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 …
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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 …
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 …
UC Davis Gives Cat New EyelidsMay 15, 2015Practice made perfect for UC Davis veterinary ophthalmologists, who after performing a rare transplant on feline cadavers were able to construct upper eyelids on a cat born without them. The surgery, called lip commissure to eyelid transposition, was successfully performed on a 9-month-old female domestic shorthair named Billie, who suffered from a congenital defect known as eyelid agenesis. The condition was a source of constant discomfort as hair around Billie’s eyes rubbed against the corneas, according to the University of California, Davis, School of Veterinary Medicine. The absence of eyelids also prevented Billie from blinking and lubricating her eyes. A surgery team made up of Ophthalmology Service veterinarians Ann Strom, DVM, MS, and Lionel Sebbag, DVM, knew about a procedure never tried before at UC Davis but documented in the journal Veterinary Ophthalmology in 2010. Drs. Strom and Sebbag practiced removing tissue from the cadavers’ cheeks and lips and transplanting it as an eyelid, the university stated. Once confident in their ability, the surgeons consulted with Billie’s owner, who gave the go-ahead for the transplant. Billie’s tissue grafts showed no signs of rejection or infection at one- and two-week checkups. After two months, the new eyelids were taking …
Blue Buffalo Faults Supplier for Wide Use of Byproduct MealMay 12, 2015Blue Buffalo Co., one of the world’s largest pet food makers, admitted in a courtroom May 6 that a substantial portion of its products at one time contained poultry byproduct meal, and the company blamed the situation on a supplier’s “mislabeling scheme.” The acknowledgment came as the Wilton, Conn., manufacturer asked a U.S. District Court judge in St. Louis to interrupt proceedings in a lawsuit filed by competitor Nestlé Purina PetCare Co. The judge granted a three-month delay to give Blue Buffalo time to sue Wilbur-Ellis Co. and draw the San Francisco animal feed supplier further into the case. Blue Buffalo and Purina have engaged in a long-running war of words and legal fight over allegations that some Blue Buffalo food was made with poultry byproduct meal contrary to the company’s labeling and advertising. A countersuit filed by Blue Buffalo accuses Purina, the world’s No. 2 pet food manufacturer, of defamation, unfair competition and false advertising. Both companies verbally attacked each other in the days after the court hearing. “Despite this admission, Blue Buffalo still has not informed consumers of the presence of poultry byproduct meal in Blue Buffalo pet food, refuses to accept responsibility for the product it …
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 …
Why Ticks Are Looming Large for Dogs and CatsApril 29, 2015Originally published in the March 2015 issue of Veterinary Practice News Ticks have been steadily spreading across the United States in recent years, their incidence growing rapidly right along with the white-tail deer population. It’s still a bit early to say for sure, but it doesn’t look like that spread will be slowing this year. A parasite forecast published each spring by the Companion Animal Parasite Council gives veterinarians and pet owners a good idea of what they can expect in the way of tick, intestinal parasite and heartworm prevalence. “We expect to see—unless intervention is increased—continued spread of the tick-transmitted diseases and some continued small climb in heartworms,” said Dwight Bowman, MS, Ph.D., a Cornell University veterinary parasitology professor and CAPC board member. Tick-transmitted agents that test (Lyme, Anaplasma, Ehrlichia) are increasing in the percentage of animals positive within an area—and the current ranges are expanding too, he said. It’s always hard to tell what a year will hold in terms of parasites. Extreme cold and dry weather have a significant negative effect on flea and tick populations, and while much of the northern half of the U.S. has experienced cold and snowy weather, it has not been …
Study Confirms Benefits of Pedicle Tie SpaysApril 24, 2015High-volume sterilization clinics may save time and money using a pedicle tie procedure when spaying cats, according to a first-of-its-kind study. Kirk Miller, DVM, Dipl. ABVP, a clinical instructor at the Oregon State University College of Veterinary Medicine, teamed up with four other researchers to compare the feline pedicle tie (PT) to traditional pedicle double ligation (PDL). They found that PT was safe, posed a very low risk of additional bleeding and slightly reduced the patient’s anesthesia time. Surgery took about two minutes less in PT cases. “Saving two minutes may not sound like much, but when you do thousands of these procedures every year, like we do, it can add up in savings of both time and money,” said Dr. Miller, who practices with the Oregon Humane Society in Portland. “Over the course of a year this may free up about two weeks of time for both the surgeon and anesthetist. “That increased efficiency means we can serve more animals, provide the care they need and make them eligible to find new homes.” The researchers performed ovariohysterectomies using the PT technique on 2,136 cats. They determined that the pedicle tie was effective at stopping blood flow through …
Vet Fired After Bragging of Killing CatApril 17, 2015 Facebook This photo appeared on Dr. Kristen Lindsey’s Facebook page. Click on the photo above to see the original image. (WARNING: GRAPHIC CONTENT.) We'll be posting updates as they come in. Read the original story. Update 6 (4/18/2015, 7:45 a.m. PDT): The Texas Board of Veterinary Medical Examiners posted on their Facebook page that they are aware of the situation regarding Kristen Lindsey, DVM, and request people write to them via email. (function(d, s, id) { var js, fjs = d.getElementsByTagName(s)[0]; if (d.getElementById(id)) return; js = d.createElement(s); js.id = id; js.src = "//connect.facebook.net/en_US/sdk.js#xfbml=1&version=v2.3"; fjs.parentNode.insertBefore(js, fjs);}(document, 'script', 'facebook-jssdk')); The Texas Board of Veterinary Medical Examiners has been made aware of the situation with one of our licensees. We will... Posted by Texas Board of Veterinary Medical Examiners on Friday, April 17, 2015 Update 5 (4/17/2015, 6:45 p.m. PDT): KBTX.com has more reactions about the controversial killing. (Warning, video does contain GRAPHIC IMAGES.) Update 4 (4/17/2015, 6:15 p.m. PDT): There have been reports that the cat was being fostered by volunteer with True Blue Animal Rescue in Brenham, Texas. The organization has put up their own statement, …
Find Out Why Once Every Three Years is the Trend in VaccinationsApril 2, 2015Originally published in the March 2015 issue of Veterinary Practice News After speaking with hundreds of practicing veterinarians over the past two years about vaccines and vaccination protocols, Richard Ford, DVM, has found that practitioners are slowly trending away from all vaccines to all pets every year. “I believe it is fair to say that some trends are emerging,” said Dr. Ford, a co-author on both the American Animal Hospital Association canine vaccination task force and the American Association of Feline Practitioners feline vaccination advisory panel. He has noted a growing the tendency to incorporate triennial boosters for core vaccines in dogs (distemper, parvovirus, adenovirus-2) and cats (panleukopenia, herpesvirus, calicivirus). “In speaking with vaccine sales representatives from around the country, I would estimate about half of the practices today routinely incorporate the three-year recommendation for core vaccines,” Ford said. Ford sees this largely as a good thing. “The science is abundantly clear on this point,” Ford said. “While some vaccines must be administered annually to sustain a reasonable level of protective immunity, others – namely the core vaccines – provide years of protective immunity in the majority of dogs/cats that are vaccinated. There is simply no medical …