Internal Medicine

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Canine Immune-Mediated Polyarthritis: Meeting the Diagnostic and Therapeutic Challenges

Immune-mediated polyarthritis (IMPA) is an important condition to recognize in dogs. Treatment of IMPA is significantly different than treatment of many other conditions that may present with similar clinical signs, and protocols may vary between patients. Therefore, making an accurate diagnosis is critical. This article identifies some of the key considerations for establishing the diagnosis and making appropriate treatment plans for dogs with IMPA.

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Fluid Therapy in Critical Care

Intravenous fluid administration is probably the most frequently used therapy in veterinary hospitals. Aggressive IV fluid resuscitation in emergent patients and continuous IV fluid administration in hospitalized patients have long been considered fundamental in the management of critically ill animals. However, research into whether the type and volume of fluids infused can contribute to comorbidities and decrease the chances of a favorable outcome continues. This article reviews new trends in fluid therapy in human and veterinary critical care medicine.

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Glycemic Control of Hospitalized Diabetic Patients

Glycemic control in diabetic dogs and cats may be jeopardized by hospitalization for treatment of diabetic or nondiabetic disorders or routine health care interventions, such as minor surgical procedures or dental prophylaxis. Thus, a major challenge for veterinarians caring for established diabetics in the hospital is to provide needed care while avoiding significant disruption of glucose control. This article provides useful strategies and techniques for in-hospital glucose management in established stable diabetics.

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The Practitioner’s Acid–Base Primer: Differential Diagnoses & Treatment

Lori S. Waddell, DVM, Diplomate ACVECC The first article of this 2-part series, Obtaining & Interpreting Blood Gases (May/June 2013), addressed techniques for obtaining blood gases and interpretation; this article further investigates metabolic and respiratory disturbances, including therapeutic measures for both. This article is the second in the 2-part series: The Practitioner’s Acid–Base Primer. The …

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Internal Medicine Practice Pearls

Michael Schaer, DVM, Diplomate ACVIM & ACVECC THE ART OF DIAGNOSIS To make the correct diagnosis, we need the right choices. To consider the right choices, we need the right information. To obtain the right information, we need to ask the right questions. Asking the right questions is the hallmark of clinical expertise. ~ R. …

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