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EXAMPLES

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Here are samples of healthcare programs for two different breeds. For each item marked as needing client education, you would need to have or develop a handout or other tool to use with clients. Items in bold would become part of your screening or preventative program at the appropriate age.

Healthcare considerations for a Doberman pinscher

System Recommendation
Behavior Males may be aggressive; prone to flank sucking, lick granulomas
Cardiac Dilated cardiomyopathy (DCM) very common – annual ECG screen to look for ventricular premature contractions (VPCs), consider annual echocardiogram/Pro‐BNP, client education, recommend pet health insurance when young
Dermatological Seasonal flank alopecia; lick granulomas; pemphigus; zinc‐responsive dermatosis
Drug reactions Avoid sulfa drugs which can increase risk for keratoconjunctivitis sicca (KCS) and adverse drug reactions
Gastrointestinal Prone to foreign body, bloat. Client education. Consider gastropexy during neutering surgery. Recommend pet health insurance when young
Hemolymphatic von Willebrand disease very common in breed. Screen for clotting ability (DNA test, buccal bleeding time or von Willebrand factor) before surgery or dental extractions. Recommend pet health insurance
Chronic active hepatitis Periodic liver function testing
Hypothyroidism Periodic thyroid profiles, starting with baseline at 1 year of age
Neurological Intervertebral disc disease (cervical), Wobbler's, narcolepsy. Client education
Ophthalmic Cataracts, progressive retinal atrophy – appropriate screening
Orthopedic Hip dysplasia, anterior cruciate ligament tear. Client education, recommend pet health insurance
Infectious diseases Potentially increased susceptibility to parvovirus vaccination. Consider vaccination booster at 5 months of age; titers
Urology Glomerulonephropathy (GN) – consider annual urine protein:creatinine ratio

Healthcare considerations for a Boston terrier

Dentistry Periodontal disease – frequent dental cleanings, client education; failure of canine teeth to erupt – check dentition at 5–6 months of age
Dermatological Alopecia, atopic dermatitis (hyperadrenocorticism) – client education; demodicosis more common – skin scrape early if clinical presentation consistent
Reproductive Dystocia can be an issue – client education if breeding
Gastroenterological Pyloric stenosis more common
Neoplastic Mast cell tumor (MCT), melanoma – fine needle aspirate (FNA)/remove all lumps
Neurological Hydrocephalus – check for open fontanelles in puppies, monitor behavior
Ophthalmological Prolapse of nictitating membrane (cherry eye), corneal ulcers, pigmentary keratitis, corneal dystrophy – client education; cataracts – both juvenile and late onset; iris cysts; vitreal syneresis > glaucoma and cataracts; proptosis
Keratoconjunctivitis sicca Schirmer tear test routinely
Respiratory Respiratory dysplasia, including hypoplastic trachea – client education, early surgery if needed, give estimate for soft palate surgery with spay/neuter estimate. Skilled individual to intubate at every age, to look for elongated soft palate

Pet-Specific Care for the Veterinary Team

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