Vet Techs Say Sedation Is UnderutilizedOctober 27, 2015Being bitten, scratched or kicked by a patient is an accepted part of life at a veterinary hospital. But members of the National Association of Veterinary Technicians in America (NAVTA) believe the risk of injury would be reduced if more animals were sedated. A survey published in the October/November issue of The NAVTA Journal found that a veterinary technician is called upon to physically restrain a patient an average of 11 times a week and that sedation was used in less than half of the cases where it would have been appropriate. The American Animal Hospital Association’s “Anesthesia Guidelines for Dogs and Cats” states that sedation may be suitable during short, minimally invasive procedures such as diagnostics, joint injections, suture removal and wound management. More complex cases and treatments lasting more than 30 minutes may require anesthesia. The 1,262 NAVTA members who responded to the survey reported that sedation was used most often during exploration or repair of wounds or cuts, during euthanasia and when an animal had a troublesome temperament. Other top cases that called for sedation were during radiology procedures, fracture stabilization and the removal of foreign objects. “Interestingly, you reported that procedure type has more influence on …
SPONSORED CONTENTYear-Round Tick Control is ImportantEmpower dog owners to protect their dogs with protection approved by the FDA for the prevention of Lyme infections in dogs as a direct result of killing black-legged ticks. + Learn More
MSU Treats Dog Hit by TrainSeptember 9, 2015A collie named Lad is back on his four furry feet after being hit by a train, according to the Mississippi State University College of Veterinary Medicine Animal Emergency and Referral Clinic, which treated him. “For a dog with such extensive injuries, Lad has really made a remarkable recovery,” said Dena Lodato, DVM. “A large part of that is the work that Mr. Foster and his family and friends did to keep up with his rehab exercises after surgery.” Lad’s owner, Tommy Foster, had been mowing the back lawn one afternoon while the young pup played outside. When Foster finished mowing, he called for Lad and heard a distant whine. Foster and his neighbor set out to find Lad, eventually coming upon the dog on the train track, unable to stand, with cuts on his head. Lad had been hit by a train. Foster first brought Lad to a local clinic where X-rays revealed a dislocated right femur and multiple pelvic fractures. The injuries were so severe that Foster was referred to MSU’s emergency veterinary clinic. Dr. Lodato repaired Lad’s left …
Why Diagnosing Pancreatitis in Dogs and Cats is Still a ChallengeAugust 19, 2015Originally published in the August 2015 issue of Veterinary Practice News. Loved this article? Then subscribe today! Pancreatic lipase immunoreactivity, or PLI, is the most accurate laboratory test for diagnosing pancreatitis in dogs and cats, experts say. Accurately identifying this gastrointestinal malady has long baffled practitioners. Pancreatic biopsy is considered the gold standard diagnostic test for pancreatitis, but it is uncommonly performed due to the invasiveness and expense of the surgery. Most clinical cases can be diagnosed with a combination of a compatible history and clinical signs, and with the serum PLI and abdominal ultrasound, said Steve Hill, DVM, MS, of Veterinary Specialty Hospital of San Diego. “Routine serum amylase and lipase levels, which are commonly part of general chemistry panels, have limited utility in diagnosing pancreatitis due to their low sensitivity and specificity in both dogs and cats,” said Dr. Hill, a diplomate of the American College of Veterinary Internal Medicine, small animal, and the immediate past president of the Comparative Gastroenterology Society. “The most accurate laboratory diagnostic test is the pancreatic lipase immunoreactivity, which measures pancreas-specific lipase and has very good sensitivity and specificity for acute and chronic pancreatitis,” he …
What You Need to Know About Murmurs and Heart Disease in Senior DogsAugust 12, 2015Originally published in the August 2015 issue of Veterinary Practice News. Subscribe today! A loud murmur may not indicate heart disease in a dog, and conversely, a dog with heart disease may not necessarily have a loud heart murmur. That was the top piece of advice to general practitioners offered up by Pamela M. Lee, DVM, Dipl. ACVIM (Cardiology), an assistant professor in veterinary clinical sciences at Washington State University College of Veterinary Medicine. In older, small- to medium-size breed dogs, the most common heart diseases are degenerative issues, such as endocardiosis, also called chronic degenerative-valve disease or acquired valvular heart disease, Dr. Lee said. For large-breed dogs, the most common heart disease is dilated cardiomyopathy, where heart muscle contracts poorly, Lee said. When checking for endocardiosis, it’s the type of heart murmur, not the loudness, that a practitioner should listen for. “One of the big things to know, at least with endocardiosis: The severity of the heart disease does not correlate with a loud heart murmur,” Lee said. This may be important to keep in mind, because experts spoken with, including Lee, pointed to …
What You Need to Know About Oral Eosinophilic Diseases in Dogs and CatsJuly 20, 2015Originally published in the July 2015 issue of Veterinary Practice News. Loved this article and want to see more like it? Then subscribe today! I recently saw a 5-year-old, spayed Cavalier King Charles spaniel named Kaycee. Kaycee was presenting for a dental cleaning and possible extractions. Due to Kaycee’s signalment, I knew I should take a look at her soft palate during her conscious and anesthetized examinations. When I opened Kaycee’s mouth, I could see irregularity to the entire surface of the soft palate, with multiple areas of ulceration. Some of the areas of ulceration had areas of yellow punctate raised plaques. Cavaliers are commonly affected by a condition called eosinophilic stomatitis, which often manifests on the soft palate.1 This inflammatory condition is similar to eosinophilic granulomas in cats, but histologically, the disease in Cavaliers often lacks granuloma formation. Other dog breeds may be affected, including Alaskan malamutes, Siberian huskies, Labradors and Italian greyhounds (Figure 1). Soft palate lesions may also be solitary, circular, raised, yellow/pink lesions (Figure 2). Some dogs are presented with clinical signs of decreased appetite and drooling, but surprisingly, many dogs with significant changes to the soft palate …
Why You Should Consider Nonsurgical Care for CCL DiseaseJune 8, 2015Originally published by June 2015 issue of Veterinary Practice News As someone who offers her thoughts on veterinary topics in print and online quite often, Narda G. Robinson, DO, DVM, MS, FAAMA, hears a great deal from pet owners and fellow practitioners about cranial cruciate ligament disease, a common aliment that can greatly impact a pet’s mobility and lifestyle. Just don’t try and tell her surgery is the “gold standard” for treating CCL disease. Nor should surgery always be presented as the best treatment, said Dr. Robinson, director at the CSU Center for Comparative and Integrative Pain Medicine at Colorado State University Veterinary Teaching Hospital. “My first question is: ‘What constitutes a ‘gold standard?’” Robinson said. “Is this based on opinion or scientific evidence? I’d prefer to see whatever is a ‘gold standard’ supported by evidence of benefit, safety and the least invasive approach possible rather than often-held opinions.” She noted that there are many instances of pelvic limb lameness that don’t require surgery, yet there isn’t enough evidence to say how a comprehensive rehabilitation program compares to various surgical outcomes for cruciate injury. “Based on what I’ve seen and heard from folks around the country, and even from other countries, …
Do Dogs and Cats Get Cavities?June 8, 2015Originally published in the June 2015 issue of Veterinary Practice News Dental caries (the medical term for cavities caused by tooth decay) are common in people but rare in our veterinary patients. Dental caries were first described in domesticated dogs in 1962.1 The NIH reports that 92 percent of adult humans between the age of 20 and 64 have cavities of their permanent teeth. The prevalence of caries in dogs is low, having been documented at 5 percent in a study of 435 dogs.2 Caries in cats are very rare (almost nonexistent). Etiology What’s the difference between caries and the more commonly seen veterinary problem of tooth resorption? The etiology of caries is due to a combination of having the right bacteria in the mouth (usually a bug called Streptococcus mutans) and having carbohydrate substrates for S. mutans to form acids that eat away at the surface of a tooth. Often times, even that is not enough to cause cavities. Often there is a genetic predilection of a developmental abnormality of a tooth to allow the enamel to be penetrated by these acids. The most common type of caries lesions is referred to as “pit-and-fissure” caries, which most commonly occurs …
Why Compliance Tops Flea and Tick Control MustsMay 11, 2015Originally published in the April 2015 issue of Veterinary Practice News The most effective flea- and tick-control products are the ones that pet owners will actually use according to the label recommendations. So believes Michael Murray, DVM, technical marketing director for U.S. Pet Parasiticides at Merial Ltd. of Duluth, Ga. “While that may seem simple and obvious on the surface, many important factors influence the outcome,” said Dr. Murray said. By probing into a pet’s routine with a few questions, veterinarians can ferret out those factors and help ensure compliance – leading to what is likely to be a better outcome for patients, Murray said. “First, what is the pet owner’s perception of the value, not the cost, of using flea and tick control for their pet?” he said. “This differs among pet owners, and finding out how clients spend time with their pets can provide important insights into how a parasite infestation would affect the relationship between the owner and their pet.” One question he suggested be posed to clients is whether a pet sleeps with a family member and how a flea or tick infestation would affect that interaction. He also suggested that veterinarians should find out if …
Cerclage Wire for Rostral Mandibular InstabilityMay 6, 2015Originally published in the April 2015 issue of Veterinary Practice News Last month we discussed iatrogenic mandibular fractures of the rostral mandible, specifically the iatrogenic parasymphyseal fracture. One of the repair techniques for this fracture, and for traumatic symphyseal separation, is use of a cerclage wire placed behind the canine teeth. Though most practitioners are familiar with this seemingly basic procedure, there are subtle nuances of placement that will help your patients thrive following placement of the cerclage. No. 1. Not every patient with instability requires placement of a cerclage wire Some animals, especially brachycephalic small-breed dogs and some cats, may have significant symphyseal laxity as an incidental finding on anesthetized oral examination. If the patient is not showing signs of discomfort or jaw locking, symphyseal laxity is not likely causing any problems. In cases with no recent history of trauma, placement of a cerclage wire will likely not allow for a long-term decrease in laxity without a more invasive procedure such as symphysiodesis (cutting into the fibrous joint of the symphysis and encouraging scar tissue formation), and this is often not necessary. No. 2. Step-by-step: placement Before placing a cerclage wire, the intraoral soft tissues dorsal to the …
Why the Basics Still Apply to Canine Skin AllergiesMay 4, 2015Originally published in the April 2014 issue of Veterinary Practice News Prevention, diagnosis and good management are still the most important elements of treating a dog with allergic skin disease, experts say, despite the presence of a potentially game-changing medication. “Apoquel has helped a lot of dogs, but you still need to implement good parasite control, including flea prevention, and you still need to ID the potentially underlying adverse reactions,” said Jeanne B. Budgin, DVM, Dipl. ACVD, president of the American Academy of Veterinary Dermatology. “In my opinion, Apoquel is not a replacement for diagnostics directed at identifying the cause of allergic skin disease,” Dr. Budgin said. Apoquel soared in popularity upon its release in January 2014. Many practitioners experienced a shortage of the drug when manufacturer Zoetis of Florham Park, N.J., ran low on supplies and faced production issues. Shortage Dr. Budgin, who works at Animal Specialty Center in Yonkers, N.Y., said she hasn’t experienced the shortage. She said she’s been able to keep patients that were started on Apoquel on the treatment. For others, the shortage has been an issue. One such affected practitioner is Christine Zewe, DVM, a resident in dermatology at Cummings School of Veterinary Medicine …
