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Open and honest communication with your veterinarian and veterinary healthcare team throughout your cat's life lays the foundation for effective communication when that cat's life begins drawing to a close. Discussion with your veterinarian will clarify any specific medical implications of your cat's disease that can serve as benchmarks to suggest that euthanasia should be considered. Most often, euthanasia is provided at the veterinary practice or in your home. The veterinary healthcare team will be an important partner as you negotiate the difficult days and decisions leading up to your cat's peaceful passing.
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Evan’s syndrome is the term used when a pet has both immune-mediated hemolytic anemia (IMHA) and immune-mediated thrombocytopenia (ITP). With this condition, the body destroys its own red blood cells and platelets. Prognosis is variable and depends on the underlying cause and the pet’s general condition at the time of diagnosis. Relapses are common.
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Losing weight can be difficult. While feeding a prescription weight loss diet is certainly a good start in a weight loss program for your cat, it is important to remember that food intake is only one part of the problem; energy expenditure is also significant. Encouraging your cat to exercise by playing with him, putting his food in unusual places so he has to look for it, and making him work for his food (e.g., training, foraging toys) will help.
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Proprioception is the ability to know where your body is in space. This is what helps reduce falls and injury. Proprioception may be lost suddenly through spinal cord trauma, or it may be reduced with age, joint disease (osteoarthritis), or other orthopedic or neurologic disease. Some specific controlled exercises that can improve proprioception are discussed. Any exercise plan needs to be formulated by a veterinary rehabilitation therapist to avoid injury.
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Obesity occurs when a cat consumes more calories than they expend. Therefore, managing obesity in cats often requires both dietary changes and increased exercise/activity. There are several methods for increasing activity in cats, including play, using cat trees and climbing structures, outdoor enclosures, and intentional, active feeding practices. Each of these can be beneficial in promoting weight loss.
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All glues containing isocyanate and diisocyanate can expand. Pets exposed to a very small amount of wet or liquid expanding glue may consume enough product to be problematic. Foreign body obstruction due to a mass of expanded glue in the stomach is the most common outcome in dogs ingesting expanding wood glues. After abdominal X-rays confirm the presence of a glue mass and obstruction, surgery is required to remove the mass, or endoscopy in mild cases. The prognosis for recovery from expanding glue ingestion depends on the removal of the mass.
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Extracorporeal shockwave Therapy (ESWT) is a treatment that uses high energy sound waves to exert changes in the target tissues. In specific situations it can decrease pain and increase healing. Conditions that can be treated, types of shockwave therapy, contraindications and adverse effects are discussed.
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Epiphora or excessive tearing from the eyes can be a sign of tear duct blockage or more serious eye problems. Clinical signs include dampness beneath the eyes, reddish-brown staining of the fur beneath the eyes, odor, skin irritation, and skin infection. The facial anatomy of short faced (brachycephalic) breeds may play a role in this condition. Treatment may include flushing of the nasolacrimal duct, or surgery to open the lacrimal puncta. The prognosis is variable and dependent on whether the underlying cause can be found and treated.
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Eye melanomas in cats may be benign or malignant (cancerous). Malignant tumors, called diffuse iris melanomas, show up as multiple spots of color change in the iris, while benign tumors, called limbal melanomas, present as a distinct mass at the edge of the cornea. The diagnosis of these tumors is largely by clinical signs and tumor appearance. Treatment for diffuse iris melanomas may include close monitoring, laser surgery, removing part of the iris (iridectomy) and removing the eye (enucleation). Metastasis has been reported in about 19-70% of cases of diffuse iris melanoma, with most spread to the regional lymph nodes, kidneys, liver, and lungs. Treatment for limbal melanomas may include close monitoring, and surgery, sometimes combined with cryosurgery, laser surgery, or radiation therapy. Enucleation is an option if the treatment is unsuccessful, or the tumor regrows.
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Primary intraocular tumors, aside from melanoma, are relatively uncommon. There are many different types of primary tumors, including ciliary body adenoma and adenocarcinomas, uveal schwannomas of blue-eyed dogs, feline post-traumatic ocular sarcomas, and iridociliary adenomas and adenocarcinomas. When an intraocular tumor is suspected, a referral to a veterinary ophthalmologist may be recommended. Diagnosis is usually via an abnormal ophthalmic examination and/or ophthalmic ultrasound. Surgery is often recommended, especially if the pet has symptoms that reduce quality of life. The risk of metastasis is related to the type of tumor.
