Breaking Down the Feline Annual Exam

This will be a follow-up post to our post from yesterday on the canine annual exam. A lot of the information will be similar, but the vaccines are (naturally) very different for cats. As with dogs, it is highly recommended to bring your cat in for an annual visit. There are a few things excluded from cat annuals that are standard for dogs. Here is a breakdown of our feline yearlys:

Feline annual examination:

1. FVRCP
2. FeLV Vaccine
3. Rabies Vaccine
4. Nail Trim (if desired)
5. Annual Bloodwork
6. Full Physical Examination

1. FVRCP: a combination booster with a lot of letters representing different diseases – we will break down the acronym below:

• FVR: stands for Feline Viral Rhinotracheitis and calicivirus – these two viruses cause upper respiratory tract infections in cats that are easily transmitted from cat to cat. Kittens are more often affected, but unprotected cats can easily be infected. Once infected, many cats become a carrier of these viruses for life.

• C: stands for Chlamydophilia– this is a bacterial infection that causes respiratory disease in cats. It is highly contagious, especially in kittens. It can cause infection in the eyes and the lungs if it is left untreated.

• P: stands for panleukopenia – this is the feline distemper virus. This is a highly infectious disease that can survive in the environment for up to a year! Treatment of this disease is very difficult and the prognosis, once infected, is typically poor.

2. FeLV Vaccine – a vaccination agaisnt Feline Leukemia. This disease is the leading cause of death in cats in North America and can cause very serious health problems in cats. Cats can develop cancerous leukemia and secondary infections throughout the body. Cats can be carriers of this disease for months or years before showing clinical signs.

3. Rabies Vaccine – required by law. We usually start giving a 3 year vaccine to cats after they have had two one year vaccines in a row. We will give each cat a current rabies tag at every annual visit. See our previous blog post for more information on rabies.

4. Nail Trim – a complimentary pedicure for any cat that wants one. This is done much less often than in dogs, but is actually easier to do on a well-mannered cat. 

5. Annual Bloodwork – this is optional, but highly encouraged as your cat begins to age. We have two options available, depending on your cat’s current health status and age:

• Junior Profile: a mini-chemistry panel checking liver and kidney values, blood glucose, thyroid (T4) levels, a complete blood count looking at red blood cells, white blood cells and platelets, and a heartworm antigen test. We recommend this bloodwork for cats once they turn 3-4 years old and annually after that until your pet reaches their “senior years.”

• Senior Profile: a full chemistry panel with a more in depth look at liver and kidney function, electrolytes, blood glucose, thyroid (T4) levels, a complete blood count looking at red blood cells, white blood cells and platelets, a urinalysis and a heartworm antigen test. We recommend this bloodwork for cats once they reach 7-8 years old. This is also a good panel for any cat that has been sick or having urinary issues. For more information on senior pet care, click here.

6. Full Physical Examination - there is nothing more valuable to a veterinarian than a physical examination. Looking at every aspect of your pet every year helps to keep track of your pet as they age. We can make sure any lumps or bumps are not changing significantly and check for early signs disease, especially heart disease and dental disease in aging kitties. There have been several cases where a cat comes in for annual vaccines, and a very significant disease has been found and treated just from a good physical examination. 

Take your kitties to the vet every year - just like Gus!

Hopefully this has been a good break down of our typical feline yearly examination. We would love to see more cats coming in for annual for vaccines in 2013. We see many dogs annually for vaccines, but cats do not come in nearly as often, and it is just as important! Please post a comment if you have any questions. Call us today at 615-377-4959 to schedule your pet’s annual exam!

Breaking Down the Canine Annual Visit

Almost all veterinarians recommend an annual visit for your canine companions. In this blog post, we will break down our standard “yearly exam” for dogs with what vaccines are given and all the other items involved. One thing to keep in mind about vaccines is that they work by stimulating the immune system agaisnt certain antibodies or antigens. If a pet has a disease, such as a urinary tract infection or skin allergies, it is not a good idea to give vaccines at the same time, as that puts too much stress on the pet’s immune system. Let’s start off with a breakdown of our canine yearlys:

Canine annual examination:

1. DHLPP-CV
2. Rabies Vaccine
3. Bordatella vaccine (optional)
4. Fecal flotation
5. Nail Trim
6. Heartworm test +/- annual bloodwork
7. Full Physical Examination

1. DHLPP-CV: a combination booster with a lot of letters representing different diseases – we will break down the acronym below:

• D: stands for distemper virus – a very contagious and often fatal viral disease in dogs. It is usually spread from nasal or ocular discharge in injected dogs. This disease can affect many different organ systems, including the digestive system, respiratory system or the nervous system.

• H: stands for Infectious Canine Hepatitis – this disease is caused by adenovirus (some vaccines can be called DA2PP) and can be transmitted by contact with infected dogs through the urine, feces or saliva. This virus can cause liver failure, respiratory disease or eye damage. 

• L: stands for Leptospirosis – this is a bacterial disease that dogs can get when exposed to the organism in water. It can cause serious liver and kidney disease if contracted.

• P: stands for parvovirus. This is an extremely contagious and serious viral disease that can be fatal. It attacks the gastrointestinal system, especially in young puppies. It is typically spread through fecal exposure and is highly resistant to most cleaning agents.

• P: stands for parainfluenza – this is a respiratory viral disease that can cause coughing, especially when many dogs are found in the same place (boarding, grooming, etc.)

• CV: stands for Coronavirus – a less common viral disease in dogs that affects the intestines.

2. Rabies Vaccine – required by law. We usually start giving a 3 year vaccine to dogs after they have had two one year vaccines in a row. We will give each dog a current rabies tag at every annual visit. See our previous blog post for more information on rabies.

3. Bordetella Vaccine – this oral vaccine is optional for dogs. It prevents Bordetella bronchiseptica, a bacterial infection known to cause “kennel cough”. This vaccine is recommended for dogs that get groomed regularly, attend training sessions with other dogs, are being boarded or go to the dog park often.

4. Fecal Flotation – a sample is evaluated for presence of worm eggs. Most dogs on regular heartworm prevention do not have intestinal worms, but there is increasing resistance with many of these worms. The most commonly found worms in canine feces include whipworms, hookworms and roundworms. Some facilities require a fecal done annually before boarding.

5. Nail Trim – a complimentary pedicure for all dogs seen at their annual exam. Done mostly to save your hardwood furniture and upholstery. We have yet to meet a dog that enjoys a nail trim.

6. Heartworm Test +/- Annual Bloodwork – we require a negative heartworm test annually to renew any heartworm medication prescriptions. This is a blood test, typically sent to an outside lab that also tests for exposure to a few tick borne diseases. We also offer two different types of annual bloodwork that include a heartworm test.

• Junior Profile: a mini-chemistry panel checking liver and kidney values, blood glucose, thyroid (T4) levels, a complete blood count looking at red blood cells, white blood cells and platelets, and of course, a heartworm test. We recommend this bloodwork for dogs once they turn 3-4 years old and annually after that until your pet reaches their “senior years.”

• Senior Profile: a full chemistry panel with a more in depth look at liver and kidney function, electrolytes, blood glucose, thyroid (T4) levels, a complete blood count looking at red blood cells, white blood cells and platelets, a urinalysis and a heartworm test. We recommend this bloodwork for dogs once they reach 7-8 years old. This is also a good panel for any dog that has been sick or having urinary issues. If you would like more information on senior pet care, click here. 

7. Full Physical Examination - there is nothing more valuable to a veterinarian than a physical examination. Looking at every aspect of your pet every year helps to keep track of your pet as they age. We can make sure any lumps or bumps are not changing significantly and check for early signs of arthritis or other disease. There have been many cases where a dog comes in for annual vaccines, and a very significant disease has been found and treated just from a good physical examination. 

Milly stay healthy because she gets her exam and vaccines every year!

Hopefully this has been a good break down of our typical canine yearly examination. Please post a comment if you have any questions. Call us today at 615-377-4959 to schedule your pet’s annual exam! 

Getting Older - Senior Pet Care

In honor of September being Senior Pet Care Month, I have decided to briefly summarize the standard of care for all senior pets. So, what exactly is a senior pet? We consider most animals geriatric (or senior, if you will) at seven years old. This is, however, not an exact number. With some large and giant breed dogs, like a Great Dane for example, six is probably a more appropriate age to start calling your dog senior. However, many cats can live up to twenty years. These cats may not be considered geriatric until they are eight or ten years old. Also of note, the standard saying, “one dog year equals seven human years,” is not exactly accurate. Below you will see a chart of how different sized pets age at different rates.

So, now you know if your pet is senior. What to do next? Once your pet hits that magic age, it is time to go to the vet a bit more often. The AVMA (American Veterinary Medical Association) recommends all geriatric pets have semi-annual veterinary visits. That is, a vet should see all geriatric pets every six months. These exams will include a physical examination to pick up on changes your pet is going through, both physically and mentally. A good physical examination can pick up on many diseases earlier than an owner might notice them.  It is estimated that only 14% of geriatric animals undergo this recommend regular health screening.

And now a word (or two) about bloodwork.

At one visit a year, bloodwork should be run. The standard senior panel we have at CSAH includes a full chemistry panel, a complete blood count (CBC), a thyroid (T4) hormone check, a heartworm/tick panel (4DX test) and a complete urinalysis. This panel gives us (the vets) a good idea how everything is working on the inside. This can pick up on early signs of disease and help make treatment more successful. For example, a dog may have kidney values mildly elevated on screening bloodwork. Fluid therapy when kidney disease is caught early on is much more successful than when started once your pet is feeling ill from advanced kidney disease. This bloodwork also helps establish a baseline of values, so we know what is normal for your pet when they are healthy. That way, if you pet does get ill down the road, we know what was normal for him when he was healthy. I cannot emphasize enough how important bloodwork is for your senior pet.

So, what exactly are the major diseases affecting geriatric pets? That list is quite long, but I can briefly summarize. First off, 50% of all dogs over ten years old typically lose their life to cancer. This is a major part of geriatric care. Some neoplasia, like splenic masses and skin tumors, can be picked up with semi-annual physical examinations. Others become evident upon receiving bloodwork results. Unfortunately, sometimes cancer is not discovered until your pet is very sick. Just like in humans, cancer is a deadly problem affecting many geriatric pets.

Other diseases commonly found in older animals typically include osteoarthritis, especially in your larger breeds of dogs, and endocrine diseases (hypothyroidism, hyperthyroidism, diabetes and Cushing’s disease). Heart failure, liver failure and kidney disease are also geriatric pet diseases typically found at semi-annual veterinary appointments. Cognitive dysfunction is also a problem in geriatric animals, with signs similar to Alzheimer’s disease in humans. This is a very broad summary of geriatric illnesses that you may encounter as your precious pet hits the senior years.

In summary, once your dog or cat reaches the age considered senior, it is time to start making appointments every six months for a physical exam and have bloodwork done once a year. Since September is Senior Pet Care Month, we have our senior panels discounted $10.00 to encourage clients to screen their older pets for many of the diseases we have covered. Please call us today and make an appointment!

- H

PS: Here is my mother’s senior pup – Gerry, 14 years old – and going strong!