With three common techniques for neutering, a prospective, randomized clinical trial compared the techniques. From the results, these are the key pearls: Neutering should be considered in pet rabbits, as it has been known to be well tolerated in this species.The prescrotal technique for neutering rabbits is superior to the scrotal technique for decreasing both anesthetic … [Read more...]
Dealing with snot-nosed cats
Douglas Palma, DVM, provides a handy decision-tree guide to help in the assessment of nasal discharge in cats. Apparently, not everything is “snuffles.” This guide will make a good screening tool to use during a telemedicine appointment to drive questions. Source: Clinician’s Brief, December 2016. Link. … [Read more...]
How will you vote? Subclinical heart murmur case.
We believe these short case situations are good education for animal health pros in all positions. Consider the situation and see how you would proceed! The owner would like her female golden to produce one litter of puppies prior to being spayed. Source: Clinician’s Brief, November 2018. Link. A 12-month-old intact female golden retriever is presented for a wellness … [Read more...]
Top 5 gastrointestinal and hepatobiliary antibiotics
Treatment options include more than metronidazole, writes Craig B. Webb, PhD, DVM, DACVIM. She reviews five antibiotics that address gastrointestinal and hepatobiliary disorders: Enrofloxacin Metronidazole Tylosin Amoxicillin–clavulanic acid Neomycin Source: Clinician’s Brief, March 2018. Link. Webb considers enrofloxacin, metronidazole, and tylosin to be … [Read more...]
Canine influenza virus can survive on surfaces for days
Although nearly all dogs that have the H3N2 influenza virus can transmit it, only about 80 percent of infected dogs show symptoms. The virus can survive in the environment for days. This means a dog can catch it without direct contact with another dog, says veterinary epidemiologist Yvette Johnson-Walker. Source: Herald & Review, August 18, 2018. Link. Vaccines are … [Read more...]
The veterinary significance of emerging infectious diseases
J. Scott Weese, DVM, DVSc, DACVIM, provides insight into the emergence of infectious diseases and their impact on animals and humans. He reminds us that our ability to identify new viruses currently outpaces the ability to interpret the relevance of these discoveries. It is estimated that 60% to 80% of emerging diseases are zoonotic, which emphasizes the importance of … [Read more...]
Top 5 zoonotic disease concerns for dogs during hospital visits
In our post “Zoonotic knowledge poor in MDs and population,” December 20, 2017 <link> Sara Wooten, DVM, discussed the lack of zoonotic knowledge and the potential issues. . . . many MDs are uncomfortable discussing zoonotic disease and lack appropriate knowledge about the subject. Scott Weese, DVM, reiterates Wooten’s concerns and then empirically identifies the top 5 … [Read more...]
Tips for taking animal histories
Animal owners hold important clues to their pets’ problems. This article features tips to help make history taking more effective and comprehensive. The importance of the pet owner interview as a diagnostic tool should not be overlooked. Source: Clinician’s Brief, February 2018. Link. Good organizational skills are essential to ensuring the patient’s history is obtained … [Read more...]
Common skin masses in veterinary patients (image gallery)
The phrase "one look is worth a thousand words" is attributed to Frederick R. Barnard. Link. Elizabeth R. May, DVM, DACVD, presents an image gallery of skin masses that proves the old idiom, “a picture is worth 1,000 words.” She prefaces her comments with the following: Although most skin tumors encountered in veterinary patients are benign, malignant tumor types do occur. … [Read more...]
Pet reptiles or amphibians may pose health risks to humans
It is important for owners of reptiles, such as turtles, snakes and lizards, and amphibians, such as frogs, toads and salamanders to understand the health risks to themselves and others in their household. Animal health pros need to advise pet reptiles or amphibians owners about the risk for salmonellosis and the simple steps that can be taken to reduce risk to household … [Read more...]
Get to know ticks
Heidi Goethert, ScD, presents an image gallery showing the ticks of the northeast United States, though their range may extend throughout much of North America. The ticks were photographed on the author's hand to show scale. A close-up view is included to show details useful for identification. Source: Clinician’s Brief, April 2008. Link. A clinician's ability to make an … [Read more...]
Research for biomarkers and slow-kill protocol for heartworm disease summarized
Animal health pros frequently challenge the status quo. In the face of a heartworm infection, melarsomine has received the American Heartworm Society recommendations along with steroid and antithrombotic agents, as needed. But melarsomine sometimes has limited availability or is unavailable in many countries. Thus, many slow-kill protocols have been circulated as possible … [Read more...]
Dogs’ fur flakes for multiple reasons
Canine skin allergies and skin infections are two of the top 10 issues that veterinarians see. Sandra Seargent, DVM, reviews primary and secondary keratinization disorders. Whether the coat is dry or greasy may not be particularly helpful, as the conditions can be caused by a large number of underlying diseases. Source: Clinician’s Brief, April 20-19. (Link) When treating … [Read more...]
Cats need dental care – Feline chronic gingivostomatitis (includes photos)
Dental month is a memory, but dental issues still affect cat health. Heidi B. Lobprise, DVM, DAVDC, with Main Street Veterinary Hospital and Dental Clinic, writes about dealing with stomatitis in cats. Source: Clinician’s Brief, January 2018. (Link) Stomatitis can refer to any inflammation in the oral cavity, but, clinically, it typically refers to the exaggerated immune … [Read more...]
Backyard chickens may pose health risks to humans
Zoonotic diseases that backyard poultry may spread to humans include salmonellosis, campylobacteriosis and avian influenza viruses. Widespread outbreaks of human Salmonella spp. infections linked to contact with backyard chickens have been documented in the United States since the 1990s. Source: Clinician’s Brief, March 2018. Veterinarians should advise owners of backyard … [Read more...]
Nasal discharge in dogs could be more than one thing. (diagnostic guide)
Douglas Palma, DVM, DACVIM (SAIM), has a special interest in respiratory medicine. He trains interns and residents in internal medicine and is residency director for ACVIM. His educational experiences show in this diagnostic chart to help animal health pros move quickly toward a diagnosis when a dog is presented with nasal discharge. Source: Clinician’s Brief, February … [Read more...]
Children, sandboxes, pin worms and pets
Here are the facts about the neighbors’ cats using the sandbox, even though my mother and grandmother told me differently: Human pinworms, such as Enterobius vermicularis are nonzoonotic intestinal parasitic worms of human hosts. Humans are considered to be the only hosts of E vermicularis; therefore, human pinworms cannot originate from pets or other animals and vice … [Read more...]
Getting pets ready to move about the country
Brian A. DiGangi, DVM shares five top tips for traveling with animals. He recommends: Review travel regulations Explain the importance of preventative care Recommend permanent identification Identify and mitigate travel specific risks Discuss steps and protect behavioral health and welfare Source: Clinician’s Brief, January 2018. Clinicians play an … [Read more...]
Canine parvovirus 101
CPV emerged in the 1970s and is still a menace to unvaccinated dogs.The virus itself is small and nonenveloped, making it one of the most robust viruses affecting animals. Because of its environmental persistence, both indirect and direct contact can efficiently spread the virus. When protected by organic matter, the virus may remain infectious for months. Source: … [Read more...]
Autopsies by general practitioners can help owners (photographic guide)
Many pet owners want to know why their pet passed away. A limited cosmetic necropsy may produce a reason, add closure and potentially alert the veterinary staff of local risks. Source: Clinician’s Brief, December 2017. The term “autopsy” is widely preferred in the pathology community, particularly to emphasize the primary goal of unifying human and veterinary medical … [Read more...]
Enrich the lives of older pets. Don’t ignore them.
The cold that has enveloped most of the U.S. lately has no doubt exacerbated some aging symptoms in older pets. Older animals may suffer from osteoarthritis or neurologic conditions that limit physical activity. Beyond physical activities, cognitive issues increase, sensory capabilities decline and anxiety may follow as older pets often become ignored. Source: Clinician’s … [Read more...]
Top urinary tract and prostate antibiotics
Articles like this one make great staff training and discussion tools. Seasoned veterinarians can help newer colleagues by sharing experiences while younger, less experienced DVMs bring new perspectives from their education or discussions with classmates. Encourage a trusted sales representative to help facilitate the discussions at a scheduled meeting. Source: Clinician’s … [Read more...]
375 kittens help identify obesity risks
A prospective study attempted to identify early life risk factors for cats to become overweight or obese. Results largely agreed with previously reported investigations of obesity risk factors. At two years of age, 25.3 percent of the study population was overweight or obese according to owners. The proportion was 36.8 percent when body condition score was measured by a … [Read more...]
Don’t abandon postmortem exams
Postmortem remains the diagnostic gold standard. A recent retrospective study compared clinical antemortem and pathologic postmortem diagnoses in 1,000 cats and 1,000 dogs. The authors suggest that postmortem evaluation provides valuable information in nearly 50 percent of cases. Source: Clinician’s Brief, October 2017. In this study, total agreement between antemortem and … [Read more...]
Quiz: Contemporary fluid strategies in the ICU
Recent research shows that positive water balance and weight gain are actually negative prognostic indicators. This has forced practitioners to rethink the approach to fluid therapy for critical patients. Source: Clinician’s Brief, June 2017. Amy Butler, DVM, MS, DACVECC presents a case-based approach to test your knowledge of current thought on fluid strategies for the … [Read more...]
While uncommon, owners may have Leptospirosis risk
We hear a lot about zoonotic risks where disease in animals can infect animal owners. George E. Moore, DVM, and Michael R. Lappin, DVM, have written clear instructions for animal owners and team members to help prevent zoonotic infection from Leptospirosis sp. Source: Clinician’s Brief, September 2017. Infection appears to be uncommon for owners of dogs with leptospirosis … [Read more...]
Dealing with dry eye
Keratoconjunctivitis sicca (KCS) is a condition that commonly referred to as dry eye. The medical term means inflammation of the cornea and surrounding tissues from drying. Ian Herring, DVM, offers an easy flowchart to focus on the most common etiologies. Sales representatives, think Schirmer tear tests. Source: Clinician’s Brief, May 2017. Dr. Herring offers a set of … [Read more...]
Ketamine; time for a review
Ketamine is a common, safe, injectable anesthetic used in veterinary medicine. In 1999, it became a Schedule III non-narcotic substance under the Federal Controlled Substance Act. Veterinary teams need to review the licit and illicit aspects of ketamine, how to deter and report theft associated with illicit demand and weak regulations, and the legal requirements surrounding the … [Read more...]
Zoonotic diseases quiz is timely
Among the current and future challenges of the Hurricane Harvey devastation is the risk of zoonotic disease exchanges. An entire underground population of rats, mice, feral cats, skunks, raccoons and who knows what else was forced to move along with people. Like humans, they will move back into the area carrying with them all sorts of zoonotic risks including leptospirosis, … [Read more...]
Feline calcivirus review
Feline calcivirus is a single-stranded nonenveloped RNA virus that frequently presents clinical symptoms in young cats and kittens as acute upper respiratory or ocular signs. The virus often infects cats who become subclinical carriers of the virus. Source: Clinician’s Brief, September 2015. FCV should be treated on an outpatient basis, if possible, as it is highly … [Read more...]