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...]
Triaging vehicular trauma
There are very few ambulances and EMTs in animal health. That role is handed to veterinary teams for an animal that has been hurt in an automobile encounter. Cassandra Gilday, DVM, and Adesola Odunayo, DVM, MS, DACVECC, provide an extensive decision tree resource for animal patients who have experienced vehicular trauma. Source: Clinician’s Brief, March 2021. … [Read more...]
Let’s review NSAIDs
NSAIDs are commonly used in veterinary practice. Like most routine behaviors, it is good to routinely review the why and. Natalie Smith, DVM, and Claire L. Fellman, DVM, PhD, DACVIM, DACVCP, provide their top five situations for judicious NSAID use, along with important considerations for patient safety. Source: Clinician’s Brief, March 2021. Link. NSAIDs are important … [Read more...]
Environmental decontamination important to control ringworm
Dermatophytosis affects adoptable populations of animals, primarily puppies and kittens, writes Alison Diesel, DVM, DACVD. She shares results from a retrospective study of feline foster homes including cleaning processes for the location and multimodal therapies for the cats. Source: Clinician’s Brief, September 2020. Link. Positive Wood’s lamp fluorescence results will only … [Read more...]
Primary training likely works best for shelter puppies
Bonnie V. Beaver, DVM, MS, DSc (Hon), DPNAP, DACVB, DACAW, shares the results of a study on training methods. The key pearls tell the story: Puppies may not be ready to make the connection between use of secondary (e.g., clickers) and primary (e.g., food) reinforcers Owners with puppies should be encouraged to use food rewards in training Secondary reinforcers may be … [Read more...]
Heartworm review and update
Whether living in endemic or nonendemic areas, heartworm remains a top priority parasite for dogs and cats. Andrew R. Moorhead, DVM, MS, PhD, DACVM (Parasitology), reviews the life cycle and strategies for prevention and treatment. It is crucial to test all dogs for microfilariae at the same time as antigen testing.” Source: Clinician’s Brief, March 2021. Link. Treatment … [Read more...]
Tail pull injuries and recovery in cats
Tail-pull injuries are relatively common in cats and present as a limp, sometimes painful, tail. Jonathan Miller, DVM, MS, DACVS, reviews a recent paper discussing the return of urinary and defecatory function in cats with sacrocaudal luxation. Despite nerve dysfunction commonly being noted at the time of injury, most cats regained function with time.” Source: Clinician’s … [Read more...]
Top 5 consequences of brachycephaly
Cute or not, dogs that look like they ran headlong into a wall at 60 mph have problems. Anne Fawcett, BVSc, MVS, MANZCVS, DECAWBM, shares how brachycephalic conformation is associated with multiple health problems, some of which can be life-threatening and most of which are lifelong. Awareness of the consequences of brachycephaly is important when advising pet owners about … [Read more...]
12 years of cat poop; parasites increasing
Beyond the obvious illnesses that parasites can cause in cats, there is also a zoonotic risk to consider. Nancy Vincent-Johnson, DVM, MS, DACVIM (SAIM), DACVPM, reviews a 12-year retrospective study that helps identify the prevalence and types of parasites seen in cats. This study showed that the prevalence rate of feline parasitism continued to increase over the 12-year … [Read more...]
Favorite 5 articles from Clinician’s Brief
We’re sharing this group of articles from Clinicians Brief in the event you hit delete before taking a good look at this group of peer reviewed tips. Source: 5 tips for treating otitis externa, Clinician’s Brief, June 2019. Link. Source: Top 5 complications of gonadectomy, Clinician’s Brief, February 2020. Link. Relevant information in light of this recent post: Neutering … [Read more...]
Advising pet owners on nutritional adequacy
“Is this kibble okay to feed my dog?” This is a common question asked of veterinary team members. With the amount of press pet obesity garners, animal owners are sensitized to get the right food for their pets. Human food trends also impact pet owner choice. Label confusion and lack of knowledge about nutrients and ingredients add to the challenges. Clinicians need to focus … [Read more...]
Top 5 complications of gonadectomy
Clinicians must weigh the risks and benefits of gonadectomy with the pet owner and determine the most appropriate age to neuter different breeds and species. Although gonadectomy is considered a routine procedure, complications can arise. Karen M. Tobias, DVM, MS, DACVS, reviews five common complications of gonadectomy: Incisional complications Intra-abdominal … [Read more...]