Today's Veterinary Practice

SEP-OCT 2018

Today's Veterinary Practice provides comprehensive information to keep every small animal practitioner up to date on companion animal medicine and surgery as well as practice building and management.

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66 SEPTEMBER/OCTOBER 2018 todaysveterinarypractice.com PEER REVIEWED REVIEWED PEER Five minutes before your clinic closes, a dog arrives laterally recumbent, unresponsive, and profoundly hypoglycemic. The differential diagnoses that run through your mind include insulinoma, hypoadrenocorticism, liver disease, and sepsis, among many others. When reviewing the DAMNITV differential diagnosis scheme (Degenerative, Anomalous, Metabolic, Neoplastic or Nutritional, Inflammatory, Traumatic or Toxic, Vascular), you focus on the "T" (for toxic) and think of numerous substances that can cause hypoglycemia. However, most of them may be encountered only rarely or occur only theoretically. This article is intended to help you rule out the rare causes and focus on those that should be on your short list: the top 10. After you have stabilized the patient, discussing these substances with the client may help pinpoint the cause of hypoglycemia. We start with the least likely and work our way to the most likely. 10. BACLOFEN Description: Baclofen is a centrally acting skeletal muscle relaxant. Clinical signs: Ingestion of baclofen may cause vomiting, hypersalivation, agitation, ataxia, vocalization, mydriasis, depression, recumbency, Top 10 Toxicologic Causes of Hypoglycemia in Dogs Ginger Watts Brown, DVM ASPCA Animal Poison Control Center, Urbana-Champaign, IL MANAGEMENT STRATEGIES shutterstock.com/Tadej Pibernik Welcome to Practical Toxicology, brought to you in partnership between Today's Veterinary Practice and the ASPCA Animal Poison Control Center (APCC) ( aspcapro.org/poison ). This column provides practical clinical information about diagnosing and treating pets that have been exposed to potentially harmful substances. The APCC: Provides 24-hour diagnostic and treatment recommendations by specially trained veterinary toxicologists Protects and improves animal lives through toxicology education, consulting services, and case data review Developed and maintains AnTox, an animal toxicology database system that identifies and characterizes toxic effects of substances in animals Works closely with human poison control centers to provide animal poisoning information Offers extensive veterinary toxicology consulting to organizations in industry, government, and agriculture. If treating a patient that requires emergency care for poisoning, call the APCC at 888-426-4435. TOXICITY IN PLANTS The list of substances that can cause hypoglycemia in dogs varies widely, including the sago palm tree.

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