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Article
Tips for Organizing Staff Resources
Views: 95 - Comments: 0Chances are at your clinic, you have about thirty important documents that live in ten different places. Seven of them haven’t been updated in the last three years, half were created by someone who doesn’t work there anymore, and...
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Article
Syncope in a Chronic Mitral Valve Disease Patient
Views: 263 - Comments: 0Sonny, a 12-year-old, male castrated Chihuahua was presented to the Dove Lewis emergency department. Sonny’s owner reports three episodes of syncope that day. Two events occurred after running up the stairs, and one while drinking...
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Article
Treating Intestinal Lipoma
Views: 251 - Comments: 0Hank, a 10-year-old male neutered coonhound, presented for a 10-day history of gastrointestinal signs including vomiting and diarrhea that improved with hospitalization and medical management at an emergency hospital. Radiographs...
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Article
Triage Care of the Acute Abdomen
Views: 1,609 - Comments: 1“Acute abdomen” in human medicine is defined as sudden and severe abdominal pain of unclear etiology. In veterinary medicine, it is typically a more general term used to describe a patient with any acute significant abdominal sign...
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Article
Common Toxicities Seen in the ER
Views: 2,415 - Comments: 0General approach to toxicities The initial approach to the intoxicated patient should focus on obtaining an accurate exposure history from the owner, along with a rapid physical exam assessment and initiation of stabilizing the...
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Article
Determining the Fate of Feline Aortic Thromboembolism
Views: 768 - Comments: 0Feline aortic thromboembolism affects approximately 25-30 percent of cats with heart disease. Thrombus formation occurs secondary to stagnation of blood in a dilated left atrium (blood stasis), the highly reactive state of feline...
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Article
Keeping a Pace on Diltiazem Toxicity With Bradycardia
Views: 786 - Comments: 0A 12-year-old neutered male Chihuahua weighing 3.8 kg was presented for evaluation of weakness following suspected ingestion of any of a variety of medications, potentially including extended release diltiazem, ibuprofen, aspirin,...
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Article
The Twists and Turns of Corn Cob Ingestion
Views: 624 - Comments: 0A 5-year-old male neutered Labrador retriever was referred for abdominal exploration following a three-day history of gastrointestinal signs. He was known to have consumed corn cobs three days earlier followed by vomiting, abdomin...
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Article
Severe Pedal Necrosis: When Bandage Management Goes Wrong
Views: 1,973 - Comments: 2Bandages are commonly used in the management of injuries to the distal extremity in veterinary patients. Bandages offer many benefits for healing of wounds and other injuries to the limb; they provide support, decrease edema, main...
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Article
The Anorexic Cat: A Breakdown of Appetite Stimulants
Views: 2,746 - Comments: 1We’ve all encountered the frustration that is the anorexic cat. It is possible to run a comprehensive diagnostic panel and still not understand why the patient is not eating. Add full body imaging and your client can easily spend...
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Article
Tube Placement and Care: A Step-by-step Guide
Views: 2,416 - Comments: 1Placing and managing various tubes is an important part of a veterinary technician’s role in patient care, and knowing the proper procedures and most effective methods will ensure that you are offering the best possible treatment....
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Article
Radland - Anal Sac Mass
Views: 631 - Comments: 0A 12-year-old female spayed basset hound presented to DoveLewis Veterinary Emergency & Specialty Hospital with a history of vomiting, lethargy and multiple episodes of straining to urinate. Physical exam findings included a la...
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Article
Tone and Volume for Your Client Conversations
Views: 3,972 - Comments: 1In the 1970’s, Albert Mehrabian created a tool called the communication model. Within this model, he came up with the idea that only 7% of what is being communicated are the literal words. That means that according to his theory,...
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Article
Receiving Constructive Criticism
Views: 3,222 - Comments: 1Being open to criticism, good or bad, is vital to being successful in any job. How else are you going to know what to improve on, how to grow, and areas may require more focus? When it comes to receiving criticism, it doesn’t a...
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Article
When Thrombosis Gets Complicated
Views: 996 - Comments: 0Coagulation is a protective mechanism to prevent excessive hemorrhage following trauma. However, regulatory mechanisms are normally in place to control the timing and extent of the clotting process. For example, the procoagulant e...
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Article
Cannabis in Veterinary Medicine
Views: 3,562 - Comments: 2As a small animal veterinary professional, particularly one practicing in Portland, OR, it seems highly likely that you have been or will be asked about cannabis as a treatment option for a pet’s condition. It is tempting to just...
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Article
Medical Math - Constant Rate Infusion
Views: 6,247 - Comments: 4A Constant Rate Infusion (CRI) is utilized to administer a continuous dose of drug in intravenous fluids. We are most used to CRIs for pain management, as in this form the drug can be maintained at effective plasma concentrations...
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Article
Gastroduodenal Perforation in a Dog Treated with Steroids and NSAIDs
Views: 1,281 - Comments: 0An elderly Golden Retriever from out of state was presented for evaluation of abdominal effusion and possible surgery. The patient had a history of osteoarthritis and was being managed chronically with deracoxib. One week prior, s...
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Article
Exploring Pulmonary Hypertension
Views: 1,395 - Comments: 0An 11-year-old, female spayed mixed breed dog was referred to cardiology for two episodes of syncope. Her owners reported an occasional cough and a slowly decreasing activity level and appetite over a two-week period. She was prev...
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Article
Treating Proptosis with Temporary Tarsorrhaphy
Views: 1,859 - Comments: 0Proptosis is a protrusion of the globe from the boney orbit. It most commonly results from trauma to the head or neck. The degree force necessary to result in proptosis varies depending on the patient. Dolicocephalic b...
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Article
Reducing Turnover by Increasing Engagement
Views: 1,824 - Comments: 2The country is dealing with record low unemployment rates. Economically and for the citizens of the US, this is positive news. For employers it does make hiring and retention more challenging. Employees are faced...
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Article
Ask the Right Questions
Views: 6,304 - Comments: 3We’ve all had the thought after working with a client-- why didn’t you mention this earlier? Why am I just hearing about this now? This would have been nice to know an hour ago… While it may be easy to blame the client, it’s im...
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Article
Email Etiquette- Do’s and Don’ts
Views: 2,833 - Comments: 0There are a lot of ways to communicate these days. Phone calls, text messages, instant messages, email, direct mail-- the list goes on. While it’s important to note how your clients prefer to be communicated with, it’s also import...
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Article
Communication in Crisis: What Clients Go Through in an Emergency
Views: 4,655 - Comments: 4Pet emergencies occur every minute of every day – but for our clients it is a singular monumental event. Pets are, in fact, family. They are family that like to eat socks, brawl in the street, enjoy an occasional pot brownie (doub...
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Article
Handling Client Complaints
Views: 2,766 - Comments: 0Handling client complaints can be draining from the start. Prior to working with the client, you should have already started your research on the issue, have notes on hand, and your team should be aware of the complaint. While it’...
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Article
Glo Germ: A Staff Training Tool
Views: 2,737 - Comments: 3Here at DoveLewis, we take all things cleaning very seriously. It’s important that every staff member is up to date on our latest cleaning protocols. While it can be time consuming to spend time with each staff member reviewing ho...
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Article
Special Stones: Urate and Cystine Urolithiasis
Views: 2,627 - Comments: 0Urate Urolithiasis: Urate-containing uroliths are the third most common urolith in dogs and cats. They comprise about eight percent of submissions for dogs and about five percent for cats. Formation of urate uroliths occurs...
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Article
When the Unblocking Gets Tough
Views: 3,526 - Comments: 0Feline urethral obstruction is a common complication of feline lower urinary tract disease. Approximately 12% of cats have metabolic derangements, which along with severe dehydration can cause patients to be critical. ...
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Article
Rat Bait - What’s Not to Love?
Views: 2,714 - Comments: 0Anticoagulant rodenticide toxicity represents that rare gem in realm of canine toxicities: a toxin for which there is both a rapid, bedside diagnostic test and an antidote. Even severely affected clinical cases stand a reasonable...
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Article
Zinc Induced Hemolytic Anemia in a Dog
Views: 2,436 - Comments: 0An 8 kg, 2 year old male neutered Boston Terrier presented to the general veterinarian with a one week history of lethargy and decreased appetite and a two day history of pigmenturia. The owner noted that the dog was with hi...
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Article
The Curious Incident of the Lost Cephalic Catheter
Views: 4,407 - Comments: 1A 6-year-old male neutered German Shepherd dog, named Chief, presented on emergency for acute onset of vomiting and restlessness. Initial diagnostics were consistent with gastric dilation and volvulus and he was taken to surgery a...
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Article
Talent Wars: How to Attract and Retain Talent
Views: 2,730 - Comments: 0The job market has changed. Certified Veterinary Technicians are difficult to find and retain. In this article, Monica Maxwell discusses why CVT recruiting is so difficult and strategies to help clinics attract and retain the empl...
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Article
Clearing the Air on Spontaneous Pneumothorax
Views: 2,562 - Comments: 0A five year old male castrated Great Dane was referred to DoveLewis for emergency stabilization after being diagnosed with a severe pneumothorax. The day before, the patient has started coughing but rapidly progressed to dyspne...
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Article
When Good Organs Go Bad – Pancreatitis
Views: 4,413 - Comments: 1The pancreas lives in the cranial abdomen close to the stomach and duodenum. With a right and left limb, this organ plays both endocrine and exocrine roles and is vital to nutritional function. The pancreas secretes glucagon and i...
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Article
Intraosseous Catheter Placement
Views: 5,707 - Comments: 1Although a seemingly intimidating procedure, intraosseous (IO) catheter placement is a wonderful tool in the arsenal of emergency medicine practitioners. It is useful in rapid placement during shock, in neonates, or in exotics for...
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Article
Vitamin D3 Toxicity: Rare but Noteworthy
Views: 5,350 - Comments: 1Cholecalciferol is an uncommon cause of toxicity in the dog and cat, however after seeing several cases recently, I thought that it warranted a review. Thankfully, these cases were seen shortly after ingestion and all did well wit...
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Article
Current Concepts and Ideas in Pain Management
Views: 3,778 - Comments: 0Pain 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 identification and treatment of p...
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Article
Esophageal Foreign Bodies
Views: 4,032 - Comments: 0Esophageal 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 because they can be assoc...
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Article
Ovarian Remnant Syndrome
Views: 2,990 - Comments: 0Bogey, 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 larger than normal over the past month and rep...
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Article
The Worst Diabetic Crisis
Views: 4,008 - Comments: 2Diabetes 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 present, the laboratory findin...
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Article
Who’s Hungry? Getting Nutrition into Our Patients
Views: 4,170 - Comments: 0Nutrition 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 that our patient has not eaten in...
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Article
Esophageal Perforation in a Labrador Retriever
Views: 3,823 - Comments: 0An 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 back of his oropharynx. Fol...
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Article
Block Party: Local Regional Anesthesia in the ER
Views: 4,978 - Comments: 0If 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 wallflower, the local, or...
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Article
Pericardiocentesis – A Review
Views: 4,999 - Comments: 1Pericardiocentesis 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 complications. If left untreated...
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Article
Aspiration Pneumonia
Views: 8,553 - Comments: 0Aspiration 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 due to chemical irritation f...
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Article
Tracheal Foreign Body in a Cat
Views: 4,311 - Comments: 2A 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 (absent) the previous night...
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Article
The Pain Management Toolbox
Views: 5,112 - Comments: 0We 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 since animals cannot speak and...
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Article
Caudectomy in the ER
Views: 7,595 - Comments: 0In 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 severe bite or animal wounds, d...
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Article
Dog Bite Prevention Week at DoveLewis: Who, When and Why
Views: 7,419 - Comments: 1It’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 be false. As an emergency...
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Article
An Unusual Case of Stump Pyometra
Views: 5,898 - Comments: 0An 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 ovariohysterectomy performed whi...
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