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Hypertension, Proteinuria, and ACE Inhibitors in CKD: The Good, Bad, and Ugly

By altering pre-glomerular resistance, healthy kidneys can maintain relatively stable glomerular capillary pressures despite variations in systemic blood pressure. This pressure regulatory process is termed renal autoregulation. Autoregulation can be reduced when renal disease results in loss of nephrons. Compromised autoregulation allows high systemic blood pressure to be transmitted to glomerular capillaries. This glomerular hypertension has been documented by micropuncture studies in dogs...

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Dental Radiology

Dental radiography is the most important diagnostic tool available when performing any type of oral or dental procedure. It is in fact critical for diagnosing what you cannot see under the gum line. Many veterinarians are familiar with the dental radiology techniques and positioning, but most are still uncomfortable when evaluating dental radiology pathology and abnormal findings. Knowledge of and understanding what normal radiographic anatomy is essential to more accurately identifying and...

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Beta-Glucans and the Canine Immune System

Beta-glucans belong to a group of naturally occurring, physiologically active compounds that are known collectively as biological response modifiers (BRMs). Beta-glucans have been found to possess remarkable immunomodulatory activity. Structurally, beta-glucans are complex homopolymers of beta-glucose that are naturally occurring in the cell walls of yeast, mushrooms, grains, and seaweed. They lend structural strength to the cell wall in these plant species. These polysaccharides are termed...

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Sedation Protocols for Euthanasia

A peaceful euthanasia is what every owner wishes for their pet and what every veterinarian should strive for. Sedation before euthanasia, specifically intramuscular (IM) or subcutaneous (SC) sedation given its gradual onset, is slowly becoming more routine, and appropriately so. In addition to allowing for minimal restraint of the pet during euthanasia, it provides the family with one last glimpse of their pet in a calm, relaxed, painless state. Time and again, this proves to be the most...

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Cracks and Snaps: Complications of Tooth Extractions

The goal of all extractions is to extract the entire tooth and root without damage to surrounding structures. One of the most common complications of tooth extraction is fracture of the tooth root. In addition, tooth extraction can result in displacement of the root tip into the mandibular canal, nasal cavity, or maxillary sinus; hemorrhage; mandibular and maxillary fractures; oronasal fistulas; and ophthalmic complications. The easiest way to avoid surgical complications is through adequate...

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Chomp Down On Dentistry: Improving Patient Care While Generating Revenue

Veterinary dentistry is the most untapped source of patient care and practice growth in most small animal hospitals. In the 2011 Banfield State of Pet Health Report, examinations of 2.1 million dogs and 450,000 cats found dental disease to be the most common disease in dogs and cats; 68% of cats and 78% of dogs over 3 years of age were identified as having dental disease. It is safe to say that dental disease is the most common disease identified in our patients. Consider the real life...

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Controlling Pain From Dental Procedures

DENTAL NERVE BLOCKS Common diseases and procedures in which oral pain control, specifically regional nerve blocks are necessary include, but are not limited to; surgical and non-surgical extractions, advanced periodontal surgery, oral masses that may require incisional biopsy or resection, reconstruction surgery, oral trauma that involve laceration repair, foreign bodies and jaw fractures that require soft and hard tissue surgical intervention, fractured teeth that require root canals or...

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Much More Than A Prophy: Treating Periodontal Disease

To fully understand professional treatment options and home care products understanding periodontal disease reduces to two topics: 1) plaque biofilm and 2) periodontal pockets. Treatment of periodontal disease is not a once in a lifetime event for the patient but rather an ongoing treatment program throughout continued life stages of the patient. Gingivitis is reversible. However, once periodontium attachment destruction occurs, the process is not reversible. The treatment goal is to stop...

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A Case Study in Making a Practice Healthy: Parts 1 and 2

OVERVIEW When a pet is presented for an exam at your practice how do you proceed through the exam? For most of us, it is via an organized exam of each system. When you sit down to examine your practice’s health (i.e., performance), do you have an organized procedure or is it haphazard? These two sessions will give you the tools to examine your own practice’s health in an organized, systematic way by taking you through an actual case study. LEARNING OBJECTIVES Construct an organized exam...

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Volunteering Locally in Your Community - What You Can Accomplish

Demands of the veterinary profession pull us in all directions. Every year brings new regulatory requirements, more expenses, new laws, plus new medicine and technology that we must stay abreast of in order to serve the needs of our increasingly demanding clientele. Add in the multitude of tasks required to run a business and maintain employees (such as writing medical records, completing billing and handling payroll) and we are virtually faced with about 30 minutes of paperwork for every 60...

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