PubMed Health⌕ Search

Biomedical subjects

M Schaer

Publications and source records attributed to M Schaer.

17 recordsLinked to original sources
PubMed1995

Surgery in the diabetic pet.

The surgical needs of the diabetic dog and cat parallel those affecting the general pet population. Most minor procedures can be managed in which the patient is admitted and discharged on the same day with special measures being taken to avoid the consequences of excess insulin administration. Those diabetic patients in need of major surgical procedures, however, require meticulous medical management and an intensive care environment. This article describes how the specific needs of the diabetic surgical patient can be provided effectively.

Animals↗
PubMed1991

Surgical treatment of perforating duodenal ulcer in a dog by use of modified choledochoduodenostomy and gastrojejunostomy.

Modified choledochoduodenostomy and gastrojejunostomy were used successfully to treat extensive duodenal ulceration and perforation in a dog. Concomitant pyometra, simultaneously managed by ovariohysterectomy, may have predisposed the dog to stress ulceration. Choledochoduodenostomy was performed by transplantation of the entire common bile duct and associated major duodenal papilla to a more distal duodenal location. An indwelling choledochostomy tube was used to stent the anastomotic site, externally divert bile flow, and allow postoperative cholangiography. Early postoperative complications included presumed metronidazole-induced neurotoxicosis, choledochostomy tube obstruction, and pancreatitis, all of which resolved within 2 weeks. The dog was clinically normal and medication (ranitidine and sucralfate) was discontinued 35 months later.

Animals↗
PubMed1989

General principles of fluid therapy in small animal medicine.

The clinician's knowledge about total body water distribution and the appropriate choice of fluids for treatment can have an important effect on the eventual outcome of his or her patients. The ability to calculate fluid deficits and to compute infusion rates appropriately is an essential aspect of top-quality patient care. The principles of fluid therapy that were provided in this article should provide one with a logical and practical means for prescribing fluid treatments.

Animals↗
PubMed1989

Septic shock.

Septic shock is a life-threatening condition that results from the combined effects of bacteria and the host's chemical mediators of inflammation. Of particular detriment is the hyperdynamic and hypodynamic vasomotor instability that severely compromises the patient prior to the onset of overt bacteremia. The principles of therapy include (1) a prompt diagnosis, (2) removing the source of sepsis, (3) maintaining normal blood pressure through the use of parenteral fluids and inotropes, (4) selecting the appropriate antimicrobial agent, and (5) stringent patient monitoring. Sometimes, despite the optimal use of diagnostic tests and high-quality treatment, the prognosis remains guarded to grave.

Adrenal Cortex Hormones↗
PubMed1988

Idiopathic pleural effusion in a dog.

Idiopathic pleural effusion was diagnosed in a 4-year-old female Poodle. Treatment included giving low doses of furosemide for 5 months and giving low doses of prednisone that eventually were given on alternate days and discontinued 16 months after initial evaluation. Idiopathic pleural effusion in this dog was eosinophilic. The clinical importance and diagnostic value of this finding were not determined. In man, idiopathic pleural effusions have a high correlation with eosinophilic pleural effusions.

Animals↗
PubMed1981

Diagnosis and management of concurrent diabetes mellitus and hyperadrenocorticism in thirty dogs.

Concurrent diabetes mellitus and hyperadrenocorticism were diagnosed in 30 dogs over a 2-year period. Clinical signs included polyuria, hepatomegaly, polyphagia, abdominal distension, truncal alopecia, anorexia, and vomiting. Because of the similar clinical and laboratory findings for hyperadrenocorticism and diabetes mellitus, hyperadrenocorticism was initially overlooked in some dogs. Insulin resistance, characterized by high daily insulin requirements, developed in the diabetic dogs with untreated hyperadrenocorticism. Therapy with o,p'-DDD resulted in precipitous declines in insulin requirements. By lowering the dosage of o,p'-DDD and supplementing with glucocorticoids during the o,p'-DDD loading period, serious hypoglycemia was avoided. Control of coexisting hyperadrenocorticism lessened the severity of the diabetes mellitus, but insulin therapy remained a necessity in all dogs.

Animals↗