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Squamous cell carcinoma (SCC) is a tumor of the cells that make up the contact or upper layer of the skin. UV light exposure has been described as a developmental factor in people and appears to be associated with its development in cats. Areas affected include the ear tips, skin, toes, or peri-ocular region. Fine needle aspiration or biopsy may be performed for diagnosis. The metastatic rate does not appear overly clear, though staging is always recommended. SCC of the toe can occur as a primary tumor or may have spread from the lung (lung-digit syndrome). Surgery is almost always recommended in any case of SCC; the role of chemotherapy is controversial. Radiation therapy has an excellent response rate in cats with the SCC affecting the nasal planum and may give long-term tumor control.
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This handout discusses the use of corticosteroid (such as prednisone or dexamethasone) in the cat. Reasons for their use as well as the common short-term and long-term side effects of these drugs are outlined, along with strategies to avoid these effects.
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Home care after surgery mainly involves the restriction of physical activity. Excessive physical activity often leads to injury or serious complications. Monitor the incision daily for signs of redness, swelling, discharge, or excessive licking, and never apply anything to the incision unless instructed to do so. To keep your cat from licking, your veterinarian can provide you with a protective collar or recovery suit. Your cat should gradually improve each day.
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The main objectives of fracture repair are to promote rapid healing of the fracture and to get the cat using its leg as quickly as possible. In most cases, this involves rebuilding the broken bone and fixing it in that position with metallic implants. Post-operative care includes pain medications, antibiotics, adequate nutrition, exercise restriction, and physiotherapy. Most fractures can be repaired very effectively and in many cases, your cat will resume normal activity.
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Skin gland, hair follicle, and sebaceous gland tumors are often benign. Matrical carcinoma and sebaceous gland adenocarcinoma are rare and more aggressive forms of the disease. Regardless of the type (sweat, hair, or sebaceous) diagnosis is made by fine needle aspiration, biopsy, and/or surgical removal and histopathology. Further treatment is reviewed.
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Systemic lupus is a rare disease in cats and most commonly affects Siamese, Persians, and Himalayans. It is caused by immune system dysregulation resulting in the immune system attacking different cells in the body. Skin changes can include ulceration or erosions of the face, ears, or entire body. Other systems affected include the kidneys, joints, blood cells, and the central nervous system. Diagnosis is difficult, requiring the presence of a minimum of three of the 11 criteria set by the American College of Rheumatology. Treatment involves suppressing the immune system with steroids and other immunosuppressive medications. Prognosis is guarded, as treatment to control the symptoms will be needed lifelong and in some cases may not be effective.
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Nebulization and coupage are used in patients with a variety of lung conditions and can be performed by veterinary staff and pet owners. Nebulization may be used to deliver a variety of medications to the lungs, in cases of infection, allergic lung disease, or other lung conditions. Coupage is often recommended for patients with pneumonia or bronchitis.
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Telmisartan is an angiotensin receptor blocker (ARB) used to treat high blood pressure in cats and off-label to treat kidney disease in both cats and dogs. This medication is given by mouth in the form of a liquid or tablet. It may be given with or without food but is better absorbed if given on an empty stomach. Side effects may include vomiting, diarrhea, lack of appetite, low blood pressure, and decreased energy. There are several drugs that can contribute to adverse effects when given with telmisartan. Be sure to tell your veterinarian about any medications (including vitamins, supplements, or herbal therapies) that your pet is taking. If you suspect an overdose or an adverse reaction to the medication, call your veterinary office immediately.
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Testicular tumors are generally not aggressive and have a low metastatic rate. Pets with undescended testicles (cryptorchid) are predisposed to the development of certain testicular tumors. Hyperestogenism is possible with Sertoli cell tumors. In any cryptorchid pet, removal of both testicles should be pursued. Intraabdominal tumors in cryptorchid pets may cause lethargy, decreased appetite, and fever. Standard staging is recommended in all cases, including a rectal exam. Surgery is typically the treatment of choice and may be combined with radiation therapy or chemotherapy if metastasis is evident.
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Diarrhea can be a simple diagnosis or a complex one. A thorough history and physical exam may be enough to determine the cause; however, in less obvious cases, various tests may be needed. Pending the results, a treatment plan can be developed.