The Veterinary Reporter

VCA   

Summer 2015

Dear Veterinary Colleague,

Dr. David Bruyette Welcome to our Summer 2015 edition of The Veterinary Reporter! Since it's so commonly seen in our practices, for this issue, we're addressing Hyperadrenocorticism (Cushing's Disease). We also present an interesting Intermusclar Lipoma case study and a compelling literature review that looks at client information overload.

 

As always, please let us know if you have questions or would like additional information about any of our newsletter topics. And never hesitate to let us know whenever we can be of assistance to you, your clients and patients. Thanks for your continuing support and trust!

 

David Bruyette, DVM, DACVIM
Medical Director
VCA West Los Angeles Animal Hospital
  
Contact Us 
Internal Medicine
CANINE PITUITARY DEPENDENT HYPERADRENOCORTICISM (CUSHING'S DISEASE)
  
Canine Pituitary Dependent Hyperadrenocorticism This article provides an overview and the diagnostics of Canine PDH, a common endocrine disorder in older dogs. The diagnosis of PDH requires incorporating information from the history, physical examination, and routine laboratory tests. Specific endocrine tests and imaging modalities are available to diagnose HAC and distinguish between the various causes of hypercortisolism; however, no single test is perfect and if the initial screening test is negative, and high clinical suspicion of HAC exists, additional tests should be performed to rule in or rule out HAC.
 

Internal Medicine

IDENTIFYING AND MANAGING
ATYPICAL HYPERADRENOCORTICISM
Atypical Hyperadrenocorticism
 
The term Atypical Hyperadrenocorticism is used to describe dogs in which clinical signs and response to treatment are consistent with a diagnosis of HAC, but the standard screening test (ACTH stimulation test, low-dose dexamethasone suppression test) results are within the reference range. The reasons for the clinical signs in these patients are currently unknown. In this article we discuss identifying and managing occult HAC.
 

Surgery/Imaging Case Study

INTERMUSCULAR LIPOMA IN A 12-YEAR-OLD
DOBERMAN PINSCHER
Intermuscular Lipoma
 
Figaro, a male neutered Doberman Pinscher, presented to our Surgical Service for evaluation of swelling of the right pelvic limb. It had been present for 2 years, but recently seemed to be growing rapidly. Cytology of the mass had been performed by the rDVM, and it was consistent with a lipoma.
  
Read More 

Internal Medicine

LITERATURE REVIEW: THE PATERNALISM PREFERENCE - CHOOSING UNSHARED
DECISION MAKING
The Paternalism Preference Literature Review
A recent editorial in the NEJM, "The Paternalism Preference - Choosing Unshared Decision Making," raises an important question. Is it possible to provide too much information to a patient or in our case, a client? This editorial reviews the pros and cons of such information overload and emphasizes what I believe to be the case, namely, that owners want you to be the doctor.
 
Clinical Trials

CLINICAL TRIALS: 

Call for Cases

  

VCA West Los Angeles Animal Hospital is currently conducting four clinical studies that our hospital is actively seeking participant cases for from veterinarians. Following is a brief outline of the trials. For more details about each of these studies, please click on the "Read More" links below.


 
 
Yunnan Baiyao Yunnan Baiyao Study
This trial evaluates the effect of Yunnan Baiyao on coagulability in dogs with hemangiosarcoma using Thromboelastography (TEG).

Read More 

 

 

yd feline diet

 

Feline y/d Study
A clinical study to evaluate the safety and efficacy of Hill's Feline y/d in the management of clinical signs and biochemical abnormalities in cats with newly diagnosed hyperthyroidism.

Read More  
 


 

Feline Cystic CalculiLaparoscopic-assisted Cystotomy Study
Our hospital is enrolling cats with confirmed cystic calculi for an on-going study to compare the surgical times, postoperative pain and outcomes between laparoscopic-assisted cystotomy and traditional open cystotomy.

Read More  
 
 
IN THIS ISSUE
INTERNAL MEDICINE
  
Canine Pituitary Dependent
Hyperadrenocorticism
(Cushing's Disease)
___
   
Identifying and Managing Atypical Hyperadrenocorticism
  ______________

SURGERY/
IMAGING
CASE STUDY

Intermuscular
 Lipoma in a
12-year-old
Doberman Pinscher
  ______________

 

INTERNAL MEDICINE 

 

Literature Review: The Paternalism Preference - Choosing Unshared Decision Making ______________

    

 CLINICAL TRIALS:  

CALL FOR CASES 

 

CEs
    
JOIN US FOR OUR UPCOMING
CE PROGRAMS!

  

 

  Philip Padrid, DVM
October 7, 2015

  

 David Aucoin, DVM, DACVCP
November 11, 2015

 

 Nicole Buote, DVM, DACVS December 9, 2015

 

 

Click on names for details and registration information


 
  ______________

  

 

OUR LOCATION

 

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VCA West Los Angeles
Animal Hospital
1900 S. Sepulveda Blvd.
Los Angeles, CA 90025
Ph 310-473-2951
Fx 310-979-5400
 
 
Click on Map for Directions  

 

 

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VETERINARY SPECIALISTS! 
  
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