Recently, the American Animal Hospital Association (AAHA) and the World Small Animal Hospital Association (WSAVA) Nutritional Guidelines were published. These guidelines were developed by committees that included Tufts Cummings School of Veterinary Medicine nutritionist, Dr. Lisa Freeman, as well as other nutritionists, veterinary practitioners, and scientists from multiple countries. Continue reading

Clinical Case Challenge

feline photo

A 15-year-old castrated male domestic shorthair cat presented for evaluation of polyuria/polydipsia and weight loss despite a good appetite. He weighed 9 pounds (4.1 kg) with a body condition score of 4/9. Moderate atrophy of the epaxial muscles was noted. Physical examination was otherwise unremarkable. A CBC revealed a mild, non-regenerative anemia (Hct, 25%; reference range, 31-46%).The biochemistry profile revealed hyperglycemia (glucose, 583 mg/dl; reference range, 70-120 mg/dl) and azotemia (BUN, 99 mg/dl; reference range, 15-33 mg/dl; creatinine, 3.2 mg/dl; reference range, 0.9-2.1 mg/dl). Urinalysis revealed a specific gravity of 1.015 with 4+ glucose and no proteinuria. T4 was within the reference range. A complete diet history revealed that the cat was eating ½ cup over-the-counter (OTC) dry adult maintenance cat food plus two 3 oz. cans of cat food per day (both made by good quality major manufacturers – specific varieties and flavors were included in the diet history). The cat did not receive any cat treats, table food, or dietary supplements.

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Current Concepts

Nutrition is often overlooked in patients that present for wellness visits; however, it is important to collect a thorough nutritional history for all new and continuing patients, both sick and well, and update this history regularly. healthy lab photoA few short minutes spent on nutrition for every patient can result in better preventative care for well animals and improved outcomes for ill and hospitalized patients. Continue reading

At Your Service: Nutrition

The Clinical Nutrition Service of the Foster Hospital for Small Animals offers in person and telephone appointments to pet owners and case consultations to veterinarians throughout the country. Common services the Clinical Nutrition Service provides are:

  • Optimal commercial diet selection
  • Nutritional plans for pets with medical conditions such as kidney disease, heart disease, cancer and gastrointestinal disease
  • Assistance with nutritional management of pets with multiple medical conditions
  • Assisted (tube) feeding programs
  • Customized home-cooked diet formulations Continue reading