Articles
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Telehealth is a broad term that refers to the use of telecommunications to provide health-related services. Telehealth services can be delivered by a variety of methods including telephone, text messaging, internet chat, and videoconferencing. Teletriage is the act of performing triage remotely, via telephone or internet and helps determine the urgency of your pet’s medical concern. Telemedicine refers to the practice of medicine at a distance. In the context of veterinary medicine, telemedicine refers to a veterinarian formulating a diagnosis and treatment plan for your pet without an in-person examination. Telemedicine is typically only permitted within the context of an existing Veterinarian-Client-Patient Relationship. Given the current COVID-19 pandemic and social/physical distancing requirements however, some federal and local governments have relaxed the requirements surrounding telemedicine.
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Telemedicine is defined as the act of practicing medicine at a distance. Telemedicine can be offered in a number of different ways: telephone calls, text messaging, online chat, email consultations, and visits conducted through videoconferencing programs. Telemedicine is not appropriate for every concern, such as a pet hit by a car; however, a number of common veterinary complaints can be addressed via telemedicine (e.g., flea allergies, minor limping, mild diarrhea). While it is impossible to perform a complete, comprehensive exam during a telemedicine appointment, in many cases your veterinarian can gather enough information to arrive at a reasonable diagnosis and start treatment. If your veterinarian determines that your pet requires in-person care, your veterinarian can help you determine when and where your pet should be seen and may be able to give you an idea of what to expect during the in-person veterinary visit.
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Telmisartan is an angiotensin receptor blocker (ARB) used to treat high blood pressure in cats and off-label to treat kidney disease in both cats and dogs. This medication is given by mouth in the form of a liquid or tablet. It may be given with or without food but is better absorbed if given on an empty stomach. Side effects may include vomiting, diarrhea, lack of appetite, low blood pressure, and decreased energy. There are several drugs that can contribute to adverse effects when given with telmisartan. Be sure to tell your veterinarian about any medications (including vitamins, supplements, or herbal therapies) that your pet is taking. If you suspect an overdose or an adverse reaction to the medication, call your veterinary office immediately.
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Terbinafine oral tablets or granules are commonly used off label to treat skin or systemic fungal infections in dogs and cats. Common side effects are primarily gastrointestinal, such as vomiting, inappetence, and diarrhea, and should be used with caution in patients with liver or kidney disease. If treating with this medication long-term, your veterinarian will perform periodic blood tests to check liver function and monitor for any changes or elevations.
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Terbinafine cream or spray is occasionally used off label to treat skin fungal infections in dogs, or in a veterinary combination product to treat ear infections. It is ineffective for treating fungal skin infections in cats. When given as directed, side effects are rarely noted, but could include skin irritation.
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Abdominal enlargement in cats may occur due to a simple cause such as obesity, pregnancy, or intestinal parasites; however, it can also be a symptom of different illnesses including heart disease, organ enlargement, cancer, FIP, trauma, and rarely hyperadrenocorticism or hypothyroidism. Identifying the cause of abdominal enlargement can take several steps starting with history and physical exam, progressing to screening tests including bloodwork and urinalysis. The CBC is assessed for signs of anemia, low platelets, or signs of inflammation. A biochemistry profile may reveal liver or kidney dysfunction, hypo- or hyperproteinemia, hypoglycemia, or other abnormalities. Urinalysis is used to fully interpret the biochemistry and check for abnormal urinary sediment. Based on the findings of the screening tests, additional diagnostics may include imaging, EKG, tissue biopsy, or fluid analysis.
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Weight loss in cats can be caused by many conditions including inadequate intake to meet energy requirements, poor quality nutrition, and many different medical conditions. Testing for weight loss starts with a thorough history and physical exam. If the cause of weight loss is not clear, then screening tests including a CBC, biochemistry, T4 testing, urinalysis, and fecal tests are performed to further investigate. Based on the results of these tests, more specific diagnostic tests such as imaging, bile acids, or ACTH stimulation may be needed to determine the reason for the weight loss.
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Tetanus is a medical condition caused by a toxin. This toxin, produced by the bacteria Clostridium tetani, affects the nerves, spinal cord, and brain, leading to hyperexcitability resulting in muscle spasms. Cats are less susceptible to the effects of tetanus toxin than humans and horses. Tetanus is typically diagnosed based on exam findings. Cats with tetanus require intensive nursing care. Most cats develop localized, self-limiting disease, which will respond to appropriate early treatment.
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If a dog ingests a potentially poisonous amount of CBD or THC, treatment may involve induction of vomiting followed by administration of activated charcoal, if the pet is not showing signs. Pets with moderate gastrointestinal signs of CBD poisoning are treated with anti-nausea and anti-diarrheal medications; hospitalization is not usually required.
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Caterwauling is cat vocalization that sounds like a combination of a yowl, a howl, and a whine. This disturbing noise may result from medical problems, physical needs, hormonal stimulations, or emotional insecurities. The response to caterwauling should focus on addressing the cat's circumstances and filling their needs.
