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Palliative care can be as easy or complex as necessary, to meet the needs of the pet and human family. Some palliative care patients benefit from massage, therapeutic laser, temperature therapy (heating or cooling devices), acupuncture, chiropractic, and physical rehabilitation techniques. Palliative care creates a bridge of care to support a pet as the time for humane euthanasia approaches. It is not a substitute for euthanasia, but it often helps us postpone euthanasia, allowing our pets to remain with us for whatever quality time remains for them.
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Palliative medicine is care that is delivered as a cat approaches the end of life. The first step in creating a palliative care plan is to discuss with your veterinarian the expected course of the disease and how it will affect your cat's quality of life. Once a cat's daily life activities have been identified, it is important to define family beliefs, family needs as care unfolds, and the goals for the cat as death approaches. An essential part of establishing goals of palliative therapy is understanding the expected course of the life-limiting disease. Knowledge about disease allows for the development of a personalized palliative care plan.
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Palliative medicine is care that is delivered as a dog approaches the end of life. The first step in creating a palliative care plan is to discuss with your veterinarian the expected course of the disease and how it will affect your dog's quality of life. Once a dog's activities of daily living have been identified, it is important to define family beliefs, family needs as care unfolds, and the goals for the dog as death approaches. An essential part of establishing goals of palliative therapy is understanding the expected course of the life-limiting disease. Knowledge about disease allows for the development of a personalized palliative care plan.
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Primary pancreatic tumors are rare in dogs and cats. Exocrine tumors include adenomas and adenocarcinomas, and endocrine tumors include insulinomas, gastrinomas, and glucagonomas. Insulinomas are the most common type of pancreatic tumor, followed by adenocarcinomas. Both tumors are more common in dogs than cats. Large breed dogs and Siamese cats may be predisposed. Insulinomas are usually diagnosed with the finding of hypoglycemia with normal to high insulin on bloodwork and concomitant clinical signs. Adenocarcinomas typically go undetected until the clinical signs of metastasis are evident. For both tumors, diagnostic imaging and exploratory surgery with tumor removal (or biopsy) and histopathology are needed for a definitive diagnosis. Insulinomas can be treated with surgery and chemotherapy. Surgery is possible with adenocarcinomas, but as the cancer is more diffuse and has usually metastasized by the time of diagnosis, the prognosis is poorer. Chemotherapy and radiation therapy are ineffective in the treatment of adenocarcinomas. Given the high rate of metastasis with these tumors, staging is recommended prior to surgery.
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Pancreatitis in Dogs
El páncreas es un órgano vital que se localiza en la parte derecha del abdomen y tiene dos funciones esenciales:
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Pancreatitis in Cats
El páncreas es un órgano vital que se sitúa en la parte derecha del abdomen, al lado del estómago. Produce encimas que ayudan en la digestión de la comida y hormonas como la insulina, que regula el nivel de glucosa en sangre o el metabolismo de la glucosa.
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The pancreas is a vital organ on the right side of the abdomen adjacent to the stomach. It produces enzymes to assist in food digestion and hormones such as insulin, which regulates blood sugar or glucose metabolism. When the pancreas becomes inflamed, the condition is called pancreatitis. Common clinical signs include decreased appetite, nausea, vomiting, lethargy, diarrhea, and abdominal pain. If the attack is severe, acute shock or death may occur. Successful pancreatitis management will depend on early diagnosis and prompt medical therapy.
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Pancreas-specific lipase is a form of lipase produced only in the pancreas and is highly specific to the pancreas. Blood values increase only when there is pancreatic inflammation. There is now a version of the fPLI test that can be used in-clinic (SNAP fPL© from IDEXX). Ideally, the sample should also be sent to the laboratory to get an actual value of fPLI to help with treatment and monitoring.
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The pancreas is a vital organ that produces enzymes to assist in food digestion and hormones such as insulin, which regulates blood sugar or glucose metabolism. Pancreatitis is inflammation of the pancreas. Common clinical signs include decreased appetite, nausea, vomiting, lethargy, diarrhea, and abdominal pain. Diagnosis is generally made with laboratory testing and/or abdominal ultrasound. Successful pancreatitis management will depend on early diagnosis and prompt medical therapy. The prognosis depends on the severity of the disease and the response to initial therapy.
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Pancreas-specific lipase is a form of lipase produced only in the pancreas and is highly specific to the pancreas. Blood values increase only when there is pancreatic inflammation. A version of the cPLI test can now be used in-clinic (SNAP fPL© from IDEXX). Ideally, the sample should also be sent to the laboratory to get an actual value of cPLI to help with treatment and monitoring.
