Page 12 - Palm City Spotlight - September '22
P. 12

Page 12, Palm City Spotlight

                                                    tip of the tail



      Leptospirosis                                        The clinical signs of leptospirosis are variable and   fluid therapy. Potential long-term complications include

                                                         nonspecific. Common symptoms include fever, vomiting,   chronic kidney failure and chronic hepatitis.
                                                         diarrhea, abdominal pain, anorexia, depression, weakness,     Infected animals can shed the bacteria in their urine for
                                                         and muscle pain. These symptoms usually occur within one   weeks or months, which is a serious concern for humans
                                                         to two weeks of exposure, but can be as short as two days   and other animals that may be exposed to the urine. Strict
                                                         or as long as four weeks. Occasionally, infected animals do   protocols should be utilized to prevent the spread of this
                                                         not exhibit any symptoms. In severe cases, kidney failure   disease, including wearing protective clothing and using
                                                         and/or liver failure can occur. Without proper treatment,   proper disinfecting techniques. These protocols should be
                                                         leptospirosis can be fatal.                       practiced at the animal hospital where the infected animal
                                                           Blood testing is usually needed to definitely diagnose   is being treated, as well as at the home where the infected
                                                         leptospirosis. The most commonly used blood test will   animal lives.
                                                         detect antibodies against  Leptospira. While a positive     Fortunately, for dogs, vaccines are available for the
                                                         diagnosis can occur with one test, oftentimes a second   prevention of leptospirosis. The best vaccine contains four
                                                         antibody level will need to be checked two to four weeks   Leptospira serovars. Vaccines do not provide 100 percent
                                                         later to confirm a four-fold increase in antibody level.   protection against leptospirosis known serovars, and the
         Leptospirosis is an infectious disease that can affect   Vaccination may interfere with blood testing, as vaccines   vaccines do not completely cross-protect against all serovars.
       humans  and  animals,  including  dogs  and,  rarely,  cats.   stimulate the body to produce antibodies, which can result   Vaccination does reduce urine shedding of the bacteria, which
       Leptospirosis is caused by the bacteria, Leptospira, which   in a false-positive test result. Occasionally, a diagnosis   is important to controlling the spread of the disease. This and
       is classified into subtypes called serovars. Currently, over   of leptospirosis can be established through microscopic   preventing the disease is why it is important to have your
       200 serovars of Leptospira have been named.       examination of the urine. Unfortunately, this type of urine   canine vaccinated yearly against leptospirosis.
         Leptospirosis is most commonly spread through the urine   test is not readily available to most animal hospitals, and     Established in 1981, Palm City Animal Medical Center
       of infected animals. Contaminated urine can enter water and   the bacteria are only intermittently shed in the urine; so   is dedicated to providing the best possible care for your
       soil, where it survives for weeks to months. Leptospirosis   diagnosis in this manner can be difficult.  pets. With focuses on compassionate care in surgery,
       can be contracted from drinking contaminated water, through     Treatment for leptospirosis relies on the use of antibiotics,   physical therapy and rehabilitation, preventative medicine,
       contact of skin or mucous membranes with contaminated   which are usually administered for two weeks. Because of   extensive diagnostics, and emergency service, Palm City
       water or soil, or through direct exposure to infected urine.   the risk of kidney failure, intravenous fluids are critical   Animal Medical Center combines exceptional medical
       Many animals are responsible for spreading leptospirosis,   to ensure adequate blood flow to the potentially damaged   care with a caring philosophy for pets and their owners.
       including wildlife, such as rodents, raccoons, and opossums,   kidneys. Prognosis varies and depends on the severity of   For more information, call (772) 283-0920, visit www.
       as well as farm animals, including cattle, pigs, horses, sheep,   organ damage. Survival rates are reported to be 80 to 90   palmcityanimalmedicalcenter.com or find us on Facebook
       and goats.                                        percent for animals treated with appropriate antibiotics and   at www.facebook.com/PalmCityAnimalClinic.
          ClevelaNd CliNiC MartiN health NeWs




      Relief For Severe Acid                             Chronic Reflux And Barrett’s Esophagus            It uses the same injection method to elevate the lesion, but
      Reflux, Gallstones And Other                         Chronic acid reflux is one of the most common conditions   instead uses a cautery knife to meticulously remove the lesion.
                                                                                                           Gallstones And More
                                                         that can be diagnosed and treated endoscopically. It occurs
      Digestive Disorders                                when the lower esophageal sphincter opens spontaneously,     The biliary system includes the liver, gallbladder, and
                                                         allowing food and stomach acid to back up into the esophagus.   pancreas and a network of tubular structures called ducts that
      Advanced Care For Better Digestive Health            “Gastroesophageal                               connect them to the small intestine. Biliary diseases, such as
                                                         reflux disease (GERD), the                        gallstones, affect some 20 million women and men nationally.
        Digestive health relies on a complex system of organs   severe form of acid reflux,                  “Advanced imaging technology has expanded the visual
      to turn the food we eat into the nutrients and energy   can damage the esophagus                     field, which allows us to see far greater details of the upper
      our bodies need to survive. Some of the most common   and  increase the risk of                      digestive tract and the intricate anatomy of the biliary system,”
      digestive complaints, such as acid reflux and gallstones,   esophageal cancer, if left               says Dr. Ngo. “That’s important because if we can’t see it,
      occur in the upper digestive tract and the accessory organs   untreated,” says Benjamin              we can’t treat it.”
      that support digestion, including the liver, gallbladder   Ngo, M.D., a board certified                EUS (Endoscopic Ultrasound) is an imaging test
      and pancreas. Today advanced endoscopic techniques are   gastroenterologist with                     that combines ultrasound technology with endoscopy.
      used to care for patients with digestive disorders without   Cleveland Clinic Martin                 During the exam, a special endoscope with ultrasound
      open surgery.                                      Health. An estimated 20                           technology at the tip is passed through the throat into
        “During upper endoscopy, we pass a flexible tube with   percent of people in the                   the abdomen, where the endosonographic images help
      a camera on the end down through a patient’s throat to   United States are believed to               visualize the bile ducts, pancreas, gallbladder and liver.
      examine and treat conditions                       suffer from GERD.                                 “EUS is particularly useful for the diagnosis and staging
      of the esophagus, stomach                            Cleveland Clinic Martin Health offers a number of   of pancreatic cancer,” notes Dr. Ngo.
      and the biliary system,”                           advanced treatments for acid reflux-related disorders,     ERCP  (Endoscopic Retr ograde
      explains board certified                           including Barrett’s esophagus, which appears as lesions on   Cholangiopancreatography) is another imaging test
      gastroenterologist Tolga                           the surface of the esophagus.                     that uses an endoscope and X-rays to view an injectable
      Erim, D.O., regional director                        EMR (Endoscopic Mucosal Resection) is one of the   dye as it travels through the pancreatic and bile ducts.
      of endoscopy for Cleveland                         most successful techniques for removing surface lesions   ERCP helps diagnose and treat gallstones, inflamed
      Clinic Florida, which                              on the esophagus. It involves raising the lesion, either   gallbladders, bile duct blockages, pancreatitis, pancreatic
      includes Cleveland Clinic                          with an injection of a solution from underneath or with   cancer and other conditions.
      Martin Health, Cleveland                           suctioning from above, and then removing it with a wire     To learn more about advanced care available for the
      Clinic Indian River                                loop tool called a snare.                         upper digestive tract at Cleveland Clinic Martin Health, visit
      Hospital, and Cleveland                              ESD (Endoscopic Submucosal Dissection) is a newer   ClevelandClinicFlorida.org/Digestive, or call (844) 630-4968
      Clinic Weston Hospital.                            technique that is used to remove a larger lesion in one piece.   to schedule a consultation.

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