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  • Article

    Summer Feline Toxins

    Views: 9,339 - Comments: 2

    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 out in full force! These f...

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  • muzzled Yorkie
    Article

    Dog Bite Prevention Q & A

    Views: 29,642 - Comments: 2

    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 muzzling was developed....

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  • wound management in a cat
    Article

    Wound Management of a Complex Dog Bite

    Views: 14,597 - Comments: 4

    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 primary care veterinarian ten d...

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  • dog in respiratory distress
    Article

    Respiratory Distress: Emergency Treatment

    Views: 36,044 - Comments: 4

    When faced with a patient in respiratory distress or arrest, the timing of patient assessment and intervention is critical. First one must determine if the patient is in respiratory arrest, regardless of the underlying cause....

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  • canine serotonin syndrome from 5HTP ingestion
    Article

    Serotonin Syndrome

    Views: 19,466 - Comments: 2

    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 ingested a bag containing...

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  • Article

    A Winter’s Tale: Ethylene Glycol

    Views: 13,156 - Comments: 2

    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 (motor fluid, brake fluid,...

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  • Article

    Gastric Ulceration

    Views: 11,930 - Comments: 0

    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 location and/or cause of th...

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  • Article

    Thorascopic Partial Pericardiectomy

    Views: 11,207 - Comments: 0

    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 February 2012 (22 months...

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  • Article

    Lowering Inventory Costs

    Views: 10,310 - Comments: 4

    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 revenue for veterinary hospita...

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  • Article

    Canine Bacterial Cholangiohepatitis

    Views: 20,017 - Comments: 0

    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 history of vomiting and diarrh...

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  • Article

    RadLand: Summer Grilling

    Views: 6,014 - Comments: 2

    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 palpation revealed a tense abdome...

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  • Article

    End Tidal C02: Worth the Investment?

    Views: 21,417 - Comments: 4

    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 but you can choose Dopple...

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  • Article

    Anaphylaxis Q & A

    Views: 14,259 - Comments: 2

    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 degranulation. Anaphylactic reaction...

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  • Article

    Critical Thinking in Critical Care

    Views: 25,939 - Comments: 3

    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 premier care with the best chanc...

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  • Article

    Transfusion Medicine to the Rescue

    Views: 10,107 - Comments: 1

    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 day due to a 24-hour hist...

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  • Article

    Diabetic Complications

    Views: 20,991 - Comments: 1

    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 mellitus). The pathophysiolog...

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  • Article

    Providing Top Notch Customer Service

    Views: 41,216 - Comments: 5

    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 of what could walk through...

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  • Article

    Enteral Nutrition

    Views: 25,592 - Comments: 0

    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 patients that are fasted or “...

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  • Article

    Mushroom Toxicity

    Views: 10,959 - Comments: 2

    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 running in all directions, crash...

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  • Article

    Gastrogastric Intussusception

    Views: 16,216 - Comments: 0

    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 basis, but vomiting and re...

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  • Article

    RadLand: Severe Facial Swelling

    Views: 6,091 - Comments: 1

    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 swelling. Lateral and dorso...

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  • Article

    Continuous Glucose Monitoring

    Views: 16,439 - Comments: 0

    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. Previously diagnosed diabe...

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  • Article

    Surgical Site Infection

    Views: 31,369 - Comments: 0

    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 surgical site within 30 days...

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  • Article

    Urine Output

    Views: 74,109 - Comments: 3

    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 patient? Urine output mea...

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  • Article

    Fluid Therapy

    Views: 30,520 - Comments: 2

    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 will start with understan...

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  • Article

    Surgical Debulking of Nerve Sheath Tumor

    Views: 14,852 - Comments: 0

    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 nerve sheath tumor approx...

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  • Article

    Hyperthermia: Fever and Heatstroke

    Views: 35,276 - Comments: 2

    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 hypothalamus, is responsible for reg...

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  • Article

    Intestinal Occlusion During Surgery

    Views: 12,188 - Comments: 0

    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 them alone could result in...

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  • Article

    Backorders, Shortages, Allocations, OH MY!

    Views: 14,154 - Comments: 2

    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 years. The problem definite...

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  • Article

    Making Sense of Nutritional Trends

    Views: 13,346 - Comments: 3

    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 reply they are feeding some...

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  • Article

    RadLand: Pulmonary Infiltrates

    Views: 9,030 - Comments: 0

    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 generally harsh lung soun...

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  • Article

    Don’t Fear the Reefer - Marijuana Toxicity

    Views: 29,010 - Comments: 3

    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 signs. Marijuana is one of...

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  • Article

    Voiding Urohydropropulsion

    Views: 23,248 - Comments: 0

    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 office revealed a large,...

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  • Article

    Thoracic Trauma Following Coyote Attack

    Views: 14,899 - Comments: 1

    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 over both hemithoraces an...

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  • Article

    Tips for Handling Small Dogs

    Views: 44,879 - Comments: 21

    Nothing strikes fear in the hearts of the veterinary staff as when facing a snarling Chihuahua in the lobby. I know many of us would rather work with a large guard breed than a tiny ferocious one. However, these small dogs are ver...

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  • Article

    RadLand: Back Pain and Muscle Atrophy

    Views: 6,018 - Comments: 2

    A seven-year-old FS German Shepherd presented to the rDVM with a history of decreased activity, generalized back pain and epaxial muscle atrophy. The cranial aspect of the lumbar spine seemed particularly painful upon physical exa...

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  • Article

    Better Out Than In: Thoracocentesis for Pleural Effusion

    Views: 25,251 - Comments: 2

    The presence of pleural effusion and subsequent presentation of the dyspneic patient is a common emergency in both the dog and cat. Unfortunately, the onset of clinical symptoms for pleural effusion is often so severe and acute th...

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  • Article

    Hypoadrenocorticism (Addison’s Disease) in Dogs

    Views: 26,461 - Comments: 0

    Hypoadrenocorticism (HA) is a deficiency of the adrenal cortex to produce mineralocorticoids and glucocorticoids. Aldosterone is responsible for potassium excretion, sodium retention and water reabsorption. Cortisol has a cataboli...

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  • Article

    RadLand: Coughing

    Views: 14,195 - Comments: 0

    A fourteen-year-old female spayed Labrador Retriever presented with a six-month history of a progressive cough, exercise intolerance and weight loss. Based on her presentation, the primary differentials were laryngeal paralysis an...

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  • Article

    Retrobulbar Cellulitis

    Views: 18,357 - Comments: 0

    A 10 year old male neutered domestic shorthair feline presented with a 24 hour history of exophthalmia and chemosis OD. On exam the patient was normo-thermic with a temperature of 101.5 with a normal heart rate and respiratory rat...

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  • Article

    Pyrethrins: Fact or Fiction

    Views: 26,026 - Comments: 1

    Pyrethrins are a plague visited upon our planet by cat hating celestial beings in an attempt to eradicate their very existence. Fiction. Pyrethrin is a naturally occurring insecticide that comes from the chrysanthemum flowers co...

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  • Article

    Gallbladder Mucocele Q&A

    Views: 17,152 - Comments: 0

    For reasons unknown, gallbladder mucocele is an increasingly common cause of acute abdomen requiring emergency surgery in dogs. Because we are diagnosing and treating more of these cases, clinical experience and research on th...

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  • Article

    Anesthesia for Dental Procedures

    Views: 21,899 - Comments: 2

    It’s February!  A whole month full of hearts, flowers, pink and red hand-made cards, sugary stomach aches, tarter and halitosis.  I am not referring to an awkward conversation you need to have with your hubby.  The...

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  • Article

    Management of Traumatic Wounds in a Cat

    Views: 17,364 - Comments: 0

    Management of patients with traumatic wounds is a common and often challenging situation. The injuries must be immediately assessed and a treatment plan made taking into account any comorbidities the patient may be experiencing. T...

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  • Article

    Head Trauma with Fractures

    Views: 10,410 - Comments: 0

    A 2-year-old neutered male Irish Setter presented to an emergency clinic after leaping from a moving vehicle (estimated vehicle speed 25 mph). At presentation he exhibited multiple soft tissue and bone injuries to his face with mi...

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  • Article

    Radland: Collapse

    Views: 8,232 - Comments: 0

    A 12-year-old female spayed Chihuahua presented to DoveLewis for collapse and dyspnea. She had been treated for the last eight months for heart disease attributed primarily to mitral insufficiency / degenerative valvular disea...

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  • Article

    Checklists: A Tool to Improve Function

    Views: 18,214 - Comments: 7

    Many of the tasks we perform daily in veterinary medicine are systematic--we perform physical exams in the same sequence every time, we chart notes in a SOAP format, we generate diagnostic and therapeutic plans based on differenti...

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  • Article

    Pentobarbital Toxicity

    Views: 23,472 - Comments: 2

    A 3-year-old male neutered Labrador retriever presented to his regular veterinarian in the afternoon for an acute onset of severe ataxia and dysphoria. He had been normal earlier in the morning. A horse had been euthanized two...

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  • Article

    Acetaminophen Toxicity

    Views: 32,198 - Comments: 10

    On the list of toxic items to dogs and cats, I think every veterinary professional and probably a large portion of pet owners all know that acetaminophen (Tylenol®) is toxic to pets (there is a therapeutic dose for dogs but it is...

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  • Article

    Interpreting PCV/TS

    Views: 108,968 - Comments: 12

    Performing a packed cell volume (PCV) and total solids is one of the easiest tests performed in a veterinary hospital. Almost all team members can perform a PCV/TS (total solids), but how many of them are comfortable interpret...

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