An 8-month old female veiled chameleon presents for a 3-day duration of anorexia and lethargy. Use history, physical examination findings, laboratory results and survey radiographs to solve this case challenge.
Save the Date for a live, interactive, continuing education webinar presented by Douglas Whiteside, DVM, DVSc, DACZM, DECZM (Zoo Health Management). Topics covered will include clinically relevant anatomy and physiology, obtaining a detailed history, triage and emergency therapies, clinical examination, diagnostic testing, analgesia, nutritional support, hospitalization, and euthanasia.
Husbandry-related conditions are very common in reptiles, and nutritional secondary hyperparathyroidism is frequently recognized in clinical practice. The discussion portion of this Case Challenge reviews pathogenesis, history, examination findings, and diagnostic test results with radiography, and clinical pathology. Key points of case management are explored, including correction of husbandry and dietary factors, management of hypocalcemia, as well as stabilization and supportive care. Prognosis and prevention are also discussed.
Lafeber Company was proud to sponsor the 2020 Association of Exotic Mammal Veterinarians Student Case Report Contest. Veterinary students from all over the world were encouraged to write a 2-page case report about an exotic companion mammal seen at their college of veterinary medicine or during a clinical experience. Submissions closed in March and judges from the Research Committee evaluated the 15 case reports received from eight countries. Judges were blinded to the students, mentors, co-authors, and institutions at which the cases were seen. Read the brief summaries of each winning case report.
Lafeber Company was proud to sponsor the Association of Exotic Mammal Veterinarians Student Case Report Contest. Veterinary students from all over the world were encouraged to write a 2-page case report about an exotic companion mammal seen at their college of veterinary medicine or during a clinical experience. Submissions closed March 22 and judges from the Research Committee evaluated the 14 case reports received. Judges were blinded to the students, mentors, co-authors, and institutions at which the cases were seen. See the brief summaries of each winning case report. Each student has been encouraged to submit their paper for publishing and for a presentation at ExoticsCon 2020.
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…
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…
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…
Dystocia is defined as the inability of a sow to deliver her litter normally. In breeding colonies, maternal mortality and loss of the pup is an important and common problem in the guinea pig. This review article discusses the pathogenesis of disease, gestation and parturition, important differential diagnoses, diagnostics, therapy, prognosis, neonatal care, and prevention. There is also a brief quiz to reinforce learning.
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.
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.
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.
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…
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.
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…
A collection of educational resources for further study of the avian patient ranging from textbooks to periodical journals.
Looking for an emergency equipment checklist? Review general recommendations for preparing yourself, your staff, and your practice to special species.
Lymphoma is one of the most commonly diagnosed diseases in the domestic ferret. In one large study by Li et al, lymphoma was the third most common neoplasm seen in 574 ferrets after adrenal disease and insulinoma. Although a possible retroviral etiology has been proposed, no virus has yet been identified.
Radiography is a non-invasive, informative tool that is designed to be used alongside other diagnostic information. This review article first provides tips that will maximize success and describes common radiographic positions. The bulk of this review article describes normal radiographic findings of various body systems but common abnormalities such as organomegaly are also described.
Detecting a shelled egg on physical examination is not necessarily a problem—birds lay eggs everyday! However palpation of a shelled egg is an important clinical finding that can be associated with dystocia. The egg is shelled in a distal part of the oviduct called the uterus or shell gland. Therefore a shelled egg would normally be palpable in either the…
Gastrointestinal problems are common in the pet rabbit. A thorough history, including a detailed dietary history, can provide invaluable clues to the problem at hand. Signs of gastrointestinal discomfort in the rabbit may include bruxism, reluctance to move, and anorexia. If there is a history of anorexia, it is imperative to differentiate whether the rabbit is not eating because it has no interest in food, or if it is showing an interest in food but unable to eat. A complete lack of appetite is most commonly seen with physiological problems such as renal failure, whereas a reluctance to eat is a classic presentation in rabbits with dental disease.
Normal chest radiographs can be challenging to evaluate and easy to over interpret in the rabbit. The thoracic cavity is small relative to the abdomen, and the heart takes up a large portion of the thorax. The cranial border of the heart is less distinct due to the presence of the thymus, which persists throughout the life of the rabbit. The cranial lung lobes are small and are obscured by a wide mediastinum. The caudal lung lobes have a pronounced vasculature. Additionally rapid breathing makes it difficult to obtain an inspiratory film unless the rabbit is anesthetized and intubated.
Heavy metal poisoning in birds most commonly occurs from ingestion of substances containing lead, or less commonly zinc. Acute heavy metal toxicity is occasionally seen in companion parrots that ingest or chew on objects containing metal because of their curious nature and innate desire to forage. Chronic lead poisoning most frequently affects free-ranging wildlife such as ducks, geese, swans and loons and is most commonly seen during migration in the late fall and early spring. Lead toxicity also occasionally occurs in upland game birds such as mourning doves, wild turkey, pheasants and quail. Lead poisoning has also been reported in raptors, presumably from the ingestion of lead-contaminated prey.
Traumatic injury is the most common reason for admission of wild birds to rehabilitation centers. Spinal injuries in birds are particularly problematic, as they are incredibly difficult to diagnose, localize, and manage.
Unique anatomic features of the avian spine…
In many ways, radiographic anatomy of the ferret is similar to that seen in dogs and cats. Unique features include the…
Common reproductive conditions of the reptile include prolapse of the cloaca, oviduct or copulatory organ, yolk coelomitis, dystocia or egg binding, as well as follicular stasis. This review article on twelve key facts explores clinically relevant anatomy and physiology and appropriate husbandry as well as key points of urgent care and general principles of case management.
Looking for a list of education resources on herptile medicine? Review this list of books and journals.
Interpretations of radiographs from the article Veterinary Answers Case Study: 5-Year-Old Cockatoo With Open-Mouth Breathing and Poor Grip.
This case study is based on a report prepared by Veterinary Answers Consultant, Gwen Flinchum, DVM, Dipl. ABVP (Avian). A 5-year old female umbrella cockatoo is presented for lethargy, open-mouthed breathing, and difficulty gripping of 2-3 days duration.
The pathogenesis of otitis is often multifactorial in the rabbit. Predisposing factors such as ear conformation increase the risk of otitis in certain breeds. All rabbits have a relatively narrow ear canal, however in Lop-eared rabbits the fold in the ear cartilage is such that the lumen is entirely closed off preventing normal drainage of cerumen from the ear.
Dental problems in rabbits and rodents are often related to either trauma or lack of normal wear and tooth elongation. When herbivores like rabbits, guinea pigs, and chinchillas receive concentrates, in the form of grain or pellets, with only limited access to hay and natural vegetation this diet provides too little tooth wear to compensate for the natural growth of the teeth.
After recognizing a dyspneic bird, the clinician’s initial response should be: Hands Off!! Dyspneic birds can die soon after presentation with the additional stress of restraint and handling. Therefore minimize handling and place the bird in an oxygen-rich cage. Humidify air and provide 40 to 50% oxygen. As in mammals, oxygen therapy is potentially toxic if given for prolonged periods at high levels.