Zoetis Unveils FeLV, FIV Combo TestDecember 18, 2014Veterinary drug maker Zoetis Inc. this week began taking orders for a new test designed to diagnose both feline leukemia virus (FeLV) and feline immunodeficiency virus (FIV). Shipments are scheduled to begin Jan. 5. The Witness test kit uses Rapid Immuno Migration (RIM) technology to detect the presence of FeLV antigen and FIV antibodies within 10 minutes, according to the Florham, Park, N.J., company. No refrigeration or snapping—a common physical step in point-of-care diagnostic tests—is necessary. “Since the Witness FeLV-FIV test kit does not require refrigeration, it is easy to store, does not take up refrigerator space, and veterinarians don’t need to wait for it to come to room temperature to use,” said J. Michael McFarland, DVM, Dipl. ABVP, the group director of Companion Animal Veterinary Operations for Zoetis. The combination test rates at 92.9 percent sensitivity and 96.5 percent specificity for FeLV and 93.8 percent sensitivity and 93.4 percent specificity for FIV, the company added. Feline leukemia virus and feline immunodeficiency virus are potentially fatal. FeLV rates in the United States range from 2 to 4 percent of all cats and up to 13 percent or more of cats that are ill, very young or at high risk …
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How To Manage Pain In Off-Label SpeciesDecember 8, 2014Originally published in the November 2014 issue of Veterinary Practice News The cat is the off-label species. About 80 percent of all drugs we use in cats are used off label. That includes lactated Ringer’s solution and prednisolone. Managing chronic pain is an off-label event in the cat as no products are FDA-approved for long-term management of feline pain. The situation is somewhat better for acute or post-op pain, but several very widely used options are also off label. Neither cat owners nor their veterinarians are happy to see a cat in pain. However, finding agents that relieve feline pain can be problematic. Some have side effects, and some work better as part of a multimodal approach. None is effective for all patients so a trial-and-error approach may be needed. How to Recognize Pain In the wild, sick cats are targets for predators, so cats have become experts at masking pain. Therefore, with the aid of cat owners supplying careful observations, veterinarians must ask the right questions to uncover the signs of pain. Important questions include: Unwillingness to jump/play Decreased appetite Inappropriate elimination Repeatedly over-grooming the same location Change in mood Treatment of Acute Pain Acute pain is usually due …
Study May Lead to Early Diagnosis of Feline Kidney DiseaseNovember 21, 2014An early-warning test for chronic kidney disease in cats may emerge from the development of a biomarker called SDMA. Oregon State University researchers worked with Idexx Laboratories on SDMA, or symmetric dimethylarginine, which they said can spot chronic kidney disease, a leading cause of death in older cats, much earlier than normal. Up to 35 percent of geriatric cats suffer from the disease, according to The Merck Veterinary Manual. A test based on the biomarker would allow veterinarians to identify the onset of kidney disease and order dietary changes and other therapies, Oregon State reported Thursday. Foods with lower levels of protein and phosphorus and added fish oil, antioxidants, L-carnitine and medium-chain triglycerides are known to help. “Damage from [the disease] is irreversible, but this is an important advance, in that we should be able to identify the problem earlier and use special diets to slow the disease,” said Jean Hall, DVM, MS, Ph.D., a professor in the College of Veterinary Medicine. The findings, published in The Veterinary Journal, involved a controlled study of 32 healthy but older cats, the university stated. The biomarker identified the onset of kidney disease an average of 17 months earlier and in …
AVMA Helps Cat Owners With Declaw DecisionNovember 19, 2014A free client handout designed to help practitioners talk to cat owners about declaw surgery is available through the American Veterinary Medical Association. The new document, available at www.avma.org/declaw, acknowledges that declawing cats is controversial and points out that scratching is normal feline behavior and that nail caps, frequent trims and positive reinforcement training are among the alternatives to an onychectomy. The AVMA House of Delegates this past July updated the organization’s policy on the declawing of domestic cats. The policy encourages client education about the surgery and its risks and urges that the owner make the final decision in consultation with a veterinarian. The handout, titled “Declaw …. or Not?” was produced by the AVMA Animal Welfare Committee. “The AVMA hopes to help veterinarians connect with cat owners to make the best decision for their cat and household,” Animal Welfare Division director Gail C. Golab, DVM, Ph.D., wrote on her AVMA@Work blog. The website also features assistant director Cia Johnson, DVM, MS, narrating a five-minute video about declawing.
Why You Should Manage Expectations When it Comes to Feline DiabetesNovember 4, 2014Originally published in the November 2014 issue of Veterinary Practice News Fourteen diplomates from the American Board of Veterinary Practitioners (feline practice category) met at the American Association of Feline Practitioners meeting in Indianapolis to discuss the clinical management of diabetes in the cat. Elaine Wexler-Mitchell, DVM, of The Cat Care Clinic in Orange, Calif., invited all ABVP feline diplomates to participate and to discuss the apparent disparity in the results of academic recommendations for managing diabetic cats and the clinical outcome that we, as in-the-trenches practitioners, have experienced. The main expectation in question is that most, if not all, diabetic cats will go into remission if treated properly and that home glucose testing and the use of glargine insulin are essential parts of this. Those answering Dr. Wexler-Mitchell’s call responded with the following statements: “I, too, do not see the same percentage of well-regulated diabetics as is reported. And I do not see the percent of remissions that they say we should in the first six months. I thought perhaps it was just me.” “A good number of my patients aren’t showing that degree of control or remission, nor are many of my clients as motivated as the ‘ideal.’” …
How to Diagnose and Treat Uroabdomen CasesNovember 3, 2014Tucker, a 3-year-old border collie, was rushed to your hospital after getting hit by a car at 9 a.m. He is lucky, as he escaped without any fracture or major laceration. He only seems to have a few skin scrapes. You stabilize Tucker throughout the day, and he looks much better by that evening. He is kept overnight for IV fluids and pain medications. By the next morning, you are disappointed to see that Tucker’s condition has worsened overnight. Blood work and abdominal X-rays make you strongly suspect a bladder rupture. Ultrasound confirms it without a doubt. Fortunately, Dr. Jennifer Stafford, a double-boarded colleague in critical care and internal medicine at VCA Veterinary Referral Associates in Gaithersburg, Md., comes to the rescue with a full write-up on uroabdomen (JR Stafford, et al. “A clinical review of pathophysiology, diagnosis, and treatment of uroabdomen in the dog and cat.” J Vet Emerg Crit Care 2013, Vol 23, N 2, p. 216-229). As in Tucker’s case, most uroabdomen cases are caused by blunt trauma to the abdomen, such as getting hit by a car. The chances of this happening depend on the degree of bladder distention at the time of the trauma. Uroabdomen …
Why Teeth Removal is Best When Your Patient Has Feline StomatitisOctober 24, 2014Originally published in the September 2014 issue of Veterinary Practice News Feline stomatitis is an exquisitely painful condition, and it can be a frustrating condition for pet owners and feline caregivers. When I see a stomatitis patient for the first time, I try to set pet owners’ expectations early: stomatitis is a disease that we sometimes control rather than cure. However, with aggressive treatment, cures can be achieved. Gingivitis or Stomatitis? Sometimes it is difficult to discern whether a cat has stomatitis or merely gingivitis. Clinical signs will often be a good indicator, even before you take a look in the mouth. Gingivitis is generally well tolerated by cats. However, cats with stomatitis will show signs of hyporexia progressing to anorexia, preference for canned vs. dry food, crying when yawning or eating, ptyalism and occasionally bloody oral discharge. When trying to distinguish gingivitis from stomatitis, the key is the mucogingival line. Routine gingivitis never extends beyond the gingiva, whereas stomatitis always extends beyond the mucogingival line into the alveolar and buccal mucosa. Inflammation extending beyond the gingiva to the alveolar mucosa is referred to as rostral stomatitis or alveolar mucositis. Cats with stomatitis also often show inflammation lateral to the …
Feline Stomatitis: Medical Therapy for Refractory CasesOctober 22, 2014Originally published in the October 2014 issue of Veterinary Practice News In a previous article, we discussed extractions as the gold standard treatment of feline stomatitis. Even after undergoing extractions, approximately 20 percent of patients will continue to experience clinically relevant signs of oral inflammation. We call these “refractory” cases. The goal of treatment is to reduce or eliminate oral discomfort to a degree where appetite is consistently good and patient body weight is maintained. Attack Plaque Recall that feline stomatitis is often an immune-mediated disease, due to an aberrant response of the immune system toward component(s) of dental plaque, likely bacterial antigens.1 If the patient still has teeth and the owner does not want them extracted, frequent professional dental cleanings (supra- and subgingival) will help to decrease plaque accumulation and inflammation. Daily tooth brushing would help decrease plaque accumulation, but brushing is difficult in stomatitis cats—an understatement!—due to oral pain. Application of plaque retardant substances during professional dental cleanings might be considered to slow the rate of plaque accumulation. Perioperative Medications for Oral Surgery Cases Multimodal pain medication regimens are necessary when embarking on surgical extractions. Premedication with an injectable opioid is a good place to start. Once the …
Study Offers Surprising Look at True Health of CatsAugust 24, 2014 Many cats that look and act healthy hide a secret. A study of outwardly healthy cats discovered laboratory abnormalities in one out of every four tested. Furthermore, pet owners who answered a 48-question survey noted warning signs in nearly 70 percent of the 1,197 cats checked. The results point to the value of annual veterinary wellness visits and in-depth questioning of pet owners, reported veterinary drug maker Zoetis Inc., which conducted the research. “This study demonstrated that a health risk assessment … can help veterinarians identify issues that might otherwise go undiagnosed and untreated until serious symptoms become apparent,” said J. Michael McFarland, DVM, Dipl. ABVP, the group director of Companion Animal Veterinary Operations for Zoetis. The study used data collected from 264 veterinary practices over 5½ years and included a cat owner questionnaire. Among the cat owners who took part in the health risk assessment: • 9 percent indicated that their cat had difficulty breathing, showing symptoms such as wheezing, sneezing or coughing. • 11 percent thought their cats exhibited stiffness, lameness or pain associated with movement. • 22 percent thought their cats were overweight or obese. …
National Take Your Cat To Vet Day GraphicAugust 21, 2014 August 22 is National Take Your Cat To The Vet Day! We at VeterinaryPracticeNews.com created this helpful graphic for you to share with your clients on social media. Use this graphic as a starting point to discuss why your clients should bring in their cat. Include your phone number and website so people can contact you. Just right-click on the image and save it onto your computer. Let us know how it goes!
