-
The essential publication for BSAVA members
How To Perform a surgical extraction of a canine toothP10
Clinical ConundrumYoung canine with subcutaneous swellingsP4
The essential publication for BSAVA members
companionMARCH 2009
Medicines GuideHelping practices manage their
dispensariesP20
Where are all the veterinary nurses?
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companion
2 | companion
1) What part of companion do you enjoy most?
2) Suggest a topic for How To 3) Suggest someone youd like
to
see featured in the companion Interview
4) What would improve companion?
3 Round UpNational Pet Month
46 Clinical ConundrumCase of a young dog presenting with
subcutaneous swellings
79 Where are all the VNs?John Bonner asks is there really a
deficit of Veterinary Nurses
1013 How ToPerform a surgical extraction of a canine tooth
1415 GrapeVINeFrom the Veterinary Information Network
16 New titles at CongressLatest releases from BSAVA
Publications
17 Congress Practice BadgeHow to get your whole team to
Congress
18 Congress ChairThe end of an era for Andrew Ash
19 Summer CPDJune courses from the BSAVA
2021 New Medicines Guide & Blood SmearsNews and a quick quiz
from BSAVA Publication
22 PetsaversLatest fundraising news
2325 WSAVA NewsWorld Small Animal Veterinary Association
26 The companion InterviewPip Boydell
27 CPD DiaryWhats on in your area
companion is produced by BSAVA exclusively for its
members.BSAVA, Woodrow House, 1 Telford Way, Waterwells Business
Park, Quedgeley, Gloucester GL2 2AB.Telephone 01452 726700 or email
[email protected] to contribute and comment.
WIN AN iPOD LOADED WITH CONGRESS MP3s
Additional stock photography Dreamstime.com Kamensky |
Dreamstime.com Tracy Hebden | Dreamstime.com Suzanne Tucker |
Dreamstime.com
As we enter our second year we want to hear what you have to say
about companion. At Congress we will be holding focus groups and in
the next month we invite all readers to tell us what you like,
dislike, think is good and what could be improved.
In April 2008 BSAVA launched companion as an exclusive member
benefit to sit alongside its sister publication BSAVAs Journal of
Small Animal Practice. Mark Goodfellow, who stepped forward as the
volunteer who would steer this initiative as Editor, said that it
would address the core aims of the Association, with accessible,
instructive CPD features, reports on the activities of our
colleagues, articles on the issues facing our profession and, of
course, general Association news.
In the last year weve been delighted with the comments we have
received. Now we want to make sure we continue to adapt and improve
by responding to your ideas so it really is a magazine by members
for members.
companion is about to celebrate its first anniversary! Help take
us into a second successful year with your comments and ideas
is produced by BSAVA exclusively for its members.
by members for
So, if you have something to say or any ideas for features and
subjects, simply answer the questions below and send additional
comments by email [email protected], or visit us on the BSAVA
Balcony at Congress. All email submissions received before 31 March
will be entered into a draw to win an iPod loaded with all the 2009
Congress talks. We do already have our focus groups organised, but
if you are attending Congress and are particularly keen to take
part then let us know by email before 16 March.
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companion | 3
ROUND UP
NATIONAL PET MONTH
REGISTER NOW FOR CONGRESS
National Pet Month is about to celebrate its 20th anniversary
with the theme Healthy Pets Make Happy Pets. Getting involved can
benefit your practice and raise funds for charity, as well as help
improve animal welfare in your area
With the governments focus on improving the nations health,
National Pet Months 20th anniversary campaign, Healthy Pets Make
Happy Pets couldnt be more timely. Taking place from 4 April 4 May,
National Pet Month (NPM) will once again be campaigning for
responsible pet ownership, and raising funds for numerous animal
charities, including Petsavers, at the same time.
The month is an important opportunity for veterinary practices
to promote their services to pet owners and for animal charities to
rally support.
2008 winning eventLast year, the winning event was a joint
project between Jubilee Veterinary Centre and Mount Stewart
National Trust in Northern Ireland. Mount Stewart is a stunning
National Trust House on the shores of Strangford Lough in Northern
Ireland, and along with Jubilee Vets, focussed on assistance dogs
to put on an event for the local community.
Bryan Muskett from Jubilee Vets we are still celebrating winning
the National Pet Month Best Event Award for 2008. In previous years
we supported NPM with open days and various social functions. When
the opportunity to link up with the National Trust came about we
were very positive, as our aim was to involve a lot more people and
throw the function open to the community in general.
The facts and figures speak for themselves. On the day we had
between 800 and 900 guests through the main entrance, accompanied
by approximately 1000 dogs! Every breed and every
conceivable shape and size! On arrival each owner was given a
Drontal poo bag dispenser and competition entry forms which were
very popular. We hope more practices will join up with compatible
organisations and show their local communities the importance of
pet health and responsible ownership during National Pet Month.
Get involved todayIts not too late to arrange an event. For more
information and to get a free event pack visit
www.nationalpetmonth.org.uk the organisers encourage all practices
who put on an event to register their details and download their
free resources. Find out more about raising funds for Petsavers
during NPM on page 22.
There are just a few weeks left to register for Congress before
the late booking admin charge comes in. You also have until 12
March to register for the Practice Badge options. See page 17 for
further details.
Book for Congress before 27 March to avoid the late registration
surchargeThere are just a few weeks left to register for Congress
before the late booking admin charge comes in. You also have until
12 March to register for the Practice Badge options. See page 17
for further
registration surchargeThere are just a few weeks left
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4 | companion
CLINICAL CONUNDRUM
CLINICALCONUNDRUM
Case PresentationA 13-month-old female Cocker Spaniel presented
with large swellings over the scruff and sublumbar regions. Twelve
hours previously the puppy had been seen for lethargy and
inappetence by a colleague, who administered antibiotics
subcutaneously at the scruff and pethidine intramuscularly in the
sublumbar musculature based on a suspicion of cystitis.
On clinical examination the dog was quiet, dull but responsive.
On thoracic auscultation a mild increase in interstitial sounds
over the entire lung field, with an increase in respiratory effort,
was appreciated. Marked haemorrhage within the dorsal sclera of the
left eye was seen in addition to the 25x25 cm subcutaneous soft
swelling present over the sublumbar region and a similar smaller
swelling at the scruff.
The editorial board of companion invites you to consider the
case of a young dog presenting with subcutaneous swellings
InvestigationInvestigation centred on elucidating the cause of
the dyspnoea and evaluating the possibility of a coagulopathy.
Samples were submitted for full haematology and coagulation
profile, which documented a mild non-regenerative anaemia, moderate
thrombocytopenia (80 x109/l [200500]) and a moderate prolongation
of PTT and APTT (sample = 1.5x control). Conscious thoracic
radiographs were obtained.
Interpret the significance of the moderate thrombocytopenia and
concurrent prolongation in coagulation timesAs the coagulopathy has
features of defects of both primary (thrombocytopenia) and
secondary haemostasis (including PTT &
Construct a problem list and consider relevant differential
diagnosis. Rationalise your further investigative steps
Problem list:DyspnoeaScleral haemorrhage of left eyeSubcutaneous
swelling at previous injection sitesInappetence and lethargy
(considered to be secondary to the underlying disease).
InterpretationThe presence of increased lung sounds suggested
that lower airway disease was the most likely cause of the
dyspnoea. The presence of lung sounds made pleural disease
unlikely. The sudden development of the subcutaneous masses after
injection could be caused by infection but, given the large size
and the presence of scleral haemorrhage, haematoma was thought most
likely.
Differential diagnoses: (dyspnoea with diffuse interstitial lung
sounds)Bronchial disease
AllergicInfectious (bacterial, viral, mycoplasmal)Parasitic (
Oslerus osleri)
Pulmonary parenchymal diseaseOedemaInflammatoryInfectious
(bacterial, viral)Parasitic ( Angiostrongylus vasorum)Foreign
bodyPulmonary thromboembolusPulmonary haemorrhage
Haematological abnormalitiesAnaemia
Differential diagnoses: (subcutaneous and scleral
haemorrhage)Disorder of primary haemostasis
Disorders of platelet function thrombopathiaThrombocytopenia
Reduced platelet production Platelet destruction (IMTP) Increased
platelet consumption
(DIC, anticoagulant toxicity)von Willebrands disease
Disorder of secondary haemostasisInherited (haemophilia or other
factor deficiency)Acquired (vitamin K-dependent
coagulopathy)Consumptive DIC
TraumaIatrogenicBlunt
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companion | 5
CLINICAL CONUNDRUM
APTT), disseminated intravascular coagulation (DIC), either
localised or generalised, should be suspected. DIC always occurs
secondary to a wide variety of primary disease processes including,
but not restricted to, neoplasia, immune-mediated and other
inflammatory diseases, infectious and parasitic disease, trauma and
heat stroke.
What abnormalities are evident on the thoracic radiographs?The
thoracic radiographs demonstrate a diffuse broncho-interstitial
pattern, coalescing in places to an alveolar pattern, most intense
peripherally. The cardiac
silhouette, extrathoracic and skeletal structures are
unremarkable.
Based on these results refine your differential diagnosis list
and suggest further investigationBased on the thoracic radiography,
interstitial pulmonary disease is most likely. Given that a
coagulopathy is evident clinically and abnormalities in the
components of primary haemostasis and the secondary haemostasis
have been documented, haemorrhage into the lung parenchyma is the
most likely cause of the observed clinical and radiographic signs.
DIC secondary to neoplasia or infection could not be excluded;
however, given the dogs age, a parasitic cause such as
Angiostrongylus vasorum causing both the radiographic and the
clinico-pathological signs was considered most likely. The owner
was questioned with respect to worming regime and the dogs walking
habits and on discussion it transpired that the dog had a
particular proclivity for eating snails.
Faecal evaluation using the Baermann technique was performed to
look for Angiostrongylus larvae. Faecal examination can only
identify a patent infection, so bronchoscopy and BAL was planned
should faecal analysis prove negative.
Diagnosis and treatmentAngiostrongylus vasorum L1 larvae in the
faeces confirm a patent infection. Angiostrongylus infection is
associated with a consumptive
This case was seen, and treated, prior to the licensing of
Advocate for the treatment of canine Angiostrongylus infection.
Under the cascade fenbendazole was chosen given its license for the
treatment of other parasitic infections in the dog and its
documented efficacy against Angiostrongylus vasorum. Readers are
advised to follow the prescribing guidelines of the cascade: an
authorised product should be the treatment of choice unless there
is clear clinical justification to do otherwise.
Turn over for guidelines to submitting your own Clinical
Conundrum
Faecal sample following Baermann technique to concentrate
larvaeRight lateral thoracic radiograph
DV thoracic radiograph
coagulopathy which, in this case, resulted in scleral
haemorrhage and subcutaneous haemorrhage at the site of previous
injections. Treatment was initiated with fenbendazole at a dose of
50 mg/kg daily for five days and the dog was restricted to a
kennel. Care was taken to minimise trauma and environmental
contamination.
Within 48 hours the coagulation profile was normal and within 14
days the subcutaneous haemorrhage was reduced in size and faecal
analysis was negative for Angiostrongylus larvae. The owner was
given appropriate worming advice and was instructed to prevent
further snail eating, by muzzling if necessary.
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6 | companion
CLINICAL CONUNDRUM
The Clinical Conundrum aims to be accessible and
thought-provoking, and to allow in-depth discussion of the
intricacies of investigating or treating a case. In particular it
is hoped that cases will challenge the reader to consider a
dilemma, be it a diagnostic challenge or a treatment/surgical
decision, and to work through it to a logical conclusion.
Case selectionThe aim of the Clinical Conundrum (CC) is to
present clinical scenarios that are encountered in small animal
practice and discuss briefly any poignant features of the case.
Your CC can focus on the complete case management or one aspect of
the case management in more detail.
Example of how a case may be used
A problem-oriented approach to a challenging diagnosis. In this
instance the emphasis would be to construct a problem list,
consider relevant differential diagnoses and ultimately achieve a
diagnosis based on the information gained during
investigation.Treatment or surgical dilemma . In this type of case
the diagnosis may have
already been made or be relatively simple to reach. The focus of
this type of CC would be to challenge the reader to decide how they
would gather the information to decide on a treatment plan and to
select and justify choice of treatment based on the information
obtained.Focus on one aspect of a complicated case. This is most
suitable for a more focused evaluation of a single aspect such as
anesthetic considerations and pre-anesthesia stabilisation for a
clinical presentation, or the subtleties of diagnostic imaging
interpretation.
An unusual diagnosis, although interesting, does not necessarily
mean that a case will be a suitable to present as a Clinical
Conundrum. In fact, the final diagnosis is not the most important
part it may be unusual but many cases feature a relatively common
problem. The cases that make the best articles discuss a
presentation thoroughly, logically progress through the case and
achieve a robust diagnosis or treatment choice. It is the dilemma
regarding diagnostic or treatment progression which is important,
rather than the diagnosis in and of itself. The editorial team are
more than happy to advise on the selection of cases for this
feature and particularly welcome and encourage submissions from
those in general practice.
StyleCase reports should be structured to encourage the reader
to consider a different aspect of the case or diagnostic procedure
as the clinical picture unfolds. Further written guidance and
representative examples of different styles of CCs are available on
request.
GUIDELINES FOR SUBMITTING A CLINICAL CONUNDRUMDo you have an
interesting case to share with your colleagues? Here are the
guidelines for submitting it as a Clinical Conundrum to share with
BSAVA members
The editorial team are more than happy to advise on the
selection of cases for this feature, the construction of a CC
around a suitable case and the refining of submitted work. If you
have an idea for a CC but arent sure how to proceed, please do
contact us at [email protected]
Preparing a submissionIn total, authors should aim for a piece
of 10001200 words in length with up to five illustrative
pictures.
Unlike the old Whats Your Diagnosis? articles in JSAP, companion
CCs are not indexed on Pubmed and are not citable in the
traditional sense. Rather, the style and remit of this feature has
been devised to mirror that required by many of the CPD schemes and
to become a practical resource for those working in practice. We
hope that submitting a Clinical Conundrum will be particularly
useful preparation when completing written work required, for
example, by the RCVS certificate schemes.
To submitPlease email articles for submission to
[email protected] providing illustrations as separate graphic
files (at highest resolution available) rather than embedded within
the text of a document. Following initial review for suitability
and style, the editorial board will then forward submissions for
peer review. Review time is dependent on reviewer availability but
it is intended that submissions are reviewed within 45 weeks from
submission. An honorarium is payable on final acceptance of the
article, provision of all figures/pictures in a suitable format and
submission of an invoice.
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companion | 7
VETERINARY NURSES
WHERE ARE ALL THE VNs?
More than 1 in 10 of the qualified VNs who responded to the last
Royal College nurse manpower survey has taken a second job a clear
indication that the salaries offered to these key members of the
clinical team are not sufficient, the RCVS asserted.
When it isnt possible to make ends meet on a single full-time
salary, then that might be reason enough to leave the job and look
for more lucrative opportunities elsewhere. However, inadequate
salaries are
Complaints from practitioners that there is a shortage of
qualified veterinary nurses in Britain are often raised at
professional meetings and on internet discussion groups but are
experienced VNs really in such short supply? If so, what is causing
this deficit and what can be done to remedy the problem? John
Bonner reports
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VETERINARY NURSES
WHERE ARE ALL THE VETERINARY NURSES?
not the only reason why nurses might want to leave the
profession; a job with long and often unsociable hours may be
difficult to reconcile with the childcare duties often required of
young women, who form the vast majority of VNs.
Facts and figuresHowever, are these factors eroding the numbers
of qualified VNs available for work? Not according to Royal College
statistics, which suggest that the numbers of listed and registered
VNs is steadily growing from 6611 in 2006, to 7039 in 2007, with
latest figures showing that as of the beginning of January this
year there were 2601 listed VNs and 5857 RVNs a total of 8490 on
the Register overall. As a result, BVNA president Bonnie Millar
thinks that the shortage is perceived rather than real. This
situation could be due to a disparity between many employers
expectations and those of their employees, she said, adding that if
there are any shortages in the supply of VNs, it is certainly not a
new phenomenon.
Any erosion in the numbers of nurses remaining on the Register
should be more than compensated for by the numbers of newly
qualified VNs the numbers of VN candidate registrations has been
steady around the 1000 per year mark over the past three years and
most of those can be expected to complete their training.
Training in practiceLibby Earle, head of the RCVS veterinary
nursing department, points out that the pass rate in the part 1 VN
examinations 10 years ago before the introduction of NVQ-based
qualification was 49%, compared with 87% last year. So, despite
grumbles from many practices about the amount of bureaucracy
involved in the assessments involved in the NVQ scheme, it appears
to be more efficient than the old green book procedure. While we
try to do everything possible to reduce the burden on training
practices, at the end of the day VN qualifications are nationally
recognised and regulated awards and their delivery and quality
assurance inevitably
entails active clinical training and a degree of
record-keeping.
Des Thompson, former RCVS appointee to the BVNA Council,
acknowledges that practices find the volume of paper work
cumbersome but doubts whether those practices that cite it as a
reason for withdrawing their training practice status would have
stayed the course anyway. Plus, contrary to rumour, there is no
shortage of practices keen to train their own staff. The numbers
actually rose from 1464 in 2006 to 1536 at the beginning of
2008.
Those practices that dont want to train VNs are usually able to
poach them from a neighbouring practice for a couple of thousand
pounds increase in salary. But if that might be expected to have an
inflationary impact on nurse salaries, there are other factors
holding them back. Lincolnshire practitioner and former BSAVA
representative on the Nurses Council, Charles Ross, points to the
availability of European-trained vets willing to work in VN roles
as a factor capping the salaries of experienced nurses. Although
legally
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companion | 9
VETERINARY NURSES
entitled to work as veterinary surgeons under EU law, applicants
from the accession states will often be prepared to work for a
salary much lower than that of a UK or Commonwealth graduate while
they improve their practical or English language skills, he
says.
Working conditionsBVNA suspects that any difficulties that
particular practices may have in recruiting nurses will probably be
of their own making. Like any professional group, VNs have their
own informal communication networks and news will soon pass along
the grapevine if the working conditions at a particular practice
are less than satisfactory.
Although salaries will top the list of causes of dissatisfaction
for fully trained VNs, lack of recognition will always come a close
second. Charles Ross regrets that many of his colleagues still
treat their nursing staff in training like the unskilled
auxiliaries that helped earlier generations of practitioners. There
is little appreciation of the hard work and academic standards
needed to complete modern veterinary nursing examinations. But it
isnt just the bosses that fail to treat nurses with respect. He
feels that many members of the public fail to show the same
appreciation for a VNs skills and training that they automatically
bestow on their counterparts working in the NHS.
RecognitionThe introduction of degree courses in veterinary
nursing was intended to help raise the status of VNs in the eyes of
their employers and the public. But there is still some resistance
to the notion that training for a job which relies heavily on
practical
and people skills can be provided in an academic setting. Mr
Ross says that when interviewing for a new nurse he would always
favour an NVQ candidate over one with a degree because he believes
they will have better hands-on nursing skills.
Even with comparable academic qualifications, VNs must still
look on enviously at the career opportunities available to their
colleagues in human nursing. Nurse practitioners in the NHS or in
specialist hospital roles can maintain the skills that they were
originally trained for while earning salaries that would make a VNs
eyes water. The only prospects for significant career progression
in a veterinary setting lie in a move into practice management or
out into the animal health or pet insurance industries.
Economic impactLong-term retention of trained nursing staff
because of dissatisfaction with salaries is not purely a UK
problem. Bonny Millar is a US citizen and says that there is much
discussion across the pond about veterinary technicians leaving
practice to look for more money in other areas even when the
typical salary for an experienced technician can be upwards of
$40,000 a year, plus benefits such as overtime, pensions and health
insurance. Although it is uncertain whether this trend will
continue if the US economy continues in a downward spiral, she
notes.
The UK veterinary nursing profession has developed over a period
of almost continuous economic growth and it is anyones guess how it
will be affected by a true recession. Des Thompson points out
that
for the first time in donkeys years we are hearing stories about
veterinary practices laying off staff.
This could make those hard to fill nursing vacancies much more
attractive but Mr Ross points out that any economic trends are
usually short-lived. A few months of belt tightening would be
unlikely to change the basic relationship between VNs and those
practices seen as bad employers.
BSAVA president Ed Hall agrees, pointing out that the interests
of VNs and their employers lie in exactly the same direction in
making their practice as efficient and profitable as possible. If a
practice isnt getting any replies to an advert, it is not
necessarily because there arent any suitable applicants out there
they may need to recognise just what a trained nurse can do for
their business.
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10 | companion
HOW TO
PERFORM A SURGICAL EXTRACTION OF A CANINE TOOTH
HOW TO
Lisa Milella of The Veterinary Dental Surgery, Byfleet, Surrey
reminds companion readers of the intricacies of this technique
principles can be applied to extraction of any tooth in the
mouth. A surgical extraction technique is also used for retrieval
of root remnants and if any abnormal tooth morphology exists. It
may also be the surgeons preference to use a surgical technique if
multiple adjacent teeth need to be extracted as in Figure 2.
Equipment required to perform a surgical extraction(Authors
preference Figure 3a)
Scalpel handle and blade ( no.11)Periosteal elevator ( Goldman
Fox)Dental luxators and elevators (sharp and of a suitable size)
(Couplands No.1 and No.3) Figure 3bExtraction forceps (Pattern 76
and 76N)High-speed water cooled dental drill with a selection of
round and tapered burs (No.2 and no.4 round and a 701 tapered
fissure bur) Figures 3c & d.
Indications for tooth extraction
Severe periodontal disease (mobility, furcation exposure,
periodontal probing depths)
Complicated crown fracture (pulp exposed)
Worn tooth with pulp exposure
Crown root fracture
Odontoclastic resorptive lesion
Non-vital tooth
Persistent deciduous teeth
Teeth involved in a jaw fracture
Unerupted teeth causing pathology
Teeth causing malocclusions
Supernumerary teeth
Chronic gingivostomatitis
What is a surgical extraction?An extraction technique involving
raising a flap of tissue to remove bone that forms part of the
socket, to allow access to the root and facilitate its extraction
(Figure 1).
When should this technique be used?This technique should always
be used for extraction of canine teeth, but the same
Figure 1
Figure 2
Figure 3a
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companion | 11
HOW TO
PERFORM A SURGICAL EXTRACTION OF A CANINE TOOTH
Small surgical scissorsRat tooth
forcepsNeedle-holdersMonofilament absorbable suture material
(poliglecaprone 25 size 5/0)
All equipment should be sterile as tooth extraction is
considered a surgical procedure.
Patient preparationGeneral anaesthesia a cuffed ET tube and
throat pack are recommended to secure the airway. Local anaesthesia
should also be consideredPre-emptive analgesiaPerioperative
antibiotics should be given in selected cases only. These include
debilitated animals, immuno-compromised animals, animals with
severe local or systemic infection, animals with organ disease
or endocrine disorders.Scale and polish all teeth prior to
performing any extractions. Tooth extraction, by whatever
technique, is a surgical procedure and should be performed in as
clean a field as possible. The surgical site should also be
irrigated with a chlorhexidine- based mouthwash.Preoperative
radiographs should be taken. Radiographs will enable the surgeon to
assess any abnormal root morphology and the integrity of the
surrounding bone. Postoperative radiographs can be taken to ensure
complete tooth root removal.
Figure 3b
Figure 3c
Figure 3d
Figures 4a and 4b: Pre- and post-operative radiographs Surgical
removal of a mandibular canine
A This upper canine tooth has a complicated crown fracture (the
pulp cavity is exposed). There is a vertical fracture extending on
to the root. This tooth cannot be salvaged by root canal treatment
and extraction is the only option
B A pre-extraction radiograph of an upper canine tooth shows the
length of the root. As a general rule the apex of the canine tooth
finishes at the mesial root of the second premolar. This should be
taken into consideration when designing the flap. The flap should
enable unimpeded access to the whole root if necessary
Technique
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12 | companion
HOW TO
D A sharp periosteal elevator is used to raise a full thickness
mucoperiosteal flap. The elevator is positioned at an angle to the
bone if too flat, accidental perforation of the flap can occur. The
tissue is tightly adhered at the mucogingival junction and care
must be taken not to perforate the flap here. The flap raised
should give good exposure to the alveolar bone overlying the tooth
root. Figures E and F
E
*High-speed burs should be used with extreme caution.
Complications include soft tissue trauma, thermal bone necrosis,
emphysema and fatal air embolisms.
J The flap is then replaced and sutured in position using a
monofilament absorbable suture material and a simple interrupted
suture pattern. The flap should be sutured with no tension.
Releasing incisions can be made in the periosteum on the underside
of the flap to release tension if necessary. Care must be taken not
to perforate the flap
G Using a high-speed water-cooled round bur*, a gutter is
created on either side of the canine tooth root. Some overlying
buccal bone can be removed to enable the mesial and distal edge of
the tooth root to be seen. The gutters should be half the width of
the tooth root and extend up to 2/3 of the length of the root. The
gutters are then connected on the buccal aspect, so that the bone
plate overlying the root is removed together with the root
C Vertical releasing incisions are made between the upper canine
and lateral incisor rostrally and at the mesial line angle of the
second premolar. The blade is also run in the gingival sulcus
around the tooth, being careful not to perforate the gingiva. The
vertical releasing incisions should extend beyond the mucogingival
junction (the junction between attached gingiva and the alveolar
mucosa). The incisions can be slightly divergent to allow adequate
blood supply to the flap.They should also be made so that there is
bone support for the sutured wound and thus incisions should not
lie over a void
F
H A dental elevator is positioned in the groove created on
either the mesial or distal aspect of the tooth. Elevators should
not be used on the palatal aspect of the upper canine tooth to
avoid iatrogenic oronasal communication. The elevator should be
rotated slowly to tear the periodontal ligament attachment. Tension
should be held for about 10 seconds to allow the ligament to tear.
The elevator is then moved to the opposite groove and the motion
repeated until the tooth starts to loosen. When the tooth is loose,
extraction forceps are positioned as far apically as possible and
the tooth rotated along its long axis, pulling gently at the same
time. The extracted tooth should be checked to ensure that the
whole root has been extracted (a postoperative radiograph should be
taken if there is any doubt)
I The empty socket should be debrided if there is any
granulation tissue or debris. The socket is checked for any loose
bone fragments. The edges of the socket should then be smoothed
using either a diamond-coated bur or with rongeurs. The extraction
site can be lavaged with lactated Ringers solution to remove any
remaining debris. The air-water syringe on the dental machine
should not be used as air may cause an embolism or emphysema and
water is cytotoxic to connective tissue cells
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companion | 13
HOW TO
PERFORM A SURGICAL EXTRACTION OF A CANINE TOOTH
Complication Cause and avoidance
Tooth fracture(crown/root/both)
Incorrect technique careful use of elevators and
luxatorsExtraction forceps should not be used before the tooth is
adequately loosened
Oronasal communication May be due to infection or iatrogenic
damage avoid excessive force during the extraction Figure 7
Jaw fracture Preoperative radiographs should be taken to assess
bone loss in advanced periodontal diseaseIncorrect technique
(placement of luxators and elevators especially associated with
lower canine) must be avoided
Haemorrhage Accidental damage to neurovascular bundle during
surgeryHaemorrhage may occur as a result of a root
fracturePre-existing disease should be identified before surgery if
possible
Displaced root fragments Avoid downward force in cats as the
root fragment may be displaced into the mandibular canalAvoid
excessive force on the palatal root of the upper carnassial in dogs
to avoid pushing the root into the nasal turbinates
Thermal bone damage Adequate cooling of high-speed bur when
used
Emphysema Incorrect use of the high-speed handpiece. Avoid
blowing air into soft tissue or bone
Soft tissue injuries(gingiva, tongue, frenulum, lip, eye)
Use spatulas to avoid accidental damage when using the
high-speed burControlled force when using elevators and avoid
slippage by correct holding of instrument and stabilisation of the
patients head
Wound breakdown Avoid tension when suturing in the mouth.
Periosteal releasing incisions can be made on the surface of
mucoperiosteal flaps to release tension. Careful flap planning
prior to extraction is required
Table 1: Complications of extractions
Key to success
Knowledge of the correct root morphology
Correct technique
Appropriate tools
Practice and patience
Applying the principles to the lower canine toothThe basic
principles described above are used for the mandibular canine with
the following exceptions
Figure 5: Care should be taken when placing the vertical
releasing incisions and raising the flap to avoid damaging the
inferior alveolar blood vessels and nerve exiting the middle mental
foramen
Figure 6: A longer releasing incision can be made rostrally
creating more of a triangular flap. Dental elevators should not be
placed directly mesially and distally but rather on the mesolingual
and distolingual aspects of the tooth. This is to avoid fracture of
the rostral mandible
Figure 7
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14 | companion
VIN
The Veterinary Information Network brings together veterinary
professionals from across the globe to share their experience and
expertise. At vin.com users get instant access to vast amounts of
up-to-date veterinary information from colleagues, many of whom
have specialised knowledge and skills. In this regular feature, VIN
shares with companion readers a small animal discussion that has
recently taken place in their forums
.comGRAPEVINEheard on the
John Turgai Thanks Mark,
We weaned off the furosemide and ACEI and the resting RR are
still 1617 /min. Well treat as respiratory and keep an eye on the
RRR.
John Turgai (Day 8) Sophie has had her RRR in the low twenties,
and doing well in all respects except that the cough is not being
controlled with hycodan alone. She mainly coughs when she is
excited and very active.
Mark Rishniw BVSc, MS, DACVIM (Cardiology), VIN Consultant,
Ithaca, NYHi John,
There is a left atrial enlargement, and what appears to be a
vascular pattern on the films - Im seeing prominent
vessels. The lateral is a bit expiratory, so the dorso-caudal
fields are a bit tough to interpret. The cough doesnt sound like a
cardiac problem.
I would start with a sleeping respiratory rate at home for a
couple of days. If this is normal, then we probably dont have CHF
as the cause of the cough.
John Turgai DVM, Park Avenue Animal Hospital, Apoka, FLThis is
Sophie, a 13 year-old very happy, active 8.6lb Yorkie who came in
today for a second opinion on a cough of about a four weeks in
duration. She has been on one quarter of 12.5 mg furosemide
once
daily (so shes getting ~ 0.8 mg/kg SID) and 2.5 mg enalapril
daily lately having been tapered down from a higher furosemide
dose. The owner has not seen a significant improvement in the cough
which occurs several (many) times daily including at night. PE -
heart murmur 2-3/6, lung sounds are OK to slightly increased.
Tracheal palpation does produce a dry honking type cough.
So the heart is enlarged (VHS ~11.3 lateral) with a nice left
atrial bulge. I think the caudo-dorsal lung area has prominent
vessels and an overall increased density compared to the
cranio-ventral areas on the lateral. On the VD, both sides of the
caudal lungs have a fluffy pattern that I cant distinguish as
perivascular or peribronchial.
Questions: Do you think the rads show that the dog is in
failure? I increased the furosemide to 3/4 tabs BID in the
meantime.
Thanks.
Michael Harter DVM,Animal Medical Clinics,Rockford, ILI agree
with these guys. The left atrium is enlarged but I dont think the
dog is in heart failure. I do think there is lung disease, and I
believe the primary pathology is bronchial on these films.
William Herndon DVM Diplomate ACVIM Cardiology,California
Veterinary Specialists San Diego County CAI also think those lungs
are abnormal and that the heart is big ... I am just not sure that
CHF is the problem...
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VIN
All content published courtesy of vin.com. For more details
about the Veterinary Information Network visit vin.com. As VIN is a
global veterinary discussion forum not all diets, drugs or
equipment referred to in this feature will be available in the UK,
nor do all drug choices necessarily conform to the prescribing
rules of the Cascade. Discussions may appear in an edited form.
John TurgaiMany thanks to all.
Mark RishniwHi John,
>>> She has been on both steroids and hycodan without
much effect
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16 | companion
CONGRESS
NEW TITLES AT CONGRESS
BSAVA Publications is pleased to announce that there will be
four new manuals making their first appearance at Congress this
year
BSAVA Manual of Canine and Feline Abdominal Imaging, edited by
Robert OBrien and Frances BarrCongress price 49.00BSAVA Manual of
Rodents and Ferrets, edited by Emma Keeble and Anna
MeredithCongress price 49.00BSAVA Manual of Canine and Feline Wound
Management and Reconstruction, 2nd edition, edited by John Williams
and Alison MooresCongress price 49.00BSAVA Manual of Canine and
Feline Advanced Veterinary Nursing, 2nd edition, edited by Alasdair
Hotston Moore and Suzanne RuddCongress price 49.00
Members dont forget your vouchersAt the beginning of this year,
all members were sent a booklet containing a number of discount
vouchers for use on manuals at Congress. Amongst these were
vouchers entitling you to 5 off the member price on each of the new
titles. In addition, there is also a voucher to save 10 on the
BSAVA Manual of Psittacine Birds, 2nd edition. Simply bring your
vouchers with you, plus proof of membership, to the BSAVA
publications stand (on the balcony) in the NIA Exhibition to
qualify for these discounts.
Special offers for Congress
3 Manual orthopaedics packageThe BSAVA Manuals of Canine and
Feline Musculoskeletal Imaging, Musculoskeletal Disorders and
Fracture Repair and Management cater for all your orthopaedic
needs:
Diagnostics: radiology, arthroscopy, cytologyMedical disorders:
developmental, infectious, neoplasticSurgery: fracture fixation,
cruciate repair, joint replacement
Practical tips and our trademark step-by-step Operative
Techniques make these volumes a valuable addition to the bookshelf
of any practice. Now you can benefit from buying the set and save
20; or buy just two volumes and save 10 off the normal combined
price.
At this years Congress we are offering delegates the opportunity
to add orthopaedic and surgery titles to their library at a very
special price.
Visit the BSAVA publications stand on the balcony in the NIA
Exhibition to take advantage of these special offers.
3 Manual surgery packageThe BSAVA Manuals of Canine and Feline
Abdominal Surgery, Dentistry and Head, Neck and Thoracic Surgery
provide a comprehensive guide to small animal surgery:
Principles and equipment: antibiosis, suture materials, wound
managementEmergency presentations: gastric dilatation and volvulus,
diaphragmatic rupture, eviscerationSurgical procedures: tooth
extraction, ovariohysterectomy, tracheostomy
From preoperative anaesthetic considerations to postoperative
wound management, these manuals provide a detailed review of
veterinary surgery in practice. Save 10 off the total price on two
volumes; save 20 if buying all three titles together.
New home for BSAVA PublicationsThis year BSAVA Publications,
along with the BSAVA Membership Stand, Petsavers and the Internet
Zone, will be located on the balcony in the NIA. Come along to the
Publications Stand to purchase your copies of the new BSAVA Manuals
and to see what special offers we have for delegates this year. We
look forward to seeing you all in Birmingham in April.
CONGRESS
Principles and equipment: antibiosis, suture materials, wound
management
dilatation and volvulus, diaphragmatic
Surgical procedures: tooth extraction,
considerations to postoperative wound
detailed review of veterinary surgery in practice. Save 10 off
the total price on two volumes; save 20 if buying all three
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CONGRESS
CONGRESS PRACTICE BADGE DEADLINE APPROACHES
The Practice Badge is the best option for the practice that
wants to make sure that as many people as possible in its team get
the chance to experience the unrivalled science on offer at BSAVA
Congress and access the industry expertise in the Exhibition.
With the Practice Badge you can send up to four members of your
staff one person per day. Only BSAVA members are eligible to book
the Veterinary
Practice Badge however you can send any member of your
team, and break up the allocation of days as it suits your own
rota.
With the deadline for the Practice Badge on 12 March, now is the
time to make sure that your entire team get access to some of the
outstanding science on offer in Birmingham
The Scientific Programme is the cornerstone of Congress and
reflects the BSAVAs core mission to promote high scientific and
educational standards of small animal medicine and surgery in
practice, teaching and research. This years programme has been
designed to provide veterinary surgeons and nurses with new skills
and ideas that they can implement in practice. This is emphasised
as the Association strives to deliver high-level content, including
interactive and Top Tip streams as well as a range of State of the
Art lectures, Masterclasses and Clinical Research Abstracts. This
year we also have a number of sessions where leading experts will
debate controversial issues in their field.
In total the Scientific Programme covers 26 different streams
and extends to a course of 236 lectures, all of which will be
delivered by renowned speakers from the UK and across the globe.
This means that for those choosing the Practice Badge there will be
a stream and speaker to appeal to team members with a range of
interests and disciplines
in medicine and surgery.For full details of the BSAVA
Congress
Scientific Programme for 2009 visit www.bsava.com where you can
download the
schedule for the whole four days. Call 01452 726700 or email
[email protected] for more details. The
deadline for booking the Veterinary or
Nursing Practice Badge is 12
March.
Practice Badge however you can send any member of your
team, and break up the allocation of days as it suits your own
rota.
offer in Birmingham
companion
26 different streams and extends to a course of 236 lectures,
all of which will be
delivered by renowned speakers from the UK and across the globe.
This means that for those choosing the Practice Badge there will be
a stream and speaker to appeal to team members with a range of
interests and disciplines
in medicine and surgery.For full details of the BSAVA
Congress
Scientific Programme for 2009 visit bsava.com where you can
download the
schedule for the whole four days. Call 01452 726700 or email
[email protected] details. The
deadline for booking the Veterinary or
Nursing Practice Badge is 12
March.
PRACTICE
The Scientific Programme is the
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18 | companion
CONGRESS
How did you get involved in BSAVA?Initially I joined as a
student to get JSAP but then kept my membership going for Congress
and the weekend CPD courses when I was studying for my certificate.
My children loved BSAVA courses as the hotels always seem to have
swimming pools and both of them learned to swim courtesy of my CPD
attendance. I was delighted to be asked to join Congress Committee,
though to this day I have no clue why. I was proposed by the
wonderful Sverine Tasker (a huge support during my Cert SAM) and
shadowed Sue Brett, with no idea of what I was really taking on. I
think Freda Scott-Park was a bit concerned by my (then) standard
uniform of Rohan outdoor gear as was I when I became aware of the
sartorial standards set by Mike Jessop.
Why did you get involved with BSAVA?Its nice to give a bit back
to the profession, plus, it is good fun and you always learn lots
of different stuff youd otherwise never know anything about. The
opportunity is not to be missed and I would encourage anyone to add
another dimension and get involved in steering veterinary
development.
What is the most satisfying aspect of the role/s you have
undertaken?Exhibition Organiser this was a role with enormous
satisfaction watching the NIA transformed from a sports arena into
a fabulous exhibition, then you get to knock it all down and try
and do it better the next time. I just like doing things well! I
love the teamwork and seeing plans turned into reality.
How has the idea of what it meant to be a part of this
profession lived up to your original expectations?My father was a
vet, so I was brought up to stand in a field with a bottle of
calcium acting as a lightening conductor. I wanted to do farm work,
then be a surgeon and ended up doing medicine and management in a
small animal practice. So not quite as I had planned it but still
enormously rewarding.
What aspect of the job makes you want to rant?Bureaucracy its a
business as well as a profession so trying to balance expectations
of a vocational career with demands of business. Also, the lack of
coherent and incisive representation in the
media. I get tired of vets being pilloried as money-grabbing
sharks.
What are the most important issues for the BSAVA and the
profession?Relevance, value for money, and being truly
representative.
How do you feel about the people entering the profession now
compared to when you qualified?Theyre brighter!
What are some of your personal ambitions for the future?Spend
more time with my family and go fishing rather than read about
it!
Which BSAVA manual is the most thumbed in your
library?Emergencies.
In what ways has the profession changed since you joined it? In
what ways would you like to see it change?It is more businesslike:
the positive is that it needed to wake up; the negative is that
there will be fewer opportunities to be owners in the future.
If you could go back and give the undergraduate you any piece of
advice, what would it be?At the RVC there was a snooker table so Id
say apply to a college without a snooker table. Also keep being
enthusiastic; to quote Thoreau none are so old as those that have
outlived enthusiasm. Have a gap year, remain an assistant, or
better still become a locum none of which I did.
How does being a member of BSAVA contribute to your professional
life?I used to really enjoy Congress before I had to start worrying
about it. Maybe, now Ive done my time on Congress Committee I can
start to relax and enjoy the buzz again. I might even get to go to
a few lectures!
After three years as Chairman of Congress Committee, Andrew Ash
is looking forward to enjoying his last event in the post and
passing the baton to John Williams. Here he answers questions about
his ongoing involvement with BSAVA and his hopes for the future
CONGRESS CHAIR LEAVES ON A HIGH
CONGRESS
18 | companion
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CONTINUING EDUCATION
SUMMER CPD SELECTIONBSAVA has a series of essential courses
taking place in June
Feline DermatologyVenue: BSAVA Headquarters, GloucesterDate:
Thursday 11 June 2009
Skin disease of the cat may present with a variety of cutaneous
reaction patterns and be due to a variety of underlying causes.
While skin disease may not be as common as in dogs, the popularity
of cats as pets will inevitably bring their skin conditions to the
attention of the clinical practitioner. This course will aim to
review skin disease in cats with particular reference to those
conditions associated with the paws and face.
For each review, consideration will be given to the methods
available to establish a diagnosis and the various therapeutic
options available for the control and management of skin
diseases.
Topics covered will include eosinophilic dermatoses, miliary
dermatitis, immune-mediated diseases and zoonotic conditions
including dermatophytosis and cowpox infection. Case material
will be used to illustrate the reviews and delegates will be
invited to discuss several cases during the course.
SpeakerAiden Foster is chief editor of the Journal of Veterinary
Dermatology, president of the European Society of Veterinary
Dermatology and special associate professor in veterinary
dermatology at the University of Nottingham Veterinary School. He
has had a long term interest in feline dermatology and is co-editor
of the BSAVA Manual of Small Animal Dermatology, 2nd edition.
Also in JuneFerrets and Rodents with Emma Keeble and Film
Reading with Frances Barr and Fraser McConnell. For more
information or to book any CPD course, visit www.bsava.com, call
01452 726700 or email [email protected]
Wound management and reconstructive surgeryVenue: Mottram Hall,
CheshireDate: Thursday 18 June 2009
Traumatic wounds are commonly encountered in small animal
practice including both traumatic wounds and elective wounds
following excision of tumours. Knowledge of anatomy and function of
the skin and the physiology of normal wound healing provides a
background to the successful management of wounds.
This course provides an opportunity to develop a logical
approach to the management of the patient and wound.
The options for reconstruction of cutaneous wounds will be
described in a practical manner to allow delegates to develop their
clinical skills in this area.
Topics to be coveredAnatomy of the skinNormal wound
healingManagement of traumatic woundsPrinciples of reconstructive
surgerySubdermal plexus flapsAxial pattern flapsFree skin
grafts
SpeakerStephen Baines qualified from Cambridge University in
1990. He was an intern at North Caroline State University and a
resident in small animal surgery at the University of Liverpool. He
then completed a PhD in tumour immunology at the University of
Cambridge followed by a period as Clinical Surgeon in small animal
soft tissue surgery. He is currently Lecturer in Small Animal
Surgery and Head of Surgery at the Royal Veterinary College. He is
a Diplomate of the European College of Veterinary surgeons and an
RCVS specialist in small animal surgery. His clinical interests
include clinical oncology, particularly cutaneous neoplasia, and
wound healing and reconstructive surgery.
Reproduced from BSAVA Manual of Small Animal Dermatology, 2nd
edition.
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PUBLICATIONS
NEW MEDICINES GUIDEFred Nind and Pam Mosedale are the editors of
a new BSAVA initiative aimed at helping small animal practices
manage their dispensaries. Here they explain what we can expect
from the BSAVA Medicines Guide
The BSAVA Small Animal Dispensing Course, which is held twice a
year, has played to packed houses for years. This is not
surprising; if you make a prescribing or dispensing mistake you
risk being struck off or getting a criminal record. Veterinary
surgeons, veterinary nurses, practice managers, receptionists,
students and kennel staff all need to get it right first time and
every time.
Veterinary Medicines Regulations (VMR) change every year, whilst
waste disposal provisions and dangerous drugs regulations seem to
be updated even more often. This means that what you learned at a
course attended last year or from a booklet published two years ago
may no longer be accurate. In addition, medicines inspections will
become compulsory for all veterinary practices from April 2009.
With these issues in mind, the BSAVA has developed a
comprehensive guide to a wide variety of medicines issues that
affect companion animal practice. This Medicines Guide will be
available online at www.bsava.com from April. Members who visit the
BSAVA stand on the balcony at Congress will also be able to get the
first version on a free CD along with a sample of other BSAVA
resources.
Written by recognised experts in the field and capable of being
frequently updated as the rules and regulations change, the online
guide aims to provide a one-stop shop for all medicines issues. The
Medicines Guide will be available for all, not just BSAVA members,
as a service to the whole profession. It will, we hope, provide
balm for all those worrying about the practical and legal
constraints on the use of veterinary medicines.
WHAT IS THAT?Can you name these cells and inclusions in blood
films from exotic species?
In this ferret blood smear, can you identify (a) the large cell
on the left and (b) the clumped cells on the right?
What is this cell, peculiar to guinea pigs?
Can you identify the two cell types in this avian blood
film?
1 2 3
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PUBLICATIONS
Premises licensing and inspectionsFrom April 2009 all premises
where veterinary medicinal products (VMPs) are stored or supplied
will have to be listed on a register maintained by the RCVS on
behalf of the VMD. The VMD will be able to inspect these
premises.
Those practices which are members of the RCVS Practice Standards
Scheme (PSS) will not currently be inspected by the VMD inspectors
as their pharmacies will be inspected as part of the PSS. Both
inspections by the VMD and under the RCVS PSS will include a check
on the RCVS registration of veterinary surgeons and premises, as
well as the registration and qualifications of any suitably
qualified persons (SQPs).
Medicines classificationAuthorised veterinary medicines fall
within the first four categories established by the Veterinary
Medicines Regulations (VMR) 2005. These categories have continued
through subsequent revisions of the VMR and are as follows:
AVM-GSL: Authorised veterinary medicine general sales list
NFA-VPS: Non-food animal medicine veterinarian, pharmacist,
suitably qualified person (SQP)
POM-VPS: Prescription-only medicine veterinarian, pharmacist,
SQP
POM-V: Prescription-only medicine veterinarian
In addition, medicines marketed under the Small Animal Exemption
Scheme (SAES) do not have a legal distribution category but may be
considered for sale and supply purposes to be equivalent to
AVM-GSL.
Ten sample questions the Medicines Guide will answer1. Should
you report suspected adverse reactions to human medicine
regulators or just to veterinary ones?2. What medicines are you
allowed to use in a Greyhound that may be racing
next week?3. How does a veterinary nurse become a suitably
qualified person (SQP)?4. What should you do if a pharmacist
dispenses a human generic medicine to
your prescription for a veterinary medicine?5. What is the Small
Animal Exemption Scheme (SAES)?6. Why is there no hazardous waste
in veterinary practices in Scotland?7. Why should medicines be left
in their original packaging when adding them
to the out-of-date medicines container?8. How much does it cost
to get a Special Import Certificate (SIC) online?9. What do you do
with a loaded and charged dart gun dart if you have decided
not to fire it?10. Under what circumstances can prophylactic
antimicrobial use be justified?To find the answers to these
questions and many more, download the Medicines Guide at
www.bsava.com when it goes online in April.
Further informationThe answers and much more information on
blood pictures and their significance in exotic species can be
found in these BSAVA manuals: Rodents and Ferrets (NEW at Congress,
see page 16); Raptors, Pigeons and Passerine Birds; and Reptiles
(2nd edition). Figure 1: (a) Normal segmented
neutrophil; (b) clump of normal
platelets. The surrounding cells are
normal erythrocytes.
Figure 2: A Kurloff cell: note the
normal round cytoplasmic inclusion.
Figure 3: The large central cell is a
heterophil. The smaller cells are
normal erythrocytes, which are
nucleated in birds.
Figure 4: Plasmodium sp., the cause
of avian malaria.
Figure 5: Erythrophagia by a
monocyte. Phagocytic destruction
of red blood cells indicates that
intravascular haemolysis occurs in
reptiles.
Figure 6: Azurophils.
Answers
4
5
6What are the two cells marked A in this film from a boa?
What are the intraerythrocytic inclusions arrowed in this lung
smear from a Snowy Owl?
What is this interesting phenomenon in blood from an anorectic
iguana?
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22 | companion
Improving the health of the nations pets
PETSAVERS
PAY PETSAVERS A VISIT AT CONGRESS
PET MONTH WITH PETSAVERSGet involved with National Pet Month
2009 (4 April 4 May) and help raise vital funds for Petsavers.
National Pet Month is again fast approaching and Petsavers is
pleased to be involved. During the month there will be inventive
events across the country, from sponsored dog walks to garage
sales, cake competitions to practice open days helping to raise
funds for the associated charities involved.
So, how can you get involved? You could go to one of the events
being held and provide your support that way or arrange an event of
your own. If you work in practice, National Pet Month can be a
brilliant opportunity to engage with your local community. If you
cant think of an event, then Petsavers is happy to suggest ideas,
or you can order a free event pack through the National Pet Month
website.
You can also find out about events close to you through the
National Pet Month website and if you are planning an event in
support of Petsavers please let us know as we would love to hear
about it and help you promote it.
For fundraising ideas, or help with raising sponsorship please
email [email protected]
To find out about events close to you check the National Pet
Month website www.nationalpetmonth.org.uk
Petsavers will be joining the rest of the BSAVA on the balcony
in the NIA Exhibiton this year and we are looking forward to
meeting you there. You will be able to meet Petsavers volunteers
and find out what Petsavers has planned for the future. Petsavers
is always open to fundraising ideas or suggestions, so please feel
free to come to the stand and share your ideas. Petsavers will also
be running a competition for all delegates, so dont miss out on the
chance to win great prizes and get involved with your veterinary
charity.
You dont have to be the next Martin Lel or Paula Radcliffe; if
you just want a fun day out, then Petsavers would like to hear from
you. Once again Petsavers will be taking part in the 10k run. The
event will be on Sunday 12 July 2009 in London. Last year 26,000
people, including
your veterinary charity.
ou dont have to be the next Martin Lel or Paula Radcliffe; if
you just want a fun day out, then Petsavers would like to hear from
you. Once again Petsavers will
be taking part in the 10k run. The event will be on Sunday 12
July 2009 in London. Last year 26,000 people, including
22 |
You dont have to be the next Martin Lel or Paula Radcliffe; if
you just want a fun day out, then Petsavers would like to hear from
you. Once again Petsavers will be taking part in the 10k run. The
event will be on Sunday 12 July 2009 in London. Last year 26,000
people, including
GO ON THE RUN
professional runners such as Stefano Baldini and Catherine
Ndereba, ran the route past many of Londons historical
landmarks. The Petsavers team had a great time and raised lots of
money for Petsavers in the process. If you would like to take
part
then please contact us as soon as possible as spaces are
limited,
at [email protected] or call 01452 726723. We can help
you
with raising sponsorship, whether that is assistance with
sponsorship
forms or setting up a Just Giving page. You can find out more
about the event at
www.thebritish10klondon.co.uk
22 | companion22 | companion
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WSAVA NEWS
WSAVA CE AROUND THE WORLDSri LankaThe WSAVA has been hosting
WSAVA CE programmes for practitioners in Sri Lanka for some time,
but the usual programme was limited to one or two day
visits and there was obviously a need for assistance on a
broader scale in this very poor country.
Dr Roger Clarke, who chairs the WSAVA CE programme in Asia, gave
the
first programme of CE that extended beyond the reach of the
normal WSAVA programme. He donated approximately two weeks of his
time free of charge to teaching final year veterinary students at
the University of Peradinaya in Kandy. His airfare was paid by the
Commonwealth Veterinary Association and
Above: Dr Roger Clarke (right) and Intervet/Schering-Plough
Animal Health sponsor representative Dr Gabriel Varga (second from
right) visit with members of the Sri Lanka Veterinary Association
during a CE event.
Left: Being exposed to and exploring the beautiful country of
Sri Lanka is one of the bonuses of veterinary visitors volunteering
their time.
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24 | companion
WSAVA CE AROUND THE WORLD
WSAVA NEWSWSAVA NEWS
he was assisted locally by the Sri Lanka Veterinary Association.
While in Sri Lanka, Dr Clarke also lectured practitioners. This was
such a success that he looked for ways to continue this teaching
programme.
In 2008 Dr Dave Watson, formerly of the University of Sydney
Veterinary School, volunteered to go to Sri Lanka on a pro bono
basis and he taught the students and practitioners the secrets of
problem-oriented veterinary medicine. The ASAVA took over part of
the financial assistance for the programme and contributed to the
accommodation costs of Dr Watson while he was away. The WSAVA CE
programme paid the airfare as part of the WSAVA CE commitment.
In 2009, Dr Graeme Allan will be going, again on a pro bono
basis, to help the veterinary school to use its new ultrasound
equipment and to teach diagnostic imaging to the students and the
staff, as well as the
practitioners who may utilise this service.The involvement of
the ASAVA in this
way is very much appreciated by the WSAVA, and we join the ranks
of other national veterinary associations in sponsoring our less
affluent colleagues throughout the world.
The ASAVA has benefited enormously in its membership of the
WSAVA, both in the exchange of knowledge and the opportunity to
hold the largest veterinary congress Australia has seen in
2007.
Most of the work in the WSAVA is done by volunteers who give
freely of their time and skills for the sheer pleasure that comes
from giving. Dr Clarke is actively looking for skilled volunteers
who would be prepared to give approximately two weeks of their time
teaching in Sri Lanka, with the WSAVA CE programme. An additional
benefit is that the volunteers can see this beautiful country with
its fascinating history
(at their own expense) while they are there. For further details
please contact [email protected]
PanamaWith a population of 3.3 million people, Panama was the
second fastest growing economy in Latin America in 2008. The
country has one veterinary college, which is located in facilities
that used to house the American Panama Canal Administration offices
and is in need of both structural and equipment upgrades.
However, with a reinvigorated leadership and growing membership,
AMVEPA has become more active on behalf of its members in 2008,
particularly in the delivery of CE. As part of its Global CE
Programme, WSAVA hosted its first meeting for small animal
veterinarians in Panama City on the topic of Emergency Veterinary
Medicine. Lectures were given by Drs Luis Tello (WSAVA Vice
President) and Adriana Lopez (LAVECCS Secretary) with approximately
80 delegates attending.
Register for So PauloHave you registered yet? There will be
approximately 250 lectures by 75 world-renowned speakers covering
over 20 disciplines complemented by an exciting social programme in
culturally diverse So Paulo, with all that Brazil and South America
has to offer. Please visit www.wsava2009.com for additional details
and online registration.Dr Luis Tello introducing the WSAVA CE
Programme prior to his presentations on
Emergency Medicine to attendees of WSAVA CE in Panama.
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WSAVA NEWS
PRESIDENTS REVIEWDavid Wadsworth looks back on the last years
successes for the World Small Animal Veterinary Association
It is the duty of every President to report on his or her hectic
period in office and this Presidents report is no exception. The
Dublin WSAVA Congress was the first in a series of congresses which
feature Hills Pet Nutrition as our WSAVA Prime Congress
sponsor.
WSAVA CongressThanks to the help of Dr Nicola Neumann, Professor
Boyd Jones and their teams I can report on a truly great congress
in Dublin, which was enjoyed enormously by delegates and exhibitors
alike. One congress leads inevitably into the next and we are
currently working hard with Dr Marco Gioso, Saliem Saleygh and
Wanderson Ferrera and all those involved on the final preparations
for the WSAVA 2009 Congress in So Paulo, 2124 July 2009.
This will be only the second time that the WSAVA Congress has
been held in South America and we are hoping that it will hit the
very high standard set in Dublin. The local organizing committee is
talking in terms of 3000 delegates, so make a note in your diaries
to be there.
During the autumn of last year the French Association AFVAC
celebrated its 50th anniversary and I was fortunate to be invited
to Strasbourg to take part in their celebrations. AFVAC has been a
leading force in WSAVA for many years and with the help of Drs
Carlotti, Roze and Rousselot, is helping to extend the WSAVA
Continuing Education (CE)
programme to French-speaking areas of Africa and hopefully also
Paraguay.
Worldwide CEThe WSAVA 2008 CE programme has hosted a record
number of attending delegates (4159) in 31 meetings spread over
four continents. We and the long-term sponsoring partners, Bayer
Animal Health, Hills Pet Nutrition, and Intervet/Schering-Plough,
can be justifiably proud of the difference that the programme has
made to the lives and education of veterinary surgeons in the
developing areas of the world.
Member Associations from the UK (BSAVA), France (AFVAC), Austria
(VK), Australia (ASAVA), Greece (HVMS), Switzerland (SVK), Denmark
(DSAVA), Norway (NSAVA), Finland (FSAVA), and the Netherlands
(NACAM) have all contributed financially, either directly or by
sponsoring speakers, and we are grateful for this cooperation. It
is a particular pleasure to report that the associations from the
Czech Republic, Slovakia and Poland, who were initially recipients
of sponsorship, have matured and have been contributing to the
programme by waiving the small amount of sponsorship that is their
due.
Welfare and scienceThe animal welfare committee will be active
in 2009 with day-long streams already organized for the TNAVC,
FASAVA and WSAVA conferences. Drs Butcher and Clarke continue to do
excellent work in the face of a tide of apathy to a subject which
should never be taken for granted, even though veterinary surgeons,
by definition, are involved in animal welfare on a daily basis.
The Scientific Committee has been extremely active in assisting
with the
production of the programme for So Paulo and Dr Michael Day and
his committee are considering nominations for prestigious WSAVA
Awards which will be announced in So Paulo. The Scientific
Standardization projects on Renal Disease and Vaccination continue
and interim reports will be made in July 2009.
WSAVA plansThe Board met during the NAVC Congress in Orlando.
Top of the agenda was to consider the major strategic planning
initiative started in Dublin. Part of this will be to consider the
need to stabilize the position of WSAVA by incorporation and
registration as a not-for-profit association within a named
country. There will be stricter controls, both administrative and
financial, but these changes would be necessary to ensure that
WSAVA retains its preeminent place in the veterinary world in the
future. Dr Kirpensteijn is looking into the formation of the WSAVA
Foundation, a fundraising entity, which will be supportive of
scientific research projects in the future. Dr Sheehan will also be
looking at the WSAVA Congress in all its facets and the Board will
be considering an action plan which will be taken to the Assembly
in July.
I hope that the result of all this work will be that the
Assembly in So Paulo will have major issues to consider and that
the active participation of the members in the strategic planning
process will see an even more committed and active WSAVA in the
future.
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26 | companion
companion INTERVIEW
Pip Boydell was born in 1960 (both Pip and his parents joke that
he was exchanged at birth), and grew up in Manchester and Bolton.
After first studying at Exeter University he went on to the Royal
Veterinary College, though claims he never actually wanted to be a
vet until the fourth year of the course. After graduating and
spending a year in practice, two years in the surgery department at
Edinburgh and a year in referral practice in London, Pip realized
that, of all the disciplines, ophthalmology/neurology held the
greatest attraction and he took up a residency in veterinary
ophthalmology at the RVC. Pip established the first UK dedicated
small animal referral practice in 1990 and set up the first
in-house brain scanner the next year. He has published over 200
peer-reviewed papers and abstracts and is a regular speaker at
BSAVA Congress.
THEcompanionINTERVIEW
You have become known within the profession through your
published papers and lecturing on ophthalmology how did you first
become involved in that area?
Having been informed by the local taxman that only one
international conference per year was tax deductible, I learnt that
presenting a paper might be counted as advertising and therefore a
business expense. Regular attendances at such meetings, both
veterinary and medical, led to occasional invitations to lecture
and I could see the world and get paid (not alot) for it!
What has been your main interest outside work?
Music has always been a major part of my life, having come of
age during the punk era. I have been in some form of band all my
life, working on the premise that lack of talent is no obstacle to
success, but I have not been offered any major record contract
(yet). The Bruise Brothers are currently available for weddings,
bar mitzvahs and biker festivals.
I worked my way through college as a disc jockey on pirate
radio, live parties and gigs. My most important possession is my
juke box (a proper juke box that plays vinyl, Luddite that I am).
With age and general
infirmity I retired from playing American Football and moved
into traditional and competitive martial arts. I turned pro at the
beginning of 2009.
What would you have done if you hadnt been a vet?
Assuming Im not going to make it big in the music industry, I
would have done something entrepreneurial. As a student I was very
aware of the risk of failing exams and an alternative career
progressed running market stalls selling second hand records and
Chinese silk clothing (my sister was studying in China at the
time). I might have had a chain of stores by now! Currently I run a
couple of Chinese kickboxing and Kung Fu clubs.
What is your favourite aspect of veterinary practice?
Dealing with people.
What is your least favourite aspect of veterinary practice?
Dealing with people.
Who has been the most inspiring influence on your professional
career?
John Peel, Humphrey Littleton.
Which historical/cultural figure do you most admire?
Genghis Khan.
What is the most significant lesson you have learned so far in
life?
People who mind dont matter; people who matter dont mind.
If you were given unlimited political power, what would you do
with it?
Encourage investment by the workforce so that all employees own
their companies. Remove incentives (tax, social benefits, time off,
etc.) for people to have children its discrimination against the
childless!
These seem good ideas but are too small scale. How about
arranging the destruction (painless) of 99% of the human race so
that true anarchy will allow the re-evolution of society? Whew!
If you could change one thing about yourself, what would it
be?
I would like to enjoy eating vegetables and healthy food.
What do you consider to be your most important achievement
during your career?
That would be winning two gold medals fighting in the British
Kickboxing Championships in 2005. n
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CPD DIARY
companion | 27
CPDDIARY
12 MarchThursdayAnaesthesia and analgesia in the 21st
centurySpeaker John HirdLeatherhead Golf Club, Ashtead, Surrey.
Surrey and Sussex Region.Details from Jo Arthur, 01243 841111,
[email protected]
EVENINGMEETING
19 MarchThursdaySoft tissue surgery: oropharyngeal stick
injuriesSpeaker Zo HalfacreeRussell Hotel, Maidstone. Kent
Region.Details from Hannah Perrin, [email protected]
EVENINGMEETING
14 MayThursdayBSAVA Cardiology RoadshowSpeakers Rebecca Stepien
and Mike MartinRadisson SAS Hotel, Belfast, Northern Irish Region.
Organised by BSAVA.Details from the Membership and Customer Service
Team, 01452 726700, [email protected]
DAYMEETING
18 MayMondayBSAVA Cardiology RoadshowSpeakers Rebecca Stepien
and Virginia Luis Fuentes. Canalside, Bridgwater, South West
Region. Organised by BSAVA.Details from the Membership and Customer
Service Team, 01452 726700, [email protected]
DAYMEETING
12 MarchThursdayA pain in the ass: surgical disease of the
rectum and colon fistulas, megacolon, neoplastic diseaseSpeaker
Kathryn PratschkeVSSCo, Lisburn. Northern Irish Region.Details from
Shane Murray, [email protected]
EVENINGMEETING
19 MarchThursdayVascular disease in small animals: an
underdiagnosed problem? Speaker Simon SwiftHoliday Inn, Haydock.
North West Region.Details from Simone der Weduwen,
[email protected]
EVENINGMEETING
18 MarchWednesdayThe Golden HourSpeaker Dan HoldenPark Inn,
Llanederyn, Cardiff. South Wales Region.Details from the Chairman
or Secretary, [email protected]
EVENINGMEETING
19 MarchThursdayHow the lab can help you with pancreatic
diseaseSpeaker Lindis FouracrePotters Heron Hotel, Romsey. Southern
Region.Details from Michelle Stead, 01722 321185,
[email protected]
EVENINGMEETING
30 AprilThursdayCardiovascular medicineSpeaker Jo Dukes
McEwanThorpe Park Hotel & Spa, Leeds. Organised by
BSAVA.Details from the Membership and Customer Service Team, 01452
726700, [email protected]
DAYMEETING
13 MayWednesdayOcular manifestations of systemic diseaseSpeaker
David WilliamsPotters Heron Hotel, Romsey. Southern Region.Details
from Michelle Stead, 01722 321185, [email protected]
EVENINGMEETING
17 MaySundayIs it respiratory or cardiac disease? Case-based
approachSpeaker Clive ElwoodCambridge Belfry, Cambourne. East
Anglia Region.Details from Graham Bilbrough,
[email protected]
DAYMEETING
8 MarchSundayAcute and painful eye conditions in companion
animalsSpeaker John MouldBest Western Glasgow Pond Hotel, Glasgow.
Scottish Region.Details from Claire Robertson, 07792 251003,
[email protected]
DAYMEETING
8 MarchSundaySedation/anaesthesia of sick medical casesSpeakers
Louise Clarke and Liz LeeceCambridge Belfry, Cambourne. East Anglia
Region.Details from Graham Bilbrough,
[email protected]
DAYMEETING
25 AprilThursdaySundayBSAVA CongressInternational SpeakersFour
day Congress including a challenging scientific programme,
scintillating social events and an extensive exhibition. ICC/NIA,
Birmingham. UK.Details from the Membership and Customer Service
Team, 01452 726700, [email protected]
ThursdaySunday
BSAVA CongressBSAVA Congress
social events and an extensive
Details from the Membership and
ThursdaySunday
810 MayFridaySunday24th annual Scottish CongressRaising the bar
in SA practice, for veterinary surgeons & nursesSpeakers Andrew
Mackin and Ronan DoyleFairmont Hotel, St Andrews. Scottish
RegionDetails from Susan Macaldowie, 07711 633698,
[email protected]
WEEKEND
21 AprilTuesdayInfectious diseasesSpeaker Susan DawsonBSAVA,
Woodrow House, Quedgeley. Organised by BSAVA.Details from the
Membership and Customer Service Team, 01452 726700,
[email protected]
DAYMEETING
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Members price: 191.83 inc. VAT
British Small Animal Veterinary AssociationWoodrow House, 1
Telford Way, Waterwells Business Park,
Quedgeley, Gloucester GL2 2ABTel: 01452 726700 Fax: 01452
726701
Email: [email protected]: www.bsava.com
Recent advances in treating cardiovascular diseases have changed
the clinical approaches we use and improved survival times.
Discover new ideas about familiar diseases and fi nd a fresh
appreciation for the joys of treating geriatric patients.
Thursday 14 MayRadisson SAS BelfastRebecca Stepien and Mike
Martin
Monday 18 MayCanalside, BridgwaterRebecca Stepien and Virginia
Luis Fuentes
Wednesday 20 MayVenue Daventry Hotel, DaventryRebecca Stepien
and Mike Martin
Friday 22 MayBellhouse, Beaconsfi eldRebecca Stepien and
Virginia Luis Fuentes
BSAVA Cardiology Road ShowMay 2009
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