Post on 24-Jan-2021
PROCEEDINGS
OF THE
NORTH AMERICAN VETERINARY CONFERENCE
VOLUME 20
JANUARY 7-11, 2006
ORLANDO, FLORIDA
SMALL ANIMAL AND EXOTICS EDITION
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TABLE OF CONTENTS Small Animal CD
ALTERNATIVE MEDICINE
TCM and the Skin Mary S. Battistella.................................................. 1
TCM and Allergic Dermatitis Case Presentation Mary S. Battistella.................................................. 6
TCM and Hair Loss Mary S. Battistella.................................................. 8
Introduction to Homotoxicology for the Acupuncturist Paula Jo (P.J.) Broadfoot ...................................... 9
Homotox and Chinese Medicine –- Rationales and Rhythms: Scientific Bases and Support Paula Jo (P.J.) Broadfoot .................................... 13
Inflammation, Degeneration and Homotoxicology Part 1: Melding into the Acupuncture Practice Paula Jo (P.J.) Broadfoot .................................... 17
Inflammation, Degeneration, and Homotoxicology Part 2: For the AP Practitioner Paula Jo (P.J.) Broadfoot .................................... 22
Lameness and Degeneration – Remedy Selections Paula Jo (P.J.) Broadfoot .................................... 25
Homotoxicology and Acupuncture Joe Demers ......................................................... 26
Auto-Sanguis Therapy Joe Demers ......................................................... 32
Inflammation, Lameness, Pain and Homotoxicology Joe Demers ......................................................... 35
Lameness Case Joe Demers ......................................................... 36
Lameness / Degeneration Case Joe Demers ......................................................... 37
Complete and Easy Musculoskeletal Exam Laurie McCauley.................................................. 38
Utilization of Veterinary Rehabilitation Laurie L. McCauley.............................................. 41
Neurological Canine Rehabilitation Laurie L. McCauley.............................................. 46
Introduction to Veterinary Acupuncture Deborah Mitchell.................................................. 48
Fundamentals of Chinese Herbology Deborah Mitchell.................................................. 53
Top 20 Formulas and Herbs for the Integrative Practice Deborah Mitchell.................................................. 63
Homotoxicology: The Six-Phase Table as a Clinical Tool Richard E. Palmquist ........................................... 66
Homotoxicology: Clinical Case Management Richard Palmquist................................................ 69
Ten Herbs and Nutraceuticals You Can’t Live Without Susan G. Wynn.................................................... 71
Evidence-Based Herbal Medicine Susan G. Wynn.................................................... 74
Natural Medicine for Cancer Patients Susan G. Wynn.................................................... 77
ANESTHESIOLOGY
Monitoring Critical Care Patients Janyce Cornick-Seahorn ..................................... 79
Perianesthetic Bloodwork Assessment: What Is Important and When? Janyce Cornick-Seahorn ..................................... 82
Implementing CRI Technique for Analgesic Management Janyce Cornick-Seahorn ..................................... 84
To Use this Index: Scroll down or use the bookmarks in the left-hand frame to move to a new location in this index. Click on a blue link to view that paper. To return to this index after viewing a paper, click the PREVIOUS MENU bookmark in the left frame.
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Perfusion Basics and Proper Use of Pre-medication, Tranquilization and Immobilization Kathy Engler ........................................................ 86
Evidence Based Best Practices – Pet Anesthesia for Healthy, Fractious and Ill Patients Kathy Engler ........................................................ 89
The Preoperative Physical Examination and Interpretation of Preoperative Blood Work Karen Faunt ......................................................... 92
Management of the Anesthetic Emergency Karen Faunt ......................................................... 94
Epidural Anesthesia Don Hulse............................................................ 96
Use of Local Anesthetics Don Hulse............................................................ 97
Individualizing Anesthetic Management – Benefits to Your Patients and the Practice: Part 1 Khursheed Mama ................................................ 98
Individualizing Anesthetic Management – Benefits to Your Patients and the Practice: Part 2 Khursheed Mama .............................................. 101
Safe and Effective Anesthesia Induction and Maintenance Will Novak.......................................................... 104
Looking Forward – Lessons and Conclusions Will Novak.......................................................... 107
Anesthetic Approach to the Hemodynamically Compromised Patient Sandra Z. Perkowski.......................................... 110
Anesthetic Approach to the Patient with Respiratory Compromise Sandra Z. Perkowski.......................................... 117
NSAIDs: Pros and Cons of Perioperative Use Sandra Z. Perkowski.......................................... 120
Propofol: The Good and Bad Sandra Z. Perkowski.......................................... 123
Introduction to Small Animal Anesthesia – Best Practices Based on Outcome Analysis Lee Tyner........................................................... 124
BEHAVIOR
Ethological and Neurophysiological Basis of Behavior Disorders Claude Beata ..................................................... 127
Anxiety versus Fears versus Phobias in Adult Dogs Claude Beata ..................................................... 130
How to Manage a Behavior Therapy Protocol Claude Beata ..................................................... 132
Risk Assessment in Aggressive Dogs Claude Beata ..................................................... 137
Important Aspects of the Behavioral History Terry Marie Curtis .............................................. 140
Understanding Cat Social Systems: Roles for Mom and Preferred Associates Terry Marie Curtis .............................................. 143
Why Practitioners Should Feel Comfortable With Pheromones – The Evidence to Support Pheromone Use Gary Landsberg ................................................. 145
Behavioral Disorders in Growing Dogs and Cats Catherine Mège ................................................. 149
Skin Manifestations of Behavioral Disorders in Pets Catherine Mège ................................................. 152
Behavior Disorders in Senior Pets Catherine Mège ................................................. 156
Behavioral Manifestations of Endocrine Diseases Catherine Mège ................................................. 158
Aggression Between Cats and How It Contributes to the Most Common Feline Elimination Concerns Karen L. Overall................................................. 160
More on Dogs That Fight Karen L. Overall................................................. 163
Update on Canine Behavioral Genetics: What Vets Should Know to Help Breeders and Clients Who Love Purebred Pets Karen L. Overall................................................. 168
Update on Behavioral Pharmacology: Side Effects, Effective Dosages, and Polypharmacy Karen L. Overall................................................. 172
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Rational and Humane Implementation of Behavior Modification – Why We Need to Understand How Dogs and Cats Learn Karen L. Overall................................................. 177
What Every Veterinarian Should Know about Feline Behavior Karen L. Overall................................................. 180
CARDIOLOGY
Management of Feline Hypertrophic Cardiomyopathy: Innovations and Controversies Clarke Atkins ..................................................... 185
Treatment of Systemic Hypertension: Keys to Success Clarke Atkins ..................................................... 188
Hypertension: The 10 Most-Asked Questions Clarke Atkins ..................................................... 189
Diagnosis and Treatment of Aortic Stenosis Oriol Domenech................................................. 192
Diagnosis, Treatment and Postoperative Management of Patent Ductus Arteriosus Oriol Domenech................................................. 195
Diagnosis and Treatment of Pulmonic Stenosis Oriol Domenech................................................. 198
Angiocardiography: Is It Still Useful? Oriol Domenech................................................. 201
Cardiopulmonary Disease – Pathologic Basics and Clinical Correlates Philip R. Fox ...................................................... 203
Thromboembolism – How to Diagnose and Manage Philip R. Fox ...................................................... 205
Feline Heart Disease – New Perspectives Philip R. Fox ...................................................... 208
Heart Failure and Arrhythmias in Dogs – What to Know Philip R. Fox ...................................................... 211
Science and Application – The Cardiovascular History and Physical Examination Philip R. Fox ...................................................... 213
Updates on the Diagnosis and Treatment of Canine Heart Disease Sonya G. Gordon............................................... 216
Pimobendan in Heart Failure Therapy: A Silver Bullet Sonya G. Gordon............................................... 219
Role of Positive Inotropic Agents for Managing Dogs with Mitral Valve Disease Jens Häggström................................................. 221
Value of Measuring Cardiac Troponins in Your Practice Jens Häggström................................................. 222
Screening for Hypertrophic Cardiomyopathy in Cats – The European Experience Jens Häggström................................................. 223
Diagnostic and Prognostic Variables in Mitral Valve Disease in Dogs Jens Häggström................................................. 226
How I Treat Heart Failure Due to Mitral Regurgitation Jens Häggström................................................. 228
CRITICAL CARE
Fluid Therapy with Lung Disease Dez Hughes ....................................................... 229
Evaluation of Coagulation Abnormalities in the ICU and ER Dez Hughes ....................................................... 232
Transfusion Medicine Dez Hughes ....................................................... 235
Interpretation of Lactate – What Is It? What Can We Do with It? Dez Hughes ....................................................... 239
What’s Best for Hypovolemic Shock – Crystalloids or Colloids? Dez Hughes ....................................................... 243
Approach to the Shock Patient Dez Hughes ....................................................... 246
Approach to the Trauma Patient Dez Hughes ....................................................... 250
Advanced Fluid Therapy Dez Hughes ....................................................... 253
The Use of Abdominal Wrap for Haemoabdomen Dez Hughes ....................................................... 255
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Stabilization of Respiratory Emergencies Douglass K. Macintire........................................ 256
Metabolic Derangements in Critical Patients Douglass K. Macintire........................................ 259
Monitoring Critically Ill Cats and Dogs Douglass K. Macintire........................................ 263
Laboratory Assessment of Critically Ill Patients: It’s Not Just the Basics that are Important Douglass K. Macintire........................................ 266
Doc What Did He Get Into? Emergency Approach to Toxins Elisa M. Mazzaferro........................................... 268
Cardiopulmonary Cerebral Resuscitation Elisa M. Mazzaferro........................................... 271
Inhalation Therapy – New Approaches to Old Diseases Elisa M. Mazzaferro........................................... 275
Esophagostomy Tubes Don’t Underutilize Them! Elisa M. Mazzaferro........................................... 277
Controversies in Shock Trauma – Steroids or Not? Elisa M. Mazzaferro........................................... 278
The Use of Vasopressin in Critical Care Patients Luisito S. Pablo.................................................. 280
Principles and Techniques of CRI for Pain in Critical Care Patients Luisito S. Pablo.................................................. 283
Colloids Versus Crystalloids: What Is the Latest? Luisito S. Pablo.................................................. 286
Anesthesia and Sedation for Critical Care Patients Jane Quandt ...................................................... 287
CYTOLOGY
Cytologic Features of Inflammatory Disease Dennis B. DeNicola ........................................... 291
Cytologic Features of Internal Organs Dennis B. DeNicola ........................................... 294
Applied Cytology — Case Study Canine Elbow Mass Rose E. Raskin.................................................. 299
Introduction to Cytologic Interpretation Rose E. Raskin and Dennis DeNicola ............... 302
Cytology of Neoplasia Rose E. Raskin and Dennis DeNicola ............... 305
Cytology of Skin Rose E. Raskin and Dennis DeNicola ............... 308
DENTISTRY
AAHA Dental Guidelines Jan Bellows........................................................ 313
Feline Periodontal Disease: Diagnosis, Treatment, and Prevention Randi Brannan................................................... 316
Feline Resorptive Lesions, Gingivostomatitis, and Other Oral Maladies Randi Brannan................................................... 318
Feline Resorptive Lesions: What’s Hot and What’s Not! Gary S. Goldstein .............................................. 321
Dental Home Care: What Is Effective and Why Fraser A. Hale.................................................... 323
The VOHC Seal – Why Is It Important Fraser A. Hale.................................................... 326
Periodontal Disease: Ya Gotta Have a Plan! B. Jean Hawkins ................................................ 328
Mandibular Fracture Repair in Dogs and Cats B. Jean Hawkins ................................................ 330
Evidence Based Antibiotic Therapy in Veterinary Dentistry Brook A. Niemiec ............................................... 332
Know When to Say When: Indications for Dental Extractions R. Michael Peak................................................. 335
Dental Extractions: Avoiding Headaches for You and Your Patients! R. Michael Peak................................................. 338
Maximizing Your Potential as a Veterinary Dental Technician R. Michael Peak................................................. 341
Maximizing the Veterinarian’s Dental Production R. Michael Peak................................................. 344
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Microbes of the Mouth: An Overview of Periodontal Pathogens and their Management R. Michael Peak................................................. 347
Gingivitis, Stomatitis, and Other Oral Lesions Alice M. Wolf...................................................... 350
DERMATOLOGY
Shampoo Therapy Karin M. Beale ................................................... 353
Responsible Steroid Therapy Karin M. Beale ................................................... 356
Selecting Appropriate Antimicrobial Therapy for Infections of the Skin Karin M. Beale ................................................... 358
Acute Onset Alopecia and Erythematous Dermatitis in a Visla Karin M. Beale ................................................... 361
Atopic Dermatitis: Clinical Signs and Diagnosis Karin M. Beale ................................................... 363
Food Allergy Dermatitis Sarah Colombini Osborn ................................... 365
Autoimmune Diseases in the Dog Sarah Colombini Osborn ................................... 368
Optimal Use of Hypoallergenic Diets Sarah Colombini Osborn ................................... 370
Current Use of Immunomodulators Craig E. Griffin ................................................... 371
Atopica Craig E. Griffin ................................................... 374
How to Treat Allergy in 10 Easy Steps Keith A. Hnilica .................................................. 376
Canine Pyoderma Robert A. Kennis ............................................... 379
Canine Recurrent and Deep Pyoderma Robert A. Kennis ............................................... 382
Which Parasiticides When? John M. MacDonald........................................... 384
Cephalosporins for the Skin John M. MacDonald........................................... 387
Antifungal Drug Therapy John M. MacDonald........................................... 390
I’ll Take “the Itchy Cat” for 400, Bob John M. MacDonald........................................... 393
Allergen Specific Immunotherapy for Atopy John M. MacDonald........................................... 396
ENDOCRINOLOGY
Canine Hyperadrenocorticism: Treatment Options David Bruyette ................................................... 399
Feline Hyperthyroidism Thomas K. Graves............................................. 402
Feline Insulin Choices Thomas K. Graves............................................. 405
Which Insulin Dosing Regimen in 2006? Rebecka S. Hess ............................................... 407
Use of Oral Hypoglycemics in Diabetic Dogs and Cats Rebecka S. Hess ............................................... 409
Which Insulin and Which Dosing Regimen in 2006? Rebecka S. Hess ............................................... 413
Risk Factors for Canine Atherosclerosis – Not Only Hypothyroidism Rebecka S. Hess ............................................... 416
Diagnostic Testing for Addison’s and Cushing’s Disease Richard W. Nelson............................................. 419
Advances in Clinical Endocrinology Richard W. Nelson............................................. 422
Endocrine Update: For Senior Cats Margie Scherk.................................................... 425
Diabetic Management in the Senior Cat Margie Scherk.................................................... 428
Use of Transdermal Methimazole in Hyperthyroid Cats Joseph Taboada ................................................ 433
ENDOSCOPY
Introduction to Flexible GI Endoscopy Todd R. Tams .................................................... 435
Esophagoscopy and Gastroscopy Todd R. Tams .................................................... 436
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Endoscopy of the Small and Large Intestine Mark C. Walker.................................................. 439
Special GI Endoscopy Techniques – Foreign Body Retrieval & Gastric Feeding Tube Placement Mark C. Walker.................................................. 441
GASTROENTEROLOGY
“Feeding Through” versus NPO in the Treatment of GI Disease P. Jane Armstrong............................................. 443
Placing the Percutaneous Gastrostomy Tube P. Jane Armstrong............................................. 445
Risk Factors for Canine Pancreatitis Rebecka S. Hess............................................... 448
Triaditis Albert E. Jergens ............................................... 450
Clinical Staging for Feline Inflammatory Bowel Disease Albert E. Jergens ............................................... 453
Common Errors in the Diagnosis and Management of Gastrointestinal Disease Michael E. Matz and Michael S. Leib................. 455
Dietary Management of Gastrointestinal Disease Michael E. Matz ................................................. 459
The Use and Misuse of Antiulcer Drugs Michael E. Matz ................................................. 463
New Therapeutic Approach to Boxer Colitis Michael E. Matz ................................................. 467
Laboratory Tests for Pancreatitis Michael E. Matz ................................................. 468
The Gas They Pass: How to Manage Flatulence Philip Roudebush .............................................. 470
How I Treat Chronic Pancreatitis in Cats Jorg M. Steiner .................................................. 472
Diagnosis of Pancreatitis in Small Animals Jorg M. Steiner .................................................. 474
Practical Approach to Dogs with Chronic Diarrhea Jorg M. Steiner .................................................. 477
HEMATOLOGY
Complications: Transfusion Reactions Marjory Brooks................................................... 481
Anemia – Is It Regenerative or Non-regenerative? Dennis B. DeNicola............................................ 485
Differential Diagnoses of Bleeding Disorders John W. Harvey ................................................. 490
Infectious Disease of Feline Blood John W. Harvey ................................................. 493
Identification of Infectious Agents and Inclusions in Blood Cells from Dogs and Cats John W. Harvey ................................................. 496
Infections of Dog Blood Cells John W. Harvey ................................................. 499
Canine Immune Mediated Hemolytic Anemia Ann E. Hohenhaus............................................. 502
How I Approach Feline Anaemia Severine Tasker................................................. 505
Feline Haemoplasma Infection (Haemobartonella) – An Update Sverine Tasker................................................... 511
Feline Blood Typing – Why and How? Severine Tasker................................................. 514
HEPATOLOGY
Feline Hepatobiliary Disease – Where Are We in 2006? P. Jane Armstrong ............................................. 515
Update on Liver Disease S.A. Center ........................................................ 519
Liver Biopsy/Aspiration Methods: Pros and Cons Keith Richter ...................................................... 525
Drug-Induced Liver Diseases Keith Richter ...................................................... 529
Use of SAMe for Treating Liver Diseases Keith Richter ...................................................... 533
Which Diagnostic Test to Use for Liver Disease? Jorg M. Steiner .................................................. 534
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HOSPITAL DESIGN
Floor Plans Mark R. Hafen.................................................... 537
Materials and Finishes for the Veterinary Facility Mark R. Hafen.................................................... 540
Landscaping, Signage and Curb Appeal Mark R. Hafen.................................................... 543
Renovations and Additions Mark R. Hafen.................................................... 545
Impact of Technology on Veterinary Design Mark R. Hafen.................................................... 548
Noise: Keep It Down C. Scott Learned................................................ 550
Odor Control and Fresh Air C. Scott Learned................................................ 554
Plumbing Systems for the Vet Project C. Scott Learned................................................ 558
The Front End: Exam Rooms and Reception Wayne Usiak...................................................... 560
Materials in the Veterinary Building Wayne Usiak...................................................... 561
HUMAN–ANIMAL BOND
Communicating with Children during Difficult Times Cindy L. Adams ................................................. 563
Helping When Children Experience the Death of a Companion Animal Carolyn Butler .................................................... 565
Overview of Conundrums with Kids, K9s and Kats at the Klinik Merry Crimi ........................................................ 567
Prevention and Management of Conundrums with Kids in the Klinik Merry Crimi and Carolyn Butler ......................... 569
Avoiding & Solving Conundrums with Kids, Kittens & Puppies in the Household Soraya V. Juarbe-Diaz....................................... 572
Behavioral Conundrums with Kids, K9s and Kats at the Klinik Karen L. Overall................................................. 575
Roles and Responsibilities of Veterinary Professionals Dealing with Children in Practice Karen L. Overall................................................. 580
IMAGING
Imaging Lymphoproliferative Diseases in Cats Frances Barr ...................................................... 583
Imaging the Dyspnoeic Cat Frances Barr ...................................................... 586
Practical Feline Gastrointestinal Imaging Frances Barr ...................................................... 589
Top Tips for Feline Urinary Contrast Studies Frances Barr ...................................................... 592
Ultrasound versus Radiology of the Abdomen Frances Barr ...................................................... 594
Clinical Digital Photography Stephen L. Barten and Karen Rosenthal ........... 596
Radiographic Distinction of Heart Disease versus Heart Failure Donald E. Thrall ................................................. 600
Lung Patterns: Are We Too Enamored with Pattern Recognition? Donald E. Thrall ................................................. 604
Getting Better Radiographs More Safely: 15 Pearls in 15 Minutes Donald E. Thrall ................................................. 606
IMMUNOLOGY
Use of Serological Tests to Determine Vaccine Needs Michael R. Lappin .............................................. 609
Do Vaccines Make Some Cats Sick? Michael R. Lappin .............................................. 612
Redefining the Annual Visit: How Three-Year Vaccine Protocols Will Benefit Your Practice Ernest Ward, Jr.................................................. 614
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Training Your Staff About Triennial Vaccines Ernest Ward, Jr.................................................. 617
Three-Year Vaccines: What, How and Why to Tell Your Clients Ernest Ward, Jr.................................................. 619
INFECTIOUS DISEASE
The Mutant Prevention Concentration and Mutant Selection Window Joseph M. Blondeau.......................................... 621
Canine Influenza Virus Infection Cynda Crawford et al ......................................... 625
Outbreak! How Can We Approach Emerging Diseases? John A. Ellis....................................................... 627
Feline Calicivirus: What’s Old, What’s New, and What Can You Do about It? Kate F. Hurley.................................................... 629
Toxoplasmosis Michael R. Lappin.............................................. 633
Chronic Feline Infectious Diseases Michael R. Lappin.............................................. 636
How I Treat Clinical Toxoplasmosis Michael R. Lappin.............................................. 639
Lyme Disease: What to Do When the Snap Is Positive Meryl P. Littman................................................. 641
Feline Bartonella Infections – Just the Facts Alice M. Wolf...................................................... 644
Bacterial L-Form Infections Alice M. Wolf...................................................... 647
MISCELLANEOUS
Small Ruminant Tips for Small Animal Practitioners Joan S. Bowen .................................................. 649
Noninfectious Causes of Fever Leah A. Cohn..................................................... 654
Your Patient Has a Job and Needs to Stay Fit Ed Eames and Toni Eames............................... 657
Making Clients with Disabilities Feel Welcome Ed Eames and Toni Eames ............................... 659
Supporting the Assistance Dog Movement with My Time and Expertise Ed Eames and Toni Eames ............................... 661
Consumerism and the Health Care Community Ed Eames and Toni Eames ............................... 663
NEPHROLOGY AND UROLOGY
Urinary Tract Infections: Top Ten Questions Addressed Gregory F. Grauer and Linda Ross ................... 667
Early Diagnosis of Acute and Chronic Renal Damage: Where Are We Today? Gregory F. Grauer ............................................. 669
Accuracy of the Dipstick for Proteinuria Gregory F. Grauer ............................................. 672
Water Intake and Urine Output: What We Think We Know About Cats and Urinary Tract Disorders Doreen M. Houston............................................ 673
Advances in Progressive Renal Disease Diagnostics George E. Lees.................................................. 675
Treating Feline Kidney Disease: An Evidence-Based Approach David Polzin....................................................... 678
Treating Canine Kidney Disease: An Evidence-Based Approach David Polzin....................................................... 681
Renal Issues in the Geriatric Cat David Polzin....................................................... 684
How I Treat Proteinuria Barrack M. Pressler ........................................... 688
Up Close and Personal with Proteinuria: the Dipstick, the UPC and the ERD-HealthScreen Barrack M. Pressler ........................................... 690
Microalbuminuria: Significance and Testing Barrack M. Pressler ........................................... 693
Fungal Urinary Tract Infections Barrack M. Pressler ........................................... 694
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Differential Diagnosis of Dysuria Richard A. Read ................................................ 697
Chronic Progressive Renal Disease in the Cat: Recognition and Management Alice M. Wolf...................................................... 701
NEUROLOGY
Acute Spinal Disease Rodney S. Bagley.............................................. 705
Feline Neuromuscular Disorders Richard A. LeCouteur ........................................ 709
Vestibular Diseases of Cats and Dogs Richard A. LeCouteur ........................................ 713
Glucocorticoids in Veterinary Neurology/Neuro-surgery: The Good, the Bad and the Ugly Richard A. LeCouteur ........................................ 717
How Do I Treat Myasthenia Gravis? Richard A. LeCouteur ........................................ 720
NUTRITION
New Paradigms in Dietary Management of GI Diseases Vincent C. Biourge and Claudia A. Kirk............. 723
Fatty Acid Supplements – Do They Really Work? Deborah J. Davenport ....................................... 726
Comparing Over the Counter and Therapeutic Diets by the Numbers Sean J. Delaney ................................................ 728
Hey Doc, What Do You Think of My Home-Prepared Diet? Sean J. Delaney ................................................ 731
Re-check and Re-weigh, the Key to Weight Loss Sean J. Delaney ................................................ 734
Fat Cats – Management and Prevention Andrea J. Fascetti.............................................. 735
Enhancing Clinical Nutrition in Practice: A Logistical Approach Andrea J. Fascetti.............................................. 738
Amino Acid Analysis – An Underutilized Diagnostic and Prognostic Tool Andrea J. Fascetti.............................................. 741
The Veterinary Nutritionist Referral Andrea J. Fascetti.............................................. 744
Nutritional Concerns in the Geriatric Patient Andrea J. Fascetti.............................................. 745
Managing Struvite/Oxalate Urolithiasis: Point/Counterpoint Claudia A. Kirk and Vincent C. Biourge ............. 749
Calcium Oxalate Urolithiasis in Cats Claudia A. Kirk ................................................... 753
Food and Feeding Tubes: Feline Critical Care Nutrition Jocelyn Mott....................................................... 755
ONCOLOGY
Brain Tumors in Dogs: Where Are We Now? Rodney S. Bagley .............................................. 759
Management of Canine Osteosarcoma: Which Chemotherapeutic Is Best? Ruthanne Chun.................................................. 761
Canine Lymphoma: Managing without Maintenance Chemotherapy Ruthanne Chun.................................................. 764
Canine Bladder Tumors: Beyond Piroxicam Ruthanne Chun.................................................. 768
Antiangiogenic Strategies in Veterinary Oncology Ruthanne Chun.................................................. 771
Canine Brain Tumors: Improvements in Diagnosis and Treatment Ruthanne Chun.................................................. 772
Cancer Biology – Targets for Intervention Karen K. Cornell ................................................ 774
The Use of Nutraceuticals in Cancer Therapy Deborah J. Davenport and Phil Roudebush ...... 777
Antioxidant Regulation of Tumor Growth Jin Zhang and Michael G. Hayek....................... 781
Cancer Surgery Is Different! How to Perform Successful Tumor Surgery Martin Kessler.................................................... 783
Radiographic Diagnosis of Primary and Metastatic Lung Tumors Martin Kessler.................................................... 785
Current Therapy for Canine Oral Tumors Martin Kessler.................................................... 787
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Intranasal Lymphoma in the Cat Martin Kessler.................................................... 789
Anal Sac Carcinoma in the Dog Martin Kessler.................................................... 791
Treatment of Aural Neoplasia in Dogs and Cats Jolle Kirpensteijn and Gert ter Haar .................. 793
Treatment of Perianal and Anal Sac Tumors Fixing It Jolle Kirpensteijn ............................................... 797
Practical Treatment of Mammary Neoplasia Jolle Kirpensteijn and Gerald R. Rutteman........ 799
Mast Cell Tumors: A Logical and Effective Approach Jolle Kirpensteijn and B. A.W. Brocks ............... 802
Fatty Acid Regulation of Cancer Cell Growth Deborah W. Knapp ............................................ 805
Top 10 Advances in Oncology for 2005/2006 Gregory K. Ogilvie ............................................. 807
Feline Gastrointestinal Lymphoma Keith P. Richter.................................................. 810
What Is the Link Between Calcium and Neoplasia Kenita S. Rogers ............................................... 816
Decision Making for Common Cancers Kim A. Selting .................................................... 819
Recent Advances in Mast Cell Tumors Kim A. Selting .................................................... 822
Causes of Cancer: What to Tell Clients Kim A. Selting .................................................... 825
Non-Hypercalcemia Applications of Biophosphonates Kim A. Selting .................................................... 828
Current Therapy for Mast Cell Tumors Daniela Simon ................................................... 829
Malignant Lymphoma in the Dog: Short and Long Term Chemotherapy Daniela Simon ................................................... 832
Palliative Treatments in Veterinary Oncology Daniela Simon ................................................... 835
Multimodality Treatment of Subcutaneous Hemangiosarcoma Daniela Simon ................................................... 838
Prolactin and Anti-Prolactinic Agents in the Pathophysiology and Treatment of Mammary Tumors in the Dog John P. Verstegen III and Karine Onclin............ 840
Dietary Amino Acids Regulation of Neoplasia Joseph J. Wakshlag........................................... 845
Cancer Regulation in Senior Animals David J. Waters ................................................. 846
Counseling Clients in Crisis Ann Wortinger.................................................... 848
OPHTHALMOLOGY
Corneal Ulceration Gustavo A. Garcia Sanchez .............................. 853
Acute Glaucoma Gustavo A. Garcia Sanchez .............................. 855
Gonioimplants or Laser Therapy to Control Acute Glaucoma Gustavo A. Garcia Sanchez .............................. 858
Management of Complicated Corneal Ulcers Gustavo A. Garcia Sanchez .............................. 859
Navigating the Myths and Folktales of Ocular Medication – Treatment of Uveitis and Other Intraocular Diseases Brian C. Gilger ................................................... 861
Navigating the Myths and Folktales of Ocular Medication – Treatment of Corneal and Ocular Surface Diseases Brian C. Gilger ................................................... 865
Diagnosis and Treatment of Ocular Fundus Disorders of Geriatric Dogs Brian C. Gilger ................................................... 868
Ocular Cytology – Your Key to Immediate Ocular Diagnosis Brian C. Gilger ................................................... 871
Ocular Ultrasound – Technique and Diagnosis Brian C. Gilger ................................................... 873
The Top Ten Ophthalmic Mistakes Kerry I. Ketring................................................... 875
A Medley of Feline Ophthalmic Cases Kerry I. Ketring................................................... 877
Emergency Treatment for Anterior Lens Luxation Kerry I. Ketring................................................... 882
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Medical versus Surgical Therapy of Corneal Disease Tammy Miller Michau......................................... 883
New Approaches to Surgical Management of Feline Glaucoma Tammy Miller Michau......................................... 886
ORTHOPEDICS
Management of Osteomyelitis Steven C. Budsberg .......................................... 887
Hip Dysplasia: Decision Making James P. Farese................................................ 890
Patellar Luxation: Surgical Techniques James P. Farese................................................ 893
Current Treatment Options for Canine Osteosarcoma James P. Farese................................................ 896
Use of Self-Compressing Pins in Fracture Repair James P. Farese................................................ 899
Diagnostic Approach to Bone Tumors James P. Farese................................................ 900
Current Treatment Strategies of Canine and Feline Osteoarthritis Derek B. Fox...................................................... 902
Fluoroscopic Guidance of Sacroiliac Luxation Repair: A Minimally Invasive Approach Derek B. Fox...................................................... 905
Understanding the Canine Meniscus – Anatomy, Function, Disease and Treatment Derek B. Fox...................................................... 906
When and How to Use Cancellous Bone Grafts and the Alternatives Derek B. Fox...................................................... 908
Helpful Techniques in Bone and Joint Exposure Don Hulse.......................................................... 909
How to Get a Good View of the Medial Compartment Don Hulse.......................................................... 913
Forelimb and Hindlimb Lameness: Examination Methods to Assist in Early Diagnosis Don Hulse.......................................................... 914
Arthroscopy of the Shoulder and Elbow Don Hulse .......................................................... 917
Concept and Technique of Minimally Invasive Fracture Treatment Don Hulse .......................................................... 921
Circular External Skeletal Fixation Daniel D. Lewis.................................................. 924
Canine Osteoarthritis – The Roles of the Veterinarian and Veterinary Technician in Companion Animal Rehabilitation Denis J. Marcellin-Little...................................... 929
Juvenile Pubic Symphysiodesis – What We Do and Don’t Know Kyle G. Mathews................................................ 932
Conditioning and Range of Motion Exercises in the Dog Darryl L. Millis .................................................... 934
Arthrocentesis: How, When, Where and Why? Richard A. Read ................................................ 936
Treatment of Cruciate Injuries in Growing Dogs Aldo Vezzoni...................................................... 938
Early Diagnosis and Treatment of Canine Elbow Dysplasia Aldo Vezzoni...................................................... 941
Early Treatment of Hip Dysplasia with Pubic Symphysiodesis Aldo Vezzoni...................................................... 945
TTA (Tibial Tuberosity Advancement) in the Treatment of Cranial Cruciate Ligament Injuries Aldo Vezzoni...................................................... 949
Overview of Feline Degenerative Joint Disease Alice M. Wolf...................................................... 953
OTITIS
Diagnosis and Treatment of Otitis Externa Louis N. Gotthelf ................................................ 955
Malassezia Otitis Externa – Etiology and Treatment Louis N. Gotthelf ................................................ 958
Topical Ear Treatments Craig E. Griffin ................................................... 960
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Essentials for Controlling Chronic Ear Disease Craig E. Griffin ................................................... 964
Therapy of Ear Canal Hyperplasia and Stenosis Sue Paterson..................................................... 967
Therapy of Gram Negative Otitis Externa Sue Paterson..................................................... 970
How to Remove Polyps and Explore the Middle Ear Daniel D. Smeak................................................ 973
Otitis Externa: A Systematic Approach to Diagnosis and Treatment Randall C. Thomas............................................ 976
Diagnosis and Management of Otitis Media Randall C. Thomas............................................ 979
PAIN MANAGEMENT
What to Do When NSAIDS No Longer Work for Osteoarthritis Steven C. Budsberg .......................................... 985
Managing Intractable Pain Elizabeth M. Hardie ........................................... 987
What Every Practitioner Should Know about NSAID Use in Cats Elizabeth M. Hardie ........................................... 990
Is Feline Pain Hiding in Your Practice? Elizabeth M. Hardie and Alice M. Wolf .............. 993
Practical Approach to Pain Management and Rehabilitation B. D. X. Lascelles & D. J. Marcellin-Little .......... 995
Perioperative and Chronic Pain Management in the Dog Darryl L. Millis .................................................... 998
Use of the Lidocaine Patch for Analgesia Jane Quandt .................................................... 1002
Assessment and Treatment of Chronic Pain in Cats Sheilah A. Robertson....................................... 1003
Pain Management for Canine Osteoarthritis Philip Roudebush ............................................ 1007
Pain Management Strategies for Senior Cats Margie Scherk.................................................. 1011
The Practitioner’s Guide to Evaluating Cats for Osteoarthritis and Chronic Pain Alice M. Wolf.................................................... 1014
PARASITOLOGY
Heartbreakers: Dodging the Difficulties of Dirofilaria immitis Clarke Atkins and Mike Paul............................ 1017
Borrelia Burgdorferi, Lyme Nephritis and Total Lyme Disease Management Richard E. Goldstein........................................ 1020
How Wolbachia/Dirofilaria Immitis Interact? Laura H. Kramer .............................................. 1024
The Role of Wolbachia in the Inflammatory and Immune Response in D. Immitis Infected Animals Laura H. Kramer .............................................. 1027
Therapeutic Implication of Wolbachia in Heartworm Disease: Do Antibiotics Help? Laura H. Kramer .............................................. 1030
What Are Ticks Doing These Days? Emerging Diagnostic Research and Vaccine Management Considerations Reinhard K. Straubinger .................................. 1033
PHARMACOLOGY
Laws Affecting Drug Use by Veterinarians Alistair I. Webb................................................. 1037
PRACTICE MANAGEMENT
Giving Clients What They Want Most Lowell Ackerman ............................................. 1041
Challenges to Practice Profitability Lowell Ackerman ............................................. 1043
Getting Paid for Services Rendered Lowell Ackerman ............................................. 1045
Hospital Profit Planning Lowell Ackerman ............................................. 1047
Marketing Basics for Veterinarians Lowell Ackerman ............................................. 1049
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Veterinary Marketing – The Next Step Lowell Ackerman ............................................. 1051
Internet Marketing I: Basics Lowell Ackerman ............................................. 1053
Web Site Strategies: Getting Noticed on the “Net” Lowell Ackerman ............................................. 1055
Tools of Marketing Lowell Ackerman ............................................. 1057
Improving Hiring Accuracy 2–5 Times by Using this Interview Technique Elizabeth Bellavance ....................................... 1059
Collaborating with Industry and Competitors – A Must in Today’s Business Environment Elizabeth Bellavance ....................................... 1061
Managing Pharmacy Costs Elizabeth Bellavance ....................................... 1062
Foundations for Client Education Nan Boss ......................................................... 1064
Influencing Clients’ Perceptions of Your Hospital Nan Boss ......................................................... 1067
Using Handouts, Forms and Newsletters to Increase Client Compliance Nan Boss ......................................................... 1070
Will Your Practice Be One That Sells or Gets Passed Over – Part 1 Stanley R. Creighton and Dick Goebel ............ 1073
Will Your Practice Be One That Sells or Gets Passed Over – Part 2 Stanley R. Creighton and Dick Goebel ............ 1076
What Do Practice Owners Do to Drive Practice Values Down? Stanley R. Creighton and Dick Goebel ............ 1079
How to Build Continual Staff Improvement Roger F. Cummings......................................... 1082
Leadership Accountability Roger F. Cummings......................................... 1085
Hospital SurvivalConfronting the Human Resource Challenge: Parts 1 and 2 – Job Descriptions and Standards L. Dunn, C. Lacroix, C. A. Smith...................... 1088
Hospital SurvivalConfronting the Human Resource Challenge: Part 3 – Improving Performance L. Dunn, C. Lacroix, C. A. Smith...................... 1091
Hospital SurvivalConfronting the Human Resource Challenge: Part 4 – Performance Evaluations L. Dunn, C. Lacroix, C. A. Smith...................... 1094
Hospital SurvivalConfronting the Human Resource Challenge: Parts 5 and 6 – Consequences L. Dunn, C. Lacroix, C. A. Smith 1098
Lifestyle Marketing Donald J. Erceg ............................................... 1101
Building Your Brand Donald J. Erceg ............................................... 1103
Keeping Your Brand Promises Donald J. Erceg ............................................... 1105
Management of Veterinarians – Part 1 Karen E. Felsted and Roger F. Cummings...... 1107
Management of Veterinarians – Part 2 Coaching and Mentoring Doctors Karen E. Felsted and Roger F. Cummings...... 1110
Management of Veterinarians – Part 3 Karen E. Felsted and Roger F. Cummings...... 1113
Managing Your Practice Using Results from the AVMA-Pfizer Study Karen E. Felsted .............................................. 1116
Better Client Service through Better Communication Karen E. Felsted .............................................. 1120
An Ounce of Prevention — Liability Avoidance Strategies that Work Duane Flemming ............................................. 1124
Informed Consent: What You Must Tell Your Clients Duane Flemming ............................................. 1126
Causes of Action Against Veterinarians or How Many Ways Can You Be Sued? Duane Flemming ............................................. 1128
A Duty to Refer — The Veterinarian’s Responsibility Duane Flemming ............................................. 1131
Reliance on Compliance: An Error that Is Costing You Money Robert E. Froehlich.......................................... 1133
Common Size and Trend Analysis: How to Analyze Key Performance Measures in Your Practice Robert E. Froehlich.......................................... 1136
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The Dirty Dozen: How to Avoid the 12 Worst Financial Mistakes in Your Practice and Personal Dealings Robert E. Froehlich.......................................... 1142
Financial Planning: How Can I Develop a Basic Plan to Control Debt, Reduce Risk and Achieve My Financial Goals? Robert E. Froehlich.......................................... 1145
We Care About All Pets, Even the Written Ones James E. Guenther.......................................... 1149
Standards of Care for Medical Records James E. Guenther.......................................... 1150
Standards of Care for Client Service James E. Guenther.......................................... 1152
Making the Internet Work for You Athena Haresign.............................................. 1154
Transition to Paperless Athena Haresign.............................................. 1163
Marketing Veterinary Practice Using Local Media James P. Humphries ....................................... 1167
Client Communications for Good Compliance James P. Humphries ....................................... 1170
Profit Is an Opinion, Cash Is a Fact! Elise M. Lacher ................................................ 1174
What’s New in Fraud? Elise M. Lacher ................................................ 1175
Treat Slow Paying Clients Elise M. Lacher ................................................ 1176
Terminating the Employee without the Legal Bite Charlotte A. Lacroix ......................................... 1178
Selecting a Crematorium Charlotte A. Lacroix ......................................... 1179
Quickbooks for Veterinary Practices: Tips and Tricks Lorraine Monheiser List ................................... 1180
Which Services Are Really Making Money in Your Practice? Lorraine Monheiser List ................................... 1183
Job Descriptions: A Tool, Not a Task List Lorraine Monheiser List ................................... 1185
Specialty Practices: Unique Problems and Opportunities in Ownership Transitions Lorraine Monheiser List ................................... 1187
Demographics Workshop David F. McCormick ........................................ 1189
The Great Give-Away: Should You Really Sell Part of Your Practice? D. F. McCormick and L. F. McCormick............ 1192
What Veterinarians Can Learn from Physician Practice Models Mark J. McGaunn ............................................ 1195
Remaking Your Practice Using Franchise Business Financial Concepts Mark J. McGaunn ............................................ 1199
How to Communicate Assertively Philippe M. Moreau.......................................... 1203
Utilizing Contemporary Office Automation in the Veterinary Practice – Part 1 Kurt A. Oster .................................................... 1206
Utilizing Contemporary Office Automation in the Veterinary Practice – Part 2 Kurt A. Oster .................................................... 1209
Treat the Disgruntled Employee and Treat Staff Turnover Kurt A. Oster .................................................... 1212
How Do I Purchase a Practice or How Do I Make the Deal? Karl R. Salzsieder ............................................ 1215
How to Prevent Breach of the Standards of Care Karl R. Salzsieder ............................................ 1217
Local Demographics and Affordable Fees Gerald M. Snyder............................................. 1219
Coping with Profound Changes to Our Economy 2005-2015 Gerald M. Snyder............................................. 1221
Calculating Your Average Hospital Transaction Fee and Getting There Gerald M. Snyder............................................. 1223
Why 70% of Veterinary Hospital Labs Do Not Make an Effective Profit Gerald M. Snyder............................................. 1226
Improved Productivity Through Sharing Gerald M. Snyder............................................. 1229
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Increase Client Fee Satisfaction with 2005 Client Perception of Values Study Gerald M. Snyder............................................. 1232
Brief Review: Calculating Your Average Hospital Transaction Fee and Getting There Gerald M. Snyder............................................. 1234
Pharmacy: Why 70% of Practices Do Not Make an Effective Profit Gerald M. Snyder............................................. 1235
Compliance, Data Analysis, and Key Practice Performance Metrics Hank Swartz .................................................... 1236
Maximizing Revenue from Existing Clients Hank Swartz .................................................... 1242
Life Stage Marketing Hank Swartz .................................................... 1247
Should I Stay or Should I Grow? Denise L. Tumblin............................................ 1249
Proactive Scheduling: It’s Not Your Client’s Responsibility Denise L. Tumblin............................................ 1252
Is Your Profit Trickling Away? Denise L. Tumblin............................................ 1253
How to Find, Keep and Compensate the Right Associate Denise L. Tumblin............................................ 1254
Finding the Right Fit Denise L. Tumblin............................................ 1257
Mentoring: It’s Not Just for Corporate America Denise L. Tumblin............................................ 1258
The Medical History: Getting the Most Out of Your Clients Ernest Ward, Jr................................................ 1259
The Quest for Total Team Consistency: Tips to Improve Front/Back Teamwork Ernest Ward, Jr................................................ 1262
Five Steps to Better Teamwork Ernest Ward, Jr................................................ 1265
The Five Worst Things Clients Say to Us and How to Deal with Them Ernest Ward, Jr................................................ 1268
Client Q&A: Using Exam Questionnaires to Improve Patient Care Ernest Ward, Jr................................................ 1272
How to Choose Veterinary Software for the First Time Andrea K. Wright ............................................. 1273
How to Utilize the Software Efficiently Once It Is in Place Andrea K. Wright ............................................. 1275
REPRODUCTION
Pyometra in the Bitch and Queen John Verstegen................................................ 1277
Semen Collection and Artificial Insemination in the Cat K. Verstegen-Onclin & J. Verstegen ................ 1279
RESPIRATORY DISEASE
Aerosol Delivery of Medications to Small Animals Leah A. Cohn................................................... 1283
Respiratory Diagnostic Techniques – Principles and Priorities Leah A. Cohn................................................... 1285
Infectious Rhinitis: What Bugs? What Drugs? Eleanor C. Hawkins and Leah A. Cohn ........... 1291
Evaluating Breathing Patterns Eleanor C. Hawkins ......................................... 1295
Rescuing Patients in Respiratory Distress Eleanor C. Hawkins ......................................... 1297
Laryngeal Collapse – Incidence and Prognosis Geraldine B. Hunt ............................................ 1300
Diagnosis and Management of the Coughing Cat Lynelle Johnson............................................... 1302
Current Principles for Treatment of Pneumonia in Small Animals Lynelle Johnson............................................... 1305
Differential Diagnosis of the Coughing Dog Lynelle Johnson............................................... 1307
Canine Airway Collapse Lynelle Johnson............................................... 1310
Feline Lung Tumors Lynelle Johnson............................................... 1311
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Tracheal Obstructive Disease Lynelle Johnson............................................... 1312
Chronic Cough Lynelle Johnson............................................... 1313
Diagnostic Tests for Respiratory Disease Philip Padrid..................................................... 1314
Feline Asthma: Diagnosis and Treatment Philip Padrid..................................................... 1319
SENIOR CARE
Anesthetic Management of the Geriatric Patient Craig Mosley and Tamara Grubb .................... 1323
Best Treatments for Common Senior Pet Conditions Mark G. Papich and Joseph Taboada ............. 1327
Senior Cats – Age-Related Changes Affecting Management and Therapy Alice M. Wolf.................................................... 1332
SHELTER MEDICINE
Measuring and Assessing Stress in Shelter Cats Julie D. Dinnage .............................................. 1337
Pain Control in Shelter Animals-Options for Relief Andrea L. Looney ............................................ 1338
Routine Anesthetics in Shelter Animals Andrea L. Looney ............................................ 1343
What’s New in Disease Management and Sanitation Lila Miller.......................................................... 1346
The Veterinarian’s Role in Cruelty Investigations Lila Miller.......................................................... 1347
Assessing Behavior in a Shelter Environment Karen L. Overall............................................... 1348
Behavior Modification in a Shelter Environment Karen L. Overall............................................... 1350
Feline Vaccination Programs in the Shelter Environment Ronald D. Schultz ............................................ 1353
Canine Distemper Virus and Canine Parvovirus in the Shelter Environment Ronald D. Schultz ............................................ 1355
SPORTS MEDICINE
Testing for Tick Borne Diseases: How and When? A. R. Alleman and C. G. Couto........................ 1357
Role of Fat in Athletic Dogs: Endurance, Olfaction and Intelligence E. K. Altom and R. L. Kelley ............................ 1360
Using Injury Surveillance to Effect Policy and Procedure: An Eleven-Year Study 1993–2004 Earl D. Carlson and Sue A. Prucha ................. 1363
Why Do Greyhounds Bleed? C. Guillermo Couto .......................................... 1365
Influenza Virus Infection in Racing Greyhounds Cynda Crawford et al ....................................... 1367
Vaccine Development, Rational Use and Realistic Expectations in the Control of Contagious Disease Brad Fenwick ................................................... 1369
Newest Vaccination Strategies for Sporting Dogs William Fortney ................................................ 1371
Non-Pharmacologic Pain Relief in Sporting Dogs Tamara Grubb ................................................. 1373
State of the Racing Greyhound Industry Gary Guccione................................................. 1375
Application of Epidemiology Principles for Control of Infectious Disease in Canine Populations Laura L. Hungerford......................................... 1377
Success with Frozen Semen: Brood Bitch Management John F. Newell ................................................. 1380
Success with Frozen Semen: Sire Management John F. Newell ................................................. 1384
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New Perspectives on Sesamoid Disease Richard A. Read .............................................. 1387
Regulatory Aspects of Infectious Control Daniel J. Subach ............................................. 1390
SURGERY
Laparoscopic Ovarectomy vs. Ovariohysterectomy David Fowler.................................................... 1393
Laparoscopic Adrenalectomy David Fowler.................................................... 1395
Diagnosis and Treatment of Laryngeal Paralysis David Fowler.................................................... 1397
Hernia Repair: Principles and Practice Geraldine B. Hunt ............................................ 1399
Reconstructive Surgery of the Feet Geraldine B. Hunt ............................................ 1402
Skin Fold Advancement Flaps for Trunk Reconstruction Geraldine B. Hunt ............................................ 1405
Lip to Lid Skin Flap on Cats Geraldine B. Hunt ............................................ 1408
Management of Draining Sinuses in Dogs and Cats Geraldine B. Hunt ............................................ 1410
Tracheal Trauma: Fixing It Jolle Kirpensteijn and Gert ter Haar ................ 1413
Omentum: The Abdominal Policeman and Your Friend: How to Use It B. Duncan X. Lascelles ................................... 1415
How I Treat Perianal Fistulas Kyle G. Mathews.............................................. 1417
Surgical Placement of Feeding Tubes Kyle G. Mathews.............................................. 1419
Subtotal Ear Canal Ablation Kyle G. Mathews.............................................. 1423
Laparoscopic Gastropexy Eric Monnet...................................................... 1425
Surgical Approaches to the Thoracic Cavity Eric Monnet...................................................... 1426
Brachycephalic Airway Syndrome Eric Monnet...................................................... 1429
Basic Thoracic Surgery Juan F. Rodriguez Garcia................................ 1432
Chylothorax Juan F. Rodriguez Garcia................................ 1435
Surgery of the Hard and Soft Palate Juan F. Rodriguez Garcia................................ 1438
Lobectomy and Pneumectomy: Staplers versus Conventional Sutures Juan F. Rodriguez Garcia................................ 1441
Surgery for Laryngeal Paralysis Juan F. Rodriguez Garcia................................ 1443
Temporary Tracheostomy Howard B. Seim III ........................................... 1445
How I Treat GDV’s Needing Gastropexy Daniel D. Smeak.............................................. 1447
Avoiding Skin Tension without Flaps Daniel D. Smeak.............................................. 1450
Avoiding and Managing Complications from Perineal Urethrostomies in Cats Daniel D. Smeak.............................................. 1452
WOUND MANAGEMENT
Principles of Moist Wound Healing (or Why Wet-to-Dry Bandages May Be All Wet) Bonnie Grambow Campbell............................. 1455
Tips for Performing Successful Skin Grafts Bonnie Grambow Campbell............................. 1457
Extracellular Matrix Bioscaffolds Bonnie Grambow Campbell............................. 1458
Practical Patches for Worrisome Wounds: Subdermal Plexus Flaps David Fowler.................................................... 1461
Closed Suction Drains: Options and Applications David Fowler.................................................... 1463
Wound Management Secrets Howard B. Seim III ........................................... 1464
Wounds: The Scoop on Sugar Daniel D. Smeak.............................................. 1467
Case Examples: Chronic Nonhealing Wounds Daniel D. Smeak.............................................. 1468
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Bandaging Problem Areas on Dogs and Cats Steven F. Swaim.............................................. 1469
Some Practical Plastics to Relieve Wound Tension Steven F. Swaim.............................................. 1471
An Update on Wound Healing Research Steven F. Swaim.............................................. 1473
Tips for Preparing the Paw for Aseptic Surgery Steven F. Swaim.............................................. 1474
DIA EN ESPAÑOL
Diagnostico y Tratamiento de las Patologias Pericardicas mas Frecuentes Oriol Domenech............................................... 1475
Diagnostico y Tratamiento de la Estenosis Aortica Oriol Domenech............................................... 1478
Diagnostico y Tratamiento de la Insuficiencia de la Mitral Oriol Domenech............................................... 1481
Cardiologia Intervencionista. Es una Realidad o una Utopia? Oriol Domenech............................................... 1484
El Uso de la Cardiologia para el Monitoraje Intra- E Postoperatorio del Tratamiento Quirurgico o Intervencionista de las Cardiopatias Oriol Domenech............................................... 1486
Cirugia Basica del Torax Juan F. Rodriguez Garcia................................ 1488
Quilotorax en el Perro y en el Gato Juan Fco. Rodriguez Garcia............................ 1491
Cirugia del Paladar Juan Fco. Rodriguez Garcia............................ 1494
Lobectomia y Neumectomia: Suturas Mecanicas o Convencionales? Juan Fco. Rodriguez Garcia............................ 1497
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EXOTICS
AQUATIC MEDICINE
Basic Fish Husbandry Lara Croft......................................................... 1499
Basic Clinical Medicine of Pinnipeds Scott A. Gearhart ............................................. 1503
Fish Medicine: A Private Practitioner’s Perspective Sherri Kasper................................................... 1506
Basic Clinical Medicine for Stranded Cetaceans Charles A. Manire ............................................ 1509
Morbillivirus in Marine Mammals Charles A. Manire ............................................ 1511
Basic Water Quality for Fish Denise Petty .................................................... 1512
Old Tank Syndrome Denise Petty .................................................... 1516
Advanced Water Quality for Marine Mammals and Fish M. Andrew Stamper......................................... 1517
Head and Lateral Line Erosion Syndrome in Fish M. Andrew Stamper......................................... 1520
Basic Clinical Medicine for Manatees M. Walsh, E. Chittick, & S. Gearhart................ 1521
AVIAN
Pigeon Medicine and Surgery Bob Doneley .................................................... 1525
A Case of Tracheal Obstruction Bob Doneley .................................................... 1531
Antibody Serology - The Good and The Bad Bob Doneley .................................................... 1532
Biochemistries: What They Do and Don’t Do Bob Doneley .................................................... 1537
An Approach to Diagnosing Chlamydiosis Bob Doneley .................................................... 1541
Wildlife Triage – Treatment M. Scott Echols................................................ 1543
Raptor Medicine and Surgery M. Scott Echols................................................ 1546
Physical Therapy as a Part of Orthopedic Surgery M. Scott Echols................................................ 1549
Liver Disease – Diagnosis and Management M. Scott Echols................................................ 1551
Behavior in the Every Day Exam Room M. Scott Echols................................................ 1554
The Patient That Didn’t Know How to Play M. Scott Echols................................................ 1557
Avian Nutrition Demystified Susan E. Orosz................................................ 1560
The Polyuria/Polydipsia Problem Susan E. Orosz................................................ 1563
Zinc Toxicosis: Fact Vs. Fiction Susan E. Orosz................................................ 1566
Not Another Feather Picker! Susan E. Orosz................................................ 1568
Gram Stains: What’s the Poop? Susan E. Orosz................................................ 1569
PCR Diagnostics: What They Do and Don’t Do Susan E. Orosz................................................ 1570
Antimicrobial Therapy: Good, Bad and Ugly Karen L. Rosenthal .......................................... 1573
Microbiology: Revisiting the Gram Stain and Culture Karen L. Rosenthal .......................................... 1575
Chlamydial Diagnostics: So Much Confusion Karen L. Rosenthal .......................................... 1578
Aspergillus and Mycobacterial Diagnostics Karen L. Rosenthal .......................................... 1580
The Case of the Parrot with the Itchy Butt Karen L. Rosenthal .......................................... 1583
CSI: Chlamydia Karen L. Rosenthal .......................................... 1584
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Pet Waterfowl Medicine and Surgery Brian Speer...................................................... 1585
Pet Chicken Medicine and Surgery Brian Speer...................................................... 1589
Ratite Medicine and Surgery Brian Speer...................................................... 1593
The Case of the Wobbly Cassowary Brian Speer...................................................... 1598
“A Fly on the Wall.” The Art of Avian Practice Brian Speer...................................................... 1599
EXOTICS PRACTICE MANAGEMENT
Pricing Strategies in an Exotic Practice Gregory Stoutenburgh and Doug Mader ......... 1603
Managing Resources in an Exotic Practice Gregory Stoutenburgh and Doug Mader ......... 1605
REPTILES AND AMPHIBIANS
Caring for the Bearded Dragon Bob Doneley .................................................... 1607
Australian Reptiles You Don’t Have Yet: Pets of the Future? Bob Doneley .................................................... 1612
Reptile Coeliotomy: A Vital Technique to Master Stephen J. Hernandez-Divers ......................... 1614
Reptile Diagnostic Coelioscopy: A Means to a Definitive Diagnosis Stephen J. Hernandez-Divers ......................... 1619
Renal Diagnostics — Diagnosing Reduced Renal Function (Not Renal Failure!) Stephen J. Hernandez-Divers ......................... 1624
Reptile Radiology: Techniques, Tips and Pathology Stephen J. Hernandez-Divers ......................... 1626
Reptile Gastrointestinal and Respiratory Endoscopy: The Need to Look Inside Stephen J. Hernandez-Divers ......................... 1631
Meloxicam and Reptiles — A Practical Approach to Analgesia Stephen J. Hernandez-Divers ......................... 1636
Marketing Endoscopy in Reptile Practice Stephen J. Hernandez-Divers ......................... 1638
Fly-on-the-Wall – Reptile Practice Doug Mader ..................................................... 1641
Anatomic and Physiologic Considerations for Reptile Anesthesia Craig A.E. Mosley ............................................ 1643
Review of Current Reptile Anesthetic Techniques: The Do’s and Don’t’s Craig A.E. Mosley ............................................ 1646
Update on Anesthetic Monitoring Devices Craig A.E. Mosley ............................................ 1649
Pain, Nociception and Analgesia in Reptiles: When Your Snake Goes “Ouch”! Craig A. E. Mosley ........................................... 1652
Intravascular Access Options in Reptiles – What’s Reasonable? Craig A. E. Mosley ........................................... 1654
Is There a Role for Muscle Relaxants in Reptiles? Craig A. E. Mosley ........................................... 1656
Reptile Basics: Clinical Anatomy 101 Jean A. Paré .................................................... 1657
An Overview of Pet Reptile Species and Proper Handling Jean A. Paré .................................................... 1661
Reptile Disease Diagnosis: Get an Answer Before the Necropsy! Karen L. Rosenthal .......................................... 1665
Clinician’s Approach to the Chameleon Patient Scott J. Stahl.................................................... 1667
Management of Periodontal Disease in Lizards Scott J. Stahl.................................................... 1671
Reptile Hematology and Serum Chemistry Scott J. Stahl.................................................... 1673
Reptile Emergency Care Scott J. Stahl.................................................... 1677
Reptile Obstetrics Scott J. Stahl.................................................... 1680
Introduction to Cloacoscopy in Snakes Scott J. Stahl.................................................... 1684
Important Clinical Aspects of Amphibian Physiology Kevin Wright .................................................... 1686
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Common Medical Problems of Amphibians Kevin Wright .................................................... 1689
Working with Uromastyx Lizards Kevin Wright .................................................... 1692
SMALL MAMMALS
Clinical and Surgical Approach to Common Diseases of Pet Rodents Vittorio Capello ................................................ 1693
Clinical Approach to the Anorectic Guinea Pig Vittorio Capello ................................................ 1697
External Fixation for Fracture Repair in Small Exotic Mammals Vittorio Capello ................................................ 1700
Surgical Treatment of Dental-Related Abscesses in Pet Rabbits Vittorio Capello ................................................ 1703
Diagnosis and Treatment of Dental Disease in Pet Rodents Vittorio Capello ................................................ 1707
Lateral Ear Canal Resection and Ablation in Pet Rabbits Vittorio Capello ................................................ 1711
Endoscopic Surgery in Small Mammals: The Future Is Already Here! Stephen J. Hernandez-Divers ......................... 1714
Clinical Techniques in Rabbits Laurie Hess...................................................... 1719
Clinical Techniques in Ferrets Laurie Hess...................................................... 1722
Adding Small Mammals to Your Practice Laurie Hess...................................................... 1726
Compounding Drugs for Exotic Species Laurie Hess...................................................... 1729
Practice Tips in Ferrets Heidi Hoefer..................................................... 1731
Cardiac Disease in Ferrets Heidi L. Hoefer................................................. 1732
Urolithiasis in Rabbits and Guinea Pigs Heidi L. Hoefer................................................. 1735
Fly on the Wall: The Art of Small Mammal Practice Heidi Hoefer..................................................... 1737
Analgesia and Anesthesia in Rabbits and Rodents Joerg Mayer..................................................... 1740
Interpreting Renal Values in the Ferret Joerg Mayer..................................................... 1743
Update on Adrenal Gland Disease in Ferrets Joerg Mayer..................................................... 1744
Diagnostic Work-up of the Anemic Ferret Joerg Mayer..................................................... 1746
Update on Ferret Lymphoma Joerg Mayer..................................................... 1748
Management of Ferrets with Multiple Pathologies Joerg Mayer..................................................... 1750
Understanding Clinical Pathology in Rabbits Michael J. Murray ............................................ 1751
Practice Tips: Rabbits Michael J. Murray ............................................ 1754
Spays and Neuters in Small Mammals Michael J. Murray ............................................ 1757
Nasogastric Tubes in Rabbits Michael J. Murray ............................................ 1760
Rabbits: It’s Not Always Pasteurella Michael J. Murray ............................................ 1761
Calcium Metabolism in Rabbits: What’s New? Karen L. Rosenthal .......................................... 1764
Feeding the Hypoglycemic Ferret Karen L. Rosenthal .......................................... 1766
WILDLIFE
Black and White Rhino Capture in the Wild Markus S. Hofmeyr .......................................... 1767
Bovine Tuberculosis in Buffalo and Current Projects in the Kruger National Park Markus S. Hofmeyr .......................................... 1771
Veterinary Functions within South African National Parks and Its Alignments with SANParks Objectives Markus S. Hofmeyr .......................................... 1774
The Art of Wildlife Practice Thomas B. Schotman ...................................... 1776
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An Overview of Veterinary Involvement in Conservation Scott P. Terrell ................................................. 1779
Pathology and Conservation Scott P. Terrell ................................................. 1782
Veterinary Advances That Impact Amphibian Conservation Kevin Wright .................................................... 1783
How Any Veterinarian Can Advance Reptile Conservation Kevin Wright .................................................... 1786
The Case of the Constipated Walking Stick Kevin Wright .................................................... 1788
ZOOLOGICAL MEDICINE
Common Malnutrition Issues of Birds and Reptiles Sonia M. Hernandez-Divers............................. 1789
Diet Presentation - Enriching the Environment of Exotics and Wildlife Sonia M. Hernandez-Divers............................. 1791
Insects as Food: Nutritious and Delicious Sonia M. Hernandez-Divers............................. 1794
The “Art” of Zoological Practice Sonia M. Hernandez-Divers............................. 1796
Elephant Captures in the Wild and Implications for the Introduction into New Areas Markus S. Hofmeyr .......................................... 1799
Disease-Free Buffalo Breeding Project Markus S. Hofmeyr .......................................... 1802