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Today's VeTerinary PracTice | January/February 2016 | tvpjournal.com January/February 2016 Volume 6, number 1 6 EDITOR'S NOTE .................................... 8 NAVC PERSPECTIVES ........................ 10 TODAY'S VETERINARY NEWS .......... 14 ADVERTISER INDEx ........................... 26 BANfIElD PET HEAlTH BY THE NUMBERS ............................................ 27 Prevalence of Oral Disease AHS HEARTWORM HOTlINE ........... 63 Canine Caval Syndrome Series Part 2: A Practical Approach to Diagnosing Caval Syndrome Stephen l. Jones, DVM caval syndrome is a serious form of heartworm disease that must be promptly recognized as a surgical problem. delayed diagnosis of the syndrome leads to a grave prognosis. This article focuses on the recognition and diagnosis of this life-threatening consequence of heartworm disease. DERMATOlOGY DETAIlS ................. 69 Dilemmas in Dermatology: Pearls & Pitfalls Douglas J. DeBoer, DVM, Diplomate ACVD What do you do when a patient presents with a skin condition for which diagnostic and treatment guidelines are vague or nonexistent? This article presents key points and outlines the uncertainties of 5 such dermatologic dilemmas you're likely to see in practice. OBSERVATIONS IN OPHTHA l MO lOGY............................ 77 The Practitioner's Guide to Neurologic Causes of Canine Anisocoria heidi Barnes heller, DVM, Diplomate ACViM (neurol- ogy), and Ellison Bentley, DVM, MS, Diplomate ACVo When a patient presents with pupil asymmetry, the practitioner needs to determine the underlying cause and direct treatment accordingly. drs. Heller and bentley describe the neuroanatomy of the eye, methods of lesion localization, and common differential diagnoses involved in anisocoria. PRACTICAl DENTISTRY ..................... 85 Updated Options for Periodontal Therapy Brook A. niemiec, DVM, FAVD, Diplomate AVDC & EVDC Periodontal disease is the number one diagnosed problem in small animal veterinary medicine. This article introduces numerous new products and procedures to prevent and treat this disease, including pathogen control, host modulation, bone regeneration, and implants. PRACTICAl TECHNIQUES fROM THE NAVC INSTITUTE ................................ 99 Beyond furosemide: The Role of Diuretics in Congestive Heart failure Part 1: Torsemide Marisa K. Ames, DVM, Diplomate ACViM (Cardiology), and Clarke E. Atkins, DVM, Diplomate ACViM (internal Medicine & Cardiology) Furosemide is the diuretic of choice for acute and chronic management of congestive heart failure. However, interesting alternatives are now available, including a possible replacement or adjunct to furosemide—the loop diuretic torsemide. IMAGING ESSENTIAlS .................... 109 Small Animal Abdominal Ultrasonography A Tour of the Abdomen: Part 1 Danielle Mauragis, AS, CVT, and Clifford R. Berry, DVM, Diplomate ACVR a systematic pattern for scanning the abdomen is an important aspect of any abdominal ultrasound examination, and it must be properly documented for future reference. The authors provide step-by-step guidance for obtaining the best possible images. PRACTICE TO PRACTICE ................. 117 Canine Orthopedic Devices Brittany Jean Carr, DVM, CCRT, and David l. Dycus, DVM, MS, Diplomate ACVS (Small Animal) drs. carr and dycus illustrate how and why orthopedic devices are used in veterinary medicine— including indications for use, custom brace construction, proper ft, and regular monitoring. PRACTICE BUIlDING ....................... 127 Handling Euthanasia in Your Practice Mary Gardner, DVM, and Dani McVety, DVM do euthanasia appointments make practitioners and staff uneasy? not sure how to interact with the pet owner to put them at ease? drs. Gardner and McVety provide gentle solutions to those challenges and more by guiding you through the 5 stages of the euthanasia process. THE BACK PAGE: VETERINARY VIEWPOINTS ..................................... 136 The Value of the fear free Initiative an interview with dr. Marty becker Table of Contents : ColUMnS tvpjournal.com facebook.com/todaysveterinarypractice twitter.com/tvpjournal Visit Today's Veterinary Practice at tvpjournal.com to search past issues or to download resources for your practice.