PROCEEDINGS OF THE NORTH AMERICAN VETERINARY … · Jens Häggström.....221 Value of Measuring Cardiac Troponins in Your Practice Jens Häggström ... Albert E. Jergens.....450 Clinical

PROCEEDINGS

OF THE

NORTH AMERICAN VETERINARY CONFERENCE

VOLUME 20

JANUARY 7-11, 2006

ORLANDO, FLORIDA

SMALL ANIMAL AND EXOTICS EDITION

Small Animal — Table of Contents ______________________________________________________________________________________________

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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.

The North American Veterinary Conference — 2006 ______________________________________________________________________________________________

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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


xii

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


xiii

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


xiv

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


xv

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


xvi

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


xvii

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


xviii

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


xx

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


xxi

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


xxii

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

Documents

PROCEEDINGS OF THE NORTH AMERICAN VETERINARY … · Jens Häggström.....221 Value of Measuring Cardiac Troponins in Your Practice Jens Häggström ... Albert E. Jergens.....450 Clinical