols, Bonnie V. Beaver, DVM, MS, DSc (Hon), DPNAP, DACVB, DACAW, shares the importance of asking pet owners about possible behavior problems during routine examinations. She highlights data from the study showing dogs seen by a clinician were diagnosed with a contributing medical condition. These data raise … [Read more...]
Chill protocol manages aggressive and fearful dogs
When a dog needs to be seen for veterinary care, reducing fear, anxiety and aggressive behavior facilitates a safer visit for the dog, owner and veterinary team. The Chill Protocol described by Renata S. Costa, DVM, MPhil, MANZCVS, GradDipEd, DACVAA, can be prescribed to healthy patients that are known to be aggressive, fearful or anxious during hospital visits. Source: … [Read more...]
The quality of life question ALL DVMs should be asking
Certified in hospice and palliative care, Cherie T. Buisson, DVM, CHPV, faced agonizing thoughts and questions when her own dog’s quality of life reached a decision point. Her wrestling, rationales and emotions are expressed in her blog post. The decision point came in the form of a question Buisson now uses with clients when facing end of life decisions. What will he be … [Read more...]
Acute moist dermatitis; it’s that time of year
Acute moist dermatitis, like most dermatologic conditions, is not imminently life-threatening but can result in significant patient discomfort. The authors share diagnosis, treatment and management of AMD. Dogs with heavy and dense undercoats are more susceptible to developing hot spots because of increased environmental temperatures and slow drying of the coat due to lack … [Read more...]
Bacterial UTIs and antimicrobial stewardship
The latest guidelines for bacterial cystitis offer new recommendations regarding which types of bacteriuria require antimicrobial treatment, which antimicrobials should be considered first line and duration of antimicrobial treatment. Patricia Dowling, DVM, MSc, DACVIM (Large Animal), DACVCP, shares three types of UTIs and three treatment approaches. Source: Clinician’s … [Read more...]