Library
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This handout outlines the use of disease-modifying osteoarthritis drugs (DMOADs) in cats, specifically the use of polysulfated glycosaminoglycans (PSGAGs). The rationale for their use, potential side effects, and treatment expectations are explained.
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The lacrimal duct is part of the nasolacrimal system, a series of narrow tubes that allow tears to drain from the eye into the nose and mouth. This duct can sometimes become blocked or fail to develop properly, resulting in tears overflowing and potentially staining the face below the eye. The clinical signs, diagnosis, and treatment options for the condition are explained in this handout.
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Laser surgery is a procedure that generates a beam of light energy at a specific wavelength, resulting in the cutting of tissues. There are three major advantages of laser surgery when compared to traditional stainless steel surgical scalpels, which are decreased pain, decreased inflammation, and improved tissue healing. Routine procedures such as ovariohysterectomy and castration are commonly done with laser.
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The liver is an important organ necessary for controlling many different body functions. Signs of liver disease include increased drinking and urination, abdominal swelling, jaundice, digestive upset, and weight loss. Because of the varied actions of the liver there are several blood and urinary tests that can reveal liver disease. Imaging can be used to determine if there is a change in liver size or irregularity in liver tissue. Ultimately, a liver biopsy is often needed to definitively diagnose liver disease. A biopsy may be obtained by fine needle aspiration through the body wall or a surgical biopsy may be necessary. Anesthesia in a cat with liver disease will carry increased risk but often is relatively low. Treatment of liver disease depends on the diagnosis, but sometimes specific diets are recommended to help manage or slow the disease.
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Primary liver tumors in dogs and cats are rare. There are 4 types: hepatocellular tumors, bile duct tumors, neuroendocrine tumors, and sarcomas. These cancers can be massive, nodular, or diffuse in form. In dogs, most liver tumors are malignant, while in cats, most are benign. The signs of liver tumors range from being asymptomatic to having inappetence, fever, lethargy, and weight loss; and less commonly, nausea, vomiting and diarrhea; increased drinking and urination; and jaundice. Occasionally there are neurological signs, such as seizures. With tumor rupture and intrabdominal bleeding there may be weakness, collapse, and difficulty breathing. The diagnosis is based on history, clinical signs, exam findings, diagnostic imaging, and FNA or liver biopsy. A biopsy is best for a definitive diagnosis. Surgery is the treatment of choice for most primary liver tumors followed by chemotherapy. Chemoembolization is a newer treatment.
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Lung flukes in North America are parasites called Paragonimus kellicotti that infect the lungs of cats after they have eaten an infected crayfish or rodents that have eaten infected crayfish. Eggs are then released by the parasite into the cat’s sputum to be coughed out or swallowed and released in the feces to continue the life cycle. Lung flukes can be found anywhere in North America but more commonly around the Mississippi River and Great Lakes. Infected cats can be symptom-free or may develop cough with sometimes bloody mucus, pneumonia, pneumothorax, lethargy and weakness. Diagnosis can include locating eggs of the parasite from feces or mucus from the lungs. X-rays can also reveal cysts in the lungs caused by the parasite. Treatment requires one of 2 commonly used anti-parasitic medications: Praziquantel or Fenbendazole. Although zoonotic, these parasites won’t transmit directly from cats to humans.
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Lung tumors are considered rare in cats and dogs. Many pets may not show symptoms at first, and a tumor may be found coincidentally. Depending on the type and stage of cancer, treatment may be possible; otherwise, symptomatic supportive care may be an alternative option.
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In North America, many parasitic lungworms infect cats. Cats can become infected by swallowing infective stages of parasitic lungworm. The exact means of becoming infected varies according to the life cycle of the particular parasite. Signs can include coughing, heavy breathing, wheezing, sneezing, poor appetite or anorexia, weight loss, fever, enlarged lymph nodes, and ocular or nasal discharge, and may be more prominent in kittens due to their immature immune systems. Although the success rate of treatment depends on the severity of symptoms and the number of parasites present, the prognosis for recovery is generally good.
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A luxating patella is a kneecap that 'pops out' or moves out of its normal location. Signs include intermittent lameness, an unusual 'skipping' on the affected leg when the cat walks or runs, or difficulty jumping. A luxating patella can be corrected surgically, especially if the patella luxates frequently. If your veterinarian performs surgery before arthritis or another knee injury occurs, the prognosis is excellent.
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Lymphatic tumors are rare in pets. Lymphangiomas are benign and lymphangiosarcomas are malignant and have a moderate-to-high metastatic potential. Patients with lymphatic tumors typically have severe edema or cavity effusions because of lymphatic obstruction and leakage. These types of tumors occur more frequently in young dogs and cats. Treatment usually involves surgical excision and chemotherapy may be used as a follow-up treatment in the case of lymphangiosarcomas.