Archive for 2016

Steroid Responsive Meningitis-Arteritis (SRMA)

SRMA, also known as corticosteroid responsive (aseptic) meningitis is an auto-immune disease that targets the leptomeninges and associated vessels. The exact cause is unknown. Studies have suggested a Th2-mediated response with elevated Immunoglobulin A (IgA) levels in the CSF and serum. Elevated IL-8 levels have been noted in the CSF which is associated with invasion…

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Ethics in Veterinary Medicine

The ethics of veterinary practice, particularly oncology, is an interesting topic for numerous reasons and one that should be discussed more frequently and fervently. These ethical dilemmas are perhaps more frequent and challenging for surgical, medical, and radiation oncologists because of the nature of what we do on a daily basis but the relative lack…

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New Options to Dupe Demodex

Isoxazolines are a potent new class of ectoparasiticides that exhibit their anitparasitic activity through specific blockade of insect GABA- and glutamate-gated chloride channels.   Fluralaner (Bravecto®, Merck Animal Heath), afoxolaner (NexGard®, Merial), and sarolaner (Simparica®, Zoetis) are oral isoxazolines approved for the prevention of fleas and ticks in dogs. Mounting clinical experience and several recent…

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Advances in Assessment of Tumor Margins

Advances in Assessment of Tumor Margins Assessment of surgical margins is a challenging task for the histology technician, pathologist, and submitting veterinarian. It is often difficult to communicate results of margin evaluations to a submitting veterinarian in a written report, or even by phone. This task is further complicated by the various techniques applied in…

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A Helpful Guide for Supporting Children through Pet Loss

Losing a pet can impact the entire family, but it can be especially painful for children, since it is typically their first encounter with death.  The relationship a child has with a companion animal determines the level of grief he or she will experience with the loss.  Understanding the bond shared between children and their…

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Nasal Foreign Body Presentation

Signalment: 8-year-old male castrated Terrier mix (10.3 kg) Presenting Complaint: sneezing and gagging for 1.5 weeks prior to presentation which progressed to nasal congestion. History: Initial clinical signs included sneezing followed by gagging.  At night nasal congestion was noted by owners.  Initial medical management included enrofloxacin and Neo-Poly-Dex drops administered intra-nasally.  No improvement noted and…

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Cancer chemotherapy – Then, Now, and the Future

In 2016, an estimated over 1.5 million new cases of cancer will be diagnosed in the United States and almost 600,000 people will die from the disease.1 On the veterinary side, there are approximately 65 million dogs and 32 million cats in the United States, with roughly 6 million new cancer diagnoses made in each…

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Thoracoscopy for Treatment of Cardiac Hemangiosarcoma

A 7-year-old female spayed 14-kilogram mixed breed dog was presented to HOPE Veterinary Specialists for a surgical consult after a recent diagnosis of a right auricular mass.  She initially presented to her local emergency clinic for an acute episode of lethargy, pale mucous membranes and increased respiratory effort.  Radiographs at that time showed a characteristic…

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Tracheal Stenting for Tracheal Collapse

Initial findings Signalment: 12-year-old female spayed Yorkshire terrier (4.1 kgs) Presenting complaint: Progressively worsening periods of inspiratory dyspnea with mild coughing Pertinent history: 3-year history of collapsing trachea and mild chronic valvular disease; Failed medical management with Theophylline ER, Butorphanol, Diphenhydramine, Enrofloxacin, and/or Acepromazine Medications: Prescription diet w/d (Hill’s Pet Nutrition), Hydrocodone (2.5mg orally very…

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Reading and Interpreting a Histopathology Report

Introduction: Often the pathology report is a source of frustration for both the submitting clinician and the pathologist. It is important to better understand the roles and responsibilities of both surgeon and pathologist in order to promote a better dialogue between the two. Most tumor related biopsies yield a diagnosis, however, in cases in which…

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