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Canine Cushing Flowchart

Sharing Veterinary cases ⚕️ Dr. Muhammad Shahzad

A 3-year old castrated male Doberman Pinscher presents for acute onset non-productive
vomiting of 3 hours duration. On exam, the patient is extremely lethargic, tachycardic, has
weak pulses and a distended abdomen. Following standard initial emergency treatment for
suspected gastric dilation and volvulus, you would confirm the diagnosis with what
imaging procedure?

A. Abdominal ultrasound exam
B. Right lateral recumbency abdominal radiograph
C. Left lateral recumbency abdominal radiograph
D. Ventral recumbency abdominal radiograph
E. Dorsal recumbency abdominal radiograph
F. Barium contrast abdominal radiograph

Super Strong Bite – Nile crocodiles have one of the strongest bites in the animal kingdom—over 3,000 pounds of force!
Excellent Swimmers – They can swim up to 22 mph (35 km/h) in short bursts.
Ancient Survivors – These crocodiles have barely changed in over 100 million years.
Egg Protectors – The mother guards her nest and even gently carries hatchlings in her mouth to water.
Ambush Hunters – Nile crocs wait silently in the water before launching a surprise attack.
Can Hold Breath – They can hold their breath underwater for up to 30 minutes—longer if resting.
Cold-Blooded Sunbathers – They bask in the sun to warm up and cool off in the water when hot.
Big and Heavy – They can grow over 16 feet (5 meters) long and weigh over 1,600 pounds (725 kg).
Live Long – Nile crocodiles can live 70–100 years in the wild.

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The Best Life is Now for a Small Dog with a Huge Tumor Who Was Surrendered for Euthanasia:
Despite the heartbreaking reality of animals being surrendered due to neglect, Hattie’s story stands as a powerful example of resilience
and compassion. When Hattie, a senior dog, was brought to a Dallas shelter, she was burdened by a massive 15-pound tumor that had been left untreated for years. Her owners had surrendered her for euthanasia, claiming she was beyond help. But thanks to the intervention of Dallas DogRRR – Rescue.Rehab.Reform, Hattie was given a fighting chance.
The rescue group recognized the urgency of Hattie’s condition and immediately reached out to Vet Ranch, a nonprofit veterinary clinic renowned for its work with abandoned and neglected animals. Dr. Carey and his team took on the daunting task of removing the enormous tumor. The growth had severely limited Hattie’s mobility and caused immense discomfort, but her sweet and gentle nature shone through even in the face of pain.
The surgery was complex and risky, but it was a success. When the tumor was finally removed, Hattie could move freely for the first time in years. Though she faced ongoing medical challenges, her spirit remained unbroken. Her recovery process was shared through updates from Vet Ranch, where her cheerful demeanor and wagging tail inspired countless supporters.

Hattie’s remarkable journey took an even happier turn in December 2018, when she was adopted by a loving family. Her new home offered not only safety and care but also the companionship of a furry sister. Her adoptive family, who regularly shares her updates on social media, describes her as a joyful and affectionate companion who has enriched their lives in immeasurable ways.
In her new home, Hattie enjoys the simple pleasures that every dog deserves—soft beds, warm meals, and plenty of love. Despite her senior age and medical needs, she embraces life with an infectious enthusiasm that captivates everyone around her. Her days are now filled with snuggles, outdoor strolls, and the kind of comfort she had long been denied.

A 3-year old castrated male Doberman Pinscher presents for acute onset non-productive vomiting of 3 hours duration. On exam, the patient is extremely lethargic, tachycardic, has weak pulses and a distended abdomen. Following standard initial emergency treatment for suspected gastric dilation and volvulus, you would confirm the diagnosis with what imaging procedure?
A. Abdominal ultrasound exam
B. Right lateral recumbency abdominal radiograph
C. Left lateral recumbency abdominal radiograph
D. Ventral recumbency abdominal radiograph
E. Dorsal recumbency abdominal radiograph
F. Barium contrast abdominal radiograph

Omega-3 fatty acids are essential nutrients that provide various health benefits for dogs and cats. They play a crucial role in maintaining healthy skin and coat, reducing inflammation, supporting joint health, and promoting cardiovascular health.

# # # Benefits of Omega-3 Fatty Acids:

1. **Skin and Coat Health**: Omega-3s help reduce dry skin and improve coat shine. They can alleviate conditions like dermatitis and allergies.

2. **Joint Health**: These fatty acids have anti-inflammatory properties, which can help manage arthritis and improve mobility in older pets.

3. **Heart Health**: Omega-3s support cardiovascular function and can help lower triglyceride levels.

4. **Brain Health**: They are important for cognitive function, particularly in older pets, and may help reduce the risk of cognitive decline.

5. **Immune System Support**: Omega-3s can enhance immune response and overall health.

# # # Sources:

- **Fish Oil**: A common and effective source, rich in EPA and DHA.
- **Flaxseed Oil**: Contains ALA, which the body can convert to EPA and DHA, though less efficiently.
- **Algal Oil**: A plant-based source of DHA suitable for vegetarian diets.

# # # Dosage:

Consult with a veterinarian for the appropriate dosage, as it can vary based on the pet's size, health condition, and dietary needs.

# # # Considerations:

While beneficial, excess Omega-3s can lead to issues like gastrointestinal upset or increased bleeding risk. Always introduce new supplements gradually and under veterinary guidance.

Anxiety modification in dogs typically involves a combination of behavioral techniques, environmental management, and sometimes medication. Here are some strategies commonly used to help dogs with anxiety:

1. **Behavioral Training:** This includes desensitization and counterconditioning techniques, where you gradually expose the dog to the source of anxiety in a controlled way while encouraging calm behavior through rewards.

2. **Environmental Management:** Creating a safe and predictable environment can reduce anxiety triggers. This may involve providing a quiet space, using calming pheromones, or adjusting daily routines.

3. **Exercise and Mental Stimulation:** Regular physical exercise and mental stimulation can help reduce overall anxiety levels by providing an outlet for excess energy and promoting relaxation.

4. **Calming Aids:** Products like anxiety wraps or vests, pheromone diffusers (e.g., Adaptil), or calming supplements may help some dogs feel more secure.

5. **Medication:** In severe cases or when other methods aren't effective, veterinary-prescribed medication may be necessary to manage anxiety. These could include antidepressants, anti-anxiety medications, or sedatives.

6. **Professional Guidance:** Working with a veterinarian or a certified dog behaviorist is crucial for developing a tailored anxiety management plan suited to your dog's specific needs.

Each dog is different, so the effectiveness of these strategies can vary. It's important to be patient and consistent while implementing these techniques, and to seek professional advice if needed to ensure your dog's well-being.