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Clinical Medicine

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 …

Advances in Stem Cell Therapy
Application to Veterinary Medicine

  Donna Alderman, DO, and Robert W. Alexander, MD, DMD, FICS Musculoskeletal disorders and open wounds are common in veterinary medicine. Osteoarthritis afflicts 10 to 12 million dogs in the United States and is the most common cause of chronic pain in dogs.1 Tendon and ligament injuries are common in performance horses and potentially more …

Diagnosis & Treatment of Crown Fractures

  Brook A. Niemiec, DVM, FAVD, Diplomate AVDC Tooth fractures are defined as complicated or uncomplicated:1  Uncomplicated crown fractures have direct dentin but no pulp exposure  Complicated crown fractures have direct pulp (nerve) exposure. Both types require therapy, but treatment differs depending on the physical and radiographic appearance. The most commonly affected teeth are the …

Unique Therapies for Difficult Wounds

Jennifer L. Wardlaw, DVM, MS, Diplomate ACVS and Kristen O’Connell Traumatic wounds are frequently encountered by the small animal practitioner The inciting cause and severity of the wound dictate the duration of treatment, required materials/equipment, and labor intensity. Despite the availability of cutting-edge antibiotics, age and underlying disease or concurrent illness may contraindicate administration. Many “old-school” …

Consider This Case
Hepatocutaneous Syndrome in a Shiba Inu

Joel D. Ray, DVM, MS Consider This Case Overview This case report describes a 13-year-old Shiba Inu diagnosed with canine hepatocutaneous syndrome (HCS). The initial presenting signs were dull moth-eaten hair coat with erythema, crusts on the feet, and discoloration of pedal hairs. Diagnosis of HCS was made based on abdominal ultrasound and histopathology of …

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