Make work better. Our procedural instruction and RACE-approved content shows you real patients being treated at DoveLewis Animal Hospital in Portland, Oregon. Once you're part of AtDove, you're always in. Take your individual account wherever you go, as you advance your career. You'll have a record of all the procedures you've viewed and quizzes you've completed.

  • Current Concepts and Ideas in Pain Management

    290 Views - 0 Comments Pain was adopted as the fifth vital sign in human medicine in 1996 following the objective pulse, blood pressure, respiration and temperature.  In veterinary medicine we are following suit as i...
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  • Esophageal Foreign Bodies

    334 Views - 0 Comments Esophageal foreign bodies in dogs are an uncommon presentation in the veterinary ER - estimated to comprise ~ 0.09% of veterinary ER admissions. However, when they do occur, they are quite memorable cases...
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  • Ovarian Remnant Syndrome

    551 Views - 0 Comments Bogey, an eight year old spayed female Labrador retriever dog was referred for a vaginal mass which had appeared in the last 24 hours. The owner noticed that the vulvar area seemed l...
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  • The Worst Diabetic Crisis

    1,506 Views - 0 Comments Diabetes mellitus is arguably one of the most common and frustrating endocrine diseases to treat in both human and veterinary medicine. It seems that no two patients are exactly alike in the way they pres...
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  • Who’s Hungry? Getting Nutrition into Our Patients

    1,679 Views - 0 Comments Nutrition in hospitalized patients is often overlooked in the early hours of illness. With blood work to run and radiographs to take, diarrhea to clean up and blood pressures to measure we forget th...
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  • Esophageal Perforation in a Labrador Retriever

    1,122 Views - 0 Comments An 11 month old Labrador retriever presented on emergency after sustaining a stick impalement injury. During a game of fetch, the young dog dove for the stick inadvertently shoving one end deep into the b...
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  • Block Party: Local Regional Anesthesia in the ER

    2,016 Views - 0 Comments If pain control was a party, the opioids, NSAIDs, and neuromodulating therapies would be the most glamorous and gregarious attendees. But sometimes a very effective member of the party is the often forgot...
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  • Pericardiocentesis – A Review

    1,921 Views - 0 Comments Pericardiocentesis is a potentially life-saving therapeutic procedure commonly performed on the ER floor. Although considered relatively safe, this invasive procedure may be associated with serious compli...
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  • Aspiration Pneumonia

    2,248 Views - 0 Comments Aspiration pneumonia is unfortunately a frequent occurrence in veterinary patients, and is recognized far more commonly in dogs than in cats. The initial injury (aspiration pneumonitis) actually occurs du...
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  • Tracheal Foreign Body in a Cat

    1,795 Views - 2 Comments A five year old male neutered Domestic Shorthair cat presented on an emergency basis to DoveLewis for having difficulty breathing. He is an indoor-outdoor pet and the owners reported that he was outside (...
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  • The Pain Management Toolbox

    3,188 Views - 0 Comments We give and receive love and companionship from animals, have them as members of our families and know that they can suffer pain, fear and distress. Animal pain may very well be worse than human pain sinc...
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  • Caudectomy in the ER

    2,716 Views - 0 Comments In the emergency room, we often encounter tail injuries that require caudectomy, or tail amputation. Trauma is the most common reason for caudectomy in the ER. Skin and soft tissue wounds, including sever...
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  • Dog Bite Prevention Week at DoveLewis: Who, When and Why

    4,373 Views - 0 Comments It’s National Dog Bite Prevention week! As the Safety Manager at DoveLewis, animal bites are always at the front of my proverbial stove. I would like to say that we have a zero bite record, but that would...
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  • An Unusual Case of Stump Pyometra

    2,508 Views - 0 Comments An eight year old Female spayed French bulldog present for surgical consultation. She was adopted about seven years ago in another state by her current owner. Previous medical history included ovario...
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  • How We Stayed Social in 2016

    3,817 Views - 0 Comments Social media isn’t going away. It’s growing at exponential rates around the world, and this is good news for veterinary medicine! A new avenue to educate clients and create growth opportunities? Yes, plea...
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  • Septic Peritonitis in Dogs and Cats

    7,004 Views - 0 Comments Septic peritonitis is a relatively common reason for admission to our hospital and represents an important cause of morbidity and mortality. These cases can be challenging to stabilize before and during s...
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  • Summer Feline Toxins

    4,731 Views - 2 Comments With the arrival of summer and that warm weather, for which us Pacific Northwesterners are starved, comes an increase in the cases of specific cat toxins we see. The flowers are blooming and the bugs are...
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  • Dog Bite Prevention Q & A

    10,320 Views - 0 Comments DoveLewis Safety Manager Coby Richter answers some common questions about dog bite prevention. She discusses important precautions that all of our staff members take and how our policy regarding...
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  • Wound Management of a Complex Dog Bite

    6,761 Views - 3 Comments A 6 year old Female spayed Maine Coon cat was mauled by a dog sustaining severe injuries to her left forefoot including loss of the second digit. The wounds were debrided and partially closed by her prima...
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  • Respiratory Distress: Emergency Treatment

    13,923 Views - 2 Comments Everyone who works in medicine of any kind understands that a patient’s airway and breathing are critical to their survival. If a patient does not have a patent airway or properly functioning respiratory...
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  • Serotonin Syndrome

    7,270 Views - 2 Comments A 5-year-old spayed female 22.7kg Standard Poodle presented for evaluation due to mental alteration and abnormal breathing. The owner revealed that approximately 11 hours prior to presentation the dog had...
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  • A Winter’s Tale: Ethylene Glycol

    5,866 Views - 2 Comments Given the recent overall trend for a drier but very cold winter season, ethylene glycol as an intoxication may become more prevalent in our metro area. Ethylene glycol can be found in numerous car fluids...
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  • Gastric Ulceration

    6,453 Views - 0 Comments Gastroduodenal ulceration is a common pathology in people with numerous etiologies. There are a few different classifications of gastroduodenal ulcers in people. They are based on differentiating the l...
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  • Thorascopic Partial Pericardiectomy

    5,082 Views - 0 Comments An 11-year-old male neutered golden retriever was referred to Dove Lewis Emergency Animal Hospital for surgical management of idiopathic pericardial effusion.  The dog was originally diagnosed in...
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  • Lowering Inventory Costs

    4,426 Views - 2 Comments Inventory is a large expense and can also be a large loss if it is not monitored properly.  Sales of pharmaceuticals, medical supplies, surgical supplies, and vaccines are a sizable source of reve...
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  • Canine Bacterial Cholangiohepatitis

    9,240 Views - 0 Comments Clinical case A 9-year-old spayed female 9.1 kg American Eskimo was referred for further evaluation of elevated liver enzymes. She was initially seen by her primary care veterinarian with an acute hist...
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  • RadLand: Summer Grilling

    2,773 Views - 2 Comments A 9-month old Labrador retriever presented with a two-day history of anorexia following ingestion of garbage. No vomiting or diarrhea was reported and the patient was slightly lethargic. Abdominal palpati...
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  • End Tidal C02: Worth the Investment?

    10,127 Views - 4 Comments If I were to take away all of your fancy anesthesia monitoring equipment save ONE monitoring parameter, which would you choose to keep? Between heart rate/ECG, ETC02, Sp02, blood pressure (non-invasive...
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  • Anaphylaxis Q & A

    5,373 Views - 2 Comments Q: What is anaphylaxis? A: Anaphylaxis is a type I hypersensitivity reaction. In type I hypersensitivity reactions antigens bind to preformed IgE present on mast cells and stimulate mast cell degranulat...
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  • Critical Thinking in Critical Care

    9,111 Views - 3 Comments The intensive care unit (ICU) is literally where life and death decisions are made. I have seen firsthand, over the past 12 years working in the ICU, how important critical thinking is to providing premie...
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  • Transfusion Medicine to the Rescue

    4,258 Views - 0 Comments A seven-year-old, 6.3kg, spayed female Border Terrier was referred to DoveLewis for evaluation of pleural effusion and coagulopathy. She had originally presented to her primary veterinarian earlier in the...
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  • Diabetic Complications

    10,653 Views - 1 Comments Diabetes mellitus is a disease of glucose dysregulation secondary to relative insulin resistance (non-insulin dependent diabetes mellitus) or an absolute insulin deficiency (insulin dependent diabetes mel...
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  • Providing Top Notch Customer Service

    15,931 Views - 4 Comments At DoveLewis we live and work in a 24-hour world where clients arrive at all hours in a variety of mental and emotional states. This helps keep us on our toes, but constantly dealing with the unknown...
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  • Enteral Nutrition

    9,531 Views - 0 Comments The fundamental question of why to feed critical patients has been confidently answered by studies in human patients demonstrating increases in infection rates, hospital stays, and antibiotic usage in pat...
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  • Mushroom Toxicity

    4,688 Views - 0 Comments A 4-year-old MN Border Collie presented to his primary veterinarian after a hike with his owners. During that hike, the dog suddenly started hallucinating, froze in place, and then began wildly runnin...
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  • Gastrogastric Intussusception

    6,823 Views - 0 Comments A 4-year- old, female spayed, mixed breed dog presented to the DoveLewis Emergency Animal Hospital for evaluation of acute vomiting. At the initial visit, she was treated symptomatically on an outpatient...
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  • RadLand: Severe Facial Swelling

    2,833 Views - 1 Comments A 7-year-old female spayed fox terrier presented with a history of lethargy, anorexia and weight loss. On physical examination she was non-ambulatory, severely dehydrated and noted to have severe facial s...
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  • Continuous Glucose Monitoring

    8,579 Views - 0 Comments Here in the ICU at DoveLewis, we have the opportunity to treat many patients with diabetic ketoacidosis either due to newly diagnosed diabetes or disregulation of a previously diagnosed diabetic patient....
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  • Surgical Site Infection

    13,608 Views - 0 Comments Surgical site infection (SSI) is an important cause of morbidity and mortality in veterinary patients. The Centers for Disease Control and Prevention (CDC) defines SSI as any infection occurring at the su...
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  • Urine Output

    47,971 Views - 3 Comments Let’s talk urine. More specifically, let’s talk measuring urine output. Are you doing it? And on which patients? If you are measuring urine output are you interpreting the results to be meaningful to your...
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  • Fluid Therapy

    14,341 Views - 1 Comments Fluid therapy is a topic that we all learned from day one in veterinary school. Although it is a fundamental part of many of our therapies, it is far from a basic concept. This review of fluid therapy...
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  • Surgical Debulking of Nerve Sheath Tumor

    5,336 Views - 0 Comments A 13-year-old spayed, female retriever mix, presented to DoveLewis’ surgery department for evaluation and possible removal of a large tumor on the right forelimb.  She was diagnosed with a peripheral...
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  • Hyperthermia: Fever and Heatstroke

    18,802 Views - 2 Comments The term hyperthermia is defined as an elevation of normal core body temperature. This is due to an imbalance between heat production and heat loss. The central nervous system, specifically the hypothalam...
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  • Intestinal Occlusion During Surgery

    4,287 Views - 0 Comments The phrase ‘resection and anastomosis’ can send a shiver of anticipatory dread through many a fearless veterinarian. This is a reasonable response, given that so many things can go wrong and each one of t...
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  • Backorders, Shortages, Allocations, OH MY!

    5,861 Views - 0 Comments In all of my 20 years of ordering inventory for pharmacies, animal shelters, and veterinary hospitals I have not encountered backorders and shortages like we have been dealing with over the past few y...
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  • Making Sense of Nutritional Trends

    6,682 Views - 2 Comments As a clinician in a facility where vomiting and diarrhea top the list of presenting complaints, I find myself asking most clients “what does your pet eat?” It seems that more frequently the client will re...
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  • RadLand: Pulmonary Infiltrates

    4,084 Views - 0 Comments A 7 year old neutered male mixed breed dog presented to DoveLewis Emergency Animal Hospital for lethargy, anorexia and respiratory distress. Physical examination revealed left sided pulmonary crackles and...
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  • Don’t Fear the Reefer - Marijuana Toxicity

    21,790 Views - 2 Comments Dietary indiscretion and resulting toxicities are some of the most common emergencies in veterinary medicine. Each class, and potentially each individual toxin, may present as a distinct set of clinical s...
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  • Voiding Urohydropropulsion

    11,668 Views - 0 Comments A three-year-old, 39-pound, spayed Cocker Spaniel was referred for evaluation of a urinary tract obstruction. She had stranguria of several hours in duration. Evaluation at her primary care veterinarian’s...
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  • Thoracic Trauma Following Coyote Attack

    7,062 Views - 1 Comments An eight-year-old spayed Yorkshire terrier was referred for continued care following an early morning coyote attack. She was ambulatory after being rescued by her owner, but had full-thickness bite wounds...
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