SWVS_GUIDE_OnSite_2023 web 8-29

CE DAYTIME SESSIONS presented. We will focus on the authors’ preferred method for gastric derotation and the technical aspects of performing a 15-minute incisional gastropexy. Extensive use of video of clinical cases

in dogs and cats. Therefore, high-frequency curved or linear array transducers with a minimum of 7.5MHz are required for accurate examination of the small intestinal wall and its associated layering. This session will be heavily case-based and show examples of eosinophilic inflammatory, infectious and neoplastic infiltrative intestinal disease and how each can affect the different layers of the intestinal wall and how to recognize the differences. IS IT HEART OR LUNG DISEASE? INTERPRETING RADIOGRAPHS IN CATS WITH RESPIRATORY DISTRESS Lorrie Gaschen, DVM 4:30 PM - 5:20 PM | Hemisfair Ballroom 2 Radiography remains important for overall screening of the thorax, assessment of the lungs for edema or diseases that can have similar clinical signs to that of cardiac disease such as bronchitis, tracheobronchomalacia and for assessment of the pulmonary vasculature, tracheal diameter and lung volume. A minimum of two correctly exposed and positioned orthogonal views performed on inspiration is required. A left lateral and a dorsoventral are most commonly used, however, this varies by institution. A three view study is preferred. Differentiating primary airway and bronchocentric disease from heart disease in animals with coughing or respiratory distress is challenging. Diagnosing heart disease in cats is challenging since heart murmurs are not always present and or if they do they are not always associated with functional or structural changes in the heart. Clinical signs can be nonspecific. Furthermore, some of the most common myocardial diseases may not result in size or shape changes radiographically. However, thoracic radiography assessment for cardiac disease is important and includes the heart size and shape, the size and shape of the pulmonary arteries and veins as well as the lung opacity. Lateral and ventrodorsal views of the thorax are adequate for assessing a cat for cardiac disease.This lecture will focus on how to differentiate this and how to develop next diagnostic steps for these patients. SATURDAY, SEPTEMBER 23 _______________________________________ STATUS EPILEPTICUS AND CLUSTER SEIZURES Arturo Otamendi, DVM, DACVIM (Neurology) 8:00 AM - 8:50 AM | Room 214 A I will discuss the emergency treatment and management of Cluster seizures and Status Epilepticus in veterinary medicine. INTERVERTEBRAL DISC DISEASE IN DOGS Arturo Otamendi, DVM, DACVIM (Neurology) 9:00 AM - 9:50 AM | Room 214 A I will discuss the most current literature on the treatment and management of intervertebral disc herniations. DIFFERENTIAL DIAGNOSIS OF SPINAL DISEASES Arturo Otamendi, DVM, DACVIM (Neurology) 10:30 AM - 11:20 AM | Room 214 A I will discuss the most common spinal diseases in dogs and present some cases to go along with this. VESTIBULAR DYSFUNCTION Arturo Otamendi, DVM, DACVIM (Neurology) 11:30 AM - 12:20 PM | Room 214 A I will discuss the anatomy and physiology of the vestibular system and discuss the common neurologic diseases that cause vestibular disease. CARDIAC PHYSICAL EXAM OF COMMON CONGENITAL HEART DISEASES Henry Green, DVM, DACVIM (Cardiology) 8:00 AM - 8:50 AM | Hemisfair Ballroom 2 Review of the common breed predilections, physical exam and diagnostic findings associated with the most frequent congenital heart disease will be discussed. Best treatment options and outcomes will also be presented.

CANINE TRANSITIONAL CELL CARCINOMA Kate Vickery, VMD 4:30 PM - 5:20 PM | Hemisfair Ballroom 1 Transitional cell carcinoma is the most common urothelial cancer in the dog. During this lecture we will discuss the most common clinical presentations and best practices for achieving a diagnosis. We will discuss in detail the CADET® BRAF mutation test, a non-invasive test that aids in the diagnosis of this cancer. Treatment options including radiation, chemotherapy and palliative options will also be described. IMAGING OF ELBOW DISEASE IN DOG: IMPROVING YOUR DIAGNOSTIC SKILL SET Lorrie Gaschen, DVM 2:00 PM - 2:50 PM | Hemisfair Ballroom 2 Veterinarians need to be proficient in interpreting elbow radiographs so as not to miss a lameness due to elbow dysplasia in their patients. The general practitioner is the front-line care provider who will be able to obtain and interpret elbow radiographs and interpret them accurately for the dog and the owner. Accurate interpretation requires knowing where to look, what to look for and that even mild abnormalities are critical to recognize. Despite the long existence of the IEWG, elbow dysplasia is still being missed and is evidence that continuing education on image interpretation of the elbow is important to learn and refresh as much as possible. Interpretation begins with obtaining diagnostic images. Although the mediolateral flexed image is the minimal requirement for elbow grading, additional images are helpful, if not crucial, for a complete assessment. Furthermore, when radiographic findings are equivocal in a clinical elbow lameness, more sensitive tests like CT may be warranted. Mediolateral extended and ML flexed and craniocaudal (Cr15°LCdMO) views are most commonly used to assess the elbow. Radiographs are scrutinized for primary and secondary lesions. The primary lesions are: medial coronoid disease, ununited anconeal process, incongruity and osteochondrosis. Secondary disease is recognized by the presence of osteoarthritis. OFA and IEWG grades are based largely on the presence of osteoarthrosis. The flexed mediolateral image is relied upon for identifying osteophytosis of the anconeal process, a secondary disease finding in ED. In this lecture, challenging elbow cases will be presented and with correlations to CT. Elbow dysplasia will be the main disease discussed but other diseases such as incomplete ossification of the humeral condyles, intercondyle fissures and their significance, fractures and delayed physeal closure of the distal radius and ulna will also be illustrated. HOW SMALL INTESTINAL ULTRASOUND CORRELATES WITH HISTOPATHOLOGY IN DOGS AND CATS Lorrie Gaschen, DVM 3:00 PM - 3:50 PM | Hemisfair Ballroom 2 Ultrasonography has become a mainstay of diagnosing intestinal diseases in dogs and cats. Using ultrasound to differentiate inflammatory from neoplastic infiltrative disease has been the focus of recent investigations. Differentiating inflammatory from neoplastic infiltration of the small intestine is crucial to choosing appropriate treatment strategies in dogs and cats. Although overlap in the sonographic appearances of inflammatory and neoplastic infiltration makes a definitive diagnosis with ultrasound difficult, awareness of the features of both diseases is important for the accurate interpretation of the sonographic findings. Full thickness intestinal biopsy remains the gold standard for differentiating inflammatory from neoplastic disease of the small intestine. High- resolution images are necessary for the recognition of detailed features of intestinal wall abnormalities

will give participants a real-life experience. INTESTINAL ANASTOMOSIS; TIPS TO MAKE IT EASIER Howard Seim, DVM, DACVS 3:00 PM - 3:50 PM | Room 207 AB When performing an intestinal resection and anastomosis by yourself (i.e., no assistant to help!) I have several tips that may make the procedure easier for you. I will suggest several alternative techniques that you can consider incorporating that will likely make this common procedure easier and more predictably successful. Video of clinical cases will be used to illustrate these techniques. FELINE PERINEAL URETHROSTOMY; A NOVEL APPROACH AND FELINE ESOPHAGOSTOMY TUBE PLACEMENT; A NOVEL TECHNIQUE Howard Seim, DVM, DACVS 4:30 PM - 5:20 PM | Room 207 AB Feline perineal urethrostomy – a novel approach Feline perineal urethrostomy has classically been approached with the patient placed in a perineal position. Although this positioning is awkward for the surgeon it has become the standard approach. This lecture will suggest taking another look at patient positioning. Placing the cat in dorsal recumbency allows for a much more ‘ergonomic’ approach for the surgeon and enhances visualization of the regional anatomy. In addition, this positioning allows access to the patients’ urinary bladder. Video of this novel approach will be used to illustrate the advantages of dorsal recumbency positioning. Feline esophagostomy feeding tube placement; a novel technique. Placement of feeding tubes is frequently indicated for the management of nutritionally deficient and critically injured patients. This session will focus on a novel technique for placement of an esophagostomy feeding tube (E-tube) in cats. Because cats tolerate this avenue of feeding so well it is important that veterinarians be able to place them. Video of a clinical case will be used to illustrate this unique placement technique. CANINE LYMPHOMA PART 1: DIAGNOSTIC AND TREATMENT OPTIONS FOR A COMMON CANCER Kate Vickery, VMD 2:00 PM - 2:50 PM | Hemisfair Ballroom 1 This lecture will focus on clinically relevant topics related to canine intermediate-large cell lymphoma. Diagnostic recommendations including the pros and cons of various immunophenotyping tests and how to apply this information in clinical practice, will be described. We will begin to discuss chemotherapy options, both traditional multi-agent protocols such as CHOP and LOPP, as well as novel therapies such as Tanovea and Laverdia-CA1. CANINE LYMPHOMA PART 2: NOVEL TREATMENT OPTIONS AND LESS COMMON CLINICAL PRESENTATIONS Kate Vickery, VMD 3:00 PM - 3:50 PM | Hemisfair Ballroom 1 In Part 2 of the canine lymphoma lecture, we will continue to discuss clinical applications of novel lymphoma therapies, such as Tanovea and Laverdia-CA1. We will also discuss less common clinical presenations of indolent lymphoma, focusing on how to differentiate an aggressive lymphoma from an indolent lymphoma using clinical history and advanced clinical diagnostics.


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