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Doerr K, Salisbury SK, HogenEsch H, San Miguel SF, Reed WM. Purdue's legacy of leading in graduating career-ready veterinarians. J Am Vet Med Assoc 2023; 261:415. [PMID: 36812086 DOI: 10.2460/javma.23.01.0018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Affiliation(s)
- Kevin Doerr
- College of Veterinary Medicine, Purdue University, West Lafayette, IN
| | | | - Harm HogenEsch
- College of Veterinary Medicine, Purdue University, West Lafayette, IN
| | | | - Willie M. Reed
- College of Veterinary Medicine, Purdue University, West Lafayette, IN
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Doerr K, Salisbury SK, HogenEsch H, San Miguel SF, Reed WM. Purdue's comparative approach to advancing animal health. Am J Vet Res 2023; 84:ajvr.23.01.0006. [PMID: 36749653 DOI: 10.2460/ajvr.23.01.0006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Affiliation(s)
- Kevin Doerr
- College of Veterinary Medicine, Purdue University, West Lafayette, IN
| | | | - Harm HogenEsch
- College of Veterinary Medicine, Purdue University, West Lafayette, IN
| | | | - Willie M. Reed
- College of Veterinary Medicine, Purdue University, West Lafayette, IN
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Matthew SM, Bok HGJ, Chaney KP, Read EK, Hodgson JL, Rush BR, May SA, Salisbury SK, Ilkiw JE, Frost JS, Molgaard LK. Collaborative Development of a Shared Framework for Competency-Based Veterinary Education. J Vet Med Educ 2020; 47:578-593. [PMID: 32530802 DOI: 10.3138/jvme.2019-0082] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Competency-based medical education is an educational innovation implemented in health professions worldwide as a means to ensure graduates meet patient and societal needs. The focus on student-centered education and programmatic outcomes offers a series of benefits to learners, institutions and society. However, efforts to establish a shared, comprehensive competency-based framework in veterinary education have lagged. This article reports on the development and outcome of a competency-based veterinary education (CBVE) framework created through multi-institutional collaboration with international input from veterinary educators and veterinary educational leaders. The CBVE Framework is designed to reflect the competencies expected of new graduates from member institutions of the Association of American Veterinary Medical Colleges (AAVMC). The CBVE Framework consists of nine domains of competence and 32 competencies, each supplemented with illustrative sub-competencies to guide veterinary schools in implementing competency-based education in their local context. The nine domains of competence are: clinical reasoning and decision-making; individual animal care and management; animal population care and management; public health; communication; collaboration; professionalism and professional identity; financial and practice management; and scholarship. Developed through diverse input to facilitate broad adoption, the CBVE Framework provides the foundation for competency-based curricula and outcomes assessment in veterinary education internationally. We believe that other groups seeking to design a collective product for broad adoption might find useful the methods used to develop the CBVE Framework, including establishing expertise diversity within a small-to-medium size working group, soliciting progressive input and feedback from stakeholders, and engaging in consensus building and critical reflection throughout the development process.
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Salisbury SK, Rush BR, Ilkiw JE, Matthew SM, Chaney KP, Molgaard LK, May SA, Bok HGJ, Hodgson JL, Frost JS, Read EK. Collaborative Development of Core Entrustable Professional Activities for Veterinary Education. J Vet Med Educ 2020; 47:607-618. [PMID: 32427543 DOI: 10.3138/jvme.2019-0090] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Entrustable professional activities (EPAs) have been proposed as a practical framework for the implementation of competency-based education. As veterinary education moves toward a competency-based approach, core EPAs provide a context for assessment of workplace activities. This article reports on the development of eight core clinical EPAs for veterinary education created through multi-institutional collaboration, with international input from veterinary educators and veterinary educational leaders. These core EPAs are intended as minimal expectations for clinical activities that should be assessed for every graduate of Association of American Veterinary Medical Colleges member institutions. Adoption of the core EPAs and the associated Competency-Based Veterinary Education (CBVE) framework by veterinary schools is intended to promote Day One graduate competence and thereby enhance patient care and client service.
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Wolff E, Van Vertloo L, Salisbury SK, Childress MO. Obturator-Assisted Prolapse for Access to and Sampling of Colorectal Masses in Seven Dogs. J Am Anim Hosp Assoc 2020; 56:e56302. [PMID: 32182112 DOI: 10.5326/jaaha-ms-6961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
The gold standard for diagnosis of colorectal masses is surgical biopsy; however, this is not always logistically or economically feasible. The authors present an alternative to established flexible and rigid endoscopic approaches when case limitations require such an approach. In seven dogs, after the identification of a mass on physical exam and computed tomographic evaluation, the colorectum was accessed using obturator-assisted prolapse to isolate discrete masses and perform shielded sampling via core needle biopsy. Histopathologic diagnosis was adequate for treatment planning in all dogs. No major complications were recorded 65-475 days after the procedure. This technique may be useful when traditional endoscopy and surgery for biopsy of colorectal masses is unavailable.
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Affiliation(s)
- Ewan Wolff
- From Affiliated Veterinary Specialists, Maitland, Florida (E.W.); Department of Veterinary Clinical Sciences, Iowa State University, Ames, Iowa (L.V.V.); and College of Veterinary Medicine, Purdue University, West Lafayette, Indiana (S.K.S., M.O.C.)
| | - Laura Van Vertloo
- From Affiliated Veterinary Specialists, Maitland, Florida (E.W.); Department of Veterinary Clinical Sciences, Iowa State University, Ames, Iowa (L.V.V.); and College of Veterinary Medicine, Purdue University, West Lafayette, Indiana (S.K.S., M.O.C.)
| | - S Kathleen Salisbury
- From Affiliated Veterinary Specialists, Maitland, Florida (E.W.); Department of Veterinary Clinical Sciences, Iowa State University, Ames, Iowa (L.V.V.); and College of Veterinary Medicine, Purdue University, West Lafayette, Indiana (S.K.S., M.O.C.)
| | - Michael O Childress
- From Affiliated Veterinary Specialists, Maitland, Florida (E.W.); Department of Veterinary Clinical Sciences, Iowa State University, Ames, Iowa (L.V.V.); and College of Veterinary Medicine, Purdue University, West Lafayette, Indiana (S.K.S., M.O.C.)
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Molgaard LK, Chaney KP, Bok HGJ, Read EK, Hodgson JL, Salisbury SK, Rush BR, Ilkiw JE, May SA, Danielson JA, Frost JS, Matthew SM. Development of core entrustable professional activities linked to a competency-based veterinary education framework. Med Teach 2019; 41:1404-1410. [PMID: 31393190 DOI: 10.1080/0142159x.2019.1643834] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Purpose: Despite the adoption of competency-based education in some veterinary schools over the past 15 years, only recently has a concerted effort been directed toward this in veterinary education internationally.Methods: In 2015, educational leaders from the Association of American Veterinary Medical Colleges (AAVMC) member schools came together with a strong call to action to create shared tools for clinical competency assessment.Results: This resulted in the formation of the AAVMC Competency-Based Veterinary Education (CBVE) Working Group, which then embarked on the creation of a shared competency framework and the development of eight core entrustable professional activities (EPAs) linked to this framework.Conclusions: This paper will report on the development of these EPAs and their integration with the concurrently-developed CBVE Framework.
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Affiliation(s)
- Laura K Molgaard
- Department of Veterinary Population Medicine, College of Veterinary Medicine, University of Minnesota, St. Paul, MN, USA
| | - Kristin P Chaney
- Professional Programs Office/Department of Veterinary Integrative Biosciences, College of Veterinary Medicine & Biomedical Sciences, Texas A&M University, College Station, TX, USA
| | - Harold G J Bok
- Centre for Quality Improvement in Veterinary Education, Faculty of Veterinary Medicine, Utrecht University, Utrecht, the Netherlands
| | - Emma K Read
- Office of Professional Programs, College of Veterinary Medicine, The Ohio State University, Columbus, OH, USA
| | - Jennifer L Hodgson
- Department of Population Health Sciences, Virginia-Maryland College of Veterinary Medicine, Blacksburg, VA, USA
| | - S Kathleen Salisbury
- Department of Veterinary Administration/Department of Veterinary Clinical Sciences, Purdue University College of Veterinary Medicine, Purdue University, West Lafayette, IN, USA
| | - Bonnie R Rush
- Office of the Dean, Kansas State University, Manhattan, KS, USA
| | - Jan E Ilkiw
- Department of Surgical and Radiological Sciences, School of Veterinary Medicine, University of California, Davis, Davis, CA, USA
| | - Stephen A May
- Clinical Science and Services, Royal Veterinary College, Hatfield, UK
| | - Jared A Danielson
- Department of Veterinary Pathology, Iowa State University, Ames, IA, USA
| | - Jody S Frost
- Education Consultant and Facilitator, Lusby, MD, USA
| | - Susan M Matthew
- Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Washington State University, Pullman, WA, USA
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Amass SF, Davis KS, Salisbury SK, Weisman JL. Impact of gender and race-ethnicity on reasons for pursuing a career in veterinary medicine and career aspirations. J Am Vet Med Assoc 2011; 238:1435-40. [DOI: 10.2460/javma.238.11.1435] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Anderson JR, Cornell KK, Parnell NK, Salisbury SK. Pancreatic abscess in 36 dogs: a retrospective analysis of prognostic indicators. J Am Anim Hosp Assoc 2008; 44:171-9. [PMID: 18593854 DOI: 10.5326/0440171] [Citation(s) in RCA: 27] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Thirty-six dogs were diagnosed with pancreatic abscess by the presence of purulent exudate within the parenchyma of the pancreas during exploratory laparotomy. Data regarding history, physical examination findings, clinicopathological data, diagnostic imaging findings, bacteriological culture results, abdominal drainage technique, and perioperative treatment were evaluated for factors predictive of survival. Elevated blood urea nitrogen, serum alkaline phosphatase activity, and rising bicarbonate ion concentration were each found to have statistically significant (P<0.05) influences on survival to discharge. Twenty-two (71%) of 36 dogs died or were euthanized prior to discharge from the hospital.
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Affiliation(s)
- Jonathan R Anderson
- Department of Small Animal Medicine and Surgery, Veterinary Teaching Hospital, College of Veterinary Medicine, The University of Georgia, 502 D.W. Brooks Drive, Athens, Georgia 30602, USA
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Salisbury SK. 2007 Norden-Pfizer Distinguished Teacher. Evolution of a teacher: helping students learn. J Vet Med Educ 2008; 35:326-330. [PMID: 19066347 DOI: 10.3138/jvme.35.3.326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
I was honored to receive the 2007 National Carl J. Norden-Pfizer Distinguished Teacher Award. This award reflects the impact that my mentors and students have had on my teaching. I have been fortunate to have dedicated mentors and wonderful students. It is through the support and guidance of colleagues and students that I have been able to grow as a teacher. My students have taught me a lot about being an effective teacher. I will share some key principles that I try to follow in my teaching. These principles can be used in any teaching situation in any discipline.
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Affiliation(s)
- S Kathleen Salisbury
- Small Animal Surgery, Purdue University School of Veterinary Medicine, West Lafayette, IN 47907-2026, USA.
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Abstract
CASE DESCRIPTION 2 dogs and 5 cats were evaluated for treatment of ureteroliths. CLINICAL FINDINGS Spontaneous retrograde movement of 1 or more ureteroliths was detected by radiography, ultrasonography, fluoroscopy, and a combination of fluoroscopy and ultrasonography. The ureteroliths moved retrograde up to 4 centimeters. Retrograde movement of ureteroliths into the renal pelvis resulted in improved renal function in some patients but made complete surgical removal of all uroliths more difficult. TREATMENT AND OUTCOME Medical management was not successful, and ureteroliths were surgically removed. Surgical management of ureteroliths was complicated by retrograde movement of ureteroliths in the perioperative period. CLINICAL RELEVANCE Ureteroliths can move retrograde within the ureter and even back into the renal pelvis. Retrograde movement of ureteroliths may make surgical planning more difficult.
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Affiliation(s)
- Anne M Dalby
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907-2026, USA
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Abstract
OBJECTIVES To investigate (1) the characteristics of shoulder pain following discharge from rehabilitation for tetraplegia, (2) the relationship between pain and any associated risk factors and (3) the relationship between pain and functional activities, and pain and quality of life. DESIGN Longitudinal study. SETTING Spinal Injuries Unit, Australia. METHODS Participants (n=27) were surveyed between 2 and 4 years postinjury. Prospective data on shoulder pain during rehabilitation had been collected previously and allowed comparison with the follow-up data. Data collected included pain intensity and quality, the Wheelchair User's Shoulder Pain Index (WUSPI) and perceived effect of pain on quality of life. RESULTS Shoulder pain prevalence was 70%. Pain was associated with discharge motor level of C6-T1 (P=0.003). Pain was most commonly located in the shoulder joint. Pain was primarily aggravated by movement and cold weather and relieved by rest. The most painful activity was lifting an object from overhead. Quality of life was affected by pain in 68.4% of participants. CONCLUSION Shoulder pain is common following rehabilitation for tetraplegia and is associated with injury level. Pain is reported during daily tasks and adversely affects quality of life. Areas for further research are identified.
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Affiliation(s)
- S K Salisbury
- Division of Physiotherapy, University of Queensland, Queensland, Australia
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Abstract
A five-week-old kitten presented with clinical signs consistent with a patent urachus. The urachal anomaly was revealed by exploratory celiotomy and surgically excised without complications. Follow-up radiographic evaluation confirmed the complete removal of the urachal anomaly. Twenty-five months after surgery the cat remained healthy and without problems.
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Affiliation(s)
- P H Laverty
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907-1248, USA
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Lafond E, Weirich WE, Salisbury SK. Omentalization of the thorax for treatment of idiopathic chylothorax with constrictive pleuritis in a cat. J Am Anim Hosp Assoc 2002; 38:74-8. [PMID: 11804320 DOI: 10.5326/0380074] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
A 6-year-old, spayed female Himalayan cat with idiopathic chylothorax, which failed to respond to medical management, was successfully treated by advancement of the omentum into the thorax. Exploratory thoracotomy revealed severe, constrictive pleuritis as a sequela to chylothorax. Because of the poor prognosis for recovery from chylothorax in cats with thoracic duct ligation alone, and the lack of success in performing thoracic duct ligation in this cat, the omentum was advanced into the thorax through a hole created in the diaphragm and sutured within the thoracic cavity. The cat recovered from surgery and is clinically normal 13 months postoperatively. Omental advancement may be an effective surgical management technique for this challenging disease in cats.
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Affiliation(s)
- Elizabeth Lafond
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907, USA
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Abstract
A 13-year-old, neutered female domestic shorthair was referred for evaluation of chronic, intermittent vomiting of approximately two years' duration. On physical examination, a fluctuant mass was palpated in the left cranial abdominal quadrant. Significant laboratory findings included neutrophilia, hyperglycemia, hyperlipasemia, and proteinuria. A distinct mass within the left cranial quadrant was noted on abdominal radiographs. Ultrasonographically, the pancreas appeared slightly hyperechoic with a hypoechoic mass arising from its left lobe. A cystic mass in the left lobe of the pancreas was identified during an exploratory celiotomy. The mass and affected areas of the pancreas and a portion of the spleen were resected. The cat recovered completely. Cytological, histological, and laboratory evaluations of the mass were consistent with pancreatic pseudocyst formation, which has been reported in dogs and humans but has not yet been reported in cats.
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Affiliation(s)
- B L Hines
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907, USA
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Abstract
Continuing investigations of abdominal body wall reconstruction materials suggest that unacceptable implant complications continue and that the ideal material has not yet been found. This pilot study compared xenogeneic (porcine) small intestine submucosa (SIS) with polypropylene mesh (PPM) for repair of created partial-thickness (six dogs) and full-thickness (six dogs) abdominal wall defects. Postoperative clinical evaluation of all dogs showed no evidence of implant failure. Dogs were euthanized at 1, 2, and 4 months after surgery. The SIS implants were completely replaced by host tissue at 4 months as determined by immunohistochemistry. The resultant repair was well-organized, smooth, dense collagenous connective tissue that was well incorporated into the adjacent fascia and skeletal muscle fiber bundles. In the full-thickness defect dogs, omentum covered a significantly larger portion of PPM (P = 0.001) and was more firmly attached to PPM (P = 0.0001) compared to SIS/connective tissue repair. We conclude that xenogeneic SIS can be used as an abdominal body wall repair material in the dog and warrants further investigations.
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Affiliation(s)
- K M Clarke
- Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, Indiana 47907-1248, USA
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Block G, Clarke K, Salisbury SK, DeNicola DB. Total laryngectomy and permanent tracheostomy for treatment of laryngeal rhabdomyosarcoma in a dog. J Am Anim Hosp Assoc 1995; 31:510-3. [PMID: 8581547 DOI: 10.5326/15473317-31-6-510] [Citation(s) in RCA: 26] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
An extensive, laryngeal tumor was identified in a nine-year-old, spayed female, mixed-breed dog. Clinical staging of the tumor included computed tomography. Six days prior to surgery, a percutaneous gastrostomy tube was placed under endoscopic guidance. Surgical treatment included total laryngectomy and permanent tracheostomy. The histologic diagnosis of the tumor was rhabdomyosarcoma. There were no major postoperative complications, and there have been no signs of local recurrence, metastatic disease, or long-term complications associated with the surgical procedure during an 18-month follow-up period.
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Affiliation(s)
- G Block
- School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907, USA
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Lemarié RJ, Hosgood G, Read RA, Lewis DD, Bellah R, Salisbury SK, Goldsmid S. Distant abdominal and thoracic pedicle skin flaps for treatment of distal limb skin defects. J Small Anim Pract 1995; 36:255-61. [PMID: 7650922 DOI: 10.1111/j.1748-5827.1995.tb02910.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The treatment of large skin defects of the distal limbs of dogs and cats can be difficult due to the lack of skin available for primary wound closure or the creation of local skin flaps. Distant pedicle skin flaps provide an acceptable alternative for wound closure with full thickness skin and provide a cosmetic result. Fourteen animals (10 dogs and four cats) that had distant pedicle skin flaps are reviewed. The technique allowed 100 per cent wound coverage in 10 of 14 animals and greater than 95 per cent skin flap survival occurred in 12 to 14 animals. complications associated with the procedure were most commonly wound infection and partial suture line dehiscence, however these did not detract from the final outcome. Flap release was in one or two stages, however the outcomes did not appear to be affected by the release protocol.
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Affiliation(s)
- R J Lemarié
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Louisiana State University, Baton Rouge, USA
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Vonderhaar MA, Salisbury SK. Gastroduodenal ulceration associated with flunixin meglumine administration in three dogs . J Am Vet Med Assoc 1993; 203:92-5. [PMID: 8240550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
In 3 clinically ill dogs, signs of gastroduodenal ulceration were first noticed within 7 days of beginning flunixin meglumine administration and included pyrexia, anorexia, weight loss, vomiting, melena, pain on abdominal palpation, and abdominal distention. One dog was euthanatized and 2 dogs recovered after surgical repair of the perforated ulcers and treatment of peritonitis. Prolonged administration of flunixin meglumine should be avoided, especially in debilitated dogs or when concurrently administering other nonsteroidal anti-inflammatory drugs or corticosteroids.
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Affiliation(s)
- M A Vonderhaar
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907-1248
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19
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Abstract
Gastric dilatation-volvulus (GDV) was created experimentally and maintained for 90 minutes in 16 anesthetized, mixed-breed dogs. After the GDV was corrected, normal saline solution (0.044 mL/kg intravenously [IV]) was administered to eight dogs (controls), and flunixin meglumine (2.2 mg/kg IV) was administered to eight dogs. Microspheres labeled with radioactive cobalt, scandium, tin, or niobium were injected intravenously at baseline (before GDV) and minutes 90, 100, and 270, respectively, to determine tissue blood flows. Plasma endotoxin and prostacyclin were measured at the same intervals. Electrocardiogram, mean arterial pressure, portal pressure, and cardiac output were recorded continuously. Dogs were euthanatized at minute 270 and necropsied. There was no significant difference between treatment groups for any measured variable at any time. Endotoxin levels increased significantly during GDV. Prostacyclin levels were lower in dogs treated with flunixin meglumine than in controls at minutes 210 and 270. Histopathologic findings were similar for all dogs and consistent with those associated with endotoxemia. Flunixin meglumine treatment did not alter cardiac indices or tissue blood flows significantly. However, elevation of prostacyclin was inhibited by flunixin meglumine, which suggested that continued effects of endotoxic damage might be attenuated or inhibited.
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Affiliation(s)
- J R Davidson
- Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, Indiana
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Hahn KA, Widmer WR, Salisbury SK, Carlton WW. What is your diagnosis? Abdominal mass. J Am Vet Med Assoc 1992; 200:221-2. [PMID: 1559882] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- K A Hahn
- Department of Veterinary Clinical Sciences and Veterinary Pathobiology, Purdue University School of Veterinary Medicine, West Lafayette, IN 47907
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Nelson RW, Ihle SL, Lewis LD, Salisbury SK, Miller T, Bergdall V, Bottoms GD. Effects of dietary fiber supplementation on glycemic control in dogs with alloxan-induced diabetes mellitus. Am J Vet Res 1991; 52:2060-6. [PMID: 1665025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
The effect of a high insoluble-fiber (IF) diet containing 15% cellulose in dry matter, high soluble-fiber (SF) diet containing 15% pectin in dry matter, and low-fiber (LF) diet on glycemic control in 6 dogs with alloxan-induced insulin-dependent diabetes mellitus was evaluated. Each diet contained greater than 50% digestible carbohydrate in dry matter. A crossover study was used with each dog randomly assigned to a predetermined diet sequence. Each dog was fed each diet for 56 days. Caloric intake was adjusted weekly as needed to maintain each dog within 1.5 kg of its body weight measured prior to induction of diabetes mellitus. All dogs were given pork lente insulin and half of their daily caloric intake at 12-hour intervals. Mean (+/- SEM) daily caloric intake was significantly (P less than 0.05) less when dogs consumed the IF diet vs the SF and LF diets (66 +/- 3 kcal/kg, 81 +/- 5 kcal/kg, and 79 +/- 4 kcal/kg, respectively). Serum alkaline phosphatase activity was significantly (P less than 0.05) higher when dogs consumed the LF diet vs the IF and SF diets (182 +/- 37 IU/L, 131 +/- 24 IU/L, and 143 +/- 24 IU/L, respectively). Mean postprandial plasma glucose concentration measured every 2 hours for 24 hours, beginning at the time of the morning insulin injection, was significantly (P less than 0.05) lower at most blood sampling times in dogs fed IF and SF diets, compared with dogs fed the LF diet.(ABSTRACT TRUNCATED AT 250 WORDS)
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Affiliation(s)
- R W Nelson
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907
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Salisbury SK. Problems and complications associated with maxillectomy, mandibulectomy, and oronasal fistula repair. Probl Vet Med 1991; 3:153-69. [PMID: 1802245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Many oral tumors can be effectively treated by partial maxillectomy or mandibulectomy. These techniques involve excision of the tumor as well as the underlying bone. These procedures are described here and emphasis placed on the management of potential complications. Useful techniques for repairing oronasal fistulas are also described.
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Affiliation(s)
- S K Salisbury
- Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, Indiana 47907
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Hahn KA, Lantz GC, Salisbury SK, Blevins WE, Widmer WR. Comparison of survey radiography with ultrasonography and x-ray computed tomography for clinical staging of subcutaneous neoplasms in dogs. J Am Vet Med Assoc 1990; 196:1795-8. [PMID: 2112521] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
A study of 26 dogs (examined consecutively) with infiltrative subcutaneous neoplasms (mastocytoma, n = 11; soft tissue sarcoma, n = 13; and adenocarcinoma, n = 2) was conducted. Dogs were evaluated by physical examination, survey radiography, ultrasonography (US), and x-ray computed tomography (CT) prior to surgical excision of the tumor. The purpose of the evaluation was to accurately define gross neoplastic margins before surgical excision and to determine whether a difference could be observed between routine clinical staging (physical examination and survey radiography) and more detailed clinical staging (US and CT imaging). The clinical stage of 5 of 26 neoplasms assessed by US and of 17 of 26 neoplasms assessed by CT was determined to be more advanced because of previously undetected neoplasia, greater neoplastic size, or greater tissue invasiveness. Preoperative imaging of infiltrative subcutaneous neoplasms, using US and CT, is highly recommended to accurately determine gross neoplastic margins.
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Affiliation(s)
- K A Hahn
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907
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Salisbury SK, Forbes S, Blevins WE. Peritracheal abscess associated with tracheal collapse and bilateral laryngeal paralysis in a dog. J Am Vet Med Assoc 1990; 196:1273-5. [PMID: 2332374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Tracheal collapse and bilateral laryngeal paralysis were diagnosed in an 8-month-old Cocker Spaniel that had acute onset of dyspnea and cyanosis. Surgical exploration of the mediastinum revealed an abscess involving the ventral wall of the trachea immediately caudal to the thoracic inlet. Both recurrent laryngeal nerves were entrapped in fibrous tissue surrounding the abscess. The dog recovered after tracheal resection and anastomosis and freeing of the entrapped nerves. The peritracheal abscess was suspected to have been the result of esophageal perforation secondary to foreign body penetration.
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Affiliation(s)
- S K Salisbury
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907
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25
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Lantz GC, Salisbury SK. Surgical excision of ectopic thyroid carcinoma involving the base of the tongue in dogs: three cases (1980-1987). J Am Vet Med Assoc 1989; 195:1606-8. [PMID: 2599948] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Localized thyroid carcinoma involving the base of the tongue was diagnosed in 3 dogs examined because of a midline cervical mass rostroventral to the larynx. These masses had been present for 4 to 12 months and were firm, nonsensitive, and fixed in position. One dog had progressive dysphagia and dyspnea. Masses were surgically excised together with the base of the tongue and portions of the hyoid apparatus. Severe dyspnea that developed immediately after surgery in 1 dog was managed by tracheostomy intubation for 4 days. Transient dysphagia developed in all dogs. Hydration was maintained by IV fluid administration until water and food of gruel consistency could be swallowed 1 to 6 days after surgery. Consistency of food was gradually thickened to normal, as swallowing improved 6 days to 2 months after surgery. One dog developed aspiration pneumonia that resolved after antimicrobial administration and improved swallowing that prevented further aspiration. After 9 months, 3 years, and 6 years, the dogs were clinically normal.
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Affiliation(s)
- G C Lantz
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907
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26
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Abstract
The patterns of dispersion and drainage of a low viscosity, oil-based contrast medium within the peritoneal cavity were examined in 12 normal dogs. Intraperitoneal injection of contrast medium was cranial or caudal and drainage was by the sump-Penrose or open peritoneal method. Radiographs were made over a 96 hour period, before and after peritoneal drainage was established. Each dog was euthanatized and necropsied. The contrast medium was dispersed throughout the peritoneal cavity 15 to 30 minutes after cranial injection and 1 to 2 hours after caudal injection. Most of the contrast medium drained within 6 hours after open peritoneal drainage and within 24 to 48 hours after sump-Penrose drainage. At necropsy, there was complete encasement of all sump-Penrose drains and partial occlusion of all open peritoneal incisions by omentum adhered to the abdominal wound edges. Peritonitis was not grossly evident, but all dogs showed histologic evidence of an acute inflammatory reaction associated with the drain or wound edge.
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Affiliation(s)
- G Hosgood
- Department of Veterinary Clinical Sciences, Purdue University, West Lafayette, Indiana
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Salisbury SK, Hosgood GL. Management of the patient with generalized peritonitis. Probl Vet Med 1989; 1:168-82. [PMID: 2520108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Peritonitis is a serious disease requiring aggressive therapy in the hope of effecting a cure. Stabilization of the patient's condition is important; immediate fluid therapy and systemic antibiotics are essential. Surgery is indicated, not only to locate and correct the causative lesion, but to mechanically cleanse the peritoneal cavity by debridement and copious irrigation. Establishment of drainage is also necessary. The drainage method chosen is dictated by the source and the extent of peritoneal contamination, the patient's condition, and the experience of the surgeon.
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Affiliation(s)
- S K Salisbury
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907
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Hosgood GL, Salisbury SK. Pathophysiology and pathogenesis of generalized peritonitis. Probl Vet Med 1989; 1:159-67. [PMID: 2520107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Peritonitis is a complex disease state that results in many pathophysiologic alterations that affect multiple organs. The clinician must possess a thorough understanding of the pathophysiology and pathogenesis of the disease so that effective treatment can be instituted. Treatment should be directed at eliminating the cause of peritonitis and preventing or reversing the resulting pathophysiologic alterations.
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Affiliation(s)
- G L Hosgood
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, Indiana 47907
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Salisbury SK, Cantwell HD. Conservative management of fractures of the mandibular condyloid process in three cats and one dog. J Am Vet Med Assoc 1989; 194:85-7. [PMID: 2914801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
Three cats and 1 dog with fracture of the mandibular condyloid process and concomitant fracture(s) of the rostral portion of the mandible were treated successfully by wire fixation of the rostral mandibular fracture(s) and by conservative management of the mandibular condylar fracture. All animals regained satisfactory dental occlusion and normal, pain-free motion of the jaw. Fracture of the mandibular condyloid process is an infrequently diagnosed injury that usually occurs with other mandibular fractures. If satisfactory dental occlusion can be achieved by surgical stabilization of the noncondylar fractures, surgical repair of the mandibular condyloid fracture may not be necessary.
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Affiliation(s)
- S K Salisbury
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907
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Hosgood G, Salisbury SK. Generalized peritonitis in dogs: 50 cases (1975-1986). J Am Vet Med Assoc 1988; 193:1448-50. [PMID: 3209463] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Medical records of 50 dogs with generalized peritonitis and examined between 1975 and 1986 were reviewed. In these dogs, the gastrointestinal tract was the most common source of peritoneal cavity contamination (30 dogs). The most common cause of contamination was surgical wound dehiscence (14 dogs). Overall mortality of the 50 dogs was 68%.
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Affiliation(s)
- G Hosgood
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907
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Salisbury SK, Lantz GC, Nelson RW, Kazacos EA. Pancreatic abscess in dogs: six cases (1978-1986). J Am Vet Med Assoc 1988; 193:1104-8. [PMID: 3198466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Pancreatic abscess was diagnosed by exploratory celiotomy in 6 dogs. The most common clinical signs included acute onset of lethargy (n = 5), anorexia (n = 6), vomiting (n = 5), and diarrhea (n = 2). Physical examination revealed pain response to abdominal palpation (n = 5), depression (n = 5), icterus (n = 3), fever (n = 3), and cranial abdominal mass (n = 2). Consistent preoperative clinicopathologic abnormalities included leukocytosis with left shift, observance of toxic neutrophils on the blood smear, hyperlipasemia, hyperamylasemia, hyperbilirubinemia, and increased serum alkaline phosphatase activity. In 5 of 6 dogs, abdominal radiography revealed increased soft tissue density in the cranial portion of the abdomen. Ultrasonography performed on 4 dogs confirmed pancreatic mass. In all dogs, exploratory celiotomy revealed a cavitary pancreatic mass that contained sterile, mucopurulent material. Histopathologic diagnoses included acute necrotizing or chronic-active pancreatitis and steatitis. Two dogs were euthanatized at the time of diagnosis, and the remaining 4 were treated by use of pancreatic debridement(s), open abdominal drainage, and intensive administration of fluids and antibiotics. One dog was euthanatized 4 days after surgery, because of progressive pancreatic abscessation. Three dogs recovered and were discharged.
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Affiliation(s)
- S K Salisbury
- Department of Veterinary Clinical Sciences, School of Veterinary Medicine, Purdue University, West Lafayette, IN 47907
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Lantz GC, Salisbury SK. Partial mandibulectomy for treatment of mandibular fractures in dogs: eight cases (1981-1984). J Am Vet Med Assoc 1987; 191:243-5. [PMID: 3610803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Partial mandibulectomy was performed in 8 dogs with open or infected mandibular fractures (3 second degree and 5 third degree) because of economic restriction, osteomyelitis, or severe bone and soft tissue injury. Six dogs ate voluntarily by the second day after surgery, and 2 dogs required pharyngostomy tube feeding for 2 to 6 days. Complications included oral wound dehiscence (3 dogs), shifting of the mandible toward the operated side (6 dogs), and drooping of the tongue (2 dogs). Slight malocclusion was of no consequence, and all dogs were eating normally at follow-up evaluations (10 days to 24 months; median, 13 months). Mandibular function was maintained in all dogs.
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