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Carpal hyperextension is an abnormality of the carpus that causes increased extension of the joint. There are many causes of carpal hyperextension: it can be caused by trauma; in young dogs it may be caused by a developmental abnormality; and in older dogs it may occur as a degenerative condition. Dogs with carpal hyperextension have a noticeable bend at the wrist, forcing their lower limb into an abnormally flattened position. If carpal hyperextension is caused by trauma, it may also be associated with pain and swelling. A tentative diagnosis of carpal hyperextension can be made based on initial observation, but a thorough physical examination is necessary because dogs with carpal hyperextension may also have abnormalities in other joints. Treatment of carpal hyperextension depends upon the cause and severity of the condition and can range from medical management to surgery.
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Carpal laxity is a condition in which the carpus has an abnormal or excessive range of motion. Carpal laxity can show up in one of two ways: carpal hyperextension or carpal flexion. The underlying cause of carpal laxity has not been definitively determined but may be caused by nutritional factors (specifically excessive caloric intake and/or excessive calcium intake), genetic factors, and being raised on slippery flooring surfaces. Signs of carpal laxity may be seen at any time from 6 weeks of age onward, but the condition is most commonly noted between three and six months of age. Activity modification is often recommended for affected puppies by keeping them off slippery surfaces. Most puppies with carpal laxity will appear completely normal within six to eight weeks.
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Inside the eye is a lens that focuses light on the back of the eye, or retina. Vision occurs at the retina. The structure of the eye is similar to a camera, which has a lens to focus light on the film. A cloudy or opaque lens is called a cataract.
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The intervertebral discs allow movement in the spine and act as shock absorbers between the vertebrae. If the disc degenerates or is damaged in some way, the disc may bulge and put pressure on the spinal cord and/or the roots of the spinal nerves that come off the sides of the spinal cord. This pressure can cause symptoms ranging from severe pain to weakness to paralysis. There are several breeds that experience a higher frequency of the condition. The severity of a dog’s clinical signs depends upon several factors. Conservative management with pain relievers and anti-inflammatory medication is recommended with a gradual onset of clinical signs or when clinical signs are limited to pain and/or a mildly wobbly gait. Surgery is recommended when there are repeated episodes of neck pain, when neck pain is severe, when there are severe nervous system deficits, or when the dog has not responded to conservative treatment.
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Cervical vertebral instability (wobbler syndrome) is caused by compression of the spinal cord, usually at the base of the neck. Although the spinal cord compression occurs in the neck, the hind legs are often affected first. In severe cases, the dog may suddenly develop total paralysis of all four limbs. The condition is most prevalent in Great Danes and Doberman Pinschers. Most pets enjoy a relatively normal lifestyle following surgery.
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Cherry eye is a common name for a prolapsed third eyelid gland. The gland is mainly responsible for tear production in the eye, and treatment is recommended to prevent long-term damage. Treatment involves surgical replacement of the gland, though some dogs will have a recurrence of the problem.
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This handout summarizes the normal function of the dog heart, and outlines the abnormalities and changes associated with degeneration of the four different valves found in the heart. An explanation is provided of clinical signs associated with valve disease, as well as the recommended tests and treatments for this condition. Staging of heart disease is also discussed.
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The kidneys have many functions. They principally act to remove metabolic waste products from the blood stream, regulate the levels of certain essential nutrients such potassium and sodium, conserve water and produce urine.
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Chronic lymphocytic leukemia is a slowly progressing cancer of a type of white blood cell called a lymphocyte. It can develop at any age but is more typically detected in middle-aged to senior dogs. It also seems to be more prevalent in German Shepherds and Golden Retrievers. This disease is often asymptomatic and detected on routine lab screening. Further diagnostic procedures, as well as treatments and prognoses, are described in this handout.
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Chronic obstructive pulmonary disease or chronic bronchitis is a slowly progressing inflammatory condition of the lower airways. It most often affects small or toy breeds from middle-aged and senior dogs. The most common sign is a chronic dry cough. Exercise intolerance, collapsing, wheezing, or noisy breathing may develop as the condition worsens. Airborne irritants/allergens, smoke, chronic respiratory infections, obesity and dental disease are implicated in triggering the disease. Diagnosis can be made by ruling out other causes of cough through a minimum diagnostic database, radiographs, bronchoscopy, and cytology and culture of lung material obtained through tracheal wash or bronchoalveolar lavage. Treatment aims to minimize inducing factors including weight loss and avoidance of environmental irritants, as well as employing medications such as corticosteroids and bronchodilators. If using long-term, these medications are most often given using metered dose inhalers to manage the disease successfully.
