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...]
Pet owners unleashed: Veterinarians reflect on the pandemic’s darkest days
Two years have passed since the Covid pandemic began. Clinician’s Brief honors the strength and resilience of veterinarians through stories shared in their own words. Masks, curbside, impatience, uncertainty and perseverance are all expressed as veterinary teams found themselves in the unique role of being essential but without the same support structure afforded to human … [Read more...]
The latest on age and gonadectomy
A lot of confusion remains about spaying or neutering dogs. There is even conflicting evidence about whether it should be done at all. Timing of gonadectomy surgery is not one size fits all. Counseling with pet owners is an important component of decision making. There is no single or definitive source of information on effects of gonadectomy for each breed, and most current … [Read more...]
Treat the cat, not the test
Symmetric dimethylarginine is a biomarker used to assess glomerular filtration rate in the diagnosis, classification and monitoring of chronic kidney disease. Margie Scherk, DVM, DABVP, presents acceptable analytical variability in SDMA immunoassay values and notes that clinician expectations for test performance expected much less variability than shown. When interpreting … [Read more...]
Retrospective evaluation of secondary wound healing for extraction of the maxillary first molar in dogs
A particular area of challenge of oral surgery in dogs is extraction and closure of the maxillary first molar (M1) in dogs. A retrospective assessment evaluated patients that had the maxillary first molar extracted with placement of a cruciate suture across the alveolus to achieve partial closure and secure the blood clot. Results . . . demonstrate that primary … [Read more...]
Rethink what a sore cat looks like (podcast)
Reviewing her recent article, Wanda J. Gordon-Evans, DVM, PhD, DACVS, DACVSMR, explains why evaluating for musculoskeletal pain in cats is different and challenging, but so important. She shares great basic examination tips, some nuances about history taking, and encourages us all to rethink what a sore cat looks like. Source: Clinician’s Brief. Link. 32 minutes. Also … [Read more...]
Puppy meets a live wire (podcast)
Jennifer Good, DVM, DACVECC, discusses in this podcast what happens when a puppy that snacked on an electrical cord was presented to her in cardiovascular shock. Good retraces her steps, highlighting all the turning points and big decisions these cases entail. Source: Clinician’s Brief Podcast. Link. 34 minutes. … [Read more...]
Does appearance still proclaim us?
A study of pet owner perceptions offers insight on how appearance influences first impressions of animal health professionals. Professional medical attire and consistency among staff members was noted in the key takeaways. Shakespeare, Mark Twain and Henry Ward Beecher all wrote about the importance of attire. Clothes and manners do not make the man; but, when he is made, … [Read more...]
Advising pet owners on nutritional adequacy
Addressing questions from owners about whether a food is safe and meets their pet’s needs can be challenging and time-consuming, as there is a significant amount of misinformation available, writes Deborah E. Linder, DVM, MS, DACVN. She shares examples of the criteria and questions from the WSAVA Global Nutrition Committee’s nutrition toolkit to determine high-quality pet … [Read more...]
Worth a Glance – August 26, 2021
Last week’s most read post Is half of your staff planning to quit? AHD, August 17, 2021. Link. Congratulations Dr. Janice Trumpeter on your AAHA Lifetime Achievement Award Source: AAHA, August 20, 2021. Link. Uh-oh! Study finds antibiotic-resistant bacteria common in veterinary staff Source: My Vet Candy, August 24, 2021. Link. New research . . . … [Read more...]
Leptospirosis: diagnosis & treatment
Leptospirosis is a thing, according to Dr. Jen the Vet. She says, “Every dog, EVERY dog is at risk for lepto. Every dog ought to be vaccinated for lepto.” <Link> But what needs to occur if a patient is presented with clinical signs consistent with leptospirosis? Scott Weese, DVM, DVSc, DACVIM, provides a step-by-step guide to managing suspected leptospirosis … [Read more...]
NSAIDs, cats, and anesthesia. Are the kidneys at risk?
Although NSAIDs can alleviate postoperative pain in healthy cats, potential adverse effects on kidney perfusion often discourage use of them in analgesic protocols. Berit Fischer, DVM, DACVAA, CCRP, shares results of a study that examined the effects of preoperative NSAIDs on renal function. Source: Clinician’s Brief, April/May 2021. Link. The study authors concluded that … [Read more...]
Puppy pyrexia
Shawn Kearns, DVM, DACVIM (SAIM), shares results from a study evaluating the diagnosis, or presumed diagnosis, in a cohort of pyretic juvenile dogs. A minimum database for patients presented with fever should include a CBC, serum chemistry profile, diagnostic imaging, and infectious disease testing.” Source: Clinician’s Brief, July 2019. Link. Key pearls to put into … [Read more...]
Can house dust mites induce enteropathy in dogs?
Marie A. Chartier, DVM, DACVIM, shares an excerpt from a study that evaluated the role of the house dust mite, a common environmental allergen, in allergic inflammation in the GI tract in dogs. The results suggest that house dust mite allergens may be involved in the pathogenesis of chronic enteropathy. Source: Clinician’s Brief, April/May 2021. Link. INSIGHTS: Consider … [Read more...]
Responsible antimicrobial stewardship
It is unclear how recent FDA guidance for antimicrobial drug oversight may affect companion animal practices, yet stewardship of the right drug for the right bug remains a priority for all animal health professionals. Practicing responsible antimicrobial stewardship involves striving to prevent antimicrobial resistance and an unnecessary impact on the microbiome by … [Read more...]
CIRDC. Does a new name make it easier?
Opinion Two excellent articles are included as Canine Infectious Respiratory Disease Complex sources for this post. Adjusting the nomenclature to represent a variety of cofactors is logical scientifically and diagnostically. Pragmatically, though, many of the known CIRDC pathogens are NOT included in core vaccines, including two well recognized pathogens: Canine … [Read more...]
Engage pet owners to monitor respiratory rates in dogs and cats
The animal health industry is finding value when owners become active participants in their pets’ care. The human–animal bond and client–veterinarian relationship is strengthened and pet patients are observed in a normal home environment. Brian A. Scansen, DVM, MS, DACVIM (Cardiology), shares pet owners can be trained to measure, record and track their pet’s resting … [Read more...]
Discuss canine behavior problems in the clinic
Since behavior problems are the number-one reason dogs are relinquished, John J. Ciribassi, DVM, DACVB, shares study results recommending behavior be discussed during visits at the clinic. Problems identified in the study included excessive activity, fearfulness, destructiveness, roaming, house soiling, excessive barking, coprophagy, withdrawal, mounting/humping and aggression … [Read more...]
Dog parks and parasites
Sharing key points from the DOGPARCs study, Donato Traversa, DVM, PhD, DipEVPC, EBVS, reminds us of the importance of keeping clients informed of the parasite risks at off-leash dog parks. He shares key pearls to put into practice with pet owners. Source: Clinician’s Brief, January/February 2021. Link. Key pearls for your clients: Intestinal parasites may be a constant … [Read more...]
5 tips for anesthetizing and recovering aggressive dogs
Careful planning, communication and preparation can facilitate a safe and productive appointment for fractious patients that need to be sedated or anesthetized, says Katherine Bennett, DVM, and Christine Egger, DVM, MVSc, CVA, CVH, DACVAA. They share tips for safe handling of for diagnostic or surgical procedures in these areas: Owner communication Pre-appointment … [Read more...]