Five Diagnostic Procedures for Feline Patients (CD-ROM)
Gary Norsworthy, DVM, DABVP (Feline)

Guest Review by W. Greg Upton, DVM, NW Freeway Veterinary Hospital, Houston, TX Star
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I assume this CD-ROM is designed for veterinary technicians and not for veterinarians. I decided to watch it on my laptop at home. As it turns out, my laptop did not have QuickTime on it. No big problem since the disc has an install program. Getting the video to start is not difficult for moderate-to-experienced computer users, but may be difficult for beginners. It would be easier if there was an auto start feature. One must manually start the program, at least on my computer. The “handout” (a PDF file) appears to be formatted as a three-way folded brochure, so onscreen it opens toward the end, not the beginning.

The first segment is on cystocentesis. The procedure illustrated on the CD-ROM required three people, and did not mention other possible positions to try. I do mine differently and require only one assistant. There was no discussion about the possible complications that could occur with cystocentesis, such as a vagal reflex and peritoneal contamination with urine or bacteria (if the urine contains bacteria). It could have been mentioned that contamination of the urine sample with blood and protein is not uncommon with this procedure, and to account for that when doing the urinalysis.

The second procedure is a jugular blood draw. I must admit to never having tried it in my lap the way the author describes. Again, a three person procedure is described when two should be able to handle the task. I would think it unwise to follow his advice about having the client help restrain the cat for this procedure when the AVMA-PLIT and others have stated for years to not allow clients to help. Also he was shown bending the needle with his bare finger, therefore contaminating it, prior to insertion into the jugular vein. That would not be permitted in my practice.

The third procedure was on performing an ECG using the Biolog ECG unit. They did not describe the use of other ECG machines. You might want to search the VIN boards to get opinions about the Biolog unit and the usefulness of “routine” ECGs in general.

The fourth procedure was on pulmonary aspirates. Again, he was shown touching the needle before inserting it. This time his hand was gloved, but it was a non-sterile exam glove. There wasn't much discussion about the indications for pulmonary aspiration. There was no mention of the possibility of obtaining pleural fluid and how to interpret it.

The fifth procedure was on obtaining a bone marrow aspirate. It discussed using the femur, and never mentioned other possible locations. There was no discussion about the difference between a bone marrow aspirate (which was demonstrated) and a bone marrow biopsy. I thought that there should have been discussion as to the indications for doing either. And, although the animal was obviously anesthetized, there was no mention, that I recall, how best to handle the animal for the procedure.

Overall, I found the CD to be uninspiring and not one I would use to educate my employees.

Teton NewMedia, Jackson, WY (2002).

ISBN: 9781893441743.


Table of Contents
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Introduction
Alternative Medicine
Anatomy
Anesthesia/Analgesia
Animal Welfare
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Avian
Behavior
Camelids
Canine
Cardiology
Client Education
Cytology / Hematology / Histology
Dental
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Dictionary/Reference
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Emergency Med
Endocrine
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Equine
Ethics
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Food Animals/Livestock
General
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Human-Animal Bond
Imaging & Radiology
Immunology
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Laboratory Medicine
Microbiology
Multimedia
 
* Keeping Indoor Cats (VSPN Review)
 
Expert Bird Care 1 DVD
 
Vet Emergency Game
 
* Abdominal Rad. Small Anim. (CD-ROM)
 
* BSAVA Cases SA CD
 
* BSAVA SA Imaging CD
 
You are here* Five Diagnostic Feline
 
* Hearing Horse Hearts
 
* Restraint Fractious Cat
 
* SA Drug Handheld 4th Ed.
Neurology
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Primates
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Wildlife-Zoo Animals
Zoonoses

Date Published: March 18, 2003

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