The ferret. Part 3: the diseases of the ferret classified by clinical symptoms

The articles regarding the ferret supply a practical hand-out for the companion animal practitioner. Features regarding housing, nutrition, and reproduction are briefly described followed by, more in detail, diagnostic procedures such as blood collection, anesthesia, small surgical procedures, preventive veterinary care and hospitalization of the ferret. Frequently seen clinical problems with their differential diagnosis are discussed including cause, clinical disease, diagnosis, therapy and if applicable prevention and control.     

Systemic Infection Due to Candida parapsilosis in a Domestic Ferret (Mustela putorius furo)

An 18-month-old castrated male ferret (Mustela putorius furo) was presented to the veterinary hospital for acute collapse but died despite initiation of emergency treatment. The body was submitted for a complete postmortem examination. The pathologist determined the ferret was suffering from severe necrotizing encephalitis, necrogranulomatous mediastinal lymphadenitis, and ulcerative dermatitis attributable to systemic Candida parapsilosis. This is the first report of systemic Candida parapsilosis in a ferret.     

Avian care and husbandry.

Birds are becoming more popular as pets, and the need for veterinary professionals to learn more about these pets is crucial. This article introduces the veterinary staff to basic information required to provide high-quality care to avian patients. High-quality nutrition for a variety of species and ages is included in this article. The importance of proper husbandry and intellectual stimulation with toys is also discussed. Special emphasis is placed on instructions for clients when making appointments, as well as recognizing signs of illness for both clients and veterinary staff. Capture, restraint, and sample collection are an important part of this article, as well as medication administration, anesthesia, supportive care, preventive care and grooming. A variety of aspects concerning the care of the avian patient are covered for the benefit of the client and veterinary technician.     

Common procedures in the pet ferret.

The domestic ferret is an increasingly popular pet in North America and Europe and may easily be incorporated into the structure and workings of most small animal hospitals. Not only does treatment of ferrets provide case diversity and intellectual challenges to the veterinarian but it may increase revenue, because most ferret owners have several ferrets. The diagnostic and supportive care procedures used commonly in ferrets are similar to those used in dogs and cats. This article presents the common diagnostic and supportive care procedures used in ferrets, with special emphasis on some of the unique aspects that make these procedures easier to learn and perform.     

Clinical neurology of ferrets.

Neurology represents an important specialty within ferret clinical medicine. Veterinarians should become familiar with the unique anatomic and physiologic differences between ferrets to improve their management of theses cases. In addition, veterinarians should use available diagnostic tests to confirm the presence of neurologic diseases. Recent advances in ferret medicine and veterinary neurology offer new capabilities to investigate and treat neurological disease in ferrets.     

Faculty expectations of veterinary students in clinical rotations

Expectations of veterinary students during clinical rotations should be developed with the goal of bettering the veterinary profession as a whole. This article outlines five areas of expectations for the veterinary professional: treating colleagues with respect, providing excellent care for patients and clients, developing and maintaining skill sets to support intellectual curiosity and continued professional development, and improving upon and using self-care and life-balance skills.     

Nursing care of lizards.

This article should introduce to the veterinary staff some of the basic information that is required to provide high-quality medicine to lizards. This article begins with a brief introduction to lizards and their husbandry, including caging, lighting, humidity, and diet.Making appointments for lizards, taking a history, manual restraint,venipuncture, fecal sampling, catheterization, medications,administering fluids, giving injections, radiology, and anesthesia are all detailed for veterinary technicians and veterinary animal care staff. Each section details differences between lizards and typical mammalian patients while trying to emphasize the common approach to both groups of animals.     

Emergency care of invertebrates.

Invertebrate species are commonly kept as pets as well as display and research animals. Clinicians interested in zoologic medicine should be prepared to provide veterinary care for these interesting creatures. This article provides an overview on the critical care of commonly encountered invertebrate species.     

The veterinary health care team: going from good to great.

Effective veterinary health care teams are crucial to the successful practice of veterinary medicine and contribute greatly to everything from excellent patient and client care to practice financial stability and practitioner and staff quality of work life. Contrary to a commonly held belief, healthy teams do not form naturally. This article examines the complex nature of successful teams and outlines a process that can be followed to assist practices in their efforts to evolve from ordinary work groups to highly interactive teams.     

Compliance: crafting quality care.

The concept of compliance involves the consistency and accuracy with which a client follows the regimen recommended by the veterinarian or other veterinary health care team member. Contrary to common belief, most compliance failures are not the direct result of a client's unwillingness to comply. This article will help the reader better appreciate the critical importance of effective communication by the entire veterinary health care team in achieving compliance. Success is predicated on an alliance between the practice team and the client. Certain paradigms surrounding compliance in veterinary practice are discussed, and the positive outcomes of compliance, including optimal patient care, exceptional client service, employee career growth, and economic ramifications, are explored.     

Ferrets. Clinical pathology and sample collection.

Diagnostic sampling and interpretation in the ferret are similar to other small mammals in many ways. There are several aspects of clinical pathology and diagnostic procedures, however, that are unique to the ferret. This article is designed to assist the clinician in obtaining and interpreting diagnostic samples for the ferret. Methods for blood and urine collection, bone marrow and organ aspirations, and organ biopsy techniques are discussed.     

Outcomes assessment planning: an overview with applications in health sciences

This article provides a brief overview of the process of outcomes assessment and examples of its application in professional health science education. The article is intended to provide a background for other articles in this issue describing ongoing activities in outcomes assessment in veterinary education and for programs considering developing a plan. The focus is on health professions other than veterinary medicine. The paper is not intended to be a comprehensive review of outcomes assessment; rather, it provides examples and models that may help clarify the outcomes assessment movement and identify trends in health care education.     

Multiple progressive piloleiomyomas in a ferret (Mustela putorius furo): a case report

A 2.5‐year‐old ovariectomized female ferret developed multiple progressive linear and raised nodules on the skin. The first lesions occurred on the tail, which was then amputated. Over the following 3 years, additional lesions appeared in the vicinity of the scar and then further rostrally on the flanks and thorax. Histological and immunohistochemical investigation led to a diagnosis of multiple piloleiomyomas. The unique characteristics of this ferret disease are described and compared with those of multiple piloleiomyomas in humans and with those of other cutaneous smooth muscle cell tumours reported in the veterinary literature.     

Current economic trends affecting the veterinary medical profession.

This article explores the economic trends affecting the future of the veterinary medical profession. Key aspects of demand and supply are considered, as are several broad-based institutional factors. Demand for veterinarians and veterinary medical services is demonstrating a definitive upward trend across the profession, led by a remarkable in-crease in consumers' willingness to spend on animal health care.Supply is also expanding through increased enrollments at colleges and schools of veterinary medicine and increased productivity and efficiency in private practice. Veterinarians' incomes are increasing, and some sectors of the profession offer outstanding financial opportunities.Provided that critical needs are met for 1) increased diversity and 2) continued improvement in the nontechnical capabilites of veterinarians, the outlook for the economic future of the veterinary medical profession is strong.     

A review of the expanding field of exotic animal oral health care--veterinary dentistry

This article reviews the clinical literature of the field of Veterinary Dentistry from its conception in the late 1960's to its rapidly expanding role today as an emerging clinical specialty practice in veterinary medicine. It defines eight dental sub-disciplines in contemporary veterinary oral health care from a practical point of view and provides information concerning standardization of key words searches, definition of terms, and use of the expanded Medical Subject Headings (MeSH) necessary for a comprehensive review of the rapidly expanding literature stored in electronic databases.     

Managing cats with cancer: An examination of ethical perspectives

ETHICAL ISSUES: Caring for cancer patients presents many ethical issues for veterinarians and other veterinary health workers. The issues that most veterinarians think of relate to management of the patient when the owners' preferences for treatment do not appear to be in the animal's best interest, as well as concerns about toxicities and about costs of veterinary services (advanced imaging, surgery, radiation therapy and chemotherapy). While not limited to the veterinary profession, we are more often faced with dilemmas about the appropriateness of palliative care and decisions about euthanasia than our medical colleagues. Equally important are the ethics of not treating patients, and the integration of unproven and alternative strategies into conventional care. A separate ethical issue arises from investigational therapies and research. Less often considered, but nonetheless relevant, are the ethics of suboptimal evaluation (staging) of patients prior to treatment, or of not informing owners about all the options available. CLIENT COMMUNICATION: Ethical veterinary care is intertwined with good client communication. Without good communication, it is impossible, for example, to gain informed consent; and without informed consent, the ethics of cancer treatment are uncertain. GOAL: This article, which draws in part on published research, where stated, and otherwise on the author's personal experiences/opinions and those of veterinary colleagues, is intended to provoke further thought and discussion on the ethics of caring for our cancer patients.     

Concurrent 2009 Pandemic Influenza A (H1N1) Virus Infection in Ferrets and in a Community in Pennsylvania

We report a fall 2010 cluster of pandemic influenza A/H1N1 (pH1N1) infections in pet ferrets in Lehigh Valley region of Pennsylvania. The ferrets were associated with one pet shop. The influenza cluster occurred during a period when the existing human surveillance systems had identified little to no pH1N1 in humans in the Lehigh Valley, and there were no routine influenza surveillance systems for exotic pets. The index case was a 2.5‐month‐old neutered male ferret that was presented to a veterinary clinic with severe influenza‐like illness (ILI). In response to laboratory notification of a positive influenza test result, and upon request from the Pennsylvania Department of Health (PADOH), the Pennsylvania Department of Agriculture (PDA) conducted an investigation to identify other ill ferrets and to identify the source and extent of infection. PDA notified the PADOH of the pH1N1 infection in the ferrets, leading to enhanced human surveillance and the detection of pH1N1 human infections in the surrounding community. Five additional ferrets with ILI linked to the pet shop were identified. This simultaneous outbreak of ferret and human pH1N1 demonstrates the important link between animal health and public health and highlights the potential use of veterinary clinics for sentinel surveillance of diseases shared between animals and humans.