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Systemic lupus is a rare disease in cats and most commonly affects Siamese, Persians, and Himalayans. It is caused by immune system dysregulation resulting in the immune system attacking different cells in the body. Skin changes can include ulceration or erosions of the face, ears, or entire body. Other systems affected include the kidneys, joints, blood cells, and the central nervous system. Diagnosis is difficult, requiring the presence of a minimum of three of the 11 criteria set by the American College of Rheumatology. Treatment involves suppressing the immune system with steroids and other immunosuppressive medications. Prognosis is guarded, as treatment to control the symptoms will be needed lifelong and in some cases may not be effective.
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Taurine is a type of amino acid. Amino acids are the building blocks of all proteins. Taurine is an essential amino acid for cats. Taurine deficiency leads to feline taurine retinopathy, a weakening of the muscle cells in the heart (dilated cardiomyopathy) and may cause digestive disturbances. Since the 1980s, all cat diets are supplemented with enough taurine to meet the normal cat's needs. A healthy cat that eats a high-quality cat food that is appropriate to its life stage does not require supplementation. Supplemental taurine is used as a treatment for dilated cardiomyopathy in cats.
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Nebulization and coupage are used in patients with a variety of lung conditions and can be performed by veterinary staff and pet owners. Nebulization may be used to deliver a variety of medications to the lungs, in cases of infection, allergic lung disease, or other lung conditions. Coupage is often recommended for patients with pneumonia or bronchitis.
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Telemedicine is defined as the act of practicing medicine at a distance. Telemedicine can be offered in a number of different ways: telephone calls, text messaging, online chat, email consultations, and visits conducted through videoconferencing programs. Telemedicine is not appropriate for every concern, such as a pet hit by a car; however, a number of common veterinary complaints can be addressed via telemedicine (e.g., flea allergies, minor limping, mild diarrhea). While it is impossible to perform a complete, comprehensive exam during a telemedicine appointment, in many cases your veterinarian can gather enough information to arrive at a reasonable diagnosis and start treatment. If your veterinarian determines that your pet requires in-person care, your veterinarian can help you determine when and where your pet should be seen and may be able to give you an idea of what to expect during the in-person veterinary visit.
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Telmisartan is an angiotensin receptor blocker (ARB) used to treat high blood pressure in cats and off-label to treat kidney disease in both cats and dogs. This medication is given by mouth in the form of a liquid or tablet. It may be given with or without food but is better absorbed if given on an empty stomach. Side effects may include vomiting, diarrhea, lack of appetite, low blood pressure, and decreased energy. There are several drugs that can contribute to adverse effects when given with telmisartan. Be sure to tell your veterinarian about any medications (including vitamins, supplements, or herbal therapies) that your pet is taking. If you suspect an overdose or an adverse reaction to the medication, call your veterinary office immediately.
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Diarrhea can be a simple diagnosis or a complex one. A thorough history and physical exam may be enough to determine the cause; however, in less obvious cases, various tests may be needed. Pending the results, a treatment plan can be developed.
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Various conditions can cause increased thirst (polydipsia) and urination (polyuria). Based on your pet's history and a thorough physical examination, your veterinarian will recommend diagnostic testing to determine the cause. This handout describes several tests that can be performed along with the conditions the results from these tests may indicate.
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A pet with vomiting may suffer from an isolated incident, or it could be a sign of more severe problems. If the cause for vomiting is not obvious from history and examination, screening tests may be done to eliminate possible causes and determine a treatment plan. Results can also provide a prognosis for recovery and long-term outlook.
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Weakness can be caused by many different problems and can involve a variety of body systems. Finding the cause of your pet’s weakness starts with a complete history and physical examination. The most commonly recommended screening tests for weakness include complete blood count, serum biochemistry profile, urinalysis, and in a dog, total thyroxine. Additional tests may be recommended based on the results of these screening tests.
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Nutrition plays an essential role in treating and preventing urinary stones (uroliths). Since the diet can affect urine dilution, composition and pH, pet foods can be critical to the success or failure of treatment and prevention. Important factors are covered, such as the importance of water intake, diet composition, relative supersaturation (RSS) testing, and urinary diets.