Five client-owned dogs had an esophagojejunostomy (EJ) tube placed using a weighted-tipped 8-Fr feeding tube. All dogs presented to our hospital for evaluation of vomiting and anorexia of unknown etiology. Duration of clinical signs ranged from 2 to 15 days prior to evaluation at the authors' facility. Case 1 was an 11-year-old, male neutered Yorkshire Terrier. Weight and body condition score at the time of admission were 10 pounds and 3 out of 9, respectively. Case 2 was a 12-pound, 11-year-old, female spayed Yorkshire Terrier mix with a BCS of 7/9. Case 3 was a 14-pound, 7-year-old, female spayed Cocker Spaniel with a BCS of 3/9. Case 4 was an 18.6-pound, 2-year-old, female intact Brussels Griffon with a BCS of 5/9. Case 5 was a 32-pound, 4-year-old, female spayed Terrier mix with a BCS of 4/9. A complete blood count, biochemical profile, urinalysis, abdominal radiographs, and abdominal ultrasound were performed in all dogs prior to EJ feeding tube placement. In addition, pancreatic lipase immunoreactivity assays and serum cobalamin and folate levels were performed in Cases 1–3. In addition to having a gastroduodenoscopy, gastric and duodenal biopsies were performed at the time of EJ feeding tube placement in Cases 3–5. All dogs had an EJ feeding tube placed within 24 hours of admission. Pancreatitis was the cause for vomiting and anorexia in Cases 1, 2, 4, and 5. Pancreatitis was diagnosed by identifying severely elevated lipase and amylase after a 12-hour fast, ultrasonographic changes, and clinical signs. In addition, an elevated serum PLI was noted in Cases 1 and 2. The cause for vomiting and anorexia noted in Case 3 was attributed to primary diffuse inflammatory bowel disease based on the histologic findings of lymphoplasmacytic gastroenteritis. Helicobacter-like organisms were also noted on gastric histopathology. In addition, serum cobalamin levels were also severely decreased, indicating distal small intestinal disease. In contrast, Case 3 had normal serum biochemical parameters, no abnormal pancreatic changes on ultrasound, and normal serum PLI. In addition, Case 3 had an elevated resting cortisol, making hypoadrenocorticism unlikely.
1. Remove one applicator tube from the package.
2. Hold applicator tube in an upright position facing away from you and your pet’s face and eyes. Pull cap off tube.
3. Turn the cap around and place other end of cap back on tube.
4. Twist cap to break seal, then remove cap from tube.
5. The dog should be standing for easy application. Part the hair on the dog’s back, between the shoulder blades, until the skin is visible. Place the tip of the tube on the skin and squeeze the tube to expel the entire contents directly on the skin.
6. Discard empty tube as described in the Storage and Disposal section.
7. Under normal conditions the product is effective for a month. However, in case of severe flea infestation, retreatment may be necessary earlier than four weeks. Do not re-treat more often than once every seven (7) days. After flea control is obtained, return to a monthly retreatment schedule.
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Enjoy this super cute video compilation of 7 dogs trying extremely sour warheads.
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Do not apply more than one tube per treatment, even for larger dogs. Under normal conditions, one dose will last 4 weeks. However, in severe infestations, it may be necessary to retreat the dog earlier in order to attain control. In these situations, do not retreat more often than once every 7 days. Once flea control is established, return to the monthly re-treatment schedule.
A Dog's Purpose - Official Trailer (HD) - YouTube