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  • Pleural effusion refers to the abnormal accumulation of fluid within the chest cavity. The fluid is not found within the lungs, but instead within the pleural sac, essentially meaning the lungs are floating in a chest that is full of fluid. There are several causes, including chylothorax, heart failure, and lung or chest tumors. Dogs presenting for pleural effusion are often experiencing shortness of breath and decreased oxygen intake; placing them into an oxygen cage provides some degree of immediate relief. Removing the fluid that surrounds the lungs will allow the dog to breathe more readily and this fluid can then be tested to identify the cause of the pleural effusion. The treatment and prognosis vary depending on the underlying cause.

  • Pododermatitis is a term used to describe inflammation of the feet or paws. It can be caused by many disorders including infections, allergies, hormonal disorders, immune-mediated diseases, tumors or cancers. Diagnostic testing is discussed. Effective treatment must be directed toward the underlying cause.

  • Polycystic Kidney Disease (PKD) is an inherited condition that causes multiple cysts (fluid pockets) in the kidneys. Persian cats and breeds with Persian bloodlines are most commonly affected. The clinical signs, diagnosis, genetic testing, and treatment options are explained in this handout.

  • Polyfolliculosis is a condition where several feathers grow out of one feather follicle. These feathers may be irritating, causing the bird to pick at them or pluck them out. There is no specific treatment for this condition.

  • Avian polyomavirus infection (APV) of pet birds belongs to the family Polyomaviridae. APV can cause benign feather lesions in budgies, slow crop emptying in weanling parrots, hemorrhages on the skin, or acute death. Species particularly susceptible to APV infection include budgies, Eclectus parrots, Caiques, and hawk-head parrots. Clinical signs, diagnostic testing, and preventive measures are explained in this handout.

  • Polysulfated glycosaminoglycan is an injectable disease-modifying osteoarthritis drug (DMOAD) used to treat non-infectious and traumatic arthritis in dogs. It is also used off-label in cats and small mammals. If administering this medication at home, follow your veterinarian’s instructions and dispose of the needle and syringe appropriately. Side effects are rare when given according to label recommendations and at prescribed intervals. Do not use this medication in pets with a known hypersensitivity to it, in pets with known or suspected bleeding disorders or immune-mediated arthritis, or in pets with severe kidney or liver disorders.

  • A portosystemic shunt causes a bypass of blood from the gastrointestinal tract directly into the systemic circulation, avoiding the normal detoxifying process that happens in the liver and reducing nutrient input into the liver. Liver shunts can be congenital defects (failure of closure of the ductus venosus or inappropriate vascular development) or acquired (development of extra vessels caused by portal vein hypertension). Clinical signs include failure to thrive (runt), head pressing or other neurological signs especially after high protein meals, delay in anesthetic recovery, increased urination, and vomiting or diarrhea. CBC and biochemistry can be altered in a dog with a portosystemic shunt (e.g., microcytic anemia, low BUN, glucose, elevated ALT) and urinalysis can show abnormal crystals and possibly infection. Bile acids will be elevated. CT, ultrasound, or other more advanced imaging will confirm and locate the shunt. Initial treatment includes a change to a low protein diet, lactulose to absorb ammonia and other toxins, and antibiotics to change the bacterial population of the intestines. Some dogs do well with medical management; however, many need surgical treatment to gradually close off the shunt. Surgery is very successful and dogs return to normal in 2-4 months.

  • Guarding desired items can be a normal behavior in dogs, but when it escalates, the safety of both people and animals is compromised. Exercises to prevent and reverse guarding behavior can be beneficial to any dog. Professional guidance is needed for any dog who repeatedly conflicts with people or pets because of guarding behavior.

  • When your cat comes home after an operation, special care must be taken to ensure he remains indoors with restricted activity and cannot lick or chew at his incision site. Monitor your cat for abnormal signs and contact your veterinarian if any are observed.

  • Special care must be taken when your dog comes home after an operation to ensure the incision area stays clean and dry and heals properly. Some signs are cause for concern, and if observed, call your veterinarian right away.