CE DAYTIME SESSIONS
EMERGENCY ABDOMINAL SURGERIES FROM A RADIOLOGY AND SURGERY PERSPECTIVE Alyce Marks, DVM, DACVR; Kathleen Mullins, DVM, MS, DACVS-SA 11:30 AM - 12:20 PM | Ballroom B Imaging diagnosis of common emergency cases and surgical planning. AFAST INTRODUCTION AND ITS TARGET ORGAN APPROACH The lecture covers AFAST® image acquisition of its 5-acoustic windows (views), its “target organ approach” for soft tissue abnormalities and for the detection of free fluid in the abdominal cavity, retroperitoneal space, pleural cavity and pericardial sac. It’s abdominal fluid scoring system is easily memorized and applied for decision making regarding volume loss in hemorrhagic and non-hemorrhagic effusions. Applications are widespread and practical for all veterinarians in clinical practice. By “seeing the patient’s problem list” through the use of AFAST® as an extension of your physical exam, the clinician can better direct their diagnostic plan. AFAST® has many clear advantages over physical exam, laboratory testing, and radiography. AFAST AND ITS ABDOMINAL FLUID SCORING SYSTEM – MAKING MORE MEANING OF A POSITIVE STUDY Jacqueline Nobles, DVM, DACVECC 8:00 AM - 8:50 AM | Room 201 A The lecture covers AFAST® and its abdominal fluid scoring system in greater detail using a case-based practical approach. Its abdominal fluid scoring system is easily memorized and applied for decision making regarding volume loss in hemorrhagic and non-hemorrhagic effusions. Applications are widespread and practical for all veterinarians in clinical practice. By “seeing the patient’s problem list” through the use of AFAST® as an extension of your physical exam, the clinician can better direct their diagnostic plan. AFAST® has many clear advantages over physical exam, laboratory testing, and radiography. TFAST AND ITS ACCURATE DETECTION OF PLEURAL AND PERICARDIAL EFFUSION AND ITS FUNDAMENTAL ECHOCARDIOGRAPHY VIEWS Jacqueline Nobles, DVM, DACVECC 9:00 AM - 9:50 AM | Room 201 A The lecture covers TFAST® image acquisition of its 5-acoustic windows (views) that are used primarily for the detection of pneumothorax, pleural and pericardial effusion, and cardiac abnormalities. The lecture is premised on how to accurately ultrasonographically diagnose pleural and pericardial effusion for the non-cardiologist sonographer by following a set of tenets that help avoid mistaking heart chambers for either. Common causes of pericardial effusion will be reviewed in both dogs and cats. TFAST® fundamental echocardiography will also be discussed. TFAST® will be contrasted with the limitations of thoracic radiography. The lecture has several practical and case- based presentations. VET BLUE INTRODUCTION TO LUNG ULTRASOUND AND ITS REGIONAL, PATTERN-BASED APPROACH FOR THE RESPIRATORY PATIENT The lecture covers the history and evolution of lung ultrasound and its evolution, how to perform Vet BLUE® and its 9-acoustic windows (views), fundamental lung ultrasound orientation, wet and dry lung artifacts, the Vet BLUE® B-line Scoring System, signs of consolidation and the Vet BLUE® Visual Lung Language, its use as regional, pattern-based approach for developing a working diagnosis in common small animal respiratory conditions. Vet BLUE® advantageously also provides a monitoring tool that is rapid, point-of-care and low impact for common respiratory diseases. Comparisons to radiography and computed tomography will be made as well as limitation of lung ultrasound. The lecture is case-based with practical everyday applications. Jacqueline Nobles, DVM, DACVECC 11:30 AM - 12:20 PM | Room 201 A Jacqueline Nobles, DVM, DACVECC 10:30 AM - 11:20 AM | Room 201 A
drugs in practice and why proper diagnosis of the disease is critical to your success. CPR FOR SEWER EAR Darin Dell, DVM, DACVD 8:00 AM - 8:50 AM | Ballroom A This lecture covers all facets of treating canine otitis externa. We will start with a brief review of the anatomy and physiology of the ear canal. Then we will discuss how dermatologists approach otitis externa. A thorough review of currently available medications for treating otitis externa is included. Sponsor: THE ITCHY KITTY: TO BOLDLY GO BEYOND DEPO-MEDROL Darin Dell, DVM, DACVD 9:00 AM - 9:50 AM | Ballroom A This lecture is a comprehensive review of feline atopy in clinical practice. Treatment options and therapeutic protocols are discussed in detail. Sponsor: OH! IT’S A CAT? NOW WHAT AM I GOING TO DO? FELINE SKIN PROBLEMS YOU WILL SEE IN PRACTICE Darin Dell, DVM, DACVD 10:30 AM - 11:20 AM | Ballroom A This lecture will cover common feline skin problems. Diseases we will discuss include: plasma cell pododermatitis, otitis externa, eosinophilic granuloma complex, miliary dermatitis, pemphigus foliaceus, idiopathic facial dermatitis and idiopathic ulcerative dermatitis. We will focus on early recognition, diagnostic work- up, and treatment strategies. Sponsor: UNUSUAL BUT NOT UNCOMMON – SKIN DISEASES YOU WILL SEE IN PRACTICE Darin Dell, DVM, DACVD 11:30 AM - 12:20 PM | Ballroom A This lecture covers several common skin diseases that can have severe and confusing presentations. We will focus on pemphigus foliaceus, discoid lupus erythematosus, mucocutaneous pyoderma, cutaneous lymphoma, and hepatocutaneous syndrome. Our discussion will involve numerous pictures and examples as well as tips for collecting diagnostic samples. Sponsor: MAKE IT PURRRFECT! ANESTHESIA & ANALGESIA FOR CATS Tamara Grubb, DVM, PhD, DACVAA, CVA 8:00 AM - 8:50 AM | Room 200 Cats may or may not be aliens but they do have some special anesthetic and analgesic needs when compared to other species. They are at higher risk of anesthesia-related death than dogs. They can be more difficult to monitor and provide physiologic support. Some drugs require lower dosages in cats and some require higher dosages. Finally, as highly trained intergalactic spies they are trained to hide EVERYTHING – include preoperative disease and postoperative pain. In this session we will discuss the purrrrfect anesthesia and pain management protocols for cats. With the information from this lecture the attendee will be able to: 1. Decrease anesthesia- related risk for morbidity/mortality in cats; 2. Maximize cat-specific monitoring and physiologic support; 3. Develop cat- specific anesthetic protocols; 4. Develop cat-specific analgesic protocols for acute pain.
local anesthetic blocks that can be easily implemented in your practice. My favorite blocks may be some that you are using too – but perhaps there are some new blocks that you should try! With the information from this lecture the attendee will be able to: 1. Understand the importance of local anesthetics in a multimodal protocol; 2. Perform local/regional blocks for a variety of conditions/procedures. PATHWAY TO SUCCESS: DEVELOPING EFFECTIVE ANALGESIC PROTOCOLS FOR CHRONIC PAIN (CASE-BASED) – PART 1 Tamara Grubb, DVM, PhD, DACVAA, CVA 10:30 AM - 11:20 AM | Room 200 Chronic pain, which is a very common diagnosis in veterinary patients, can be severely debilitating and difficult to treat. Chronic pain is not just extended duration acute pain, it is actually “pathologic pain” and has no protective value. Thus, chronic pain provides no benefit to the patient but can cause many adverse effects, including deteriorating life quality. Diagnosis of chronic pain can be difficult and may require the use of behavioral evaluation, pain scales and owner assessments. Treatment of chronic pain includes environmental modification, activity enhancement, pharmaceuticals and non-pharmaceutical options. A variety of treatment modalities should be considered for patients with chronic pain since changes in the pain pathway that occur during chronic pain result in the need for multimodal treatment to achieve pain relief. Part 1 of this 2-part case-based series will focus on the pathology & identification of chronic pain and treatment options for mild pain. At the end of this seminar the participant will be able to: 1. Recognize why chronic pain is considered to be “pathologic” pain and should be treated; 2. Understand the mechanism of action of a variety of analgesic treatments; 3. Build multimodal analgesic protocols for dogs & cats with chronic pain. PATHWAY TO SUCCESS: DEVELOPING EFFECTIVE ANALGESIC PROTOCOLS FOR CHRONIC PAIN (CASE-BASED) – PART 2 Tamara Grubb, DVM, PhD, DACVAA, CVA 11:30 AM - 12:20 PM | Room 200 Chronic pain, which is a very common diagnosis in veterinary patients, can be severely debilitating and difficult to treat. Chronic pain is not just extended duration acute pain, it is actually “pathologic pain” and has no protective value. Thus, chronic pain provides no benefit to the patient but can cause many adverse effects, including deteriorating life quality. Diagnosis of chronic pain can be difficult and may require the use of behavioral evaluation, pain scales and owner assessments. Treatment of chronic pain includes environmental modification, activity enhancement, pharmaceuticals and non- pharmaceutical options. A variety of treatment modalities should be considered for patients with chronic pain since changes in the pain pathway that occur during chronic pain result in the need for multimodal treatment to achieve pain relief. Part 2 of this 2-part case-based series will focus on treatment options for moderate-severe pain and emerging/novel therapies. At the end of this seminar the participant will be able to: 1. Recognize why chronic pain is considered to be “pathologic” pain and should be treated. 2. Understand the mechanism of action of a variety of analgesic treatments. 3. Build multimodal analgesic protocols for dogs and cats with chronic pain. PERIOPERATIVE SURGICAL CARE – WHAT CAN WE DO BETTER? Kathleen Mullins, DVM, MS, DACVS-SA 8:00 AM - 8:50 AM | Ballroom B Tips and tidbits to improve patient care associated with surgery – “Pearls” from a Mobile Surgeon. PERIOPERATIVE SURGICAL CARE – WHAT CAN WE DO EVEN BETTER? Kathleen Mullins, DVM, MS, DACVS-SA 9:00 AM - 9:50 AM | Ballroom B Tips and tidbits to improve patient care associated with surgery – more “Pearls” from a Mobile Surgeon. RADIOGRAPHIC EVALUATION AND SURGICAL APPROACHES TO GI FOREIGN BODIES Alyce Marks, DVM, DACVR; Kathleen Mullins, DVM, MS, DACVS-SA 10:30 AM - 11:20 AM | Ballroom B Review of imaging diagnosis of GI foreign bodies and surgical tips for management.
MY FAVORITE LOCAL/REGIONAL BLOCKS Tamara Grubb, DVM, PhD, DACVAA, CVA 9:00 AM - 9:50 AM | Room 200
Local anesthetics provide intra- and post-operative analgesia and potentially prevent development of chronic pain related to the acute injury or surgery. They have a wide safety margin and are easy to administer. Thus, local anesthetics should be used in a multimodal protocol in virtually every patient in every practice. We will discuss – and view videos of – a wide range of
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