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ABSTRACT OF THE WEEK

Today's Veterinary Practice
Volume 13 | Issue 1 (Jan-Feb 2023)

Recognizing Futile Care in Veterinary Medicine

Today's Vet Pract. Jan-Feb 2023;13(1):8-13. 4 Refs
Kate Boatright1
1 Butler Veterinary Associates and Emergency Center, Butler, PA 16001, USA.

Author Abstract

"Futile care" is becoming more well-known in the veterinary profession. Having an approach to client conversations about the difference between palliative care and futile care can mean the difference between suffering and letting go in dignity.

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Archives Highlights:
Computed tomography findings of nasal cryptococcosis in Australia (2008-2020): 12 dogs and 9 cats.
Dogs were more likely to have a nasal mass, whereas cats were more likely to have a nasopharyngeal mass. Cribriform plate lysis was common in dogs, but not observed in cats. Sinonasal osteolysis was a common feature in both species. Mandibular lymph nodes were commonly enlarged in dogs, whereas in cats, the retropharyngeal lymph nodes were more likely enlarged.
Clinical characterization of a novel episodic ataxia in young working Cocker Spaniels.
The mean age at clinical onset was 4 months. Signs were acute and included episodic body swaying, titubation, cerebellar ataxia, wide-base stance, and hypermetria, all while mentation remained unaltered. Duration of episodes ranged from 30 minutes up to 24 hours, and their frequency varied from weekly to once every 5 months.
Risk Factors for Injury in Border Collies Competing in Agility Competitions.
The jump height relative to the shoulder height was associated with injury, with dogs jumping noticeably above or below shoulder height more likely to report a history of injury. Other identified risk factors included the number of weekends spent competing/year, the number of competitions at the national level, the age when starting elbow height jumps and backside jumps, the acquisition of the dog from a breeder, and the age of the handler.
From the Cat’s Point of View: Creating a Cat Friendly Veterinary Environment
Prepare the examination table in advance with warm blankets sprayed with synthetic feline pheromones placed on nonslip surfaces (e.g., yoga mats). Spraying synthetic feline pheromones on the examination table 15 minutes before the physical examination has been shown to lower stress levels compared with placebo Synthetic feline pheromone diffusers are also recommended.
Splenic Masses in Dogs: Algorithms for Differentials, Diagnosis, and Definitive Treatment
There is a 63.1% to 70.5% chance a splenic mass is benign if there is no hemoabdomen and a 21.7% to 37.5% chance it is benign if there is hemoabdomen. These numbers replace the two-thirds rule, which said that two-thirds of splenic masses were malignant and two-thirds of malignant masses were HSA, without accounting for hemoabdomen.

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