Biewer Health
On the links below you will find some of the best descriptions,
clinical signs, diagnosis and treatment of Liver Shunts, Tracheal
Collapse, Luxating Patellas and Legg-Calve Perthes disease that I
have ever seen. Also included are frequently asked questions.
Click on the links to go there!
Click here for info on Liver Shunt information and Dr.
Karen Tobias  Leader in L:iver Shunt Research at The
University of Tennessee College of Veterinarian Medicine
CANINE LIFE STAGE HEALTH CARE RECOMMENDATIONS

LIFE STAGE REGULAR HEALTH CARE SPECIAL PROCEDURES

Puppy < 12 mos
REGULAR HEALTH CARE
¨       Full physical exam

¨       Fecal +/- deworming

¨       DAPP vaccine at 8 weeks     

¨       DHPP vaccine at 12 and 16 wks

¨       Bordetella vaccine at 12 weeks +/-

¨       Rabies vaccine at 16 weeks

¨       Start heartworm prevention if < 6 months

¨       Heartworm test if > 6 months then start on heartworm prevention

¨      Start flea/tick control

SPECIAL PROCEDURES
·         OHE/Neuter

·         Pre-anesthetic bloodwork and urinalysis



Adult  - 1 to 7 years
REGULAR HEALTH CARE
¨       Full physical exam yearly

Formulate appropriate vaccine schedule for life style

Discuss dental care

¨       Rabies vaccine every 3 years

¨       Bordetella vaccine yearly +/-

¨      Heartworm test and preventative

¨      Fecal +/- deworming yearly

¨      Continue heartworm, flea, tick and intestinal parasite prevention

SPECIAL PROCEDURES
·         Full screening labwork at least every 2 years – CBC, Chemistry,
electrolytes, urinalysis

·        Vaccine titer instead of DHPP or *modified annual protocol

·        Dental cleaning as needed

·        Screening thoracic and abdominal radiographs

·        Screening electrocardiogram

Golden years > 7 years
REGULAR HEALTH CARE
¨       Full physical exam every 6 months

Monitor for weight changes

Discuss age related diet changes

Modify vaccine schedule appropriate for age and lifestyle

Discuss dental care

Discuss ongoing health problems

Discuss arthritis and pain management

¨       Rabies vaccine every 3 years

¨       Discuss vaccine schedule

¨       Bordetella vaccine yearly +/-

¨      Heartworm test and preventative

¨      Fecal +/- deworming yearly

¨      Continue heartworm, flea, tick and intestinal parasite prevention


SPECIAL PROCEDURES

·         Full labwork yearly (CBC, chemistry, electrolytes, urinalysis)

·         Antibody titer instead of vaccine or *modified annual protocol

·        Thoracic and abdominal radiographs yearly

·        Electrocardiogram yearly

·        Dental cleaning as needed
Understanding your pet's blood work

1. Complete blood count (CBC)

This is the most common blood test performed on pets and people. A CBC
gives information on hydration status, anemia, infection, the blood's
clotting ability, and the ability of the immune system to respond. This test is
essential for pets with fevers, vomiting, diarrhea, weakness, pale gums, or
loss of appetite. If your pet needs surgery, a CBC can detect bleeding
disorders or other unseen abnormalities.  A checkmark in any box indicates
a significant abnormal finding on your pet's blood work.

2. Chemistry Tests

The chemistry panel surveys many of the organ systems of the body to make
sure they are working normally.

Liver (AST, ALT, Alk. Phos, T. Bilirubin, GGT, Cholesterol, Proteins)
This group of tests helps evaluate various functions and health of the liver.
Decreased liver function, inflammation, infection and neoplasia (abnormal
growth of cells) of the liver and gall bladder may be detected by one or all
of these tests.

Kidney (BUN, Creatinine, Phosphorus, Amylase, Albumin, Globulin)
These tests monitor the function and health of the kidneys. They are the
most helpful and sensitive for detecting kidney disease when combined with
a urinalysis.

Pancreas (Glucose, Amylase, Lipase, Triglyceride)
These tests are abnormal when there is something wrong with the pancreas
or carbohydrate metabolism (examples are diabetes mellitus and
pancreatitis).

Muscle and Bone
Calcium and Phosphorus are helpful in determining the health of bone
metabolism.

CPK and AST are abnormal with muscle damage, trauma, or inflammation

Electroloytes (Sodium, Potassium, Chloride, Magnesium, Calcium,
Phosphorus). These are important in monitoring the electrical, water
balance, and cellular health of the body. Deficiencies or excesses of these
electrolytes are harmful to the animal's physical and mental well-being.

3. Thyroid Function Tests

As the name implies, these test are useful in diagnosing malfunctions of the
thyroid gland. Hypothyroidism (too little thyroid hormone) is common in
dogs; whereas hyperthyroidism (too much thyroid hormone) is common in
older cats. Because there is no single thyroid test that can diagnose all
thyroid diseases in animals, a panel of several different thyroid tests are used
to ensure proper diagnosis.

4. Urinalysis

This assesses the health and function of the urinary system. It is especially
important in older animals to help in early detection of kidney disease.
While some serum chemistries help evaluate kidney function (BUN,
Creatinine, etc.), much more information is obtained when a urinalysis is
done at the same time. The urine sample is tested for several chemical
components (glucose, protein, blood and more), as well as any cells (WBC,
RBC, epithelial, etc.) and crystals.


o HCT (hematocrit) measures the percentage of red blood cells to detect
anemia and dehydration.

o Hb and MCHC (hemoglobin and mean corpuscular hemoglobin
concentration) are the oxygen-carrying pigments of red blood cells.

o WBC (white blood cell count) measures the body's immune cells.
Increases or decreases indicate certain diseases or infections.

o GRANS and L/M (granulocytes and lymphocytes/monocytes) are specific
types of white blood cells.

o EOS (eosinophils) are a specific type of white blood cells that may
Indicate allergic or parasitic conditions.

o PLT (platelet count) measures cells that form blood clots.

o RETICS (reticulocytes) are immature red blood cells. High levels indicate
regenerative anemia.

o FIBR (fibrinogen) Is an important clotting factor. High levels may indicate
a dog is 30 to 40 days pregnant

Blood chemistries

These common blood serum tests evaluate organ function, electrolyte
status, hormone levels, and more. They are important in evaluating older
pets, pets with vomiting and diarrhea or toxin exposure, pets receiving long-
term medications, and health before anesthesia.

o ALB (albumin) Is a serum protein that helps evaluate hydration,
hemorrhage, and intestinal, liver, and kidney disease.

o ALKP (alkaline phosphatase) elevations may indicate liver damage,
Cushing's disease, and active bone growth in young pets. This test is
especially significant in cats.

o ALT (alanine aminotransferase) is a sensitive indicator of active liver
damage but doesn't indicate the cause.

o AMYL (amylase) elevations show pancreatitis or kidney disease.

o AST (aspartate aminotransferase) increases may indicate liver, heart, or
skeletal muscle damage.

o BUN (blood urea nitrogen) indicates kidney function. An increased blood
level is called azotemia and can be caused by kidney, liver, and heart disease,
urethral obstruction, shock, and dehydration.

o Ca (calcium) deviations can indicate a variety of diseases. Tumors,
hyperparathyroidism, kidney disease, and low albumin are just a few of the
conditions that alter serum calcium.

o CHOL (cholesterol) is used to supplement diagnosis of hypothyroidism,
liver disease, Cushing's disease, and diabetes mellitus.

o CI (chloride) is an electrolyte often lost with vomiting and Addison's
disease. Elevations often indicate dehydration.

o Cortisol is a hormone that is measured in tests for Cushing's disease (the
low‑dose dexamethasone suppression test) and Addison's disease (ACTH
stimulation test).

o CREA (creatinine) reveals kidney function. This test helps distinguish
between kidney and non-kidney causes of elevated BUN.

o GGT (gamma glutamyl transferase) is an enzyme that indicates liver
disease or corticosteroid excess.

o GLOB (globulin) is a blood protein that often increases with chronic
inflammation and certain disease states.

o GLU (glucose) Is a blood sugar. Elevated levels may indicate diabetes
mellitus. Low levels can cause collapse, seizures, or coma.

o K (potassium) is an electrolyte lost with vomiting, diarrhea, or excessive
urination. Increased levels may indicate kidney fail­ure, Addison's disease,
dehydration, and urethral obstruction. High levels can lead to cardiac arrest.

o LIP (lipase) is an enzyme that may indicate pancreatitis.

o Na (sodium) is an electrolyte lost with vomiting, diarrhea, and kidney and
Addison's disease. This test helps indicate hydration status.

o PHOS (phosphorus) elevations are often associated with kidney disease,
hyperthyroidism, and bleeding disorders.

o TBIL (total bilirubin) elevations may indicate liver or hemolytic disease.
This test helps identify bile duct problems and certain types of anemia.

o TP (total protein) indicates hydration status and provides additional
information about the liver, kidneys, and infectious diseases.

o T4 (thyroxine) is a thyroid hormone. Decreased levels often signal
hypothyroidism in dogs, while high levels Indicate hyperthyroidism in cats.

5. Parasite Exams

Fecal

A sample of stool is examined to look for hookworms, whipworms,
roundworms, coccidia, Girardia and other intestinal parasites.

Blood

Serum is tested for the presence of heartworm on an annual basis. Whole
blood can also be examined in anemic animals for other parasites, such as
Babesia, Hemobartonella, or Cytauxzoon.

I have also added websites that I find useful relating
to breeding and raising healthy Biewers.
DDC Veterinary: DNA Services for Animals- Offers DNA tests for canine and equine species. Services include parentage, DNA genotyping, DNA banking, disease screening, and coat color prediction.
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