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.
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.
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.
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.
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)
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
a. Can include extraskeletal osteosarcoma (I did not know this!)
1. Increasing in size after 1 month
3. Still present 3 months after vaccine
c. 42% recurrence rate with COMPLETE EXCISION
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
