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March 20th, 2023 | Posted in General, Medical Articles
Clinical Approach to Lung Tumors in Dogs and Cats Joseph Palamara, DVM, DACVS-SA Surgery of the lungs is typically pursued to address acquired pulmonary diseases, including lung lobe torsion, consolidated lung lobes and abscesses, traumatic and spontaneous pneumothorax, and primary/solitary pulmonary neoplasia. Primary pulmonary neoplasia accounts for 1% of canine tumors and < 1% of feline tumors. Adenocarcinoma represents about 60% to 70% of feline lung tumors, whereas carcinomas account for up to 97% of primary lung tumors in dogs,…
December 13th, 2022 | Posted in General, Medical Articles
Considerations for the Senior Dog Laura Perez, DVM, CVA, CCRT What is a senior pet? Unlike humans, where there is an accepted set age to demarcate a patient as elderly or geriatric, a sliding scale based on body weight can help assign age labels for dogs. For small dogs weighing less than 20 pounds, age 10-12 years is considered geriatric. For medium dogs weighing 21-50 pounds, this decreases to 9-11 years. Large breed dogs weighing 51-90 pounds are considered geriatric…
September 26th, 2022 | Posted in General, Medical Articles
Feline Injection Site Sarcomas Ariana Verrilli, DVM, DACVIM (Oncology) Feline injection site sarcomas (FISS) are malignant mesenchymal tumors of the skin that are associated with vaccination in 1-16 of every 10,000 vaccinated cats. FISS have been associated not only with vaccinations but also with a variety of other substances, including injectable steroids and antibiotics, microchips, and suture material. It is suspected that the post-injection inflammation results in malignant transformation of the local mesenchymal cells and tumor development. Tumor development can…
June 17th, 2022 | Posted in General, Medical Articles
Heat Stoke Danielle Berube, DVM, DACVECC As we head into the warm summer months, we need to be prepared for an influx of patients suffering from heat stroke. It is important to remember that although brachycephalic breeds and dogs with laryngeal paralysis have an increased risk, any patient can suffer from heat stroke in the right conditions. It is also important to keep in mind that patients can present with a normal body temperature, especially if the owners have started…
March 2nd, 2022 | Posted in Medical Articles
Beta-blockers in the Management of Hypertrophic Heart Disease Andrew Waxman, DVM, DACVIM (Cardiology) Why are beta-blockers so commonly used in the management of hypertrophic heart disease? It is first important to remember the determinants of myocardial oxygen demand. The amount of oxygen demanded by the myocardium is impacted by afterload (of which a large portion is blood pressure), contractility, and heart rate. Oxygen starved tissue can promote myocyte necrosis. It can also serve as a focus for arrhythmias, hence why…
June 2nd, 2021 | Posted in General, Medical Articles
Specialty Spotlight: Infected Corneal Ulcers Keith Montgomery, DVM, DACVO As the summer weather heats up, our canine and feline patients are more active outdoors, and we see an increase in the number of traumatic corneal ulcers as well as other traumatic eye injuries. Bacterial corneal infections also become more prevalent with increasing temperatures and humidity. Common bacteria that infect the cornea include Staphylococcus, Streptococcus, and Pseudomonas spp. Clinical signs of a bacterial corneal infection include cellular infiltrate, delayed corneal healing,…
March 16th, 2021 | Posted in General, Medical Articles
Specialty Spotlight: Meningoencephalitis of Unknown Origin Laura Krzykowski, DVM, DACVIM (Neurology) There are a variety of infectious and autoimmune diseases that can lead to encephalopathy in our canine patients. In this region of the country, we see autoimmune disease far more commonly than infectious diseases. The subtypes of autoimmune encephalitis are named according to the type and distribution of inflammation seen on histopathology (Granulomatous Meningoencephalitis, Necrotizing Meningoencephalitis, Necrotizing Leukoencephalitis). Clinically, MRI and spinal tap results can overlap between these categories,…
December 21st, 2020 | Posted in General, Medical Articles
Specialty Spotlight: Classifications of Shock Madeline Libin, DVM, DACVECC There are several types of shock, but ultimately the definition of shock is consistent. Shock is the result of any condition in which the metabolic demand for oxygen exceeds uptake and utilization of oxygen. Most cases of shock are due to decreased delivery of blood to tissues. Shock is typically divided into categories that help explain why oxygen delivery is not matching demand. The box below outlines five broad categories of shock (Silverstein and Hopper 2015)….
September 21st, 2020 | Posted in General, Medical Articles
Flash Glucose Monitors – the Cure for the Difficult Diabetic? Sara Arnold, DVM, DACVIM (Internal Medicine) Difficult diabetics are exhausting. When we see a new consult for a diabetic on our internal medicine service, that appointment almost surely promises to be the longest one of the day. Between the extensive histories, comorbidities, dietary changes, review of insulin administration, storage, etc., the time invested in these patients is extensive. Frustratingly, determining the status of diabetic regulation can also be difficult. Fructosamines…
June 24th, 2020 | Posted in General, Medical Articles
Minimally Invasive Surgery for Management of Lung Tumors Joseph Palamara, DVM, DACVS-SA Minimally invasive surgery is a constantly evolving field of veterinary surgery. Competency and expertise in minimally invasive surgery are requirements in the process of board certification in small animal surgery. Thoracoscopy, laparoscopy and arthroscopy are minimally invasive procedures which involve surgery of the chest, abdomen and joints, respectively. Advances in technology adapted from human surgery and innovations developed by veterinary surgeons have enabled a wide array of surgical…
