Problem Solving in Reptile Practice

Problem-oriented reptile medicine is an explicit, definable process focused on the identification and resolution of a patient's problems. This approach includes gathering case information, clearly defining the problems, making plans to address each problem, and following up with the case over time. Case information and published literature serve as evidence to support clinical decisions and pathophysiological rationale. This article describes the problem-solving process used to diagnose and treat a green iguana (Iguana iguana) that presents with ovostasis.     

The Effects of Forced Exercise on Collagen Type II Fragments,Lysyl Oxidase Concentrations,and Total Protein Concentrations in Sera and Synovial Fluid of Lambs

Excessive exercise may induce osteoarthritis, which is a leading cause of lameness and decreased use in horses. The purpose of this study was to utilize a sheep model to determine the effects of circular and linear exercise on biochemical markers in serum and synovial fluid (SF). Twenty lambs (5 months) were assigned to three groups: circular exercise (C, 8.5 m diameter; n = 8), straight-line exercise (S, treadmill; n = 8) and nonexercised control (CON, n = 4). Lambs (C and S) were exercised up to 8 weeks at 1.3 m/s for up to 30 minutes, 6 days per week. Serum and SF from a metacarpophalangeal (MCP) joint was collected. Serum total protein (P = .66), Collagen Type II cleavage [3/4] fragments concentrations (P = .44) and lysyl oxidase (LOX) (P = .15) activity were not different among treatment groups throughout the study. There was a polynomial response to serum LOX over time (R² = 0.7464). There were no differences in SF total protein (P = .94, right MCP; P = .68, left MCP) or SF LOX specific activities (P = .9, right MCP; P = .93, left MCP) among groups throughout the study. However, SF LOX specific activity did increase over time (P = .001) for all treatment groups. These results indicated that the biochemical markers utilized in this study were unable to detect differences between groups with respect to exercise protocols. However, the LOX activity did increase over time possibly as a result of growth.     

Assessment of Vascular Perfusion Kinetics Using Contrast‐enhanced Ultrasound for the Diagnosis of Prostatic Disease in Dogs

Vascular perfusion was assessed in 10 dogs without prostatic abnormalities and 26 dogs with prostatic disease using contrast‐enhanced ultrasound. The time to reach peak contrast intensity (TTP) and peak perfusion intensity (PPI) were measured, and histological biopsies were collected from each dog. Biopsies confirmed normal prostate (n = 10), benign prostatic hyperplasia (n = 11), mixed benign pathology (n = 9), prostatitis (n = 1), prostatic malignancy [adenocarcinoma (n = 4); leiomyosarcoma (n = 1)]. In normal dogs, mean PPI was 16.8% ± 5.8 SD, and mean TTP was 33.6 ± 6.4 s. Benign conditions overall were not statistically different from normal dogs (p > 0.05); for benign prostatic hyperplasia, mean PPI was 16.9 ± 3.8%, and mean TTP was 26.2 ± 5.8 s; for mixed benign pathology mean PPI was 14.8 ± 7.8%, and mean TTP was 31.9 ± 9.7 s; for prostatitis, PPI was 14.2%, and TTP was 25.9 s. The malignant conditions overall had perfusion values that differed from the normal dogs (p < 0.05), although evaluation of the data for individual malignancies did not demonstrate a consistent trend; for adenocarcinomas, the PPI was numerically higher with a mean of 23.7 ± 1.9%, and the mean TTP was 26.9 ± 4.8 s, whilst for the dog with leiomyosarcoma values were numerically lower with a PPI of 14.1% and TTP of 41.3 s. Contrast‐enhanced ultrasound appears to offer some ability to document differences in perfusion that may differentiate between malignant and benign lesions, although studies with larger numbers of animals are required to confirm this contention.