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A portosystemic shunt causes a bypass of blood from the gastrointestinal tract directly into the systemic circulation, avoiding the normal detoxifying process that happens in the liver and reducing nutrient input into the liver. Liver shunts can be congenital defects (failure of closure of the ductus venosus or inappropriate vascular development) or acquired (development of extra vessels caused by portal vein hypertension). Clinical signs include failure to thrive (runt), head pressing or other neurological signs especially after high protein meals, delay in anesthetic recovery, increased urination, and vomiting or diarrhea. CBC and biochemistry can be altered in a dog with a portosystemic shunt (e.g., microcytic anemia, low BUN, glucose, elevated ALT) and urinalysis can show abnormal crystals and possibly infection. Bile acids will be elevated. CT, ultrasound, or other more advanced imaging will confirm and locate the shunt. Initial treatment includes a change to a low protein diet, lactulose to absorb ammonia and other toxins, and antibiotics to change the bacterial population of the intestines. Some dogs do well with medical management; however, many need surgical treatment to gradually close off the shunt. Surgery is very successful and dogs return to normal in 2-4 months.
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When your cat comes home after an operation, special care must be taken to ensure he remains indoors with restricted activity and cannot lick or chew at his incision site. Monitor your cat for abnormal signs and contact your veterinarian if any are observed.
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Special care must be taken when your dog comes home after an operation to ensure the incision area stays clean and dry and heals properly. Some signs are cause for concern, and if observed, call your veterinarian right away.
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Prostatic disease can be uncomfortable for a dog, particularly if it causes compression of the urethra or colon. Because there are many diseases of the prostate, it is necessary to perform several tests to determine the exact cause of a patient's condition. This handout provides explanations of the seven most common conditions affecting the prostate and the corresponding approaches to treatment.
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Pyometra is a serious and life-threatening infection in the uterus, occurring in female cats who have not been spayed. The condition must be treated quickly and aggressively. The preferred treatment is to surgically remove the uterus and ovaries by performing an ovariohysterectomy. There is a medical approach to treating pyometra, although the success rate is highly variable and not without considerable risk and potential long-term complications.
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Pyometra is a serious and life-threatening infection in the uterus, occurring in female dogs who have not been spayed. The condition must be treated quickly and aggressively. The preferred treatment is to surgically remove the uterus and ovaries by performing an ovariohysterectomy. There is a medical approach to treating pyometra, although the success rate is highly variable and not without considerable risk and potential long-term complications.
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A recessed vulva, also referred to as a juvenile or hypoplastic vulva, is a conformational issue that occurs in female dogs. In this condition, the vulva is recessed within, or partially hidden by, surrounding folds of skin. Some dogs might have a recessed vulva for their entire life without ever experiencing any visible effects. In other dogs, however, a recessed vulva can predispose them to vaginitis and/or urinary tract infections. Depending on the severity of your dog’s clinical signs, medical or surgical options may be used to treat this condition.
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Cryptorchidism is the failure of one or both testicles to descend into the scrotum. Some purebred cats are more at risk, but it can affect any cat and is believed to be an inherited trait. Diagnosis can usually be made by palpation but sometimes requires blood testing or abdominal ultrasound if the cat’s history is unknown. Risks of retained testicles include testicular cancer, spermatic cord torsion, and the development of undesirable male characteristics, so neutering is strongly recommended. Surgery is generally routine, and recovery is similar to any abdominal surgery.
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Cryptorchidism is the failure of one or both testicles to descend into the scrotum. Toy breeds may be more at risk, but it can affect any breed of dog and is believed to be an inherited trait. Diagnosis can usually be made by palpation but sometimes requires blood testing or an abdominal ultrasound if the dog’s history is unknown. Risks of retained testicles include testicular cancer, spermatic cord torsion, and the development of undesirable male characteristics, so neutering is strongly recommended. Surgery is generally routine, and recovery is similar to any abdominal surgery.
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Round cell tumors are among the most common skin tumors in dogs, and they typically form just under the skin, although they may change the surface of the skin above them. It is impossible to diagnose any of them without a veterinary pathologist analyzing a tissue sample of the tumor under a microscope. If detected early, most round cell tumors can be easily removed.
