A market in transition: Is profession ready to seize the opportunities? August 1, 2008 By: Daniel R. Verdon

Portland, Ore. — Dr. Hugh B. Lewis shared a big vision during his career.

Nausea, vomiting: First treat the underlying cause August 1, 2008 By: Johnny D. Hoskins, DVM, PhD, Dipl. ACVIM

Please provide a review of anti-emetic and prokinetic drugs — I am confused.

Is it immune-mediated neutropenia? November 1, 2007 By: Belle Marie D. Nibblett, DVM, Anthony P. Carr, Dr. med. vet., DACVIM (small animal internal medicine)

Immune-mediated neutropenia is a relatively uncommon cause of neutropenia in cats and dogs, and recognizing it is challenging. It can only be identified by understanding the pathophysiology of neutropenia in general and ruling out its differential diagnoses.

Hyperlipidemia in dogs and cats September 1, 2007 By: Justin D. Thomason, DVM, DACVIM (small animal internal medicine), Bente Flatland, DVM, DACVIM (internal medicine), Clay A. Calvert, DVM, DACVIM (small animal internal medicine)

Hyperlipidemia is the increased concentration of triglyceride (hypertriglyceridemia), cholesterol (hypercholesterolemia), or both in the blood.

Overcoming the diagnostic and therapeutic challenges of canine immune-mediated thrombocytopenia August 1, 2007 By: Johanna Heseltine, DVM, MS, DACVIM, Anthony P. Carr, Dr. med. vet., DACVIM (small animal internal medicine)

Immune-mediated thrombocytopenia is the most common acquired cause of abnormal primary hemostasis in dogs.

Treating paraneoplastic hypercalcemia in dogs and cats May 1, 2007 By: Pamela Lucas, DVM, Hugues Lacoste, DVM, DACVIM (oncology), Louis-Philippe de Lorimier, DVM, DACVIM (oncology), Timothy M. Fan, DVM, PhD, DACVIM (small animal internal medicine, oncology)

The most common cause of hypercalcemia in companion animals is cancer, with about 45% to 65% of hypercalcemic dogs and 10% to 30% of hypercalcemic cats having underlying neoplasia.

Practical Matters: Urine cortisol:creatinine ratio—the most useful normal test around July 1, 2006 By: Nyssa J. Reine, DVM, DACVIM (small animal internal medicine)

Definitively diagnosing canine hyperadrenocorticism (Cushing's disease) can be exceptionally difficult because nonadrenal illness can affect the test results. However, I think that the urine cortisol:creatinine ratio (UC:Cr) serves an invaluable role in ruling out canine Cushing's disease since a dog with a normal UC:Cr almost assuredly does not have Cushing's disease.

The diagnostic approach to asymptomatic dogs with elevated liverenzyme activities May 1, 2006 By: Johanna Cooper, DVM, Cynthia R.L. Webster, DVM, DACVIM

This review provides general guidelines for the diagnostic approach to an asymptomatic dog with elevated liver enzyme activities so that needless tests are not performed and clinically important liver disease is not missed.

Practical Matters: Boost your hypoalbuminemia workup February 1, 2006 By: Scott R. Helms, DVM, DABVP

Assessing albumin production and the possible causes of albumin loss is important when diagnosing and treating patients with hypoalbuminemia.