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Clinical Medicine

Systemic Hypertension in Dogs & Cats

  Amy Dixon-Jimenez, DVM; Gregg Rapoport, DVM, Diplomate ACVIM (Cardiology); and Scott A. Brown, VMD, PhD, Diplomate ACVIM Systemic arterial hypertension is increasingly recognized as a disease that impacts survival and quality of life for small animal patients and, as such, is being diagnosed with more frequency. Patients with hypertension (HT) are often subclinical or …

Cardiac Blood Tests in Cats: Another Tool for Detection of Heart Disease

  Mark Oyama, DVM, Diplomate ACVIM (Cardiology) The NT-proBNP assay’s clinical utility has been demonstrated in patients with clinical signs, but what about its ability to assess risk of occult disease? Diagnosis is complicated by the fact that while heart murmurs are relatively common in adult cats, not every cat with a murmur has underlying …

Top Ten: Ten Ways to Improve Your Orthopedic Examination

  Derek B. Fox, DVM, PhD, Diplomate ACVS Correctly diagnosing any orthopedic condition begins with completing a thorough orthopedic examination. In a stable patient, the orthopedic examination will include a full assessment of the musculoskeletal and neurologic systems. Radiographs and other specific diagnostic tests may also be included. 1. Signalment is Your Friend The orthopedic …

Diagnosis of Canine Heartworm Infection

  Margaret C. Barr, DVM, PhD; Elizabeth P. Boynton, DVM; Peggy L. Schmidt, DVM, MS, Diplomate ACVPM; Frank Bossong, DVM; and Gary R. Johnston, DVM, MS, Diplomate ACVR Dirofilaria immitis, the causative agent of canine heartworm disease, induces significant cardiopulmonary pathology in dogs in the United States and worldwide. Although highly effective methods are available to prevent infection in …

Welfare & Ethics in Veterinary Shelter Medicine

  Sherry Loveless, Animal Behavior and Conservation Program of Hunter College, City University of New York and the Potomac Institute for Policy Studies in Arlington, Virginia Animal behavior and welfare scientists, veterinarians, and researchers from disciplines, such as physiology, psychology, and ethics have made ardent strides in understanding and improving the lives of animals in …

Focus on Pharmacology: Ketamine
To Use or Not to Use for Pain Management

Mark E. Epstein, DVM, Diplomate ABVP (C/F), CVPP, & dAAPM Ketamine has been in long and routine use as a dissociative anesthetic. More recently, new pharmacologic features of ketamine have been discovered that provide novel pain modification. It’s Place in Pain Management It is well-established in human medicine that the use of adjunct medications, including …

Practice Step by Step
Bonded Sealant Application for Crown Fractures

Brook A. Niemiec, DVM, FAVD, Diplomate AVDC For uncomplicated crown fractures with no radiographic evidence of disease, bonded sealant application can: Resolve sensitivity Block infection Improve aesthetics Smooth the tooth to decrease plaque accumulation, delaying periodontal disease. This is a simple procedure that every veterinary hospital should offer. Clinics with dental radiology and a high-speed …

Ten Tips to Improve Your Ophthalmology Skills

Kenneth Abrams, DVM, Diplomate ACVO Ophthalmology is a discipline of clinical recognition. We do not do many blood tests, radiographs, higher imaging, or urinalyses to determine a diagnosis; rather, through a systematic clinical examination we can usually determine the patient’s disease and subsequent treatment. Here are 10 tips to improve your ophthalmic examination skills. Figure …

Contrast-Enhanced Ultrasonography for Characterization of Liver Nodules

Cintia R. Oliveira, DVM, MS; Nathalie Rademacher, DrMedVet, Diplomate ECVDI & ACVR; and Lorrie Gaschen, DVM, PhD, Diplomate ECVDI Benign and malignant liver lesions can be identified by contrast-enhanced ultrasonography. Detection and characterization of liver tumors represents a diagnostic imaging challenge in both human and veterinary medicine. Routine gray-scale B-mode ultrasonography is sensitive for detecting …

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