VETgirl U 2021 Proceedings Overview

VETERINARY CONFERENCE AUG 5-8 2021 FAIRMONT HOTEL CHICAGO, IL

WELCOME TO

Welcome to VETgirl U! Garret and I are so excited to host you at our second LIVE VETgirl conference.

As you know, this event was supposed to be in 2020, but COVID-life, home schooling, curbside craziness, and pandemic pandemonium prevented that. And we’ll be the first to admit it was a very, very (very) rough year, only to spill into 2021. While we know that you’ve always been able to “see us” from behind your computer screen or smartphone, we TRULY are so excited to see you LIVE, in person, and to reconnect with our veterinary community. We’ve missed you! (If you’re wearing a green ribbon, feel free to hug us.) It’s hard to believe we launched VETgirl 9 years ago. Back in 2012, Garret and I created VETgirl to provide a unique, first- of-its-kind, way of learning. We wanted to provide clinically relevant, practical continuing education (CE) that would have 2-3 takeaway points that would help improve quality of care and save that patient’s life. We grew it from 12 webinars the first year to now providing 150+ webinar hours a year. We’ve offered a few webinars in Spanish, added more “how-to” video content, and started growing our staff in the spring of 2018. We offered our first VETgirl U conference in 2018.

And we couldn’t have done it without you.

We’ve been so blessed to see VETgirl grow over the past few years. Words can’t express how thankful we are for YOU, our most dedicated fans. That’s why we put on VETgirl U – so we can give back, take care of you, and spoil you for the next few days. Learn with our short-sweet, TED-like talks. Relax with yoga in the mornings. Enjoy the kid-free time to learn with our free daycare. Reconnect with your colleagues at the Adler planetarium on Thursday night and the networking gala on Friday night. We’ve got you covered with amazing REI backpacks, HydroFlask water bottles, and free food and drinks. Because you truly deserve it. It’s our way of saying thank you . As you’ve heard, we’re undergoing some exciting, global expansion with Mars Veterinary Health, which will allow us to provide unprecedented opportunities, support, and improve access to high quality education for all veterinary professionals. Partnering with Mars Veterinary Health was an important, strategic move that we chose as we really wanted to raise the level of education and expand our community globally. It’ll allow us to provide even more high quality, clinically relevant, practical, unbiased, and convenient education with a better user experience – better technology, translation into different languages, closed captioning, and transcriptions to make the learning experience that much better! Here’s the best news. Garret and I will still be behind the wheel, driving the VETgirl bus. We are not going anywhere! We’ll continue to make sure that you get the best CE content out there. What we’re planning? To provide even more CE to help elevate the level of veterinary care across the globe . We’re all in. We’re taking it to the next level, so please enjoy the ride. We’re committed to even more content. Even more videos. Even more LIVE learning opportunities – including an annual VETgirl U conference, with the next one being in Minneapolis, August 26-28, 2022 (so you can experience the amazing “Great Minnesota Get-together” State Fair while you’re here too. Seriously, it’s a mind-blowing, incredible experience). Don’t worry – we’ll still keep our amazing conferences boutique and spoil the daylights out of you. We’ll still keep it small. So, save the date! We also could not have put this conference on without the generous support of our sponsors and exhibitors. Providing all this at VETgirl U is impossible without them. Please stop by their booths and thank them. (Or if they have a green ribbon, hug them or show your support!).

Thank you for joining us at VETgirl U. Thank you for all that you do. Words can’t express it well enough, but we truly love all of you.

Now, relax, have an amazing experience with us, and let the learning begin!

Deepest regards,

Justine, Garret, and the VETgirl team

GARRET PACHTINGER VMD, DACVECC COO, VETgirl

JUSTINE A. LEE DVM, DACVECC, DABT CEO, VETgirl

VETGIRL U / AUGUST 2021 ///

Event Info/Maps CONTENTS 06 08 13 Schedule of Events

Approach to the Trauma Patient: Urine Trouble! (Uroabdomen) Don’t Miss That Uroabdomen // Garret Pachtinger, VMD, DACVECC Anesthesia Considerations for Uroabdomen and AKI // Jane Quandt, DVM, MS, DACVAA, DACVECC Uroabdomen: Emergent, Urgent, or Nonsurgical? // Catriona M. MacPhail, DVM, DACVS Post-op: What Do I Do Now? // Justine A. Lee, DVM, DACVECC, DABT Approach to the Head Trauma Patient Approach to Head Trauma // Justine A. Lee, DVM, DACVECC, DABT Ocular Trauma and Hyphema // Shelby Reinstein, MS, DVM, DACVO Seizure Control // Fred Wininger, VMD, MS, DACVIM (Neurology) T3-L WHAT? (Review of Neuroanatomy/Lesions) // Fred Wininger, VMD, MS, DACVIM (Neurology) Sh*t: Chronic Diarrhea in Dogs Approach to the Medical Work Up of Diarrhea (Dog) // Leah Cohn, DVM, PhD, DACVIM Ultrasound of the Gastrointestinal Tract // Matthew D. Winter, DVM, DACVR Treatment of Chronic Diarrhea in the Dog // Leah Cohn, DVM, PhD, DACVIM Approach to the IMHA Patient Approach to the IMHA Patient // Garret Pachtinger, VMD, DACVECC Transfusion Medicine: What You Really Need to Know // Justine A. Lee, DVM, DACVECC, DABT It Lived! Now What? // Leah Cohn, DVM, PhD, DACVIM Diabetes Kills Animals DKA: Does Diabetes Really Kill Animals: Part 1 // Garret Pachtinger, VMD, DACVECC DKA: Does Diabetes Really Kill Animals: Part 2 // Garret Pachtinger, VMD, DACVECC

25

39

48

59

Insulin: What Do I Need to Know? // Leah Cohn, DVM, PhD, DACVIM Monitoring the Diabetic Patient // Leah Cohn, DVM, PhD, DACVIM

73

The Chronic Vomiting Cat Approach to the Vomiting Cat // Leah Cohn, DVM, PhD, DACVIM Imaging the Vomiting Cat // Matthew D. Winter, DVM, DACVR Take a Guess: Management Without Diagnosis for the Vomiting Cat // Leah Cohn, DVM, PhD, DACVIM

83

The Eyes Have It Shelby Reinstein, MS, DVM, DACVO KCS 101: The Basics of Dry Eye To Debride or Not to Debride? Sugar Rush! Managing Diabetic Cataracts

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Your Pet Has Cancer: What’s New in Oncology Kim Selting, DVM, MS, DACVIM (Oncology), DACVR (Radiation Oncology) What Recent Advances in LSA Can I Add to My Toolbox? The Debate About Vaccines to Treat Cancer

Seeing Spots: What is Step 2 After MCT Removal? Better Living Through (Chemotherapy) Drugs

105

A Chance to Cut is a Chance to Cure... Anesthesia Update: What’s New // Jane Quandt, DVM, MS, DACVAA, DACVECC The Abdominal Exploratory: Surgery as a Diagnostic Tool // Catriona M. MacPhail, DVM, DACVS Gastrotomy 101 // Catriona M. MacPhail, DVM, DACVS Splenectomy Without Fancy Tools! // Catriona M. MacPhail, DVM, DACVS Between a Rock and a Hard Place Imaging the Urinary Bladder // Matthew D. Winter, DVM, DACVR Life Hacks with Feline Urethral Obstruction Patient // Justine A. Lee, DVM, DACVECC, DABT Will it Dissolve? // Leah Cohn, DVM, PhD, DACVIM A Simple Cystotomy May Not Be So Simple // Catriona M. MacPhail, DVM, DACVS

117

131

The Dreaded Cherry Eye The Cherry on Top: Fixing Third Eyelid Gland Prolapse // Shelby Reinstein, MS, DVM, DACVO

135

So You Have a Heart Murmur Poor Man’s Approach to CVHD // Ryan Fries, DVM, DACVIM (Cardiology) Pimobendan: When and Why/Updates // Ryan Fries, DVM, DACVIM (Cardiology) Anesthesia for Patients with Heart Murmurs // Jane Quandt, DVM, MS, DACVAA, DACVECC

Grain-free Diets and DCM // Ryan Fries, DVM, DACVIM (Cardiology) Idiot’s Review of ECGs // Ryan Fries, DVM, DACVIM (Cardiology)

149

Geriatric Pearls: Tips to Improve Seniors’ Quality of Life Anesthesia for Patients with Arthritis // Jane Quandt, DVM, MS, DACVAA, DACVECC Old Dogs have Old Corneas: How We Can Help // Shelby Reinstein, MS, DVM, DACVO The Sunken Cat Eye: Entropion, Sequestrum, and More! // Shelby Reinstein, MS, DVM, DACVO

157

Dentistry 101 Christopher Snyder, DVM, DAVDC

Don’t Miss It: Maximizing Technique with Full Mouth Dental X-rays Creative Strategies to Overcome Tooth Extraction Challenges Effective Local Anesthesia for Dentistry Patients

165

CE Certificate

This VETgirl U LIVE conference program (VETgirl May 2021i 20-859036 and VETgirl June 2021i 20-869086) is approved by the AAVSB RACE to offer a total of 22.25 CE credits (out of 29.25 hours and 5.5 hours, respectively) with a maximum of 22.25 CE credit being available to any individual veterinarian or veterinary technician/technologist. This RACE approval is for the subject matter category of Medical using the delivery method of Seminar/Lecture. This approval is valid in jurisdictions which recognize AAVSB RACE; however, participants are responsible for ascertaining each board’s CE requirements. Contact your state board to verify if you have any questions. VETgirl is also approved as a provider of veterinary CE in the state of New York.

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VETGIRL U / AUGUST 2021 ///

EVENT MAPS + INFO

FAIRMONT HOTEL, CHICAGO

B2 LEVEL

SECOND LEVEL

Daycare

Exhibit Hall Ice Cream Social (sponsored by VEG) Sat. Aug 7, 2:45-3:15pm

Lectures Breakfast/Lunch Talks

Nursing Room (sponsored by VEG)

Coffee Breaks

Morning Yoga (sponsored by Blue Buffalo)

Daycare

Career Center • Resume Expert Consults • Update Your Professional Headshot • Job Board (Post/Find a Position)

Speaker Ready/ Green Room

Exhibitor Lounge

Wellness Consults

Introverts Lounge

Sponsored by Pathway Vet Alliance & Thrive

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DAYTIME EVENTS MORNING YOGA Friday, August 6 - Sunday, August 8 6am-6:30am Location: Exhibit Hall International Ballroom, Level 2

ICE CREAM SOCIAL Saturday, August 7 2:45pm-3:15pm Location: Exhibit Hall International Ballroom, Level 2

Sponsored by

Sponsored by

EVENING EVENTS

OPENING GALA AT THE ADLER PLANETARIUM* Thursday, August 5 7pm-9pm Adler Planetarium 1300 S Lake Shore Dr, Chicago, IL Shuttles depart the Fairmont at 6:30pm Shuttles depart the Adler at 9pm Sponsored by

NETWORKING GALA Friday, August 6 7pm-9pm Location: International Ballroom/Foyer, Fairmont Hotel Mix and mingle with friends and colleagues!

*Attendees may elect to seek their own transportation

DAYCARE Location: Gold Room/Embassy Room Friday, August 6: 6:30am-5:30pm Saturday, August 7: 6:30am-5:30pm Sunday, August 8: 6:30am-1pm Pre-registration for this service is required. Space is limited with priority given to those traveling from out of state.

Please do NOT bring your child(ren) to daycare if they have any COVID symptoms, if anyone in the household has COVID symptoms, if anyone is pending a COVID test, or if there was any exposure to COVID. We will continue to follow all local, state, and CDC guidelines, which may be adjusted closer to date. Each day, mandatory daily temperature taking will occur, along with information collection before daycare services will be provided. An example includes the following questions: • Any COVID symptoms - cough, sore throat, fever, shortness of breath, etc. • Anyone in the household have any COVID symptoms? • Anyone in the household have a pending COVID test? • Anyone in the household been in contact within the last 14 days with a COVID positive person? • Any travel outside the United States in the last 14 days? As working parents, Garret & I are honored to be the only veterinary conference in the world that’s ever offered daycare free to attendees! Please help us keep everyone healthy in the process!

Sponsored by

Sponsored by

NURSING ROOM Private area for new mothers to relax and nurse. Location: Imperial Office, Floor B2

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VETGIRL U / AUGUST 2021 ///

FRI AUG 6

CE Breakfast Talk | Sponsored by Parasitology in Practice: Making Sense of the Middle // Byron L. Blagburn, MS, PhD, DACVIM (Parasitology)

7am-7:50am

Opening Remarks Justine A. Lee, DVM, DACVECC, DABT Garret Pachtinger, VMD, DACVECC

8am-8:15am

Approach to the Trauma Patient: Urine Trouble! (Uroabdomen) Don’t Miss That Uroabdomen // Garret Pachtinger, VMD, DACVECC Anesthesia Considerations for Uroabdomen and AKI // Jane Quandt, DVM, MS, DACVAA, DACVECC Uroabdomen: Emergent, Urgent, or Nonsurgical? // Catriona M. MacPhail, DVM, DACVS Post-op: What Do I Do Now? // Justine A. Lee, DVM, DACVECC, DABT

8:15am-9:45am

Coffee Break (Exhibit Hall)

9:45am-10:15am

Approach to the Head Trauma Patient Approach to Head Trauma // Justine A. Lee, DVM, DACVECC, DABT Ocular Trauma and Hyphema // Shelby Reinstein, MS, DVM, DACVO Seizure Control // Fred Wininger, VMD, MS, DACVIM (Neurology) T3-L WHAT? (Review of Neuroanatomy/Lesions) // Fred Wininger, VMD, MS, DACVIM (Neurology)

10:15am-11:45am

CE Lunch Talk | Sponsored by Lepto Cliff Notes: Screen, Test and Treat Better in Small Animal Practice // Natalie Marks, DVM, CVJ

12pm-12:50pm

1pm-2pm

Sh*t: Chronic Diarrhea in Dogs | Sponsored by Approach to the Medical Work Up of Diarrhea (Dog) // Leah Cohn, DVM, PhD, DACVIM Ultrasound of the Gastrointestinal Tract // Matthew D. Winter, DVM, DACVR Treatment of Chronic Diarrhea in the Dog // Leah Cohn, DVM, PhD, DACVIM Approach to the IMHA Patient Approach to the IMHA Patient // Garret Pachtinger, VMD, DACVECC Transfusion Medicine: What You Really Need to Know // Justine A. Lee, DVM, DACVECC, DABT It Lived! Now What? // Leah Cohn, DVM, PhD, DACVIM

2pm-3pm

Coffee Break (Exhibit Hall)

3pm-3:30pm

Diabetes Kills Animals DKA: Does Diabetes Really Kill Animals: Part 1 // Garret Pachtinger, VMD, DACVECC DKA: Does Diabetes Really Kill Animals: Part 2 // Garret Pachtinger, VMD, DACVECC

3:30pm-5pm

Insulin: What Do I Need to Know? // Leah Cohn, DVM, PhD, DACVIM Monitoring the Diabetic Patient // Leah Cohn, DVM, PhD, DACVIM

Networking Gala (International Ballroom/Foyer)

7pm-9pm

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/// VETGIRL U / AUGUST 2021

SCHEDULE

SAT AUG 7

7am-7:50am

CE Breakfast Talk | Sponsored by Preventative Care: Building Relationships for Life // Elizabeth Hetler, DVM, CVPM

8am-9am

The Chronic Vomiting Cat | Sponsored by Approach to the Vomiting Cat // Leah Cohn, DVM, PhD, DACVIM Imaging the Vomiting Cat // Matthew D. Winter, DVM, DACVR Take a Guess: Management Without Diagnosis for the Vomiting Cat // Leah Cohn, DVM, PhD, DACVIM

9am-10am

The Eyes Have It Shelby Reinstein, MS, DVM, DACVO KCS 101: The Basics of Dry Eye To Debride or Not to Debride? Sugar Rush! Managing Diabetic Cataracts

10am-10:30am

Coffee Break (Exhibit Hall)

10:30am-12pm

Your Pet Has Cancer: What’s New in Oncology | Sponsored by Kim Selting, DVM, MS, DACVIM (Oncology), DACVR (Radiation Oncology) What Recent Advances in LSA Can I Add to My Toolbox? The Debate About Vaccines to Treat Cancer

Seeing Spots: What is Step 2 After MCT Removal? Better Living Through (Chemotherapy) Drugs

12pm-12:50pm

CE Lunch Talk | Sponsored by An Update on Food Allergies Lindsay McKay, DVM, DACVD

1:15pm-2:45pm

A Chance to Cut is a Chance to Cure... Anesthesia Update: What’s New // Jane Quandt, DVM, MS, DACVAA, DACVECC The Abdominal Exploratory: Surgery as a Diagnostic Tool // Catriona M. MacPhail, DVM, DACVS Gastrotomy 101 // Catriona M. MacPhail, DVM, DACVS Splenectomy Without Fancy Tools! // Catriona M. MacPhail, DVM, DACVS

2:45pm-3:15pm

Coffee Break & Ice Cream Social (Exhibit Hall) | Sponsored by

3:15pm-4:45pm

Between a Rock and a Hard Place Imaging the Urinary Bladder // Matthew D. Winter, DVM, DACVR Life Hacks with Feline Urethral Obstruction Patient // Justine A. Lee, DVM, DACVECC, DABT Will it Dissolve? // Leah Cohn, DVM, PhD, DACVIM A Simple Cystotomy May Not Be So Simple // Catriona M. MacPhail, DVM, DACVS

6-6:30AM

4:45pm-5:15pm

The Dreaded Cherry Eye The Cherry on Top: Fixing Third Eyelid Gland Prolapse // Shelby Reinstein, MS, DVM, DACVO

9

VETGIRL U / AUGUST 2021 ///

SCHEDULE

SUN AUG 8

CE Breakfast Talk | Sponsored by Did You Know? New Information for Treatment of Canine Allergic Dermatitis // Lindsay McKay, DVM, DACVD

7am-7:50am

So You Have a Heart Murmur Poor Man’s Approach to CVHD // Ryan Fries, DVM, DACVIM (Cardiology) Pimobendan: When and Why/Updates // Ryan Fries, DVM, DACVIM (Cardiology) Anesthesia for Patients with Heart Murmurs // Jane Quandt, DVM, MS, DACVAA, DACVECC

8am-9:45am

Grain-free Diets and DCM // Ryan Fries, DVM, DACVIM (Cardiology) Idiot’s Review of ECGs // Ryan Fries, DVM, DACVIM (Cardiology)

9:45am-10:15am

Coffee Break (Exhibit Hall)

10:15am-11:15am

Geriatric Pearls: Tips to Improve Seniors’ Quality of Life Anesthesia for Patients with Arthritis // Jane Quandt, DVM, MS, DACVAA, DACVECC Old Dogs have Old Corneas: How We Can Help // Shelby Reinstein, MS, DVM, DACVO The Sunken Cat Eye: Entropion, Sequestrum, and More! // Shelby Reinstein, MS, DVM, DACVO

11:15am-12:15pm

Dentistry 101 Christopher Snyder, DVM, DAVDC

Don’t Miss It: Maximizing Technique with Full Mouth Dental X-rays Creative Strategies to Overcome Tooth Extraction Challenges Effective Local Anesthesia for Dentistry Patients

THANK YOU TO OUR SPEAKERS

Byron L. Blagburn, MS, PhD, DACVIM (Parasitology) Leah Cohn , DVM, PhD, DACVIM Ryan Fries , DVM, DACVIM (Cardiology) Elizabeth Hetler , DVM, CVPM

Garret Pachtinger , VMD, DACVECC Jane Quandt , DVM, MS, DACVAA, DACVECC Shelby Reinstein , MS, DVM, DACVO Kim Selting , DVM, MS, DACVIM (Oncology), DACVR (Radiation Oncology) Christopher Snyder , DVM, DAVDC Fred Wininger , VMD, MS, DACVIM (Neurology) Matthew Winter , DVM, DACVR

Justine A. Lee , DVM, DACVECC, DABT Catriona M. MacPhail , DVM, DACVS Natalie Marks , DVM, CVJ Lindsay McKay , DVM, DACVD Jeannine Moga , MA, MSW, LCSW

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/// VETGIRL U / AUGUST 2021

THANK YOU TO OUR SPONSORS

VETgirl U 2021 truly would not have been possible without the generous support of our sponsors and exhibitors. A sincere thank you . A special shout out goes to Merck Animal Health and Hill’s Pet Nutrition, for their continued loyalty, along with Banfield Pet Hospital and Blue Buffalo Company for their generosity. Merck Animal Health generously supported the amazing REI backpacks, while Hill’s Pet Nutrition kindly supported the evening gala at the Adler planetarium. Banfield Pet Hospital supported the complimentary VETgirl U daycare, while Blue Buffalo sponsored the stylish Hydro Flask water bottles, yoga and hydration stations. Thanks to Elanco, Merck, IDEXX, Hill’s and Zoetis for sponsoring all the great meals we’ve enjoyed at VETgirl U also! So many companies contributed to make VETgirl U spectacular! We truly are honored to have celebrated our post-COVID-19 reconnection with our veterinary community and industry partners. A sincere thank you for all that you do to help support VETgirl and our veterinary community! We hope to see you at the next conference! Deepest regards, Justine, Garret, Tracy and the VETgirl Team

GOLD SPONSORS

SILVER SPONSORS

GENERAL SPONSORS

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VETGIRL U / AUGUST 2021 ///

THANK YOU TO OUR EXHIBITORS

EXHIBITS Friday, August 6: 8am-5pm Saturday, August 7: 8am-5pm Sunday, August 8: 8am-1pm

Booth # 4 33 37 43 34 12 27, 28 38 1 31 44

Exhibitor AERC (Animal Emergency & Referral Center of MN)

AKC Reunite MICROCHIPS AmeriVet Veterinary Partners Anivive Lifesciences Banfield Pet Hospital Blue Buffalo Company, Ltd.

Location: International Ballroom/Foyer

BluePearl Veterinary Partners Christian Veterinary Mission Companion Animal Health Covetrus Coyne Veterinary Services Dechra Eco Clear Products Elanco Epicur Pharma Ethos Veterinary Health ExeGi Pharma GoodVets Hill’s Pet Nutrition International Veterinary Seminars IVS Lap of Love Veterinary Hospice Merck Animal Health Midwest Veterinary Supply MILA International, Inc.

5 2 3 35 14 32 23 36 18 39 7 8 11 24 21

Mobile IV Systems MWI Animal Health Pathway Vet Alliance Pet IQ PhotoShoot (Images by IBA) Purdue Purina

42 20 Career Center

10 22 9 13 30 41 40 6 17 16 19 15 26

Royal Canin Scratch Pay Talkatoo THRIVE Affordable Vet Care VCA Animal Hospital Veterinary Emergency Group (VEG) VetStem Biopharma Wedgewood Pharmacy YuMOVE ADVANCE 360 (Lintbells) Zoetis Zomedica

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SAVE THE DATE

August 26-28 | Minneapolis, MN

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