Article  Webinar 

Amphibian Medicine

Gregory Lewbart, MS, VMD, DACZM, DECZM (ZHM) will present this live, interactive, 1-hour webinar, hosted by LafeberVet. Amphibians are a fascinating and extremely important taxonomic group of animals. Amphibians are valued as environmental sentinels, biomedical research subjects, public display animals, private pets, and even as a human food source. Class Amphibia is divided into three orders and 75 families, containing 8,530 species. This live webinar event will focus on anatomic and physiologic characteristics shared by this diverse group as well as important disease conditions.

Article  Video  Webinar 

The Critical Reptile Patient

Stacey Leonatti Wilkinson, DVM, DABVP (Reptile & Amphibian Practice) presented the continuing education webinar “The Critical Reptile Patient:  Physical Examination, Triage, and Stabilization”. A common misconception is that true emergencies in reptile medicine do not exist. While it is true that most emergencies are an acute manifestation of a chronic disease, by the time the owner notices a problem an emergency may exist. Some common, true, acute-onset emergencies include trauma, vomiting, prolapse, seizures, tremors, obstructive dystocia, and severe dyspnea. Proper triage is critical when treating exotic animal patients and a complete history is vital to help determine a list of differential diagnoses. A physical examination should be performed, but initially it may be only visual or extremely limited if the patient is unstable. Stabilization should be the priority, then additional tests or procedures can be performed once the patient is more stable.

Article  Quiz  Video  Webinar 

Spotlight on Anesthesia & Analgesia in Reptiles

View the RACE-approved webinar recording presented by Javier Nevarez, DVM, PhD, DACZM, DECZM (Herpetology). The live event was an updated version of his 2016 presentation. Topics covered include recognizing signs of pain and discomfort, analgesics commonly used in reptiles, as well as balanced anesthetic protocols. Since a key component of successful anesthesia and analgesia is the ability to properly monitor the patient, essential monitoring parameters and equipment are also discussed. This presentation concludes with a review of respiratory stimulus in the reptile and anesthetic recovery.

Quiz 

Test Your Knowledge: Chelonian Shell Repair

The Chelonian Shell Repair webinar course was reviewed and approved by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (RACE) program for 1 hour of continuing education credit, in jurisdictions that recognize AAVSB RACE approval.

Article  Video  Webinar 

Highly Pathogenic Avian Influenza

Victoria Hall, DVM, MS, DACVPM presented this RACE-approved webinar. This distance-learning event provided a brief overview of avian influenza viruses before delving into the details of the current highly pathogenic avian influenza (H5N1) outbreak. Dr. Hall then discussed the experience at The Raptor Center, located at the University of Minnesota, from outbreak response and epidemiology to clinical picture and management.

Article  Webinar 

Chelonian Shell Repair

J. Jill Heatley, MS, DVM, DABVP (Avian Practice, Reptile & Amphibian Practice), DACZM presented a live, interactive webinar, RACE-approved for 1 credit hour and hosted by LafeberVet. This distance-learning event compared and contrasted multiple shell repair techniques. Additional topics reviewed included wound management, shell preparation, and fixator removal.

Article  Quiz  Video  Webinar 

Clinical Approach to Feather Destructive Behavior

Feather destructive behavior is one of the most challenging clinical concerns faced by avian veterinarians and owners alike. In this RACE-approved webinar recording, Lauren Thielen, DVM, DABVP (Avian Practice) discusses the systematic hunt for underlying causes as well as case management strategies once feather damaging behavior has been observed. Review of the current literature in feather destructive behavior is discussed as a way to understand why parrots exhibit this behavior and what caretakers can do to reduce the incidence of this problem.

Article  Video  Webinar 

The Use of GnRH Agonists in Avian Practice

Avian veterinarian Brian Speer presented this live webinar, RACE-approved for 1.5 credit hours. Reproductive activities, particularly those that are recurrent, pose a significant threat to the health and behavioral well-being of many pet birds. This presentation began by reviewing the basics of female reproductive anatomy and endocrinology before discussing the role of environmental and behavioral stimuli on reproductive endocrinology. Dr. Speer then presented an ethical scale for selecting and prioritizing recommendations for intervention, before discussing medical therapy as well as the environmental and behavioral interventions that can be employed. Dr. Speer concluded with a discussion of behavioral science and its applications to the management of hormonal problems.

Article 

Lymphoma in the Ferret: An Overview of Diagnosis and Treatment

Lymphoma is one of the most commonly diagnosed diseases in the domestic ferret. Hemolymphatic tumors are the third most common neoplasm described in ferrets, with lymphoma representing from 8.6% to 19.3% of ferret neoplasms in retrospective studies. Ferrets of any age or sex can be affected, with lymphoma described in patients as young as 2 months. A recent retrospective found 5 years as the median age of diagnosis in ferrets treated for lymphoma, and was the same for small, intermediate, and large cell lymphomas…

Article 

Adrenocortical Disease in Ferrets

Hyperadrenocorticism is a common and complex clinical condition in the pet ferret. This disease occurs most frequently in ferrets three years or older but has been reported in animals as young as one year of age. Presumptive diagnosis of adrenal disease in the ferret is based on history, clinical signs, imaging diagnostics, and steroid hormone analysis. Medical therapy using deslorelin implants, though not curative, is recommended. Ferrets may remain asymptomatic for a median of 1-1.5 years. Adrenalectomy may be indicated in case non-responsiveness to medical treatment, although adrenalectomy of the right adrenal gland is difficult.

Article  Video  Webinar 

A Clinician’s Perspective on Avian Ganglioneuritis and Avian Bornavirus

This non-interactive, RACE-approved webinar recording by Dr. Brenna Fitzgerald reviews avian ganglioneuritis (formerly proventricular dilatation disease or PDD) and avian bornavirus, which are extremely complex and potentially confusing topics. This lecture begins with what is currently known (including varying viewpoints among the scientific community) and emphasizes what clinicians need to know about this disease, including diagnostic and treatment options. The latest discoveries reported in the literature are discussed to help guide best practices.

Article  Video  Webinar 

Exotic Small Mammal Anesthesia

Exotic small mammals can be challenging to safely induce, maintain and recover from general anesthesia. View the recording of this RACE-approved webinar, which explores clinical anesthesia in exotic companion mammals from patient assessment and anesthetic induction to monitoring and recovery. This recording discusses the importance of proper physical examinations, the pharmacology of common anesthetic drugs or fluids, including the use of constant rate infusions and locoregional anesthesia techniques, intravenous and intraosseous catheterization, intubation techniques, and how to choose monitoring equipment in common companion exotic small mammal species.

Teaching Module 

Reptile Case Challenge Teaching Module

Husbandry-related conditions are very common in reptiles.  This case-based teaching module explores a condition frequently encountered by reptile veterinary health professionals. This teaching module is approved for 1 hour of continuing credit for veterinarians and veterinary technicians by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (RACE).

Article  Teaching Module 

Bird Basics Teaching Module

What are the basics of avian medicine that a novice veterinary health professional should know before laying hands on the companion parrot patient? Upon completion of this learning aid, the participant will have a basic clinical understanding of avian anatomy, psittacine handling and restraint, history and physical examination, zoonotic concerns, nutrition, basic diagnostic and therapeutic techniques, as well as a few select presenting problems.

Article  Video  Webinar 

Avian Neonatology and Pediatrics

This live webinar was presented by Lorenzo Crosta, med Vet, PhD, DECZM, EBVS European Veterinary Specialist in Zoo Health Management. View the RACE-approved webinar recording, then take a brief quiz to earn 1 hour of continuing education credit. The objective of this presentation is to assist the exotic animal practitioner, with little or no experience in avian neonatology and pediatrics. This presentation discusses the logical diagnostic plan in the young bird. The approach to common pediatric conditions, ranging from developmental and orthopedic problems to common traumatic injuries and infectious diseases, is also explored. Practical clinical examples are presented.

Article  Teaching Module 

Avian Quick Links

LafeberVet’s list of avian medicine links will assist your navigation of some of the avian medicine resources on LafeberVet. Educate yourself before laying  hands on the avian patient by reviewing the basics of avian anatomy and physiology as well as important principles of handling and restraint. Then explore content on the examination and history, behavior, housing and nutrition, as well as supportive care techniques, diagnostics, basic therapeutics, and common presenting problems. Start with content listed in the rows titled, “Begin with…”, then expand your knowledge with other sections, such as “Learn more…”.

Article  Video  Webinar 

Avian Cardiology Essentials

Cardiovascular disease commonly occurs in companion birds and poses a serious threat to the quality of life and longevity of many avian species. This live, interactive, RACE-approved webinar was presented by avian veterinarian, Brenna Fitzgerald. Topics discussed include key features of avian cardiovascular anatomy and physiology, risk factors, as well as specific clinical disease states, including atherosclerosis, congestive heart failure, and pericardial disease and effusion. This lecture also reviewed essential elements of a diagnostic workup, and current treatment approaches that can improve longevity and quality of life for these patients.

Article  Video  Webinar 

Decision Making in Rabbit Gastrointestinal Syndrome

View this RACE-approved webinar recording presented by Joanne Sheen BVM&S CertZooMed DABVP (Exotic Companion Mammal Practice): “To Cut or Not to Cut… Decision Making in Rabbit Gastrointestinal Syndrome”. This seminar reviews rabbit gastrointestinal anatomy and physiology as well as the baseline diagnostic workup in RGIS. Treatment is dependent on the underlying etiology. Fluid therapy and analgesia are considered cornerstones in the management of gastrointestinal disease in rabbits, but other specific treatments such as active warming, intestinal promotility agents, antimicrobials, and nutritional support may also be warranted. Surgery may be indicated for some conditions, such as intestinal obstruction, liver lobe torsion, and appendicitis…

Article  Video  Webinar 

Rabbit Nutrition and Critical Care Feeding

Kara M. Burns, MS, MEd, LVT,VTS (Nutrition) presented this distance-learning event for the veterinary medical students at the University of Minnesota College of Veterinary Medicine as part of the Lafeber Company Student Program. View the RACE-approved webinar recording, then take the brief post-test to earn 1 hour of continuing education credit.

Video  Webinar 

Medical, Nursing & Cosmetic Procedures of Birds of Prey

Dr. Jaime Samour presented Part 1 (medical and nursing procedures) of his presentation for the Avian, Wildlife & Exotics club at the University of Tennessee College of Veterinary Medicine, and Part 2 (cosmetic procedures) for Mississippi State University. These distance-learning events were hosted by the Lafeber Company Student Program.

Article  Webinar 

Australian Wildfire & Wildlife Insights

The 2019/2020 wildfires put the plight of Australian wildlife and the realities of climate change on the international stage. This RACE-approved webinar recording consists of two, 1-hour seminars that explore the impact of Australian bushfires on wildlife. Part 1, presented by Dr Talbot, explores the basics of patient assessment and triage as well as management of pain, smoke inhalation, and burns for the unique species found in Australia. Part 2 summarizes Dr. Campbell-Ward’s research evaluating the key rescue/rehabilitation-related wild animal welfare outcomes and ethical dilemmas encountered during the Australian bushfires.

Article  Form-Questionnaire  Video  Webinar 

Rabbit and Large Herbivorous Rodent Dental Disease

Krista Keller, DVM, DACZM presented a live, interactive webinar hosted by LafeberVet. View the RACE-approved, 2-hour presentation, then take the quiz to earn continuing education credit. This webinar first explores clinically relevant anatomy and pathogenesis of congenital and acquired disease. Diagnosis is then discussed, including history, the focused, five-part oral examination, as well as skull radiographs and computed tomography. Therapeutic options, such as coronal height reduction, extractions, and options for odontogenic abscessation, are then presented.

Article  Video  Webinar 

Clinical Approach to Amphibian Emergencies

View the RACE-approved webinar recording, presented by Douglas Whiteside, DVM, DVSc, DACZM, DECZM (Zoo Health Management). Topics covered include clinically relevant anatomy and physiology, obtaining a detailed history, triage and emergency therapies, clinical examination, diagnostic testing, analgesia, nutritional support, hospitalization, and euthanasia.

Article 

Nutritional Secondary Hyperparathyroidism Case Challenge Discussion

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.

Article  Quiz  Video  Webinar 

Introduction to Avian Orthopedics

As part of the Lafeber Company Student Program, Dr. David Scott of the Carolina Raptor Center presented this distance-learning event for the Cornell University College of Veterinary Medicine Zoo & Wildlife Society. View this 61-minute presentation, RACE-approved for 1 hour of continuing education. Dr. Scott explores proper triage, prognosis, and repair options for various fractures as well as post-operative care and protocols, including physical therapy.

Article  Video 

Anesthetic Depth in Exotic Animals: Monitoring the Degree of Central Nervous System Depression

A dedicated anesthetist should be assigned to monitor every patient during the perianesthetic period. The anesthetist is fundamental to patient safety because she assures the patient is not aware, not moving, and not in pain, all while maintaining stable anesthetic depth. A deep plane of anesthesia can lead to hypoventilation and hypoxemia, reduced cardiac output, hypotension, inadequate tissue perfusion, central nervous system (CNS) depression, and prolonged recovery. This review article first explores the stages of anesthesia and then discusses assessment of anesthetic depth in exotic companion mammals, birds, and reptiles.

Article  Video 

Dacryocystitis and Nasolacrimal Flush in Rabbits

Ocular problems are common in both laboratory and pet rabbits ( Oryctolagus cuniculus), and disease of the nasolacrimal duct is one of the most frequently reported ocular diseases in rabbits. This review article features a brief video illustrating this clinical technique plus step-by-step guidance as well as clinically relevant anatomy and recommendations for diagnosis and treatment of dacryocystitis.

Article 

Tusk Trims in Miniature Pigs

Both males and female pigs possess modified upper and lower canine teeth or tusks, however, the tusks of the male retain an open root that allows these teeth to grow throughout life. Tusks can become long and extremely sharp and trims may be necessary to prevent injury to humans, other animals, household furniture, flooring, or even the pig itself. This brief article discusses relevant anatomy, equipment needed, potential complications, sedation, and step-by-step advice for successfully completing this clinical technique.

Article 

Hoof Trims in Miniature Pigs

Hooves that are not maintained can overgrow and curl, resulting in pain, difficulty walking, and damage to the soft tissue structures of the foot. The medial and lateral digits, that do not contact the ground much, will grow long and require trimming in all pet pigs. Therefore most pigs require hoof trims every 6-12 months. This brief article discusses relevant anatomy, equipment needed, potential complications, sedation, and step-by-step advice for successfully completing this clinical technique.

Article 

COVID Content Catch-Up

According to LitCovid, an open-resource literature hub developed with the support of the US National Institute of Health, over 14,000 relevant articles have been posted to PubMed on the 2019 novel coronavirus. Thousands more articles are available as pre-prints. Obviously this explosion of information can be intimidating for the busy veterinarian, but you can use the national and international resources (listed in Table) to stay current on the latest information. Then turn to this review article and our supplemental LafeberVet Literature Search as well as LafeberVet’s Coronavirus in Animals and Determinants of Viral Infectionto dive a bit deeper into our evolving knowledge of SARS-CoV-2.

Article  Case Study  Webinar 

Reptile Wildlife Euthanasia Techniques

“The question is not, can they reason? Nor, can they talk? But, can they suffer?” –Jeremy Bentham, philosopher, 1780

Dr. Renée Schott presented a live, interactive webinar on reptile wildlife euthanasia techniques. View the RACE-approved webinar recording today. Wildlife often present to veterinarians and wildlife rehabilitators with conditions that warrant euthanasia. It can be difficult, however, to apply mammalian methods of euthanasia to species with unique physiology such as reptiles. This interactive presentation will use cases to discuss practical euthanasia methods for reptiles and the physiology behind these methods. Emphasis will be placed on freshwater turtles as these represent some physiological extremes.

Article  Video  Webinar 

Flight Mechanics, Parrot Welfare, & Ethical Concerns

Dr. Todd E. Driggers presented this live webinar event on Flight Mechanics, Parrot Welfare, and Ethical Concerns. View the video recording, then take the brief post-test to earn 1 hour of continuing education credit. Feather trimming birds in captivity has been a common practice performed for many reasons, including fear of loss, safety, and the ability to control and tame. If the gold standard for animal welfare is freedom and feather destructive behavior is a reliable indicator of scientifically studied animal welfare, feather trimming impacts how the animal feels, functions, and prohibits natural responses to positive or aversive stimuli. Perhaps it is time to reflect on the benefits and risks of feather trims through the lens of animal welfare. At a minimum, the degrees of severity of the current techniques need redressing when we consider the experience of the bird.

Article 

LafeberVet Lit Search: SARS-CoV-2

Introduction

Over 14,000 articles have been posted to PubMed on the 2019 novel coronavirus, known as SARS-CoV-2. Thousands more articles are available as pre-prints. Obviously this explosion of information can be intimidating for the busy veterinarian, but you can use the resources listed in Table 1 to stay current on the latest information. Then turn to […]

Quiz 

Avian Anesthesia post test

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Le site Lafervet.com est conçu pour une utilisation par les vétérinaires. Il est ouvert aux vétérinaires diplômés, aux techniciens vétérinaires diplômés, aux […]

Article  Video  Webinar 

Avian Anesthesia Webinar

Dr. Lorenzo Crosta presented this live webinar on the clinical perspectives of avian anesthesia. View the RACE-approved webinar recording, then take a brief quiz to earn 1 hour of continuing education credit. After briefly reviewing clinically relevant avian anatomy and physiology, Dr. Crosta touches upon injectable anesthesia, then discusses in detail preanesthesia and inhalation anesthesia in clinical practice. The discussion then moves onto monitoring the avian patient, from vital parameters to capnography, doppler, electrocardiography, and pulse oximetry. Dr. Crosta also discusses analgesia, intra-operative fluid therapy, as well as specific concerns related to avian anesthesia, such as positioning the patient, hypocalcemia, air sac cannulation, as well as management of diving birds. This seminar concludes with practical tips for safe and uneventful patient recovery.

Article  Video  Webinar 

Critical Care Techniques for Avian Wildlife Emergencies

Dr. Heather Barron presented this webinar on avian critical care. View a recording of the live, interactive event, then take the brief post-test to earn 1 hour of continuing education credit. The goal of wildlife medicine is always eventual release and therefore triage of avian wildlife may vary based on case load, regulations, and the presenting situation. Dr. Barron examines the guidelines used to set triage policy and the reasons a bird may not be releasable or have a good quality of life in captivity. She then discusses practical measures intended to alleviate suffering and improve the odds of patient survival, such as fluid support, analgesia, evaluation of blood volume, and transfusion. This presentation concludes with a brief discussion on assessing life and euthanasia.

Article  Video  Webinar 

Clinical Avian Nutrition for Veterinary Health Professionals

Dr. Susan Orosz presented this live, interactive webinar event on the clinical perspectives of avian nutrition. How can veterinary health professionals best address the nutritional needs of the companion bird in the exam room? View the RACE-approved, non-interactive webinar recording, the pass the brief post-test to earn 1 hour of continuing education credit.

Article  Slideshow  Video  Webinar 

Avian Nutrition Basics

This 1-hour, R.A.C.E.-approved webinar recording is designed to impart a basic understanding of avian nutrition for the veterinary health professional as well as students in these fields. Viewing of this recorded is strongly recommended before viewing the recording of the live webinar event Clinical Avian Nutrition for Veterinary Health Professionals by Susan Orosz, PhD, DVM, DABVP (Avian Practice), DECZM.

Article  Case Study 

2019 AEMV Student Case Report Contest

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.

Quiz 

Post Test: Basic Wildlife Rehabilitation Triage

View the recording of this live webinar event, then take the brief quiz. With a passing grade of 70% or higher, you will receive a continuing education certificate for 1 hour of continuing education credit in jurisdictions that recognize American Association of Veterinary State Boards Registry of Approved Continuing Education approval.

Article  Video  Webinar 

Basic Wildlife Rehabilitation Triage

View the recording of this case-based presentation, which aims to cover the basics while also offering helpful tips, tricks, and insights for the experienced rehabilitator or veterinarian. Topics covered include wildlife rehabilitation fundamentals, emergency triage as it applies to wildlife care, and guidelines used to assess patient condition and determine the most humane treatment plan.

Article  Video  Webinar 

Routine Veterinary Care of the Miniature Pig

Mini pigs remain a surprisingly common pet, with a resurgence in popularity every few years. Owners typically have a “small animal mindset”, and as such, seek like-minded veterinarians, but lack of training and paucity of resources leads many veterinarians to shy away from these unique pets. This recording of the live, interactive webinar reviews handling and restraint as well as routine veterinary procedures, from physical examination, vaccination, and nutrition to therapeutics such as hoof trim, tusk trim, and deworming protocols.

Article  Video  Webinar 

Reproductive Disease in Reptiles

Reptile reproduction can be a confusing topic due to the variety of normal reproductive strategies found throughout different reptile species. Nevertheless it important to understand normal reproductive processes to correctly approach some commonly seen problems. The recording of this RACE-approved, webinar discusses normal reproductive strategies of reptiles, including important reproductive anatomy and physiology. Three clinically important conditions, pre-ovulatory or follicular stasis, post-ovulatory dystocia, and cloacal prolapse, are also explored in detail.

Article 

Central Venous Catheter Placement in Chelonians

Long-term vascular access is difficult to obtain and maintain in chelonians. Fortunately, central venous catheters provide flexibility and length to avoid catheter dislodgement. Central lines are an effective tool that allow serial blood measurements and can be used for anesthesia administration, intravenous drug delivery, blood product transfusions, and continuous fluid therapy or continuous rate infusions.This photo tutorial article describes this simple technique step-by-step.

Article  Video  Webinar 

Emergency and Critical Care of Rabbits

This free, R.A.C.E.-approved continuing education webinar, Emergency and Critical Care of Rabbits, was presented by Charly Pignon, DVM, DECZM (Small Mammal) on November 7, 2018. Lecture topics of this webinar recording include emergency triage, cardiopulmonary resuscitation, analgesia, fluid therapy, and critical care nutrition.

Quiz 

Emergency and Critical Care in Rabbits Post Test

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Le site Lafervet.com est conçu pour une utilisation par les vétérinaires. Il est ouvert aux vétérinaires diplômés, aux techniciens vétérinaires diplômés, aux […]

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…

Article  Case Study 

AEMV-Lafeber Case Report: Multiple Drug Resistant Staphylococcus Infection, Post Spay in a Domestic Rabbit

A female, spayed miniature lop rabbit presented 1-week post spay with marked subcutaneous swelling along the entire length of the surgical incision. Subsequent debridement of the abscess and closure of the incision site was somewhat unsuccessful, with the patient returning for another debridement procedure, after which the wound was left open for continued flushing and debridement. Culture and sensitivity of the purulent material grew a multi-drug resistant Coagulase-positive Staphylococcus.

Article  Case Study 

AEMV-Lafeber Case Report: Hyperthyroidism Treated with Radiation Therapy (I-131) in Two Guinea Pigs

Two guinea pigs suspected of having hyperthyroidism based on weight loss, presence of a cervical mass, and elevated total thyroxine (TT4) levels were confirmed to have active thyroid masses via scintigraphy with Technetium-99 and treated with radioactive iodine therapy (I¹³¹). Both patients responded initially with weight gain and a decrease in the TT4. The purpose of this case series is to describe the use of scintigraphy to aid in confirming a diagnosis of hyperthyroidism, as well as to show the benefits and effectiveness of using radioactive iodine therapy (I¹³¹) to treat hyperthyroidism in guinea pigs in order to provide the best treatment protocol.

Article  Case Study 

AEMV-Lafeber Case Report: Endometrial Venous Aneurysm in a Lionhead Rabbit

A 1-year-old female intact lionhead rabbit was referred for a history of hematuria, bloody vaginal discharge, anorexia, and lethargy unresponsive to antibiotics and anti-inflammatory medications. Based upon physical examination, radiographs and abdominal ultrasonography a uterine mass was suspected. Severe regenerative anemia secondary to blood loss was diagnosed and the rabbit was administered a whole blood transfusion prior to surgical intervention. Abdominal exploratory with ovariohysterectomy revealed…

Article  Quiz 

Dystocia in Guinea Pigs

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.

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 

Reptile Emergency & Critical Care Summary Page

Reptiles lack an epiglottis and the glottis is ready visualized, making intubation readily accomplished in most species. If the glottal folds are closed, apply topical lidocaine to facilitate intubation. The tracheal rings are complete in reptiles. Use of an inflated, cuffed endotracheal tube can lead to pressure necrosis because there is no elastic ligament to accommodate tracheal expansion. Always select an uncuffed endotracheal tube in small reptiles and never inflate a cuff in large reptiles …

Article 

Exotic Companion Mammal Emergency & Critical Care Summary Page

Although the principles of emergency medicine critical care are universal for all species, this approach must be balanced with an understanding of the unique aspects of small mammal medicine. Use this summary page to review the basic approach to the exotic companion mammal patient and select additional links to supplement your knowledge base.

Article 

Avian Emergency & Critical Care Summary Page

Although the principles of emergency medicine critical care are universal for all species, this approach must be balanced with an understanding of the unique aspects of avian medicine. Use this summary page to review the basic approach to the avian patient and select additional links to supplement your knowledge base.

Article 

Analgesia and Sedation in Exotic Companion Mammals

The approach to analgesia and sedation in exotic companion mammals faces special challenges, including small patient size and unique features of the prey species mentality. Recognition of pain is more difficult in rabbits and rodents because many small mammals are very good at hiding the signs of pain commonly observed in predator species. Instead pain in a rabbit or rodent is often inferred from the patient’s clinical condition as well as the absence of normal behaviors. The diagnostic and therapeutic plan frequently requires some form of chemical restraint in exotic mammal medicine. When compared to general anesthesia, sedation is a safer option for the debilitated or critically ill small mammal.

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…

Article 

A Guide to Nasotracheal Intubation in Rabbits

Rabbit intubation can be accomplished using either an orotracheal or nasotracheal technique. Both intubation methods can be challenging in rabbit patients and require patience and practice. Nasotracheal intubation may be the preferred approach in situations where maximum access and maneuverability is required in the oral cavity. Nasotracheal intubation is also preferred where an extended recovery is expected.

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.

Quiz 

Five Common Reptile Emergencies Post Test

The Five Common Reptile Emergencies webinar was reviewed and approved by the American Association of Veterinary State Boards (AAVSB) Registry of Approved Continuing Education (R.A.C.E.) program for 1 hour of continuing education, in jurisdictions which recognize AAVSB R.A.C.E. approval…

Article  Quiz  Video  Webinar 

Five Common Reptile Emergencies

View a recording of this RACE-approved webinar presented by Eric Klaphake, DVM, DACZM, DABVP (Avian Practice), DABVP (Reptile & Amphibian), then take the brief post-test to earn 1 hour of continuing education credit. This webinar explores five common reptile clinical presentations in detail: trauma, gastrointestinal foreign body, neurological deficits, respiratory difficulty, and reproductive problems.

Article 

Esophagostomy Tube Placement in Birds

Placement of an enteral feeding tube is a recognized method of supportive care, and the esophagostomy tube is an accepted route that is generally well tolerated by avian patients and relatively easy to place. In clinical patients, esophagostomy tube placement has been described in psittacine birds, raptors, and ostriches.

Esophagostomy tube placement is indicated in cases of severe beak trauma or disease, as well as diseases of the oral cavity or proximal esophagus, such as abscesses and neoplasia. Esophagostomy tubes may also be used to…

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.

How Did We Get Off the Goo?

Many people have been curious about the way we at International Bird Rescue were able to clean the birds affected by the San Francisco Bay Mystery Goo Spill in January 2015.

Article 

External Coaptation in Birds: Bandages and Splints

Traumatic orthopedic injuries are relatively common in the avian patient. Although bird bones are strong when intact, they tend to shatter on impact as the cortices are thin and brittle. A lack of abundant soft tissue coverage often leads to open fractures…

Article 

Feeding the Hospitalized Bird of Prey

All raptors consume a meat-based diet ranging from the specialist diet of the fish-eating osprey (Pandion haliaetus) to a generalist diet that can include insects, mammals, birds, reptiles, amphibians, and even carrion. Other than poultry, the exact nutritional requirements of birds are unknown, however the natural raptor diet is always relatively high in protein and fat and low in carbohydrates. Whole prey diets have a calcium/phosphorus ratio of 1.5:1 as the bird actually consumes the bones as well as the meat…

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Surgical Safety Checklist

The Vets Now Surgical Safety Checklist includes a list of safety issues that should be read aloud, with both the veterinarian and veterinary nurse or veterinary technician present. This checklist is divided into three categories: induction of anesthesia, before the skin incision, and before the patient leaves the operating room…

Article  Video  Webinar 

Medical Management of Psittacines with Bornavirus Ganglioneuritis (PDD)

Did you attend the Lafeber Symposium at the 2015 International Conference on Avian heRpetological and Exotic mammal medicine in Paris? View a recording of this encore, web-based seminar: “Medical Management of Psittacines with Bornavirus Ganglioneuritis (PDD)” by Susan Orosz, DVM, DABVP (Avian Practice), DECZM (Avian). This presentation on avian borna virus contains medium to advanced level content. The novice is encouraged to view the first hour of Dr. Orosz’s presentation “Anatomy & Physiology of the Avian Gastrointestinal Tract: Clinical Applications”, which includes a helpful review of avian gastrointestinal anatomy and physiology.

Article  Video  Webinar 

Nutritional Support to the Critical Exotic Patient

View the recording of this free, interactive webinar, presented by Neil Forbes, BVetMed DECZM (Avian) FRCVS. Many sick or injured exotic animals are presented in critical condition. More of these patients can be saved by appropriate fluids and nutritional support, than by any single medical or surgical procedure. In practical terms, providing this support is often easier said than done. Dr. Forbes’ presentation serves to demystify some of the challenges encountered; practical solutions for all exotic patients are described and discussed.

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

Article  Slideshow 

Palawan Turtle Crisis

Did you hear about the Palawan turtle crisis? In June 2015, Philippine authorities confiscated over 4,000 turtles, many of them critically endangered Philippine forest turtles (Siebenrockiella leytensis), intended for the illegal pet trade. Enjoy LafeberVet’s brief, fun slideshow that explores our Emeraid donation for the Palawan turtle crisis as well as care of many, many, many turtles. Although medical supplies are not currently required, financial contributions are still needed for this important conservation effort.

Article 

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 

A Guide to Esophagostomy Tube Placement in Chelonians

The use of esophagostomy tubes (e-tubes) allows administration of oral medications and critical care nutrition to turtles and tortoises while minimizing stress and the risk of esophageal trauma associated with repeated rigid gavage tube feeding. Esophagostomy tubes are very well tolerated in chelonians and the patient can even eat normally with the tube in place. Patients can be medicated and fed on an outpatient basis, and once fully recovered, the e-tube is easily removed in the veterinary clinic.

Article 

Ectoparasite Control in Small Mammals

A variety of agents may be used in small mammals with ectoparasites. Download this easy-to-use table for a list of agents used to manage lice, flea infestation, mange or acariasis.

Article 

Exotic ICU: Nursing Care for Exotic Companion Mammals

Released for National Veterinary Technician Week 2014, Nursing Care for Exotic Companion Mammals is part of an Exotic ICU series providing advice on the management of small exotic companion mammals in a critical care setting. Specific recommendations on caging, medicating, feeding, and monitoring the critical small mammal are explored as well as important potential sequelae to the stress of hospitalization.

Client Education Handout 

Spaying and Neutering Pet Rabbits

Should I have my pet rabbit “fixed”? In most cases, the answer is an unqualified YES. In this client education handout, the benefits to spay or neuter of the house rabbit are explored. Recommendations for pre-surgical preparation for companion animal castration as well as aftercare are also discussed.

Article 

Exotic ICU: Nursing Care For the Avian Patient

It is 10 p.m. in your veterinary emergency hospital and a dreaded call comes in. A panicked owner is in tears because their beloved pet is in crisis. In most cases, your team will quickly gather supplies and move swiftly to prepare for the emergent patient. This patient may strike fear in many veterinary professionals, however, because it is the dreaded avian patient presenting to a general veterinary practice.

Released for National Veterinary Technician Week 2014, Tips and Tricks for the Avian Patient is part of an Exotic ICU series that provides advice on the management of birds in a critical care setting.

Article  Video 

Wing Wrap Placement in Birds

Wing injuries may present as a wing droop or an inability to fly. The figure-of-eight bandage, or wing wrap, is the standard method for stabilizing the wing short-term. See the NEW and improved version of LafeberVet’s wing wrap placement video clip.

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…

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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 

Band Removal in Birds

Leg bands are sometimes used for identification of birds. Band removal is indicated as a medical treatment when the band is associated with tissue swelling due to trauma or a build up of keratin. Prophylactic band removal is recommended by some veterinarians because of the danger of the band catching on wire or toys. There is some controversy, however, as to whether bands truly pose a significant risk. Most clinicians agree that closed bands pose less risk of injury compared to…

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 

Antimicrobial Therapy and Dysbiosis in Rabbits

Antibiotic therapy is a challenge in rabbits. The rabbit digestive system depends upon a healthy population of microbes to function properly. In normal circumstances, normal commensal bacteria completely overwhelm the small numbers of opportunistic pathogenic bacteria present and keep them safely in check. Certain antibiotics, particularly when given by the oral route, however, have the potential to disturb this crucial balance by killing off the commensal bacteria…

Article 

Parenteral Nutrition in Birds

If the gut works, use it. The preferred route for providing nutrition is enteral feeding since this preserves intestinal structure and function. Parenteral nutrition is indicated to prevent malnutrition when patients cannot consume adequate nutrients by oral feeding or tube feeding or when the respiratory tract cannot be protected. Parenteral nutrition is 100% bioavailable since nutrients reach tissue without the variations associated with gastrointestinal digestion.

Article 

Omega-3 Fatty Acids: Information for the Veterinary Health Professional

Omega-3 fatty acids are polyunsaturated fatty acids (PUFAs) that comprise a small percentage of dietary lipids ingested by humans and animals. The name “omega-3” refers to the location of the double bond closest to the methyl end of the hydrocarbon chain, and may be alternatively referred to as “n-3” in the literature. Chief among the omega-3 fatty acids is…

Article 

Emergency Drug Therapy in Birds

One of the most valuable items in avian practice is a reliable formulary. Although pharmacokinetic and pharmacodynamic data is slowly growing, the vast majority of drug doses in companion parrot medicine rely on extrapolation and/or clinical experience. It is crucial that the clinician have access to this wide range of information and experience.