Article  Case Study 

AEMV-Lafeber Case Report: Pituitary-Dependent Hyperadrenocorticism and Cholangiohepatitis in a Guinea Pig

A 3-year old intact male guinea pig was presented on emergency for suspected bloat and with a history of chronic hair loss. Clinical examination revealed non-pruritic symmetric truncal alopecia, thin skin, severe cachexia, and an abdominal fluid wave. Alkaline phosphatase, alanine transaminase, aspartate aminotransferase, gamma-glutamyl transferase, leukocytes (neutrophils), bilirubin, and serum cortisol were markedly elevated. Abdominal ultrasonography revealed peritoneal effusion, cholestasis, and cholelithiasis. Hyperadrenocorticism was diagnosed based on…

Article  Case Study 

AEMV-Lafeber Case Report: Gastric Dilatation and Volvulus in a Guinea Pig

An adult intact female guinea pig was presented with dysorexia, exhaustion and weight loss. Radiographic and ultrasound findings demonstrated a severe gas dilatation of the stomach, severe gallbladder distension, and abnormalities on the organ topography. On laparotomy, a 180-degree gastric dilatation and volvulus was noticed with a gallbladder obstruction, hepatic lipidosis, and adhesions between the bowels…

Article  Case Study 

AEMV-Lafeber Case Report: Budd-Chiari-Like Syndrome in a Domestic Rabbit

An eleven year old male neutered rex rabbit presented with lethargy and inappetence of two days duration, and an acute episode of vestibular ataxia. Anemia and elevations in plasma alkaline phosphatase and alanine aminotransferase were evident. Abdominal ultrasound revealed questionable, diffuse hepatomegaly. Computed tomography revealed hepatic venous congestion, severe dilation of the pre-hepatic caudal vena cava, and bicavitary effusion, consistent with Budd-Chiari-like syndrome. Turbulent blood flow within the dilated segment of the caudal vena cava was present on spectral Doppler evaluation. Fine needle aspirate and cytology of the liver revealed necrosis with no evidence of infectious organisms…

Monitoring Vital Signs in Exotic Animal Species

Even the most steadfast and seasoned veterinary anesthetist can find themselves intimidated by exotic animal patients. Standard veterinary anesthesia monitors are not designed to read the extremely high (or extremely low) heart rates and respiratory rates of some exotic animal patients. Despite these challenges, valuable information can be gathered from monitoring tools as well as hands-on techniques. Essential vital signs, such as heart rate and rhythm, respiratory rate and depth, body temperature, and mucous membrane color should all be evaluated.

Article 

Blood Pressure Monitoring in Exotic Animal Species

Arterial blood pressure is a function of heart rate, blood volume, stroke volume, and arterial compliance. Indirect arterial blood pressure is most commonly measured by Doppler ultrasound or non-invasive oscillometric monitors. What are the limitations of indirect blood pressure measurements in exotic animal patients? How is this technique unique in exotic companion mammals when compared to dogs and cats? How is this technique performed in birds and can this procedure be used in reptiles?

Article 

Electrocardiography in Exotic Animal Species

Electrocardiography can be used to detect and diagnose arrhythmias and conduction abnormalities, particularly during long-term anesthesia. How are leads attached to exotic animal patients? And what is the normal appearance of normal electrocardiogram tracings in birds or reptiles?

Article 

Pulse Oximetry in Exotic Animal Species

Heart rate and oxygenation should ideally be monitored during every anesthetic event. Patient size can limit the accuracy of pulse oximetry readings in exotic companion mammals and this technique has not been validated in birds or reptiles, however trends during the course of anesthesia can still provide useful clues to patient clinical status.

Article 

Poisonings in the Avian Patient

Poisonings are relatively uncommon in companion bird emergency medicine, but these conditions do occur and can involve a wide assortment of toxins. In principal, treatment in birds is the same as for other animals. First, stabilize the patient presented with abnormal clinical signs. Establish an airway, initiate respiration, and address cardiovascular needs.

Article  Slideshow 

Bearded Dragon Infectious Disease Slideshow

Inland bearded dragons are native to Australia and are a popular companion animal. Private breeders often select for desirable temperaments and various color morphologies in an effort to provide an ever-increasing variety to the pet trade. They are also bred commercially and sold by large pet retailers making them a widely available pet reptile…

The Avian Neurological Exam

As a part of the Lafeber Company Student Program, Dr. Susan Orosz presented an exclusive presentation to the University of Illinois School of Veterinary Medicine Non-Traditional Species Club as a distance learning event. This web-based seminar was recorded…

Article  Presenting Problem 

Presenting Problem: Dyspnea in Ferrets

This presenting problem article reviews the basic approach to the dyspneic ferret beginning with clinical signs of the dyspneic ferret, key points of urgent care, as well as case management. This latter section reviews tips on taking the history, performing the physical exam, important differential diagnoses, as well as the diagnostic/therapeutic approach.

Article  Video  Webinar 

Best Practices: Cytodiagnosis in Exotic Pet Practice

This R.A.C.E.-approved continuing education webinar was presented by Terry Campbell, MS, DVM, PhD. View a recording of this web-based seminar to earn 1 hour of continuing education credit. Cytology is a simple, rapid diagnostic procedure requiring little in terms of equipment and cost to the veterinarian. Most clinical veterinarians are familiar with sample collection techniques for domestic mammals; which also apply to the small exotic mammals. Common cytological specimens used in avian and reptilian medicine include: aspirates, imprints of biopsy material, tracheal washes, crop (ingluvies) aspirates or washes in birds, gastric washes in reptiles, sinus aspirates, lung washes in reptiles, aspiration of coelomic fluid, and fecal smears.

Article 

Pigeon Disease Primer

The “Pigeon Disease Primer” explores important differential diagnoses for common clinical problems observed in pigeons and doves. Although the clinical approach to the columbiform relies on the same concepts of “One Medicine” used in all species, many of the infectious diseases of pigeons are relatively unique to this taxonomic group, or at least much more prevalent when compared to psittacine birds or songbirds.

Article 

Pigeon Anatomy & Physiology: 15 Facts

Although pigeons and doves are a diverse group of birds, they do share some clinically significant anatomy and physiology, including a large, bilobed crop or ingluvies, crop milk production, as well as a vascular plexus found in the subcutis of pigeons. This post also touches on specialized anatomic features unique to fruit pigeons before summarizing some features of the columbid integumentary system, musculoskeletal system, and urogenital tract.

Article  Video  Webinar 

Anatomy and Physiology of the Avian Gastrointestinal Tract: Clinical Applications

As a part of the Encore ICARE Lafeber Symposium Lecture Series, Dr. Susan Orosz provided an introductory presentation on anatomy and physiology of the avian gastrointestinal tract. View a recording of this AAVSB R.A.C.E.-approved web-based seminar, then take the brief post-test to earn 1 hour of continuing education credit.

Article  Presenting Problem 

Presenting problem: “Red Leg” in Frogs

Red leg syndrome, also known as “pink belly disease” or bacterial dermatosepticemia, is one of the most common clinical conditions of captive frogs. Associated with peracute to acute bacterial septicemia, red leg is generally a disease of captive animals although the condition has also been implicated in rare mass mortalities of wild amphibians. This presenting problem article reviews clinical findings in red leg syndrome, pathogenesis of disease, as well as key points of urgent care and prognosis. The basics of case management are then reviewed: differential diagnoses, diagnostics, treatment, prevention and control.

Article 

Fast Facts on the Chytrid Fungus

The non-hyphal, zoosporic, chytrid fungus Batrachochytrium dendrobatidis (Bd) has caused widespread and dramatic population declines in both wild and captive amphibians worldwide. Use this table to review the basics of the infectious disease chytridiomycosis

Thank You For Attending

Thank you for attending The Avian Neurologic Exam presented by Dr. Susan Orosz, sponsored by the Lafeber Company Student Program, and hosted by LafeberVet.

Rabbit GI Case Challenge Discussion

Gastric dilatation or “bloat” and gastrointestinal obstruction is an acute and life-threatening condition of pet rabbits commonly caused by an obstruction with pellets of compressed hair. The discussion portion of this Case Challenge reviews onset, clinical signs, and diagnostic test results of obstructive and non-obstructive gastrointestinal disease. This condition is considered a surgical emergency and key points of urgent care strive to stabilize the patient through analgesia, decompression when indicated, and supportive care. Surgery is discussed as well as recommendations for patients that cannot go to surgery due to clinical or financial constraints. Follow-up care as well as homecare recommendations, disease prevention, and prognosis are also explored.

Article  Case Study  Slideshow 

Case Challenge: A 5-Year-Old Rabbit With Anorexia and Lethargy

A 5-year old female spayed lop rabbit presents with a history of acute anorexia (<24 hours) and lethargy. Use history, physical examination findings, laboratory results and survey radiographs to solve this case challenge.

Article 

Sea Turtle Physical Examination Part 1: Eyes-Ears-Nose-Throat

Authored by experts in the field: Terry Norton, DACZM, Director/Founder of the Georgia Sea Turtle Center, and Jeanette Wyneken, PhD, this article is part of a unique series on sea turtle veterinary medicine and wildlife rehabilitation. Physical examination of the head and neck are covered including eyes, adnexa, ears, nares, beak, the oral exam, throat, and cervical vertebrae. Normal findings that reflect adaptations to a marine lifestyle are reviewed and unique findings seen in green (Chelonia mydas), flatback (Natator depressus), hawksbill (Eretmochelys imbricata), Kemp’s ridley (Lepidochelys kempi), leatherback (Dermochelys coriacea), loggerhead (Caretta caretta), and olive ridley (Lepidochelys olivacea) turtles are discussed. LOGIN to view references.

Article 

Sea Turtle Physical Examination: Part 2

Part of a unique series on sea turtle veterinary medicine and wildlife rehabilitation, this article explores many components of the sea turtle physical exam. Evaluation of the shell is discussed in both cheloniids and leatherbacks (Dermochelys coriacea) as well as assessment of the cardiopulomonary system, skin, long bones and joints, cloaca and tail. Evaluation of the coelom by inguinal palpation is described as well as measurement of body temperature. Specialized testing such as neurologic and in-water examinations are also described. Common physical examination findings like fibropapillomas in green turtles (Chelonia mydas) and epibiota in loggerhead turtles (Caretta caretta) are also discussed. LOGIN to view references.

Article 

Body Condition Scoring the Sea Turtle

Weight trends can be a helpful indicator of hydration and nutritional status in veterinary medicine and wildlife rehabilitation settings. This article explores body weight and body measurements in the green (Chelonia mydas), flatback (Natator depressus), hawksbill (Eretmochelys imbricata), Kemp’s ridley (Lepidochelys kempi), leatherback (Dermochelys coriacea), loggerhead (Caretta caretta), and olive ridley (Lepidochelys olivacea) turtle. Subjective and objective body condition scoring systems used during physical examination are described and examples ranging from emaciation to obesity are illustrated. The relationship between carapace length and sea turtle sexual maturity is also discussed. LOGIN to view references.

Article 

Protein Electrophoresis in Avian Patients

Electrophoretic patterns among avian species have been found to be quite different from those seen in mammals. The protein electrophoresis patterns of psittacine species that have been studied generally include the presence of prealbumin in many species, lower normal concentrations of gamma-globulin, and increases in the…

Article 

Turtle Tweets: Chelonian Ophthalmology

A simple retweet of a turtle eye examination at the National Aquarium inspired a day of terrapin-friendly tweets by LafeberVet. Twitter topics ranged from turtle and tortoise ophthalmic anatomy to chelonian clinical problems like blepharedema, commonly associated with hypovitaminosis A in aquatic turtles.

Article 

Avian Bornavirus and Proventricular Dilatation Disease: Facts, Questions, and Controversies

Proventricular dilatation disease or PDD is one of the most frustrating avian conditions encountered today. The recent discovery of a causal relationship between PDD and avian bornavirus has not simplified the challenges that are faced. The detection of avian bornavirus infection is common in birds with PDD but is also detected in birds with other chronic diseases that are not diagnosed with PDD. Proventricular dilatation disease was first reported in the late 1970s…

Article 

Transfusion Medicine in Birds

Because of a lack of identified blood groups in companion bird species, compatibility for transfusion is based on the use of major and minor cross matches. A major cross match is performed by mixing donor red cells with recipient plasma and a minor cross match uses recipient cells and donor plasma. The appearance of agglutination or cell lysis indicates incompatibility.

Unlike mammals, a single transfusion between different bird species can be safe and efficacious. Transfusions will be most effective if the donor is…

Article 

Reproductive Emergencies in Birds

Reproductive emergencies are most commonly seen in small psittacine birds like the cockatiel, lovebird and budgerigar parakeet. This article reviews conditions commonly seen on an emergency basis such as dystocia, egg yolk peritonitis, cloacal or oviductal prolapse, and/or chronic egg laying. Pertinent anatomy and physiology as well as case management, including the reproductive history, physical examination, diagnostic imaging, and behavioral modification techniques are also discussed.

Article 

Urolithiasis in Ferrets, Rabbits and Rodents

Urolithiasis is characterized by single or multiple calculi throughout the urinary tract or by the presence of sandy material within the bladder and urethra. Uroliths are fortunately more of a historical disease in the ferret, while calculi are still an important problem in rabbits and rodents.

Article 

Raptor Ophthalmology: Anatomy of the Avian Eye

A bird is a wing guided by an eye… Rochon-Duvigneaud: Lex Yeux et La Vision Des Vertebres

The avian eye is a large structure that takes up a significant portion of cranial mass. Raptors depend heavily on vision in order to compete successfully for survival. The posterior aspect of the eye fits snugly within the large bony orbit. The globes are separated by a thin interorbital septum, which measures significantly less than 1 mm in some areas…

Article 

Diarrhea in the Avian Patient

Diarrhea is a common clinical presentation in avian medicine. Diarrhea may be caused by a variety of conditions, however it is particularly important for the practitioner to understand the anatomy and diseases of the avian gastrointestinal tract and associated organs.

Article 

Venipuncture in Birds

Blood work is considered a basic diagnostic test in every species, including birds. Venipuncture may be indicated for wellness screening, sample collection for DNA sexing, evaluation of the ill or injured bird, as well as collection of blood for transfusion. The value of testing must always be weighed against the stress of venipuncture since the critically ill bird may not be stable enough for restraint. This article reviews equipment needed, the volume of the blood sample, general tips for blood collection, common venipuncture sites in the bird, and sample handling.

Article 

Avian Chlamydiosis

Psittacosis or ornithosis is caused by Chlamydophila psittaci, an obligate intracellular bacterial infection of birds. Chlamydophila psittaci may be excreted in feces and oculonasal discharge. Chlamydophila is environmentally labile but remains infectious for months in organic debris. Latently infected birds appear healthy but shed the organism intermittently for months to years. Stressors such as breeding, shipping, crowding, or climatic extremes may activate shedding.

Article 

Avian Hematology and Biochemistry Panels

Although hematology and biochemistry are an important part of the clinical picture in the avian patient, this bloodwork remains just ‘part of the picture’. All too often, when a clinician is unfamiliar with a species, the reaction is often to rely on laboratory results to hang a diagnosis upon. Although we have all been guilty of this, such an approach is inappropriate. For each sick bird, the following diagnostic tools should be applied: complete history, visual examination of the bird and its environment, physical examination, clinical pathology sample collection (blood, feces, swabs, aspirates, etc.), and radiography.

White blood cells are similar to mammalian lines, except that mammalian neutrophils are replaced with heterophils and mammalian platelets are replaced with thromobocytes. There are significant variations in normal differentials among avian species, in particular the total white cell count and…

Differential Diagnosis List 

Differential Diagnosis in Ferrets

Although some diseases are merely arranged alphabetically, other lists are based on the mnemonic acronym DAMNIT. This commonly used veterinary medical record scheme divides disease mechanisms into the following categories: degenerative, anomalous, metabolic, neoplastic or nutritional; infectious, inflammatory, idiopathic, immune-mediated, or infarct/vascular; and traumatic or toxic. Exercise professional judgment when evaluating this information. Differential Diagnosis in Ferrets is designed as an aide or reminder system for use by qualified veterinarians and should never be used for diagnostic decision-making.

Differential Diagnosis List 

Differential Diagnosis in Rabbits

Although some diseases are merely arranged alphabetically, other lists are based on the mnemonic acronym DAMNIT. This commonly used veterinary medical record scheme divides disease mechanisms into the following categories: degenerative, anomalous, metabolic, neoplastic or nutritional; infectious, inflammatory, idiopathic, immune-mediated, or infarct/vascular; and traumatic or toxic. Exercise professional judgment when evaluating this information. Differential Diagnosis in Rabbits is designed as an aide or reminder system for use by qualified veterinarians and should never be used for diagnostic decision-making.

Article 

Pediatric Avian Medicine: Diagnostic Testing

Regardless of the initial cause of illness or injury, neonatal psittacine birds often develop secondary bacterial and/or fungal infections that can become serious primary problems. These infections are most commonly encountered within the gastrointestinal tract.

Article 

Iron Storage Disease In Birds

Hemochromatosis, “iron overload”, or “iron storage disease” is the excess accumulation of iron within parenchyma, especially in the liver and eventually in the heart and spleen. Elevated iron stores eventually lead to hepatocyte damage and fibrosis.

Article  Presenting Problem 

Presenting problem: Oropharyngeal Plaques in Birds

Oropharyngeal lesions tend to be asymptomatic until lesions are quite advanced. Clinical signs associated with oropharyngeal disease vary, but may include anorexia, dysphagia, drooling, halitosis, head or food flicking and rubbing the beak. Diffuse disease or large focal lesions or diffuse disease can obstruct the choanal slit and/or glottis leading to wheezing, open-mouth breathing, dyspnea or in extreme cases suffocation…

Differential Diagnosis List 

Differential Diagnosis in Mice

Although some diseases are merely arranged alphabetically, other lists are based on the mnemonic acronym DAMNIT. This commonly used veterinary medical record scheme divides disease mechanisms into the following categories: degenerative, anomalous, metabolic, neoplastic or nutritional; infectious, inflammatory, idiopathic, immune-mediated, or infarct/vascular; and traumatic or toxic. Exercise professional judgment when evaluating this information. Differential Diagnosis in Mice is designed as an aide or reminder system for use by qualified veterinarians and should never be used for diagnostic decision-making.

Differential Diagnosis List 

Differential Diagnosis in Rats

Although some diseases are merely arranged alphabetically, other lists are based on the mnemonic acronym DAMNIT. This commonly used veterinary medical record scheme divides disease mechanisms into the following categories: degenerative, anomalous, metabolic, neoplastic or nutritional; infectious, inflammatory, idiopathic, immune-mediated, or infarct/vascular; and traumatic or toxic. Exercise professional judgment when evaluating this information. Differential Diagnosis in Rats is designed as an aide or reminder system for use by qualified veterinarians and should never be used for diagnostic decision-making.

Differential Diagnosis List 

Differential Diagnosis in Gerbils

Although some diseases are merely arranged alphabetically, other lists are based on the mnemonic acronym DAMNIT. This commonly used veterinary medical record scheme divides disease mechanisms into the following categories: degenerative, anomalous, metabolic, neoplastic or nutritional; infectious, inflammatory, idiopathic, immune-mediated, or infarct/vascular; and traumatic or toxic. Exercise professional judgment when evaluating this information. Differential Diagnosis in Gerbils is designed as an aide or reminder system for use by qualified veterinarians and should never be used for diagnostic decision-making.

Differential Diagnosis List 

Differential Diagnosis in Hedgehogs

Although some diseases are merely arranged alphabetically, other lists are based on the mnemonic acronym DAMNIT. This commonly used veterinary medical record scheme divides disease mechanisms into the following categories: degenerative, anomalous, metabolic, neoplastic or nutritional; infectious, inflammatory, idiopathic, immune-mediated, or infarct/vascular; and traumatic or toxic. Exercise professional judgment when evaluating this information. Differential Diagnosis in African Pygmy Hedgehogs is designed as an aide or reminder system for use by qualified veterinarians and should never be used for diagnostic decision-making.

Differential Diagnosis List 

Differential Diagnosis in Guinea Pigs

Although some diseases are merely arranged alphabetically, other lists are based on the mnemonic acronym DAMNIT. This commonly used veterinary medical record scheme divides disease mechanisms into the following categories: degenerative, anomalous, metabolic, neoplastic or nutritional; infectious, inflammatory, idiopathic, immune-mediated, or infarct/vascular; and traumatic or toxic. Exercise professional judgment when evaluating this information. Differential Diagnosis in Guinea Pigs is designed as an aide or reminder system for use by qualified veterinarians and should never be used for diagnostic decision-making.

Differential Diagnosis List 

Differential Diagnosis in Hamsters

Although some diseases are merely arranged alphabetically, other lists are based on the mnemonic acronym DAMNIT. This commonly used veterinary medical record scheme divides disease mechanisms into the following categories: degenerative, anomalous, metabolic, neoplastic or nutritional; infectious, inflammatory, idiopathic, immune-mediated, or infarct/vascular; and traumatic or toxic.

Article  Video  Webinar 

Grey Parrot Anatomy Project Veterinary Webinar

When Dr. Michelle Hawkins of the Companion Exotic Animal Medicine & Surgery Service of the UC Davis School of Veterinary Medicine expressed interest in an encore presentation of the Grey Parrot Anatomy Project for veterinary medical students, Dr. M. Scott Echols and LafeberVet were happy to oblige. Veterinary medical educators and their students were invited to attend this free, interactive, web-based seminar featuring incredible avian anatomy images, video clips that enhance our understanding of anatomy, and an exciting research update…

Differential Diagnosis List 

Differential Diagnoses in Chinchillas

Although some diseases are merely arranged alphabetically, other lists are based on the mnemonic acronym DAMNIT. This commonly used veterinary medical record scheme divides disease mechanisms into the following categories: degenerative, anomalous, metabolic, neoplastic or nutritional; infectious, inflammatory, idiopathic, immune-mediated, or infarct/vascular; and traumatic or toxic.