In case you missed the first AVMA convention after the COVID hiatus, Dr. Heller and his guests -- Amy Lloyd, VMD, Chaundra Schofield, VMD, and Kelly Dunham, DVM -- cherry pick some of the interesting tidbits they gathered from the lectures they attended in Philly.
Show notes:
Toxicity:
a. Don’t ever give cats hydrogen peroxide!!!! Hemorrhagic gastroenteritis/death. NO SAFE AT HOME REMEDY in cats.
b. Use dexdomitor 7mcg/kg IM to cause 81% of cats to puke. Hydromorphone SQ can also work 75% of the time. Xylazine less likely.
c. Cholestyramine is a great drug to use when trying to detox a patient who ingested a drug or poison that undergoes enterohepatic recirculation. It’s a bile acid sequestrant.
d. ILE – Intravenous Lipid Emulsion – helps draw out fat soluble toxicants. (most commonly made of soy bean oil) – great for marijuana toxicosis.
Hyperlipidemia:
a. Fenofibrate (micronized form) 4-10mg/kg BID – should resolve 80-100% of cases by 1 month. Will require lifelong therapy.
b. Low fat diet will treat only 25% of cases.
Dermatology update:
a. Chlorpactin – study showed powdered chlorine 0.4% solution kills MRSP topically in just 10 secs.
Chronic UTI: Nitrofurantoin – given nightly for 4 months can help with deep seeded chronic infections.
Feline arthritis:
a. Dr. Kristen Shaw gave some great resources for both vets and owners to help to identify cats affected by arthritis during her lecture:
i. zoetisus.com/oa-pain/feline-exam-videos.aspx (you can also link to dog OA resources from here)
ii. Catoachecklist.com
iii. Solensiavetteam.com
Carrie Jurney gave a lecture on CPR for the veterinary soul – she broke down veterinary personality types, individual tendencies as well as common work place stressors.
a. Two great resources she suggested for suicide prevention training were:
b. QPR training – www.qprinstitute.com
c. American foundation for suicide prevention – https://afsp.org/
d. www.betterhelp.com/nomv - Get matched with a licensed therapist and enjoy a FREE MONTH of professional online counseling
e. Psychology today’s therapist finder
Many filters including language, gender (including option or non-binary), insurance type, price, ethnicity served, sexuality, and faith
Injection site sarcomas
a. Can include extraskeletal osteosarcoma (I did not know this!)
b. 1-2-3 rule:
1. Increasing in size after 1 month
2. Larger than 2 cm
3. Still present 3 months after vaccine
c. 42% recurrence rate with COMPLETE EXCISION
d. 21.7% metastatic rate
Mary Telle – Keratoconjunctivitis Sicca
a. **Neurogenic can be caused by long-term otic preparations like Osurnia and Claro**
i. Other causes include trauma, neoplasia, otitis, hypothyroidism
ii. Usually unilateral and associated with a crusty ipsilateral nostril
iii. Pilocarpine 2% ophthalmic solution given orally at a dose of 1 drop per 10 kgs PO bid to start, but may need to increase based on response
iv. Since it is a parasympathomimetic drug, need to watch for toxicity including salivation, vomiting, diarrhea, bradycardia, and weakness