A Company Owned and Operated by Veterinarians for
Veterinarians™
2337 South International Parkway

DFW Airport, Texas
(972) 973-1234
7:30-8:00
8:00-12:00
Thursday, February 27, 2014
Meeting Room - Americas F-H
BREAKFAST
Roundtable
This time has usually been reserved for an introduction of new hospitals to CAPNA; however this year this introduction will be included with the roundtable discussions during this time period.
All are invited to the roundtable. Those that are arriving
Wednesday night or early on Thursday are invited. Attendees will be subjected to break-out discussion groups, individual presentations by directors, presentation of clinical pearls, brainstorming of ideas for the future, and review of foundations of the past.
12:00-
1:30-2:00
2:00-2:20
Lunch (On Attendee’s Own)
Registration
Introduction of the Attendees

Explanation about seating assignments at the meeting

Introduction of the new ABVP (Canine and Feline) Diplomates
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2:20-2:50
2:50-3:00
3:00-4:30
4:30-4:45
4:45-6:00
6:00-6:30
6:30-7:30
7:30-8:00
Result of the Directors Survey Taken Prior to the Meeting and
Goals of the Conference
BREAK
Standards of Care
Advancements, newer concepts, improved monitoring of the patient's condition; evaluating the state of disease, or advances in treatment, diagnostics, and/or delivery of patient and client care
 Feline Heartworm Disease-Incidence, Diagnosis, and
Prevention
Dr. Tom Nelson
An overview of the spread of heartworms in the United States and the incidence of heartworms in cats in endemic areas will be presented. Manifestations of disease caused by microfilaria and adult parasites in feline patients will be discussed. Diagnostic testing based upon current research and information will also be presented. Does the incidence of heartworm in cats warrant the cost of the preventative to the feline owner and are the preventatives available reliable?
BREAK
Google Apps and its ability to help CAPNA Medical and Surgical
Directors Meet Future Goals
Dr. Tom Nelson
CAPNA On-site Dinner Pizza and Beer
Staging Disease and Utilizing Reminders Systems to Improve
Client Compliance and Consistency of Standards of Care within
CAPNA Hospitals
Dr. R. Steve Taylor
Nutrition Advocates and Nutrition in Standards of Care for
Patients
Dr. Ray Cox
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Friday, February 28, 2014
Meeting Room - Americas F-H
Cardiology Lectures Sonya Gordon DVM, MS, Diplomate ACVIM (Cardiology)
7:30-8:00 BREAKFAST
8:00-9:15 The diagnosis and management of heart failure: We’ve come a long way.
Some aspects of diagnosing and treating heart disease and heart failure in the dog and cat have changed little in recent years. However, the results of recent clinical studies have led to some new options and recommendations. This session will provide a general overview of the state of the art of veterinary cardiology with emphasis on the diagnosis and treatment of heart disease and failure by primary care veterinarians in
2014 and beyond. This session will serve as an introduction for the detailed material that will be presented throughout the day.
9:15-10:30 Staging of Heart Disease and Failure in Canine and Feline Patients
Staging heart disease enables veterinary clinicians to identify the severity of disease and assess its progression overtime. Use of a broad staging scheme facilitates the development of clinically relevant stage specific guidelines and provides an excellent communication tool that facilitates how veterinarians discuss cases with each other and in medical records as well as how they talk to clients. This session will provide an overview of a broad staging scheme that was adapted from the ACVIM consensus statement guidelines on chronic valve disease and the Cardiac Education Group.
Adoption of this staging scheme can facilitate the development of practical guidelines for your hospitals and thus enhance consistency and standard of care.
10:30-10:45 BREAK
10:45-12:00 Cardiac Drugs-which, what, and why
Standard therapy for heart failure includes a diuretic, an ACE inhibitor and pimobendan.
Client concerns, differences of opinion amongst key opinion leaders, atypical presentations or disease progression present treatment dilemmas to the clinician. This lecture will address the most common dilemmas (when to start treatment, what treatment to start) and discuss the options to address them. Medications discussed will
Include: ACE inhibitors, beta adrenergic blockers, after-load reducers, calcium channel blockers, positive inotropic drugs, and diuretics. Drugs used to control arrhythmias like atrial fibrillation, ventricular tachycardia, and supra-ventricular arrhythmias will also be covered.
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12:00-1:00 LUNCH
1:00-1:30 Canine Chronic Valvular Heart Disease and the Role of Profiling
Review of the ACVIM Consensus Statement “Guidelines for the Diagnosis and Treatment of Canine Chronic Valvular Heart Disease” will be presented. Dr. Gordon was a member of the committee that authored the consensus statement.
1:30-2:00 Canine Cardiomyopathies: Idiopathic and Breed Specific
Considerations
Dilated cardiomyopathy (DCM) represents one of the most common acquired cardiac diseases in dogs with only chronic valve disease and in some areas of the country heartworm disease more prevalent. DCM results in clinically important morbidity, and mortality including congestive heart failure and sudden death, which is often secondary to ventricular arrhythmias. There are important breed specific considerations in the
Doberman, Boxer and Cocker Spaniels among others. The role of conditions that can mimic a DCM phenotype will also be addressed.
2:00-2:15
2:15-3:30
BREAK
Feline Myocardial Disease
Heart murmurs to heart failure and arterial thromboembolism will be discussed with emphasis on use of a staging scheme.
Many cats have heart murmurs but not all cats with heart murmurs have clinically significant heart disease. This session will discuss a clinical approach to these cats with emphasis on strategies that will help veterinarians optimize individual cat care for budget conscious clients. This session will highlight the new SNAP feline NT-proBNP test.
All forms of feline cardiomyopathy will be reviewed as well as the role of 2nd cardiomyopathies (e.g. hyperthyroidism, systemic hypertension). Emphasis will be on the practical implications (e.g. differences in management and prognosis) of specific echocardiographic diagnoses in both asymptomatic cats and those with heart failure and or arterial thromboembolism. The relative value of common diagnostic tests will be reviewed as well as stage and when relevant disease specific treatment.
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3:30-4:00 Implementing Cardiac Staging Plans in CAPNA Practices to Insure
Consistency of Standards of Care
CAPNA medical directors will discuss with Dr. Gordon how to best insure consistency of standards of care in their practices through reminder systems generated through veterinary software programs and record reviews.
4:00-5:00 Cardio-Respiratory Relationships and Pulmonary Hypertension
The cardiovascular system and the respiratory system have a “hand-in-glove” relationship. Often disease in one system will modify or change the other system. This relationship will be discussed and examples will be given of the relationship such as left atrial enlargement secondary to left sided heart failure promoting bronchial main stem collapse. Pulmonary hypertension will be discussed from a diagnostic and therapeutic standpoint.
5:10-6:30 Nutraceuticals Stratford Pharmaceuticals Gary Cohen
7:00-TBD Dinner – Via Real Gourmet Mexican Restaurant
(Shuttle Service Provided)
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Saturday, March 1, 2014
Meeting Room- Americas F-H
Ophthalmology Lectures David A Wilkie DVM, MS, Diplomate ACVO
7:30-8:00
8:00 – 9:30AM
BREAKFAST
Diagnostic Examination - Ophthalmology for Idiots
The diagnosis is only as good as the information obtained to make the diagnosis. The equipment required to perform a complete ophthalmic examination, the order in which tests should be performed and the interpretation of the results will be outlined. This will include common and routine procedures such as a Schirmer tear test to more involved procedures such as ocular ultrasonography.
9:30-9:45 AM
9:45-11:15AM
BREAK
Eyelids, Conjunctiva, and Third Eyelid -Keep it simple
Diseases of the eyelid and conjunctiva will be presented. This will include entropion, ectropion, neoplasia, trauma, cilia and other common everyday abnormalities. Many of these can be managed routinely in practice with little equipment. Diagnosis, surgical correction and instrumentation required will be presented.
11:15AM – 12:00PM PART I Cornea - 0.5mm is all you get
Ulcerative and non-ulcerative diseases of the cornea will be discussed. Medical vs. surgical management and a discussion of various topical therapies and when to refer will be presented.
12:00 – 1:00PM LUNCH
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1:00 – 2:30PM PART II Cornea - 0.5mm is all you get
The discussion of ulcerative and non-ulcerative disease of the cornea is continued.
2:30-2:45PM
2:45-4:15PM
BREAK
The Anterior Segment - Lens, Uveitis and Glaucoma or ALL THE
RED STUFF
What do I need to know about the anterior intraocular portion of the eye? How to diagnose, differentiate and treat diseases affecting the lens and anterior uvea will be discussed. Should your practice have a Tonopen® or Tonovet®? These are among the most common and devastating disease of the canine and feline eye.
Feline Internal Medicine Gary Norsworthy, DVM, Diplomate, ABVP (Feline)
Speaker Sponsor Abaxis
4:30-6:30PM Diagnosis of Chronic Small Bowel Disease in Cats-100 Cases
The results of this study, published in JAVMA (Vol 243, No. 10), November 15, 2013, suggest that cats with clinical signs of chronic small bowel disease, especially weight loss and chronic or recurrent vomiting, should undergo detailed diagnostic testing because they are likely to have clinically important, diagnosable, treatable disease.
7:00-TBD DINNER – Silver Fox Steakhouse (Shuttle Service Provided)
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7:30-8:00
8:00-9:30
BREAKFAST
Sunday March 2, 2014
Meeting Room - Americas F-H
Future Plans for Medical and Surgical Interaction in CAPNA
CAPNA Medical and Surgical Committees Consisting of Directors and
Appointed Members
9:30-9:45
9:45-11:00
CE and Specialties/Subspecialties
Records-Consistency and Review
Consistency of Standards of Care
Advanced Concepts/Communication
BREAK
Turning Good Continuing Education Ideas into Standard of Care in
Your Hospital
11:15-12:00 Interaction of Directors, Veterinary Software, and the Maintenance of the Consistency of Standards of Care
12:00 Adjourning of the Third Annual CAPNA Medical and Surgical
Directors’ Conference
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