Illustrated Articles
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Telehealth is a broad term that refers to the use of telecommunications to provide health-related services. Telehealth services can be delivered by a variety of methods including telephone, text messaging, internet chat, and videoconferencing. Teletriage is the act of performing triage remotely, via telephone or internet and helps determine the urgency of your pet’s medical concern. Telemedicine refers to the practice of medicine at a distance. In the context of veterinary medicine, telemedicine refers to a veterinarian formulating a diagnosis and treatment plan for your pet without an in-person examination. Telemedicine is typically only permitted within the context of an existing Veterinarian-Client-Patient Relationship. Given the current COVID-19 pandemic and social/physical distancing requirements however, some federal and local governments have relaxed the requirements surrounding telemedicine.
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Telemedicine is defined as the act of practicing medicine at a distance. Telemedicine can be offered in a number of different ways: telephone calls, text messaging, online chat, email consultations, and visits conducted through videoconferencing programs. Telemedicine is not appropriate for every concern, such as a pet hit by a car; however, a number of common veterinary complaints can be addressed via telemedicine (e.g., flea allergies, minor limping, mild diarrhea). While it is impossible to perform a complete, comprehensive exam during a telemedicine appointment, in many cases your veterinarian can gather enough information to arrive at a reasonable diagnosis and start treatment. If your veterinarian determines that your pet requires in-person care, your veterinarian can help you determine when and where your pet should be seen and may be able to give you an idea of what to expect during the in-person veterinary visit.
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Telmisartan is an angiotensin receptor blocker (ARB) used to treat high blood pressure in cats and off-label to treat kidney disease in both cats and dogs. This medication is given by mouth in the form of a liquid or tablet. It may be given with or without food but is better absorbed if given on an empty stomach. Side effects may include vomiting, diarrhea, lack of appetite, low blood pressure, and decreased energy. There are several drugs that can contribute to adverse effects when given with telmisartan. Be sure to tell your veterinarian about any medications (including vitamins, supplements, or herbal therapies) that your pet is taking. If you suspect an overdose or an adverse reaction to the medication, call your veterinary office immediately.
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Testicular tumors are generally not aggressive and have a low metastatic rate. Pets with undescended testicles (cryptorchid) are predisposed to the development of certain testicular tumors. Hyperestogenism is possible with Sertoli cell tumors. In any cryptorchid pet, removal of both testicles should be pursued. Intraabdominal tumors in cryptorchid pets may cause lethargy, decreased appetite, and fever. Standard staging is recommended in all cases, including a rectal exam. Surgery is typically the treatment of choice and may be combined with radiation therapy or chemotherapy if metastasis is evident.
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Abdominal enlargement in dogs may occur due to a simple cause such as obesity, pregnancy, or intestinal parasites; however, it can also be a sign of different illnesses including hyperadrenocorticism, hypothyroidism, heart disease, organ enlargement trauma, GDV, and cancer. Identifying the cause of abdominal enlargement can take several steps starting with history and physical exam, progressing to screening tests including bloodwork and urinalysis. The CBC is assessed for signs of anemia, low platelets, or signs of inflammation. A biochemistry profile may reveal liver or kidney dysfunction, hypo- or hyperproteinemia, hypoglycemia, or other abnormalities. Urinalysis is used to fully interpret the biochemistry and check for abnormal urinary sediment. Based on the findings of the screening tests, additional diagnostics may include imaging, EKG, tissue biopsy, or fluid analysis.
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Diarrhea can be a simple diagnosis or a complex one. A thorough history and physical exam may be enough to determine the cause; however, in less obvious cases, various tests may be needed. Pending the results, a treatment plan can be developed.
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Various conditions can cause increased thirst (polydipsia) and urination (polyuria). Based on your pet's history and a thorough physical examination, your veterinarian will recommend diagnostic testing to determine the cause. This handout describes several tests that can be performed along with the conditions the results from these tests may indicate.
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This handout discusses Lyme disease in dogs, primarily the issue of methods of testing for the disease.
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In pets, pallor is usually detected as a loss of color from the gums and inner eyelids and can be a sign of anemia or poor circulation. A pet’s history of illness and a complete physical examination are important in determining the cause of the pallor. However, your veterinarian may also recommend doing screening tests such as a complete blood count, serum biochemistry and urinalysis. Additional tests may also be needed.
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Finding the cause of a pet's seizures can be difficult. Screening usually starts with a complete history and physical examination, followed by blood and urine tests to look for underlying diseases that can cause seizures. If the cause still cannot be identified, it is possible that they originate within the brain itself and further neurologic testing might be advised.