From the Social media use by health professionals occurs in a digital environment where etiquette has yet to be solidly defined. The objectives of this study were to explore veterinarians’ personal use of Facebook, knowledge of privacy settings, and factors related to sharing personal information online. All American Animal Hospital Association member veterinarians with a valid e-mail address (9469) were invited to complete an online survey about Facebook (e.g., time spent on Facebook, awareness of consequences, types of information posted). Questions assessing personality dimensions including trust, popularity, self-esteem and professional identity were included. The response rate was 17% (1594 of 9469); 72% of respondents (1148 of 1594) had a personal Facebook profile. Veterinarians were more likely to share information on Facebook than they would in general. Trust, need for popularity, and more time spent on Facebook predicted more disclosure of personal information on Facebook. Awareness of consequences and increased veterinary experience predicted lesser disclosure. As veterinary practices use Facebook to improve client services, they need also to manage risks associated with online disclosure by staff. Raising awareness of reputation management and consequences of posting certain types of information to Facebook is integral to protecting the individual, the practice, and the veterinary profession.
This prospective observational study analyzed conchal regrowth after laser-assisted turbinectomy (LATE) in brachycephalic dogs and the mucosal contact of regrown conchae. Eighty brachycephalic dogs (41 pugs, 39 French bulldogs [FBs]) that underwent LATE because of obstructing conchae were evaluated by endoscopy 7 days and 6 mo after surgery. At 6 mo, 96% of FBs’ and 65% of pugs’ nasal cavities showed regrowth of turbinates. FBs showed higher growth grades than pugs. Revision surgery because of reobstructing regrowth was required in the nasal cavities of 17% of FBs and 3% of pugs. The mean number of contact points reduced from 3.0 in FB and 1.7 in pugs before surgery to 1.2 in FB and 0.2 in pugs after conchal regrowth. Recollapse of nares after surgery significantly influenced the frequency of reoccurrence of contact points. LATE was proven to be an effective treatment of intranasal obstruction caused by mucosal contact between conchae. Conchal regrowth commonly occurs after surgical removal, but the new conchae cause less obstruction due to a significant reduction in number of contact points. Revision surgery because of reobstruction is rarely necessary. The important physiologic functions of conchae make nonobstructing regrowth desirable.
The objective of this study was to report owner experiences and satisfaction in treating a pet with diabetes mellitus using a descriptive report from an Internet-based survey. Descriptive analysis of results was performed, χ2 tests were used to detect differences in responses between dog and cat owners, and correlations were assessed using the nonparametric Spearman rank correlation. A total of 834 owners participated in the survey. More diabetic dogs (97%) than cats (82%) were treated with insulin injections. Insulin was administered twice daily in 87% of dogs and 73% of cats. Porcine lente and neutral protamine Hagedorn were the most commonly administered insulins in dogs. In cats, glargine and protamine zinc insulin were the most commonly used insulins. Most pets were not fed a prescribed diabetes diet. More cat (66%) than dog (50%) owners were satisfied with the diabetic control achieved. Cat owners were more likely to use home blood glucose monitoring. Treatment was considered expensive by the majority of owners. Few published reports follow diabetic pets after diagnosis or report owner satisfaction. The results of this study provide useful information that may help veterinarians better educate owners and set expectations regarding diabetes treatment and quality of life for diabetic pets.
The objectives of this study were to evaluate blood and abdominal fluid lactate and glucose, fluid cytology, culture, and volume 24 and 48 hr following intestinal resection and anastomosis in dogs with and without closed-suction drains and to correlate findings with survival. Thirty-five client-owned dogs that underwent intestinal resection and anastomosis were prospectively enrolled in the study. Abdominal fluid was submitted for culture at surgery and again 24 hr postoperatively. Twenty-four and 48 hr postoperatively, blood and abdominal fluid glucose and lactate were measured and fluid was submitted for cytology. Abdominal fluid was collected either from a closed-suction drain or by abdominocentesis. Patients were followed either for 14 days or until death. Comparisons were made based on development of dehiscence and presence or absence of a drain. Patients with dehiscence were more likely to have positive cultures at 24 hr and to have had more bowel resected. Surviving patients without drains had significantly smaller differences in blood and fluid glucose and lactate both 24 and 48 hr postoperatively than surviving patients with drains. The significant differences identified between patients with and without drains suggests a need for further research into the effect of drains on abdominal fluid values.
The purpose of this retrospective study was to assess risk factors and complications affecting postoperative outcome of dogs with laryngeal paralysis treated by either unilateral arytenoid lateralization (UAL) or bilateral ventriculocordectomy (VCC). Medical records of all dogs having either UAL or VCC between 2000 and 2011 were analyzed. Twenty-five dogs had VCC and 20 dogs had UAL. The overall postoperative complications rates for VCC and UAL were similar (52% and 60%, respectively; P = .0887). Dogs that had UAL were more likely to have acute postoperative respiratory distress and aspiration pneumonia (P = .0526). Dogs with VCC were more likely to have chronic postoperative respiratory distress and aspiration pneumonia (P = .0079). Revision surgery was required in 6 dogs (24%) following VCC and 2 dogs (10%) following UAL. Sex, breed, presenting complaint, type of service provided, and concurrent diseases were not significantly associated with higher risk of either death or decreased survival time postoperatively with either procedure. Overall postoperative complication rates, required revision surgeries, and episodes of aspiration pneumonia were similar in dogs undergoing UAL and VCC surgeries. Dogs that had VCC appeared to have an increased risk of lifelong complications postoperatively compared with UAL; therefore, VCC may not be the optimal choice for treatment of laryngeal paralysis.
A 12 yr old mixed-breed Maine coon was referred with a 1 wk history of intermittent respiratory distress. Physical examination and thoracic radiograph abnormalities were consistent with bronchopneumonia and chronic feline asthma. Repeat thoracic radiographs and lung aspirate cytology supported those diagnoses. Response to treatment was incomplete. One wk later, due to a change in respiratory pattern, cervical radiographs were obtained. A soft-tissue density was apparent in the cat’s cervical trachea. Bronchoscopy was performed and a segment of a pine cone was removed from the cat’s trachea. Following removal of the foreign body, the cat’s respiratory signs resolved. Premature diagnostic closure may prevent a clinician from recognizing an underlying missed diagnosis when response to treatment does not occur as expected.
Cutaneous sterile pyogranuloma/granuloma syndrome (SPGS) is a locally restricted multinodular dermatitis. Affected dogs are typically healthy, but a few show systemic signs. Herein, a case of a dog presenting with generalized ulcerative dermatitis with systemic signs of mild anemia and an increased C-reactive protein level is described. Cutaneous SPGS was diagnosed by histopathology, negative staining causative organisms, and polymerase chain reaction for Mycobacterium spp. Successful treatment was achieved by immunosuppressive drugs, including prednisolone and azathioprine, administered for at least 20 mo. Recurrences of skin lesions were observed when prednisolone and/or azathioprine were discontinued. Long-term management with immunosuppressive agents may be required if the affected dog exhibits severe symptoms of cutaneous SPGS.
A bronchopleural fistula (BPF) can lead to continuous pneumothorax and is rarely reported clinically in dogs. This report describes computed tomographic (CT) findings in two dogs with BPFs and subsequent continuous pneumothoraces that necessitated thoracotomy. Both dogs had a peripheral BPF in the right caudal lung lobe. The fistula in one dog was secondary to a previous foreign body migration, and the fistula in the other was thought to be secondary to dirofilariasis. On both CT examinations, a dilated subsegmental bronchus was seen communicating with the pleural space at the center of a focal, concave region of parenchymal consolidation. Multiplanar reformatting aided in identification and characterization of the BPF. The pneumothoraces resolved after right caudal lobectomy in both dogs. CT has the potential to identify BPFs, such as secondary to foreign body migration or dirofilariasis.
A 13 mo old mixed-breed dog was referred for acute lateralized forebrain signs. MRI of the brain demonstrated abnormalities consistent with severe meningitis and subdural empyema secondary to a retrobulbar abscess. The dog’s clinical signs improved with antibiotic therapy, and repeat imaging showed resolution of subdural fluid accumulation presumed to be empyema with mild residual meningeal enhancement. Subdural empyema is an infrequent cause of encephalopathy in small animals and usually develops through direct extension of a pericranial infection. This report presents a case of presumptive subdural empyema in a dog that was successfully treated without surgical intervention. MRI is the preferred imaging modality for diagnosis of subdural empyema, and the characteristic imaging features are described.
A 2 yr old spayed female dog presented for evaluation of abdominal pain, decreased appetite, dysuria, and frantic licking of her vulva. A midventral, soft, fluctuant mass was detected on abdominal palpation. Diagnostic testing and exploratory celiotomy revealed remnant ovarian tissue and a cystic uterine remnant. The ovary and cystic uterine remnant were removed and submitted for histopathological evaluation. Ovarian remnant syndrome (ORS) is an infrequently encountered condition of dogs. This dog had none of the classic signs of estrus associated with ORS but instead presented for sharp, intermittent, abdominal pain that is similar to women with ORS.
Medical records for 79 dogs with confirmed splenic hemangiosarcoma (HSA) following splenectomy were reviewed for information regarding either the presence or absence of macroscopic liver lesions and the histopathological characteristics of the liver. Only 29 of 58 dogs (50%) with grossly abnormal livers had HSA metastasis. No dogs with grossly normal livers had metastasis detected on liver pathology. Gross lesions in the liver such as multiple nodules, dark-colored nodules, and active bleeding nodules were highly associated with malignancy. For the dogs in this study, performing biopsy in a grossly normal liver was a low-yield procedure in dogs with splenic HSA.