PROCEEDINGS OF THE NAVC CONFERENCE VOLUME 29 … · proceedings of the navc conference volume 29...
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PROCEEDINGS OF THE NAVC CONFERENCE VOLUME 29 JANUARY 17-21, 2015 ORLANDO, FLORIDA SMALL ANIMAL AND EXOTICS EDITION Book 1
Transcript of PROCEEDINGS OF THE NAVC CONFERENCE VOLUME 29 … · proceedings of the navc conference volume 29...
PROCEEDINGS
OF THE
NAVC CONFERENCE
VOLUME 29
JANUARY 17-21, 2015
ORLANDO, FLORIDA
SMALL ANIMAL AND EXOTICS EDITION
Book 1
PROCEEDINGS
OF THE
NAVC CONFERENCE
VOLUME 29
JANUARY 17-21, 2015
ORLANDO, FLORIDA
SMALL ANIMAL AND EXOTICS EDITION
Book 2
Published by the NAVC, 5003 SW 41st Blvd., Gainesville, FL 32608. Copyright 2015 by the NAVC. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted without written permission from the NAVC.
“Special thanks for the continued assistance received from Robin Hipple, Medical Editor.”
About the Cover: Jim Wilson’s fascination with animals has influenced many aspects of his life including his career choice. A professional wildlife artist for over thirty five years, Jim spends many hours seeking out and researching his subjects for his detailed pen and ink drawings. He relies on reference material gathered from field work, museums, zoos, veterinary hospitals and rehabilitation facilities. His camera is a constant companion, providing a permanent collection of reference photos. Jim’s work has been featured in a variety of NAVC material since 1992.
The ideas, content and conclusions presented in these Proceedings are strictly those of the contributors and do not necessarily represent the viewpoint, position, or endorsement of the NAVC. The NAVC and the contributors do not take responsibility for information provided on dosages and methods of applications of drugs mentioned in these Proceedings. This information must be verified by the user from appropriate literature and/or additional sources. While all contributors were invited to submit manuscripts for the general sessions, some chose not to do so. The NAVC regrets these omissions, but has done everything possible to ensure a comprehensive Proceedings for the NAVC Conference 2015.
Small Animal – Table of Contents i ______________________________________________________________________________________________
ALTERNATIVE MEDICINE Integrative Neurology: Disorders of the Back and Hind Limbs Steve Marsden................................................................1 The Science Behind Veterinary Acupuncture Steve Marsden................................................................6 Chinese Medical Diagnosis Using Patient History Steve Marsden..............................................................12 Using Thermal Imaging to Guide Acupuncture Point Selection Steve Marsden..............................................................16 Integrative Neurology: Disorders of the Head and Neck Steve Marsden..............................................................19 Integrative Management of Musculoskeletal Disorders Steve Marsden..............................................................23 Chinese Medical Diagnosis Using Laboratory Tests and Imaging Data Steve Marsden..............................................................28 Chinese Medical Diagnoses Common in Winter Steve Marsden..............................................................30 Integrative Management of Systemic Lupus in a Dog Steve Marsden..............................................................34 Nutrition and Cancer: Polyunsaturated Fatty Acids and Beyond Gregory K. Ogilvie.........................................................36 Top Ten Natural Cancer Therapies: Banerji and Beyond Gregory K. Ogilvie.........................................................39 A Look at the Future: High Tech Answers for Cancer Gregory K. Ogilvie.........................................................44 Acupuncture for Soft Tissue Injuries: Myofascial, Trigger, and Local Points Justin Shmalberg..........................................................47 Get to the Point: Acupuncture Point Selection and Clinical Applications Justin Shmalberg..........................................................49 Transcutaneous Electrical Nerve Stimulation Versus Electroacupuncture: Is There a Difference? Justin Shmalberg..........................................................52
Ultrasound-Guided Rehabilitative Acupuncture Justin Shmalberg..........................................................53 Integrative Neurology – Disorders of the Head and Neck M. Christine Zink...........................................................54 Maintenance of the Canine Athlete – The Zen and the Art M. Christine Zink...........................................................57 Acupuncture in Performance Dogs: Running on Pins and Needles M. Christine Zink...........................................................60 Acupuncture and Rehabilitation: How to Integrate the Two to Improve Outcomes M. Christine Zink...........................................................64
ANESTHESIOLOGY Capnography in Practice David D. Martin.............................................................65 Analgesia: Pharmaceutical Analgesic Adjuncts – Fact or Fiction David D. Martin.............................................................67 Opioids and Emesis: Does the Patient Have to Suffer? David D. Martin.............................................................69 Alpha-2 Agonists: Ups and Downs of Their Use Bruno H. Pypendop and David D. Martin......................70 Feline Anesthesia and Analgesia: Recent Developments Bruno H. Pypendop.......................................................75
Anesthesia: Mechanical Ventilation and Mechanical Ventilators Bruno H. Pypendop.......................................................78 Fluid Therapy for Anesthetized Patients: Which (Crystalloids, Colloids, Blood Products) and How Much? Bruno H. Pypendop.......................................................82 Terminology in Anesthesia and Analgesia: Potency, Efficacy, Affinity, Selectivity, Half-Life, etc. – What Does It Mean? Bruno H. Pypendop.......................................................84 Serenity Now: Practical Sedation Options for Pets Heidi L. Shafford...........................................................87
TABLE OF CONTENTS Small Animal Book 1: Pages 1-704
ii _____________________________________________________________________________________________ Anesthesia and Analgesia for Geriatric and Neonatal Patients Andre Shih....................................................................90
BEHAVIOR The Root of All Evil : Canine and Feline Anxiety Terry Marie Curtis…………………………………………93
Human-Directed Canine Aggression : “He’s Good
99% of the Time…”
Terry Marie Curtis…………………………………………96
Inter-Dog Aggression : An Inconvenient Truth – All Dogs Do Not Like All Other Dogs Terry Marie Curtis…………………………………………98
Anxious Pets in Your Clinic: How to Handle ‘Scaredy Cats and Fraidy Dogs’ Terry Marie Curtis……………………………………….100
Dog Aggression: Assessing the Risk – Parts 1 and 2 Martin Godbout…………………………………………..101
Extreme Patients – A Video Example Martin Godbout…………………………………………..104
Twenty Years of Evidence Supporting Pheromone Therapy Gary Landsberg………………………………………….106
Chill Out ! Strategies for Incorporating a Conditioned Relaxation Response into Behavior Therapy Christopher L. Pachel…………………………………...112
The Pet‒Human Bond : How Pets Benefit from People and How You Can Promote This Relationship by Incorporating Behavior Into General Practice Barbara Sherman………………………………………..114
Measuring and Optimizing Cognition in Dogs Barbara Sherman………………………………………..117
How Household Environments Influence Feline Litter Box Use Barbara Sherman………………………………………..120
From Wolves to Dogs: Genetic, Cognitive, and Dietary Shifts Barbara Sherman………………………………………..123
Trazadone: A Useful Drug in General Practice Barbara Sherman………………………………………..125
CARDIOLOGY Diagnosing and Managing Canine Dilated Cardiomyopathy Amara Estrada............................................................127
Top Ten Cardiology Breakthroughs You Can’t Afford to Miss Amara Estrada............................................................130 Clinical Echo Made Easy: Three Steps to Success Amara Estrada............................................................131 Friendly Pharmacology That Improves Patient Care Amara Estrada............................................................133 Radiographic Interpretation Made Easy: The Coughing / Dyspneic Dog and Cat Philip R. Fox................................................................135 Cardiac Versus Respiratory Disease: How to Accurately Sort It Out Philip R. Fox................................................................137 Breakthroughs for Risk Stratification and Treatment – Feline HCM Philip R. Fox................................................................141 Canine CHF: How to Reduce Morbidity, Live Better, and Longer Philip R. Fox................................................................142 Cardiogenic Pulmonary Edema in Dogs Romain Pariaut ..........................................................145 Abdominocentesis for the Cardiac Dog Romain Pariaut ..........................................................147 Heart Failure: 12 Pearls in Diagnosis and Management Romain Pariaut ..........................................................149 ECG Interpretation: Tips to Get the Best Out of It Romain Pariaut ..........................................................152
CRITICAL CARE Approach to Acute Nephrotoxicosis in Dogs and Cats – Ethylene Glycol and Beyond Mark Acierno and Justine A. Lee................................155
Picking the Right Poison: The Correct Emetic Agents to Use in Dogs and Cats Justine A. Lee.............................................................159
How to Tackle a Thoracocentesis Justine A. Lee.............................................................161
Hepatotoxicants Affecting Dogs and Cats Justine A. Lee.............................................................162
Emergency Cases Gone Awry: Morbidity and Mortality Rounds Lisa L. Powell..............................................................165 Colloid Therapy: Should We or Shouldn’t We? Lisa L. Powell..............................................................166
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Small Animal – Table of Contents iii ______________________________________________________________________________________________
Shock Fluid Therapy: Too Much or Not Enough? Lisa L. Powell..............................................................169 RECOVER Initiative: An Update on Veterinary CPR Lisa L. Powell..............................................................170
CYTOLOGY
The Cytologic Evaluation of Lymph Nodes A. Rick Alleman...........................................................171 Fast and Simple Analysis of Synovial Fluid A. Rick Alleman...........................................................175 The Cytology of Neoplastic Lesions in Dogs and Cats Rick L. Cowell.............................................................177 The Cytologic Evaluation of Lymph Nodes Rick L. Cowell.............................................................179
What’s Your Diagnosis – Cytology Cases Rick L. Cowell.............................................................182
DENTISTRY Interpreting Feline Dental Radiographs: Learning What You Were Never Taught Jan Bellows.................................................................185
Tooth Resorption: Don’t Think You Know, Know You Know! Jan Bellows.................................................................189
How I Treat Refractory Stomatitis in Cats Jan Bellows.................................................................192
How I Treat Suspect Squamous Cell Carcinoma Lesions Jan Bellows.................................................................195
Surgical Tooth Extraction in Cats Cindy Charlier.............................................................198
How I Treat Retained Roots in Cats Cindy Charlier.............................................................204
Building Your Canine Dental Practice: Chomp Down on Dentistry Cindy Charlier.............................................................206
Dental Preventive Care and Client Education: Client and Staff Education, Marketing, and Home Care Gary S. Goldstein........................................................209
Dental Pathology Case Presentations, Clinical and Radiology: Interactive Discussion of What’s New Gary S. Goldstein........................................................213
Surgical and Nonsurgical Extractions Made Easy Gary S. Goldstein........................................................216 Building Your Feline Dental Practice ‒ Me-Wow! Barden Greenfield.......................................................219 Me-Ouch! Gingivostomatitis Tips – New Therapies, Proven Therapies Barden Greenfield.......................................................221 Interpreting Canine Dental Radiographs: Learning What You Were Never Taught John R. Lewis..............................................................223
Tooth Extractions: Orthopedic Complications John R. Lewis..............................................................226
How I Avoid Fracturing the Rostral Mandible John R. Lewis..............................................................229
How I Avoid Fracturing the Mandible at M1 John R. Lewis..............................................................231
Surgical Tooth Extraction in Dogs Mark M. Smith.............................................................232
Tooth Extraction: Dental Complications Mark M. Smith.............................................................234 How I Avoid Root Tips in Canals and Cavities Mark M. Smith.............................................................236
DERMATOLOGY / OTOLOGY
Diagnosis of Otitis Externa in the Real World Paul B. Bloom.............................................................237 Treatment of Otitis Externa in the Real World Paul B. Bloom.............................................................240 New Drugs in Veterinary Dermatology Paul B. Bloom.............................................................242 Shampoo Therapy Paul B. Bloom.............................................................244
Diagnosis and Treatment of Canine Atopic Dermatitis Terri Bonenberger.......................................................245
Global Innovations in Dermatology Douglas J. DeBoer......................................................249
Dilemmas in Dermatology: Pearls and Pitfalls Douglas J. DeBoer, Dawn Logas, and Randall Thomas..........................................................251
Got Atopy? Dana Liska..................................................................254
Food Allergy: It’s What’s for Dinner Dana Liska..................................................................257
iv _____________________________________________________________________________________________ Itchy Pets: Case-Based Dermatology Dana Liska..................................................................260 Itchy Cats: Evidence-Based Diagnosis and Treatment Karen A. Moriello.........................................................261
Dermatophytosis: More Flexible Treatment Options and Monitoring Karen A. Moriello.........................................................265 Ten Minutes to Closing Dermatology Disaster Karen A. Moriello.........................................................268 What Has Changed in the Treatment of Demodicosis Karen A. Moriello.........................................................270 Cytology and Cultures: Successful Tips and Techniques to Implement Tomorrow James O. Noxon.........................................................271 Diagnosis and Management of Chronic Canine Otitis James O. Noxon.........................................................274 Fleas, Pruritus, and Atopic Dermatitis Wayne Rosenkrantz....................................................277 Canine Pruritus Diagnostics: A Clinical Approach Wayne Rosenkrantz....................................................280 Canine Otitis Externa: My Favorite Topical and Systemic Treatments Wayne Rosenkrantz....................................................284 My Favorite Treatments for the Atopic Dog Wayne Rosenkrantz....................................................291
Pets, Pruritus, and Parasites Wayne Rosenkrantz....................................................299
Otitis Externa: Which Ear Cleanser Should I Choose? Lori A. Thompson........................................................306
Feline Atopy: Cats Are Not Small Dogs Lori A. Thompson........................................................310
ENDOCRINOLOGY
Canine Cushing’s: Your Questions Answered Audrey K. Cook...........................................................313
Feline DKA and Hyperosmolar Diabetic Syndromes – Principles and Practice and Some Management Pearls Michael Schaer...........................................................316
Feline Diabetes: Essential Facts for the Astute Practitioner J. Catharine Scott-Moncrieff........................................320
Long-Term Management of Canine and Feline Diabetics Cynthia R. Ward..........................................................324
Emerging Endocrine Diseases in the Cat Cynthia R. Ward..........................................................327
How and When to Treat Feline Hyperthyroidism Cynthia R. Ward..........................................................330
How to Change Insulin Types in Your Patients Cynthia R. Ward.........................................................331
ENDOSCOPY
Endoscopy of the Small and Large Intestine David C. Twedt............................................................333
Special GI Endoscopy Techniques David C. Twedt............................................................335
FORENSICS & ANIMAL WELFARE Global Animal Welfare Issues and the Small Animal Practitioner G. Anzuino and K. Anzuino.........................................339
Behavioral Signs of Compromised Welfare in Dogs Debra F. Horwitz…………………………………………342
Behavioral Signs of Compromised Welfare in Cats Debra F. Horwitz…………………………………………346
Assessing Pain and Quality of Life in Cruelty Cases Sheilah A. Robertson..................................................350
GASTROENTEROLOGY
The Acute Abdomen: To Cut or Not to Cut? David S. Biller and David C. Twedt.............................353
Motility Disorders of Esophagus and Gastrointestinal Tract: “It’s Not Moving” Edward J. Hall.............................................................356
Fecal Culture: “What Does a Positive Stool Culture Mean?” Edward J. Hall.............................................................359
Canine Chronic Enteropathy: Antibiotics, Diet, or Steroids? Edward J. Hall.............................................................362
Unusual Gastric Diseases: “It Looks Weird” Edward J. Hall.............................................................365
Motility Disorders of Esophagus and Gastrointestinal Tract: “It’s Not Moving” Jonathan Lidbury.........................................................368
NAVC Conference 2015
Small Animal – Table of Contents v ______________________________________________________________________________________________
Beyond Fecal Culture: Laboratory Tests in Gastrointestinal Disease Jonathan Lidbury.........................................................371
Chronic Diarrhea in Cats: Strategies for Success Jonathan Lidbury.........................................................375
Gastrinoma: The Forgotten Cause of Vomiting Jonathan Lidbury.........................................................379
Canine Schistosomiasis: What to Look Out For Jonathan Lidbury.........................................................381
The Chronic Vomiting Cat and Anesthetic Protocols for the GI Patient: The What, Why, and How Andre Shih, David S. Biller, and David C. Twedt........383
Long-Term Management of Chronic Intestinal Disease in Dogs and Cats David C. Twedt and Frederic P. Gaschen...................386
Do Supplements Have a Role in the Support of Gastrointestinal and Hepatic Health? David C. Twedt............................................................390
Managing Vomiting in Cats: What’s New for an Old Problem? Debra Zoran................................................................393
HEMATOLOGY
Blood Film Evaluation: Coordinating with the Hemogram A. Rick Alleman...........................................................399
Advanced Hematology – Battle of the Bands Dennis B. DeNicola.....................................................405
HOSPITAL DESIGN
Don’t Let Noise Dominate Your Animal Care Facility C. Scott Learned.........................................................409
Controlling Disease and Eliminating Odor by Design C. Scott Learned.........................................................411
Green Building: Engineering Design for Efficiency C. Scott Learned.........................................................414
Biological Risk Management for Veterinarians Heather E. Lewis and LeMac’ Morris..........................415
Stress-Free Practice Design Heather E. Lewis.........................................................418
Material Horror Stories and How to Avoid Them Heather E. Lewis.........................................................421
Coordination of Equipment Heather E. Lewis.........................................................424
Nurturing Your Pet with Nature – Part 1: Natural Lighting, Natural Patterns, and Colors Richard M. Rauh.........................................................427
Nurturing Your Pet with Nature – Part 2: Sensory and Discovery Experiences Richard M. Rauh.........................................................430
Design a Healing Environment – The Case for Evidence-Based Design Wayne Usiak...............................................................433
Building Tomorrow’s Cutting Edge Practice Wayne Usiak...............................................................434
Avoid the Costly Mistakes – Deal Breakers You Must Avoid Wayne Usiak...............................................................436
Design to Facilitate Staff Effectiveness Wayne Usiak...............................................................438
Getting the Floor Plan Right Wayne Usiak...............................................................439
HUMAN–ANIMAL BOND Practitioners’ Dialogue on the Human‒Animal Bond in Practice Laird Goodman and Gregg Takashima......................441
Honoring the Bond: When Cancer Threatens Gregory K. Ogilvie.......................................................444
The Human‒Animal Bond in Practice: A Panel Discussion Gregory K. Ogilvie.......................................................448
IMAGING
How I Use Compression Radiography to Diagnose Intestinal Obstruction Lorrie Gaschen............................................................451
Improve Your Interpretation of Radiographic Lung Patterns in Dogs and Cats Lorrie Gaschen............................................................452
Practical Aspects of the Upper GI in Dogs and Cats: Is That a Lesion or an Artifact? Lorrie Gaschen............................................................454
How I Do Ultrasound-Guided Tissue Sampling Lorrie Gaschen............................................................456
vi _____________________________________________________________________________________________
INFECTIOUS DISEASE Canine Infectious Respiratory Disease Complex: Update on Novel Emerging Pathogens Stephan A. Carey........................................................459
Lyme Disease: Treatment of Acute and Chronic Manifestations Justine A. Lee.............................................................464 Leptospirosis: Insights into Emergency Management Justine A. Lee.............................................................468
Could This Be Infectious? A “Whodunit” Approach to Infectious Disease Cases Jane Sykes and Leah A. Cohn....................................472
Burning Up: Diagnostic Approach to Fever in Dogs and Cats Jane Sykes..................................................................474
Antibiotic Use Guidelines: Which Drug, When, and For How Long? Jane Sykes..................................................................477
Perils and Pitfalls of Cyclosporine Use Jane Sykes..................................................................480
Update on Diagnostic Tests for Fungal Infections Jane Sykes..................................................................481
MISCELLANEOUS
Small Ruminant Tips for Small Animal Practitioners:
Backyard Sheep and Goats Joan S. Bowen............................................................485
Getting the Most Out of the Minimum Database: The Biochemical Profile Dennis B. DeNicola.....................................................489
Getting the Most Out of the Minimum Database: The Complete Blood Count Dennis B. DeNicola.....................................................491
Getting the Most Out of the Minimum Database: The Complete Urinalysis Dennis B. DeNicola.....................................................493
Aging: Finding the Accelerators and the Brakes Donald K. Ingram........................................................494
Unlocking the Science Behind Exceptional Longevity in Dogs David J. Waters...........................................................500
NEPHROLOGY & UROLOGY Development of Fluid Plan for Acute Kidney Injury Patients Mark J. Acierno...........................................................503
Is My Patient an Appropriate Candidate for Renal Replacement Therapy? Mark J .Acierno...........................................................504 Hypertension Mark J. Acierno...........................................................506 Improving the Quality of Life for Cats with Chronic Kidney Injury Mark J. Acierno...........................................................508 Uncomplicated Urinary Tract Infection in Dogs: Diagnosis and Treatment Dennis J. Chew...........................................................511 Cats and Stones – The Gift That Keeps on Giving Jody Lulich..................................................................515
Kidney Disease: Advances in Early Diagnosis and Monitoring Jane Robertson...........................................................518
Chronic Kidney Disease in Cats: Tools for Early Diagnosis and Staging and Impact on Therapy Jane Robertson...........................................................521
Diagnostic and Therapeutic Approach of Dogs and Cats with Lower Urinary Tract Disease Jodi L. Westropp and Lorrie Gaschen.........................526
Risk Factors and Management of Feline Idiopathic Cystitis Jodi L. Westropp.........................................................530
Diagnosis and Management for Feline Ureterolithiasis Jodi L. Westropp.........................................................534
Urethral Sphincter Mechanism Incompetence Jodi L. Westropp.........................................................536
NEUROLOGY Trauma to the Nervous System Simon R. Platt.............................................................539
Immunomodulatory Approaches to Inflammatory CNS Disease Simon R. Platt.............................................................543
Neurologic Lesion Localization: Pass the Examination Tom Schubert..............................................................544
Head Trauma: Evaluation, Treatment, and Prognosis Tom Schubert..............................................................546
NAVC Conference 2015
Small Animal – Table of Contents vii ______________________________________________________________________________________________
Antiepileptic Drugs: On Two Drugs and Still Having Seizures Tom Schubert..............................................................549
Paraplegia in Dogs: Five Medications That Might Help Tom Schubert..............................................................551
Paraplegia in Dogs: Role of Laser Therapy Tom Schubert..............................................................552
NUTRITION Nutrition for Senior Dogs: New Tricks for Feeding Old Dogs Julie A. Churchill.........................................................553
Losing Excess Weight and Keeping It Off – How to Manage Obesity in General Practice Martha G. Cline...........................................................557
Uncommon Uroliths – Nutritional Management of Urate, Cystine, and Rare Crystals and Stones Martha G. Cline...........................................................561
What We Learned About Small Animal Nutrition at the 2014 ACVIM Forum and AAVN Symposium Martha G. Cline.......................................................... 565 How Can Nutrition Affect Dental Health in Dogs and Cats? Martha G. Cline...........................................................567
The Cat and the Carbohydrate Conundrum – What Have We Learned from Science, Research, and Clinical Experience? Andrea J. Fascetti and Martha G. Cline......................569 Are Raw Food Diets Radical or Reasonable? A Review of the Evidence Andrea J. Fascetti.......................................................578 Debunking Nutritional Myths: Facts and Fallacies from the Internet and Beyond Andrea J. Fascetti.......................................................582 Nutritional Sustainability – What is it and How Can We Help Clients Understand and Practice It? Andrea J. Fascetti.......................................................586
Pet Food Myth Busters: Answering Common Owner Questions About Pet Food Lisa M. Freeman.........................................................588
Nurturing Life’s Journey: The Role of Nutrition in Dogs Sherry Lynn Sanderson..............................................592
Foods for the Future: The Role of Nutrition in Canine Development Justin Shmalberg........................................................596
Weight Loss in Cats: Tips, Tricks, and Tools to Make It Successful Angela Witzel..............................................................600
ONCOLOGY Mast Cell Tumors Luis Feo Bernabe........................................................605
Soft Tissue Sarcoma in Dogs Luis Feo Bernabe....................................................... 609 Use of Palladia at Doses Below the Maximum Tolerated Dose Luis Feo Bernabe........................................................612 The Role of Clinical Trials for Clients and Their Pets Luis Feo Bernabe........................................................616
Surgical Oncology Cases: How I Answer “Could We?” vs “Should We?” for My Patients Sarah Boston..............................................................617
Onco Surgery Tips: Soft Tissue Sarcoma of the Antebrachium Sarah Boston..............................................................620
Onco Surgery Tips: Lump-and-Bump-ology Sarah Boston..............................................................622
Gonadectomy Risks and Benefits Revisited: A Balanced Look at the Data ‒ Oncology Perspective Sarah Boston..............................................................626 Animal Welfare in Cancer Treatment Sarah Boston..............................................................628 Mammary Gland Tumors Pachi Clemente-Vicario...............................................630 Chemotherapy in Cats Pachi Clemente-Vicario...............................................632 How to Read a Paper About Veterinary Oncology Pachi Clemente-Vicario...............................................634
How to Prevent (and Treat) Chemotherapy Side Effects Pachi Clemente-Vicario...............................................635
Lumps and Bumps Cancer Awareness Initiative for Pet Owners and Veterinarians Sue Ettinger................................................................637
An Oncologist’s Thoughts on Holistic Supplements Sue Ettinger................................................................639
Top Ten Oncology Mistakes and How to Avoid Them Sue Ettinger................................................................641
viii _____________________________________________________________________________________________ Canine Mast Cell Tumors: Let’s Discuss the Controversies Laura D. Garrett..........................................................644 Metronomic Chemotherapy: The Why and How Laura D. Garrett..........................................................648 Soft Tissue Tumors: A Practical Approach to Diagnosis and Treatment Laura D. Garrett and Laura E. Selmic.........................650
Head and Neck Cancer: Review of Challenging Cases Laura D. Garrett and Laura E. Selmic.........................654
Canine Osteosarcoma: Beyond Amputation – A Guide to Current Treatment Options Laura D. Garrett and Laura E. Selmic.........................657
Radiation Oncology in Cats: Insights Into When Why, and How Valerie J. Poirier..........................................................660
Radiation Therapy in Cats: Add It to Your Treatment Plan Valerie J. Poirier..........................................................662
Neoplastic Effusions in Cats: From Diagnosis to Treatment Valerie J. Poirier..........................................................664
Drugs for Cats with Cancer: New and Old Targeted Oncologic Therapies Valerie J. Poirier..........................................................666
Feline Mammary Gland Tumors Valerie J. Poirier..........................................................667
Feline Brain Tumors: The Facts You Need to Know Valerie J. Poirier..........................................................668
Canine Mast Cell Tumors: Cut to Cure? Laura E. Selmic...........................................................669 Partial Limb Amputations: Indications and Practicalities Laura E. Selmic...........................................................672
Surgical Complications in Cancer Patients: It’s Not the End of the World Laura E. Selmic...........................................................674
OPHTHALMOLOGY
Lack of Purrception: Vision Loss in the Clear Feline Eye Mary B. Glaze.............................................................675
Feline Uveitis and Its Consequences Mary B. Glaze.............................................................679
Vector-Borne Disease: The Eyes Have It! Mary B. Glaze.............................................................682 Fungal Keratitis in Dogs Mary B. Glaze.............................................................685 Colors of Corneal Disease Mary B. Glaze.............................................................687 Corneal Ulcers – Only 0.5 mm Separate You from Disaster Ron Ofri.......................................................................690 The Cornea – It’s Not Only Ulcers Ron Ofri.......................................................................694 Cats with Runny Eyes – Treatment of Feline Herpesvirus Infections Ron Ofri.......................................................................697 My Dog is Blind! Workup and Differentials for Acute Blindness Ron Ofri.......................................................................698
Diagnosis and Treatment of the Red Eye Ron Ofri.......................................................................699
Non-healing Corneal Ulcers in Dogs: Battling the Boxer and Beyond Shelby Reinstein.........................................................702
ORTHOPEDICS Managing Cranial Cruciate Ligament Disease Michael G. Conzemius................................................705
Beating Boomeritis® – Maintaining a Healthy Musculoskeletal Framework for Life Nicholas A. DiNubile...................................................707
Platelet-Rich Plasma and Its Clinical Application in Dogs Samuel Patrick Franklin..............................................708
Hip Dysplasia: An Algorithm for Early Diagnosis and Treatment Samuel Patrick Franklin..............................................711
Medial Patellar Luxation: Making Sense of the Numerous Surgeries Samuel Patrick Franklin..............................................716
Fracture Management: Casts and Splints Samuel Patrick Franklin..............................................719
Femoral Head Ostectomy Versus Total Hip Replacement ‒: The Bottom Line Samuel Patrick Franklin..............................................723
Common Mistakes and Misconceptions in Patella Luxation Surgery Clara S.S. Goh............................................................724
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Small Animal – Table of Contents ix ______________________________________________________________________________________________
Practitioner’s Guide to Fracture Management: Clinical Case Discussions Clara S.S. Goh and Ross H. Palmer...........................727
Hip Dysplasia: Tips for Evaluating the Puppy with Questionable Hips Clara S.S. Goh............................................................735
Practitioner’s Friend: Custom Orthotic Braces and Prosthetics Clara S.S. Goh............................................................739
Does Stem Cell Therapy Have a Place in Canine Orthopedics? Clara S.S. Goh............................................................741 Gonadectomy Risk and Benefits Revisited: A Balanced Look at the Data ‒ Orthopedic Perspective Clara S.S. Goh............................................................743 Feline Orthopedics: Cruciate Ligament Rupture Sorrel J. Langley-Hobbs..............................................745
Feline Orthopedics: Tricks for Metatarsal and Metacarpal Fractures Sorrel J. Langley-Hobbs..............................................747
Feline Orthopedics: Mandibular Fracture Repair Tips Sorrel J. Langley-Hobbs..............................................749
Feline Orthopedics: Long Bone Fracture Repair Tips Sorrel J. Langley-Hobbs..............................................753 Radiology of Feline Bone and Joint Disease: They’re Not Little Dogs Sorrel J. Langley-Hobbs..............................................758 The Supracondylar Plate for Feline Fractures Sorrel J. Langley-Hobbs..............................................761 External Skeletal Fixation: Dogs and Cats Are Different! Ross H. Palmer and Sorrel J. Langley-Hobbs............763 Closed Reduction and Stabilization of Hip Luxation: Video Example Ross H. Palmer...........................................................768
Tips for a Meaningful Lameness Exam: Clinical Case Examples Ross H. Palmer...........................................................770 How I Do a Trochleoplasty (and Common Errors to Avoid) Ross H. Palmer...........................................................773
How I Do a Tibial Crest Transposition (and Common Errors to Avoid) Ross H. Palmer...........................................................776 How to Have More “Winners” (and Less “Loosers”) with IM Pins and Cerclage Wire Robert M. Radasch.....................................................778
Simple Tibial Crest Transposition Using Dental Equipment Robert M. Radasch.....................................................782 Tips for CCL Diagnosis and Treatment When There “Ain’t No Drawer” Robert M. Radasch.....................................................784 Orthopedic Errors I’ve Seen and Done (But You Can Avoid) Robert M. Radasch.....................................................788
Cruciate Surgery Options: The Good, the Bad, and the Ugly Robert M. Radasch.....................................................792 How and Why to Measure the Tibial Plateau Slope Robert M. Radasch.....................................................796
Intra-articular Therapies and How They Affect Joint Physiology Julia Tomlinson...........................................................798
Hip Dysplasia: Lifetime Management Julia Tomlinson...........................................................801
Arthritis and Exercise – How Much Is Enough? Julia Tomlinson...........................................................804
PAIN MANAGEMENT Long-Acting Opioids Mark E. Epstein..........................................................807 Focus on Feline Pain Management Mark E. Epstein...........................................................810 Those “Other” Pain Drugs – Facts and Fiction Mark E. Epstein...........................................................819 Feline Pain – What Are You Missing? B. Duncan X. Lascelles...............................................824 Risk-Benefit Decision Making in the Long-Term Use of NSAIDs for Canine Osteoarthritis B. Duncan X. Lascelles...............................................825
Multimodal Management of Osteoarthritis Rick Wall.....................................................................827
PARASITOLOGY Understanding Tick-Borne Pathogen Transmission A. Rick Alleman and Rob Armstrong...........................831
Products and Prevalence – What the Data is Telling Us About Parasite Prevention Dwight D. Bowman......................................................835
x _____________________________________________________________________________________________ More – More Ticks, More Places, More Disease Susan Little.................................................................837
PHARMACOLOGY
Secret Pharmacology Tony Johnson..............................................................839
Adverse Drug Reactions: How to Avoid in Dogs Lauren A. Trepanier....................................................842
Adverse Drug Reactions: How to Avoid in Cats Lauren A. Trepanier....................................................846 Drugs Gone Bad: Sucralfate Lauren A. Trepanier....................................................850 Drugs Gone Bad: Fluconazole Lauren A. Trepanier....................................................851 Drugs Gone Bad: Potentiated Sulfonamides Lauren A. Trepanier....................................................852 Florida Drug Laws Update Thomas Vickroy..........................................................853
PRACTICE MANAGEMENT
The Sensible Pharmacy: The Right Mix of Medicine and Management ‒ Don’t Let the Tail Wag the Dog Lowell Ackerman.........................................................857
Leadership Lessons Learned from a Veterinary Technician Paige A. Allen..............................................................860
Training: Create a Winning Strategy Nan Boss.....................................................................862
Breed-Specific Programs – Where the Exam Room Meets the Internet Nan Boss.....................................................................866
Finding Harmony as You Blend Your Life’s Work Into Your Life – Can You Be a Leader While Trying to Be a Doctor, Serve in Your State Association, and Get Dinner Ready? Karen Bradley and Julie Kumble.................................868
Are You Controlling Inventory or Is Inventory Controlling You? Mary Brookings...........................................................870
Three Tips for Running an Efficient Inventory Center Mary Brookings...........................................................874
Lifelong Care for Your Feline Patients Jane Brunt...................................................................880
Easy, Legal Maneuvers to Use When Terminating Employees Betsy Choder..............................................................882
Legal Considerations When Handling Employee Complaints Betsy Choder..............................................................885
Hot Legal Tips for Practice Management in 2015 Betsy Choder..............................................................888 Three Leadership Mistakes Limiting Your Success Amanda Donnelly........................................................891
Your To-Do List: Gain Control Amanda Donnelly........................................................894 My Five Best Tips to Help Your Team Achieve Practice Goals Amanda Donnelly.......................................................897
Client Communications That Enhance Client Understanding and Patient Care Amanda Donnelly........................................................899
A Team Approach to Fear-Free Visits Louise S. Dunn............................................................902
Hot HR Tips for 2015 – Panel Discussion Louise S. Dunn, Kurt Oster, and Mary Ann Vande Linde................................................................904
Preventive Wellness Plans: Making Changes and Implementing Louise S. Dunn............................................................910
Why Your Practice is Not Reaching Its Potential Louise S. Dunn............................................................912
Appointment Books: Tips for Awkward Moments Louise S. Dunn............................................................914
Enduring Relationships Start with Paperless Client Experiences Michelle Durkee..........................................................916 KPIs: To Measure, Manage, and Increase Profits Byron Farquer.............................................................917
No/Lo Practice: Profitability Recovery Tips Byron Farquer.............................................................920
Why Be an Owner? Byron Farquer.............................................................923
Five Pathways to a Successful Practice Sale Byron Farquer.............................................................926
Five Tips, Three Tricks, and One Useless Comment to Improve Your Bottom Line Byron Farquer.............................................................931
Can Clients Really Be “Priceless”? Karen E. Felsted.........................................................934
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Small Animal – Table of Contents xi ______________________________________________________________________________________________
The Business of Business in Veterinary Medicine Karen E. Felsted.........................................................936
Changes in Veterinary Medicine and How to Adapt for Success Karen E. Felsted.........................................................939
2015 Hot Social Media Trends to Know Eric D. Garcia..............................................................943
Leveraging Digital Marketing and Exam Room Discussions to Build Stronger Relationships Eric D. Garcia and Andy Roark...................................944
It Takes a Village – Brining Veterinary Hospice to Your Clinic Mary Gardner and Dani McVety.................................947
Answering the Million Dollar Question: “Doc, When Is It Time?” – Helping Owners Assess the Quality of Life Mary Gardner and Dani McVety.................................949
What You Need to Know to Successfully Market Pet Wellness Plans Karyn Gavzer..............................................................950
Smart Practical Ideas to Use Now to Build Word-of-Mouth and Reach Beyond the Walls of Your Practice Karyn Gavzer..............................................................952
Blooper Recovery Tips for Awkward Moments Karyn Gavzer..............................................................953 Hot Marketing Trends to Know in 2015 Karyn Gavzer..............................................................954 Leasehold Potential Problems Edward J. Guiducci.....................................................955 Revolutionize Your Practice: Change Your Focus in Five Steps Ivy Heath and Andrew Roark......................................959 Social Media – Your Practice’s Megaphone Laurie Hess and Bill Schroeder...................................961 Using Modern Media to Increase Compliance Laurie Hess and Bill Schroeder...................................965 Three Steps to Avoid a Social Media Generation Gap Laurie Hess and Bill Schroeder...................................968 Avoiding the “Twin Traps”: Medical Nihilism and Overtreatment Tony Johnson..............................................................971
Knowing What You Don’t Know: Cognitive Bias in Medicine Tony Johnson..............................................................973
Euthanasia: Making It Easier for Everyone Involved Tony Johnson..............................................................977
Women’s Leadership: Minding the Gap and Sharing Solutions Julie Kumble and Donald F. Smith..............................979
Challenges of Maximizing Job Performance Kurt Oster....................................................................983
HR Tips: Protecting Your Future Kurt Oster....................................................................987
What It Takes to Build a Valuable Team Jill Renfrew..................................................................990
Bronze or Gold Medal? The Difference is in Your Efficiency Jill Renfrew..................................................................994
How Distorted Thinking Is Keeping You from Winning Jill Renfrew..................................................................997
Case Examples of How to Attract New Clients with Digital Marketing, Smart Strategies, and Good Communication Andy Roark and Eric D. Garcia.................................1000
Lifelong Care: The Role of Hospital Staff Nancy Shaffran.........................................................1001
Lifetime Care for Pets – Planning for the Possibility That Pets Outlive Their Pet Owners Amy Shever...............................................................1004
Compensation and Benefit Trends to Know Denise L. Tumblin.....................................................1007
Fee Trends That Clients Love Denise L. Tumblin.....................................................1009
Three Tips for a Successful Practice Denise L. Tumblin.....................................................1012
Time Management and You Mary Ann Vande Linde..............................................1014
Conflict – Not in Our Practice! Mary Ann Vande Linde..............................................1018
Tips for Successfully Communicating with Your Team Mary Ann Vande Linde and Kurt Oster.....................1020
Retain Clients with Education Marketing Peter Weinstein.........................................................1024
Keeping Clients Coming Back Peter Weinstein.........................................................1026
Three Tips to Build Client Trust Through Pet Advocacy Peter Weinstein.........................................................1028
Maximize the Lifetime Value of Your Clients Through Education, Communication, and Strong Financial Management Fritz Wood and Peter Brown.....................................1031
xii _____________________________________________________________________________________________
REHABILITATION Emerging Trends in Veterinary Laser Technology: Revolutionizing Pain Management and Wound Healing David S. Bradley.......................................................1033
How Can I Use Nutraceuticals with Rehabilitation Therapy in My Canine Patients? Debra A. Canapp......................................................1036
Sports Medicine and Rehabilitation Practices: From Start Up to Success – Part 1: Starting Rehabilitation Practice – There’s More to Rehabilitation Than an Underwater Treadmill Rosemary J. LoGiudice.............................................1040 Core Concepts in Veterinary Rehabilitation Justin Shmalberg......................................................1043 Sports Medicine and Rehabilitation Practices: From Start Up to Success. Part 2. Canine Sports Medicine Practice M. Christine Zink.......................................................1047
RESPIRATORY DISEASE
The Short of Breath Cat ‒ How to Get Them Home! Gareth Buckley..........................................................1049
Puppy Pneumonia – More than Shipping Fever Gareth Buckley..........................................................1051
Respiratory Distress and Diagnostic Imaging: A Case-Based Discussion Gareth J. Buckley and Elizabeth Rozanski...............1053
Breathe Easier: Successful Strategies for Tackling Severe Respiratory Infections Leah A. Cohn............................................................1058
Recognizing Pulmonary Fibrosis in Practice Carol R. Reinero.......................................................1061
Respiratory Disease in Dogs and Cats: If They Can’t Breathe, Nothing Else Matters Carol R. Reinero.......................................................1064
Breed-Specific Pulmonary Disease: From Bulldogs to Terriers Elizabeth Rozanski...................................................1066 The Unified Airway: The Link Between Upper and Lower Airway Disease Elizabeth Rozanski....................................................1069 How to Do a Laryngeal Examination Elizabeth Rozanski....................................................1072
SHELTER MEDICINE Feline Body Language: The Ultimate in Nonverbal Communication Sara L. Bennett.........................................................1073
Distinguishing Feline Behaviors in Shelters: Stressed, Fearful, or Feral? Sara L. Bennett.........................................................1077
Reducing Stress in Shelter Cats: Environmental Management and Enrichment Strategies Sara L. Bennett.........................................................1080
Feline Immunodeficiency Virus: What Every Shelter Needs to Know Annette L. Litster.......................................................1084
What to Expect in a Neonatal Kitten or Puppy Elizabeth Thomovsky................................................1087 Care of the Sick Neonate: Diagnostics and Beyond Tube Feeding Elizabeth Thomovsky................................................1090
Managing Neonatal Upper Respiratory and GI Disease Elizabeth Thomovsky................................................1093
Management of Neonatal Septicemia Elizabeth Thomovsky................................................1094
Hypothermia in Neonates: Prevention and Treatment Elizabeth Thomovsky................................................1095
Characteristics of Clients and Animals Using High-Volume Nonprofit Spay-Neuter Clinics Sara C. White, Janet M. Scarlett, and Julie K. Levy..............................................................1096
SOFT TISSUE SURGERY Pain Diffusion Catheters – Local Anesthesia for Pain Control Sarah Boston............................................................1097
The LigaSure is Awesome! J. Brad Case.............................................................1098
Minimally Invasive Surgery: Why It’s Not Going Away and What It Means to You J. Brad Case.............................................................1099
Gonadectomy Risk and Benefits Revisited: A Balanced Look at the Data ‒ General Soft Tissue Perspective J. Brad Case.............................................................1102
How to Make Your Own Continuous Suction Catheter Karen Tobias.............................................................1104
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Small Animal – Table of Contents xiii ______________________________________________________________________________________________
How to Bandage Those Difficult Places with a “Tie Over Bandage” Karen Tobias.............................................................1105
Anatomy of the Ear: Useful Reminders for the Practicing Veterinarian Karen Tobias.............................................................1106
Practical Tips for Uncomplicated Ear Surgery Karen Tobias.............................................................1108
Basic Surgical Skills: Tips and Trips Karen Tobias.............................................................1111 Portosystemic Shunts Karen Tobias.............................................................1114 Body Wall Hernias: Perineal, Inguinal, and More Karen Tobias.............................................................1117
SPORTS MEDICINE
Management of Distal Limb Injuries in Greyhounds and Other Working Breeds Jon Dee.....................................................................1121
Cranial Cruciate Ligament Insufficiency in Performance Dogs: New Perspectives in Management Stephen C. Jones......................................................1125
Evidence-Based Pain Management Kristin Kirkby Shaw...................................................1128
Achilles Tendon Injuries: Diagnosis and Management Faith M. Lotsikas and Peter J. Lotsikas....................1132
Hematologic and Biochemical Changes in Working Dogs: What We Know and What We Are Learning Joseph W. Spoo........................................................1135
Vitamin D Levels in Sled Dogs: Is the Human Pandemic a Cause for Concern in Our Canine Athletes? Joseph W. Spoo........................................................1137
Injuries in Field Trial and Hunting Dogs: Diagnosis and Treatment Joseph W. Spoo........................................................1139
Digital Injuries and Their Treatment Julia Tomlinson.........................................................1141
Shoulder Lameness: Clinical and Imaging Correlation Matthew D. Winter and Peter J. Lotsikas..................1144
Integrative Sports Medicine: Assessing the Needs of the Patient and Client M. Christine Zink.......................................................1148
Quantitative Comparison of the Walk and Trot of Border Collies and Labrador Retrievers, Breeds with Different Performance Requirements M. Christine Zink, Sherman O. Canapp, Jr., and Brittany Jean Carr.....................................................1151
THERIOGENOLOGY
Gestational Aging with Ultrasound Autumn Davidson......................................................1153
How I Treat Preterm Labor in the Bitch or Queen Autumn Davidson......................................................1155
Medical Management of Benign Prostatic Hyperplasia Autumn Davidson......................................................1157
Elective Cesarean Section: Good or Bad Idea? Autumn Davidson......................................................1159 Neonatal Resuscitation: Techniques to Improve Outcome Autumn Davidson......................................................1161
WOUND MANAGEMENT
Management of Skin Tension Aylin Atilla..................................................................1165 Local Subdermal Plexus Flaps Aylin Atilla..................................................................1167 Back to the Basics – Sometimes Wounds Heal Despite What We Do Aylin Atilla..................................................................1170 Dog Bite Wounds Kristy Broaddus.........................................................1173 How to Heal Stubborn Wounds Kristy Broaddus.........................................................1175 Topicals and Wound Healing Kristy Broaddus.........................................................1178 Mesh Grafts Kristy Broaddus.........................................................1180 Suture Science and Selection Greg Brown...............................................................1182 From Penrose to Negative Pressure Wound Therapy: Using Drains to Your Advantage Katrin Saile and Aylin Atilia.......................................1185
xiv _____________________________________________________________________________________________
EXOTICS
AQUATIC MEDICINE
Conservation Issues in Fishes and Aquatic Invertebrates Shane Boylan............................................................1189 A Different Sort of ABC: Animal Behavior and Conservation in Private Practice – Part 1 Leigh Ann Clayton.....................................................1191 A Different Sort of ABC: Animal Behavior and Conservation in Private Practice – Part 2 Kathy Heym...............................................................1195 Eat Your Spinach! “Popeye” and Other Ocular Anomalies in Fish Kathy Heym...............................................................1197 Neoplasia in Pet Fish: The Humpty Bumpy Lumpy Dance Brian Palmeiro...........................................................1200 Fish Diagnostics for the Private Practitioner Stephen A. Smith......................................................1204 Internal Protozoan Parasites of Fish Stephen A. Smith......................................................1206 Not Myco: Another Granulomatous Disease Roy Yanong and Esteban Soto.................................1207
AVIAN Management of Upper Respiratory Diseases John Chitty................................................................1209
Upper Respiratory Disease Case – Sinus Swelling and Blockage in a Snowy Owl (Nyctea Scandanavica) John Chitty................................................................1214
Respiratory Distress John Chitty................................................................1215
Acute Respiratory Case – Acute Dyspnea in a Harris’ Hawk (Parabuteo unicinctus) John Chitty................................................................1220
Treating Respiratory Disease – It’s Not Just Antimicrobials and Hope John Chitty................................................................1221
Waterfowl Husbandry M. Scott Echols.........................................................1225
Sudden-Onset Feather Destruction M. Scott Echols.........................................................1229
How to Attract Backyard Birds – Building a Poultry Practice Michael P. Martin......................................................1232 Diagnosis and Treatment of the Top Poultry/ Waterfowl Diseases – Part 1 Michael P. Martin......................................................1235 Diagnosis and Treatment of the Top Poultry/ Waterfowl Diseases – Part 2 Michael P. Martin......................................................1238 Notifiable and Hot Infectious Diseases of Backyard Poultry Michael P. Martin......................................................1241 Advanced Treatments for Avian Fractures: Diagnosing and Treating Problematic Avian Fractures Julia B. Ponder..........................................................1244 Avian Fractures: Assessing and Understanding the Puzzle Pieces Julia B. Ponder..........................................................1246 Acute Fracture Management Case: When Things Go Wrong Julia B. Ponder..........................................................1249 Treating Common Avian Fractures Julia B. Ponder..........................................................1251 Interesting Fracture Management Cases Julia B. Ponder..........................................................1254 Avian Pain Management Karen L. Rosenthal...................................................1255 Acute Neurologic Disease Karen L. Rosenthal...................................................1257 Treatment Strategies for Neuro Disease Karen L. Rosenthal...................................................1259 Management of Backyard Chickens Brian Speer...............................................................1261 Managing Behavioral Disorders: Getting Inside the Psittacine Mind Brian Speer...............................................................1266 Behavioral Management Case Brian Speer...............................................................1269 Sudden-Onset Feather Destruction Brian Speer...............................................................1270
Treatment Strategies for the “Feather Picker” Brian Speer...............................................................1273
NAVC Conference 2015
Veterinary Technician / Practice Manager – Table of Contents xv ______________________________________________________________________________________________
An Interesting Feather Damaging Behavior Case Brian Speer...............................................................1276 Preventing Re-prolapse: Reproductive Influences and Long-Term Modification Bianca Zaffarano.......................................................1277 The Prolapsed Cloaca (and All It Contains) Bianca Zaffarano.......................................................1280 The Cloacal Prolapse Reduced – Butt What Now? Diagnostics Bianca Zaffarano.......................................................1283 Clinical Brief: An Interesting Prolapse Case Bianca Zaffarano.......................................................1285
EXOTIC COMPANION MAMMALS
Exotic Companion Mammal Surgery: Perioperative Tips and Common Procedures Peter G. Fisher..........................................................1287 Exotic Companion Mammal Surgery: More Challenging Procedures and Case Studies Peter G. Fisher..........................................................1291 AEMV Conference Highlights and Cutting Edge Topics Peter G. Fisher..........................................................1295 Exotic Companion Mammal Urolithiasis: What to Do After Making the Diagnosis Peter G. Fisher..........................................................1300 Preputial Diseases in Ferrets Peter G. Fisher..........................................................1304 ECM Zoonoses That May Surprise You Peter G. Fisher..........................................................1305 New Techniques and New Technologies for Small Mammal Anesthesia Paul Flecknell............................................................1308 Assessing Pain in Exotic Companion Mammals Paul Flecknell............................................................1311 Pain Relief in Exotic Companion Mammals Paul Flecknell............................................................1315 Behavior, Enrichment, and Exercise for Exotic Companion Mammals Paul Flecknell............................................................1318 Parasites of Exotic Companion Mammals Cheryl B. Greenacre.................................................1320 Respiratory Diseases of Exotic Companion Mammals Cheryl B. Greenacre.................................................1322
Top Ten Neoplasms of Exotic Companion Mammals Cheryl B. Greenacre.................................................1324 ECM Zoonoses That Might Surprise You! Cheryl B. Greenacre.................................................1326 Guinea Pigs That Act Like They Have PMS: Ovarian Cysts Explained Cheryl B. Greenacre.................................................1327
Chinchilla Medicine Laurie Hess...............................................................1328
Incorporating Exotics Into Your Practice – Is It Worth It? Laurie Hess...............................................................1332
Adrenal Disease in Ferrets – Medical Versus Surgical Treatment Options Karen L. Rosenthal...................................................1336 What Else Causes Rabbit GI Upset? Karen L. Rosenthal...................................................1338
Prebiotic/Probiotic: What’s Out There and What’s the Difference? Karen L. Rosenthal...................................................1340
REPTILES & AMPHIBIANS Tips and Tricks of the Old Veterans – Reptile Medicine Stephen Barten and Douglas Mader........................1341
The Fountain of Life: Practical Water Quality for the Veterinary Practitioner Leigh Ann Clayton.....................................................1345
Amphibian Renal Failure: It’s Not Just for Old Cats and Reptiles Anymore Leigh Ann Clayton.....................................................1348
Oops! What Happens When You Leave Your Turtles in the Sun Too Long Leigh Ann Clayton.....................................................1351
Cold Laser Therapy in Reptiles from a Skeptic’s Point of View Eric Klaphake............................................................1354
Helpful Hints for Reptile Radiography Eric Klaphake............................................................1355
Hemipene Plugs from Hell – What to Do? Eric Klaphake............................................................1357
True/False: There Are No Disasters in Reptile Medicine Douglas Mader..........................................................1359
Loco-Regional Analgesia in Reptile Medicine Douglas Mader..........................................................1361
xvi _____________________________________________________________________________________________ Cardiopulmonary Diagnostics Douglas Mader..........................................................1364 The Reptilian Hematocrit Douglas Mader..........................................................1366 Top Five Medical Problems in Reptiles Douglas Mader..........................................................1367 Cranial Nerve Exam in Reptiles Douglas Mader..........................................................1371 Greek Tortoises – Testudos Don’t Have to Be All Greek to You! Rachel E. Marschang................................................1373 Why the Dead Crickets Matter – Invertebrate Iridoviruses in Reptiles and Amphibians Rachel E. Marschang................................................1376 The 411 on Inclusion Body Disease – What You Need to Know Rachel E. Marschang................................................1378 Reptile Virology – Understanding It and How to Make It Profitable for Your Practice James F.X. Wellehan and Rachel E. Marschang......1381 Emerging Infectious Diseases of Tortoises James F.X. Wellehan................................................1386
WILDLIFE & CONSERVATION
Alligator Snapping Turtle Conservation in Oklahoma – Maximizing Conservation Efforts! Kay A. Backues.........................................................1391 Raptor Medicine, Rehabilitation and Management – Different Approaches for the Best Release Heather Wilson Barron and Michelle G. Hawkins..................................................1394 The Fast and the Furriest: Wild Small Mammal Medicine Heather Wilson Barron..............................................1399 The 1-2-3 of Analgesia in Wildlife Heather Wilson Barron..............................................1401
Emergencies in Aquatic Animal Medicine – East Coast North America Shane Boylan............................................................1403 Canine Distemper in Wildlife: How Private Practitioners Can Help Joseph K. Gaydos.....................................................1406 Emergent Diseases of Wildlife in the Rehabilitation Center Michelle G. Hawkins..................................................1408
Wildlife Patients that End Up at Your Door: The What, Why and How to Deal with What is in that Box! Sonia M. Hernandez and Heather W. Barron...........1411 Post-Rehabilitation Release Monitoring of Wildlife: What We Know and What We Need to Learn Sonia M. Hernandez.................................................1414
Preventing the Movement of Diseases from Captive to Wild Animals: Biosecurity and More Sonia M. Hernandez.................................................1416
Saving Texas Toads Lauren L. Howard.....................................................1418 Conservation of the Attwater’s Prairie Chicken (Tympanuchus cupido attwateri) Lauren L. Howard.....................................................1422 Conserving Black-Footed Ferrets Eric Klaphake............................................................1424 The Georgia Sea Turtle Center, A Model for the One Health Concept Terry M. Norton.........................................................1426 New World Primates: From Pet Trade to Conservation Enrique Yarto............................................................1430
ZOOLOGICAL MEDICINE
Giraffe Medicine Made Easy Kay A. Backues.........................................................1435 Cool Zoo Case – Gastric Pneumocystosis in a Group of Black and White Ruffed Lemurs Kay A. Backues.........................................................1439 Elephant Medicine Made Easy Kay A. Backues, Lauren L. Howard, and Ellen Wiedner............................................................1441 Rhinoceros Medicine Made Easy Natalie H. Hall...........................................................1444 Great Ape Medicine Made Easy Lauren L. Howard......................................................1447 Uterine Rupture and Abdominal Delivery of a Macerated Fetus in a Prevost’s Squirrel (Callosciuris prevostii) Lauren L. Howard......................................................1451 Dolphin Medicine Made Easy Enrique Yarto............................................................1453 Spider Monkeys: Do They Represent a Real Zoonotic Threat? Enrique Yarto............................................................1455
NAVC Conference 2015
