FAQ's - answers to frequently asked questions

with

Michael Lappin  D.V.M.

Professor of Medicine

Gary Oswald  D.V.M.. 

Tampa Bay Veterinary Specialists

  

"Answers to frequently asked questions" 

with

Michael Lappin  D.V.M.

Diplomate, American College of Veterinary Internal Medicine 

Professor of Medicine

Colorado State University

&

Gary Oswald  D.V.M.. 

Diplomate, American College of Veterinary Internal Medicine 

Tampa Bay Veterinary Specialists

  

Drs. Lappin and Oswald have been colleagues in veterinary internal medicine since 1989 when Dr. Oswald started his internal medicine residency at Colorado State University .  Since completing his ACVIM board-certification and completion of his Master’s Degree in 1991, Dr. Oswald opened a successful internal medicine referral practice in Clearwater , Florida .  Dr. Lappin remained in academic medicine and is currently professor and head of small animal internal medicine at Colorado State University .  IVS believes that the combination of internal medicine speakers from different geographical areas and the combination of academic and private practice internal medicine experiences will result in an outstanding continuing education course for you or your staff.

 

Both Dr. Lappin and Dr. Oswald work with practicing veterinarians daily and have vast experiences that enable them to distill the questions from their general practitioner colleagues into short practical answers.  We have all been to meetings where you already know 45 minutes of the material in a 50 minute lecture but have to wait until the very end to get the new information!  In this seminar series, Drs. Lappin and Oswald have identified approximately 4-6 frequently asked questions to be answered per lecture session.  Those questions will then be answered succinctly in approximately 10 minutes per question to allow for time for discussion amongst the group.  The pace is rapid and so the CE is never boring! 

 

The following are the questions to be addressed in this session.

  Dr. Lappin.

 

1. What are the primary infectious differential diagnoses for mucopurulent nasal discharge in the dog and the cat?
2. What is a logical initial diagnostic plan for dogs and cats with mucopurulent nasal discharge?
3. What is the scoop with canine influenza virus?
4. How can I use nasal culture or PCR assays for infectious diseases in dogs and cats?
5. How can herpesvirus 1-associated disease be diagnosed in cats?
6. What are the logical antibiotic choices for treatment of bacterial rhinitis?
7. Is there clinical benefit for the use of lysine, interferon, or anti-viral therapy in cats with suspected herpesvirus 1 rhinitis?
8. How can I perform therapeutic and diagnostic nasal lavage in dogs and cats?
9. Can nasal biopsies be taken without an endoscope?
10. What are the clinical manifestations of nasopharyngeal polyps in cats?
11. Can I manage cats with nasopharyngeal polyps without a board-certified surgeon?
12. How can I diagnosis nasal aspergillosis and cryptococcosis in dogs and cats?
13. How do I apply clotrimazole for the treatment of aspergillosis?
14. What are the optimal protocols for itraconazole and fluconazole?
15. Can amphotericin B be administered economically?
16. How can I differentiate pyothorax from FIP and chylothorax?
17. How can I place and maintain a chest tube in my practice?
18. How should I manage pyothorax cases?
19. How can I definitely diagnosis FIP?
20. How can I treat cases with FIP?
21. Can FIP be prevented?
22. What is the best treatment plan for chylothorax in dogs and cats?
23. Can I safely acquire airway washings from dogs with suspected bacterial pneumonia?
24. What are the most appropriate antibiotic choices for bacterial pneumonia?
25. Are there pathogenic respiratory Mycoplasmas in dogs or cats?
26. What are the differential diagnoses for proteinuria in dogs and cats?
27. What is better, urine dipstick, urinary protein/creatinine ratio, or ERD screen?
28. What is the minimal diagnostic plan for a dog or cat with proteinuria?
29. What are the pros and cons for taking a renal biopsy in dogs or cats?
30. Is there anything new to save dogs with Lyme glomerulonephropathy?
31. How should I manage dogs with proteinuria?
32. What is the optimal workup for dogs with urinary incontinence?
33. Do I need urethral pressure profilometry to prove weak sphincters in dogs?
34. Why is DES better than PPA for management of urethral incompetence in dogs?
35. What is the optimal way to use DES and PPA concurrently?
36. Are urethral collagen injections effective for treatment of refractory urethral incompetence in dogs?
37. What surgical procedures can be used to correct refractory urethral incompetence in dogs?
38. What is the best way to diagnose an atonic bladder?
39. What drugs should I use to treat dogs or cats with an atonic bladder?
40. What is the best way to treat dogs or cats with suspected urethrospasm?
41. Do dogs and cats develop hyperactive bladders like women?
42. What are the causes of feline lower urinary tract inflammation?
43. What are the best 2 treatments for idiopathic FLUTI?
44. What are the optional treatments for idiopathic FLUTI?

 

Dr. Oswald questions

  Cardiac disease.

1.      Is a heart murmur always indicative of underlying heart disease ?

2.      Are cardiac arrhythmias common in cats ?

3.      Is atenolol or diltiazem a better treatment option for feline cardiomyopathy ?

4.      What is the best treatment strategy for congestive heart failure in cats ?

5.      How do I prevent thromboembolism in feline cardiomyopathy patients ?

6.      This asymptomatic dog has a murmur.  What diagnostics are indicated ?

7.      How can I safely optimize diuretic therapy ?

8.      Which drug is better – enalapril or benazepril ?

9.      When should I initiate vasodilator therapy ?

10.   Should I be using carvedilol in my cardiac patients ?

11.   Should I be using pimobendan  in my cardiac patients (and how do I get it) ?

12.   What are the important consideration when rechecking my cardiac patients ?

Respiratory disease.

      13.  How do I determine if a coughing dog has bronchitis or dynamic airway collapse ?

      14.  Which cough suppressant works best in dogs ?

      15.  When should I be using bronchodilators in coughing dogs ?  Which one ?

      16.  When do I consider surgical intervention or tracheal stents in airway collapse ? 

      17.  When would I use Viagra in a coughing dog ? 

      18.  How do I tell if it is feline asthma or some other respiratory disease ?

      19.  Is corticosteroid treatment always indicated for feline asthma ?

      20.  What are my steroids options for asthmatic cats ?

      21.  Can I use human asthma drugs to treat cats ?

      22.  Does cyproheptadine improve asthmatic symptoms ?

      23.  When should I be using bronchodilator treatment in asthmatic cats ?

Renal failure.

24.    Does this patient have acute or chronic renal disease ?

25.    How important is a kidney biopsy ?  Is it safe ?           

26.    Should all renal failure patients be receiving fluid therapy ?

27.    Is blood pressure determination really that important in renal patients ?

28.    Which antihypertensive treatment is better – amlodipine or benazepril ?

29.    What is the best way to improve urine output in oliguric patients ?

30.    What are the realistic goals in treating chronic renal failure ?

31.    What diet and drugs really work in chronic renal failure patients ?

Bladder/kidney stones.

      32.  What are the most likely urinary stones seen in dogs and cats ?

      33.  I found a stone -  should it be removed ? 

      34.  Is lithotripsy an effective treatment for stones in dogs and cats ?

      35.  Can I perform voiding urohydropropulsion in my practice ?

36.   Why does dissolution diet therapy not always work for me ?

      34.  What is the best way to prevent recurrent struvite stones ?

      35.  What are the best ways to prevent recurrent calcium oxalate stones ?

Bladder tumors

36.  When should I be suspicious of bladder cancer ?

37.  What is the best initial test to evaluate the urethra/prostate ?

38.  How accurate is the bladder tumor urine antigen test ?

39.  What are the best ways to evaluate the urinary bladder wall ?

40.  The bladder wall is abnormal – how do I obtain a representative sample ?

41.  What is the best medical treatment for transitional cell carcinoma ?

42.  What is the likely outcome of transitional cell carcinoma ?

               

 

 

Case reports and videos will be included throughout the seminars to emphasize each topic

6.30am-7.00am

Seminars

Tuesday January 26    7.00am - 9.30am

Seminar registration (American Association of Veterinary State Boards RACE approved for 16 CE hrs.-accepted in most states including California):