Equipping the avian practice.

The interest in avian medicine grows every year, and the degree of successful diagnosis and treatment in our avian patient has increased tremendously over the last 2 decades. For a veterinarian interested in avian practice there are many decisions to be made before one just accepts a patient. As outlined in this summary, there are many decisions to make regarding the level and diversity a practitioner wishes to explore (only exotics, poultry, ratites, Columbiforms, raptors, and so on) and then which equipment will be necessary to perform that level of practice. There is no master list of equipment that every avian practitioner must own. Needs must be catered to the species seen and the individual interest of the practitioner. Continuing education courses are now offered throughout the country on various aspects of avian medicine. The Association of Avian Veterinarians provides a journal, yearly conference, Web site, and a wide range of support materials. The author implores interested veterinarians to investigate these great learning experiences before casually deciding to add avian patients to a general companion animal practice.     

Small exotic mammal orthopedics.

The basic principles of orthopedic repair are the same for small exotic mammals as for the canine or feline patient. This article assists the clinician in determining the most appropriate method of fixation and maximizes the probability of a favorable outcome.     

Equipping the reptile practice.

Reptile medicine and surgery has advanced so much in the last 15 years, and clients are becoming increasingly aware of the needs of their reptile pets. As such, it is important for veterinary practitioners to advance their education in reptile medicine if they intend to add reptiles as patients to their clinics. Equally important is to realize one's limitations and to not only know when it is time to refer but to find out which practices near them are the best prepared for referral of these unique pets.     

Promoting the exotic pet practice.

The marketing and promotion of an exotic pet veterinary practice allows the use of strategies that are not necessarily available in other veterinary disciplines. The advantage that an exotics practice enjoys is that it is able to capitalize not only on the unique nature of the species being attended but also on the specialized features of the hospital itself that make it specifically appropriate in caring for exotic pets. Before marketing, however, comes the responsibility that the practice live up to the claims made in promotional materials. A practice cannot ethically be presented as an "exotics" practice if it is nothing more than a dog and cat facility that is willing to attend to exotic pets. It is the competence of the veterinary staff and the appropriateness of the facility that determines the suitability of the practice for exotics management.     

Safety issues in the exotic pet practice.

Small animal practitioners are well versed in the potential zoonoses from dogs and cats. Although these account for the vast majority of documented cases of zoonotic disease in humans, there are documented as well as potential zoonotic diseases that the nontraditional companion animal is capable of transmitting. This article is a compilation of potential disease risks to veterinarians, staff, and owners of nontraditional companion animals. In addition, the article may serve as a training tool for veterinary practices.     

Legal implications of the exotic pet practice.

The ever-growing complexity of veterinary laws compounds the problem for the exotic pet practice. Issues of possession, treatment, vaccination, and ethics shape the legal landscape for the veterinarian, and as new problems develop, new legislation will be created. Only by learning and understanding the current laws and regulations of the jurisdiction can a practitioner hope to keep abreast of the changes and additions as they occur and to minimize the risk of liability.     

Orthopedic radiography in exotic animal practice.

Radiographic examination of exotic animal species provides significant diagnostic information to the practitioner so long as attention is paid to positioning and radiographic detail and if variations in normal radiographic anatomy are contemplated. Fracture of pneumatic bones (humerus or femur) in avian patients often results in subcutaneous emphysema, much like an open fracture. If fracture alignment is anatomical, there is generally little callous formation visible in avian and reptile patients; however, if malunion occurs, then certainly callous can be visualized. Aggressive or excessive periosteal proliferation in exotic species often predicts osteomyelitis. Practitioners can increase their diagnostic capabilities and thereby decrease any preconceived anxiety by applying the same general interpretive concepts used in the radiography of more routine small animal patients and by evaluating the resultant radiographs in a systematic manner. With the exception of certain anatomical differences and alterations in response to injury, exotic animal species suffer the same types of orthopedic disease do dogs and cats.     

The mobile exotic animal pet practice.

Mobile practice is an exciting, interesting, and profitable means to deliver high-quality veterinary care to exotic animal-owning clients. The advantages and disadvantages should be considered carefully when considering this type of practice.     

Increasing efficiency and profitability of the exotic pet practice.

Recent surveys indicate the percentage of households owning exotic pets has increased dramatically. Practitioners interested in the development of an exotic animal practice can take advantage of the increased popularity of these pets and apply proven meth-ods that have benefited traditional companion animal practices.This article examines exotic animal practice in light of these changes and tries to determine ways to increase efficiency and profitability as they relate to this unique practice situation.     

The use of surgical lasers in exotic and avian practice.

Use of diode laser energy with fiberoptic endoscopic delivery in exotic animal and avian practice offers a minimally invasive method for performing specific surgical procedures. Trauma and blood loss are minimized, but the absorption characteristics of the diode laser wavelengths (805/980 nm) must be considered to avoid potential postoperative complications due to collateral photothermal coagulative necrosis.     

Economic considerations of establishing an exotic pet practice

Written by a veterinarian involved in a private practice at a small animal hospital in Pennsylvania, this article describes a number of the exotic pet cases presented at the hospital and treated as part of the hospital's normal routine. Economic considerations of actively pursuing laboratory animal pets as patients are addressed as well.     

Small mammal virology.

Most viral infections in small mammals are transient and rarely produce clinical signs. When clinical signs do appear, they are often of a multifactorial etiology such as respiratory infection with Sendai virus and the bacteria M. pulmonis in rodents. Diagnosis is generally made based on clinical signs, while therapy involves treatment for concurrent bacterial infections and supportive care. Small mammals may carry zoonotic viruses such as LCMV, but natural infections are uncommon. Viral diseases are rare (or largely unknown) for hedgehogs, chinchillas, and prairie dogs, while no known naturally occurring, clinically relevant viral diseases exist for gerbils and sugar gliders. This article is intended to aid the clinician in identifying viral infections in small mammals and to help determine the significance each virus has during clinical disease.     

Educating the exotic animal technician.

The thorough education of a skilled exotic animal technician is an ongoing process. Providing the educational tools is only the beginning. Building on the initial educational groundwork is required to excel. Veterinary technicians interested in exotic animal medicine must lobby to promote awareness of the demand for exotic pet care; be able to accept, adapt, and apply new data frequently; and receive constant support and encouragement from the exotic animal veterinarian.     

Small mammal critical care.

In emergency situations, veterinarians often are presented with critical patients of any species. The principles for critical care in traditional species such as the dog or cat can be applied to other small mammals. Although there are many unique aspects of the anatomy and physiology of different species, emergency care of small mammals can be instituted with the adaptation of products found in many general practices. Careful assessment of the patient, prioritization of the injuries, and rapid intervention can be life saving in any species.     

Postoperative management of the exotic animal patient.

Careful postoperative management is crucial for the success of any orthopedic surgical repair. The special needs of the exotic animal must be met during the immediate postoperative period and during hospitalization. Many exotic animals require a quiet, stress-free environment and careful attention to housing parameters, such as perching, temperature, and visual security. To provide adequate pain relief in these patients, analgesia should be given before, during, and after surgery. The drugs most often used for pain relief are NSAIDs and opioid analgesics. After surgery, monitor the healing process carefully with regular examinations and radiographs while remaining vigilant for potential problems such as osteomyelitis or nonunion. Physical therapy prevents the development of fracture disease, which includes joint or ligament contracture and bone or muscle mass loss. Because physical therapy affords the patient full use of the affected limb, it is considered a helpful practice in all patients. Physical therapy, however, is critical for free-ranging exotic animals that will be released back into the wild, such as birds of prey.     

Future directions in training of veterinarians for small exotic mammal medicine: expectations, potential, opportunities, and mandates

Small exotic mammals have been companions to people for almost as long as dogs and cats have been. The challenge for veterinary medicine today is to decipher the tea leaves and determine whether small mammals are fad or transient pets or whether they will still be popular in 20 years. This article focuses on pet small-mammal medicine, as the concerns of the laboratory animal are better known and may differ profoundly from those of a pet. Dozens of species of small exotic mammals are kept as pets. These pet small-mammal species have historically served human purposes other than companionship: for hunting, for their pelts, or for meat. Now, they are common pets. At present, most veterinary schools lack courses in the medical care of these animals. Veterinary students need at least one required class to introduce them to these pets. Currently, there are no small-mammal-only residency programs. This does not correspond with current needs. The only way to judge current needs is by assessing what employers are looking for. In a recent JAVMA classified section, almost 30% of small-animal practices in suburban/urban areas were hiring veterinarians with knowledge of exotic pets. All veterinarians must recognize that pet exotic small mammals have changed the landscape of small-animal medicine. It is a reality that, today, many small-animal practices see pet exotic small mammals on a daily basis.