CE Southwest October 14-15, 2017 Doubletree by Hilton, Durango, CO

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1 CE Southwest October 14-15, 2017 Doubletree by Hilton, Durango, CO From the Outside, In: Updates in Dermatology and Cardiology AGENDA Saturday, October 14 Dermatology with Dr. Candace Sousa 9:00 10:00 AM Registration and Continental Breakfast 10:00 11:00 AM Parasitic Dermatoses: They Still Exist! 11:00 AM 12:00 PM Introduction to Monoclonal Antibodies 12:00 1:00 PM Lunch 1:00 2:00 PM Controlling Pruritus: Are Corticosteroids Old School? 2:00 3:00 PM Treating Bacterial Skin Infections in Light of Increasing Resistance: Is the Sky Falling? 3:00 3:15 PM Break 3:15 4:15 PM Cats Get Skin Disease, Too! 4:15 5:15 PM Common Questions in Dermatology 5:15 6:15 PM Reception 6:30 8:00 PM Beer Pairing Dinner (Optional) Sunday, October 15 Cardiology with Dr. Marisa K. Ames 7:00 8:00 AM Breakfast 8:00 9:00 AM The Cardiovascular Physical Exam 9:00 10:00 AM Interpretation of Thoracic Radiographs 10:00 10:15 AM Break 10:15 11:15 AM EKG Interactive Session 11:15 AM 12:15 PM Congenital Heart Disease: What the General Practitioner Needs to Know 12:15 1:00 PM Lunch 1:00 3:00 PM Updates and Case Examples on the Treatment of CHF in Dogs

2 ABOUT THE PROGRAM Saturday, October 14 Dermatology with Dr. Candace Sousa 9:00 10:00 AM Registration and Continental Breakfast 10:00 11:00 AM Parasitic Dermatoses: They Still Exist! A basic rule out for any dermatologic condition of the dog or cat is a parasitic skin infestation. Veterinarians need to recognize, diagnose, and treat what s treatable. Understand the various parasitic dermatologic conditions of dogs and cats. Recognize the various presentations of these conditions as well as the identification of the parasites. Understand the existing and newest therapies for managing parasitic dermatoses. 11:00 AM 12:00 PM Introduction to Monoclonal Antibodies We are entering a new era of therapy in both human and veterinary medicine. Monoclonal antibodies will be the way that many chronic, infectious, and neoplastic diseases will be treated in the future. Learn the science of monoclonal antibodies. Understand when and why these therapies can change the way that many chronic, infectious, and neoplastic diseases can be treated. Learn about the current monoclonal antibody therapies that are available for use in veterinary medicine. 12:00 1:00 PM Lunch 1:00 2:00 PM Controlling Pruritus: Are Corticosteroids Old School? Corticosteroids have been the mainstay for the treatment of pruritic, inflammatory, and allergic skin diseases in animals for the past 70 years. They still have a place, but veterinarians need to understand the benefits and risks and what alternative choices are available. Gain an understanding of corticosteroids, those made in the body and those that can be used in veterinary medicine. Make better treatment choices as to where, how, and how much to use steroids in the treatment of dermatologic conditions. Learn about alternative choices for the treatment of pruritic and allergic dermatologic conditions.

3 Saturday, October 14 (continued) 2:00 3:00 PM Treating Bacterial Skin Infections in Light of Increasing Resistance: Is the Sky Falling? Bacterial skin infections are one of the most common conditions managed by veterinarians. The use of antibiotics is changing in light of increasing antimicrobial resistance and guidelines for appropriate use endorsed by both physicians and veterinarians. Hear the most up to date information that will help you to use antibiotics appropriately in the treatment of skin infections. Discover the most common reasons for the development of staphylococcal pyoderma in dogs. Learn about treatment choices for bacterial pyoderma. Understand antimicrobial resistance how to identify it and how to manage dogs with resistant infections. 3:00 3:15 PM Break 3:15 4:15 PM Cats Get Skin Disease, Too! Even though dogs with skin disease are the most common patients treated by veterinarians, cats develop some specific dermatoses that need to be diagnosed and treated. This session will focus on those conditions that are unique to our feline patients. Recognize some specific clinical presentations of feline skin disease and hot to approach a diagnosis. See pictures of the most common clinical presentations for many of these conditions so that a list of tentative diagnoses can be made. Understand the most current recommendations for treatment of these diseases. 4:15 5:15 PM Common Questions in Dermatology Dermatology isn t difficult, but it can be confusing. There are several questions that are commonly asked of specialist that will be discussed. Hear about and ask common questions that plague veterinarians and discuss the answers. Understand some of the more confusing aspects of every day dermatology. Address diagnostics and treatments for some common conditions. 5:15 6:15 PM Reception 6:30 8:00 PM Beer Pairing Dinner (Optional)

4 Sunday, October 15 Cardiology with Dr. Marisa K. Ames 7:00 8:00 AM Breakfast 8:00 9:00 AM The Cardiovascular Physical Exam Learn about a methodical approach to the cardiovascular PE. Specific topics will include abnormal auscultation findings (murmurs, gallops, arrhythmia, adventitial lung sounds), characterization of jugular and femoral arterial pulses, and assessment of mucous membrane color and capillary refill time. Case-based examples will be used to integrate PE findings into a list of differential diagnoses. Case examples will be of common acquired and congenital diseases of the dog and cat. Use patient signalment, PE findings, and murmur timing / location to determine differential diagnoses and create a diagnostic plan. Characterize murmurs and 3 rd heart sounds More accurately. 9:00 10:00 AM Interpretation of Thoracic Radiographs This session will present an approach to the evaluation of thoracic radiographs in patients with heart disease. The radiographic appearance of common acquired and congenital heart diseases will be presented, with emphasis on the evaluation of cardiac chamber and great vessels enlargement and the diagnosis of cardiogenic pulmonary edema. Use cardiac chamber enlargement, assessment of pulmonary vasculature, and parenchyma to diagnose cardiac decompensation/heart failure. Differentiate between cardiogenic and non-cardiogenic causes of dyspnea. 10:00 10:15 AM Break 10:15 11:15 AM EKG Interactive Session Review the most common arrhythmias in small animal practice (atrial and ventricular premature contractions, supraventricular and ventricular tachycardia, atrioventricular block, and sinus node dysfunction). A methodical approach to interpretation of the EKG will be used for each example. Treatment and monitoring strategies will be briefly discussed. Create differential diagnoses for wide complex and narrow complex tachycardia. Differentiate between two common bradyarrhythmias (atrioventricular block and sinoatrial node dysfunction). Create treatment and monitoring plan for ventricular and supraventricular ectopy.

5 Sunday, October 15 (continued) 11:15 AM 12:15 PM Congenital Heart Disease: What the General Practitioner Needs to Know We will cover the historical and physical examination findings for pulmonary valve stenosis, patent ductus arteriosus, subaortic stenosis, and ventricular septal defect. Classification of disease severity (largely echocardiographic assessment) will briefly be discussed. With each defect, the approach to confirmation of diagnosis, available treatment options, and prognosis will be presented. Use signalment and abnormal PE findings to create rank order list for possible congenital cardiac diseases. Describe (to an owner) the possible treatment and/or monitoring options for the most common defects in dogs and cats. 12:15 1:00 PM Lunch 1:00 3:00 PM Updates and Case Examples on the Treatment of CHF in Dogs We will begin with a brief update on the therapy of myxomatous mitral valve disease (MMVD) in the pre-clinical (pre-chf) stage, followed by a review of the pathophysiology of heart failure, and apply these concepts to the common acquired diseases in dogs and cats (MMVD, dilated cardiomyopathy, hypertrophic cardiomyopathy). Both emergency and chronic therapy for congestive heart failure will be described, using case-based examples. Solutions for treating the patient with refractory heart failure will also be discussed. Formulate a treatment and monitoring plan for congestive heart failure in the dog and cat. Modify treatment regimens and develop new strategies for treating the patient with advanced/refractory heart failure.

6 ABOUT THE PRESENTERS Marisa K. Ames DVM, Diplomate ACVIM (Cardiology) Dr. Marisa K. Ames is a 2007 graduate of the Ohio State University. She recently completed her cardiology residency and the Jane Lewis-Seaks postdoctoral fellowship at North Carolina State University. She is currently an Assistant Professor at Colorado State University College of Veterinary Medicine. Her research interests include neurohormonal activation in heart failure (specifically the pharmacologic blockade of the renin-angiotensin-aldosterone system [RAAS], the effects various drugs on RAAS, and aldosterone breakthrough) and heartworm disease. Candace Sousa DVM, Diplomate (Emeritus) American Board of Veterinary Practitioners, Canine and Feline Practice Diplomate American College of Veterinary Dermatology Dr. Candace Sousa received all of her education at the University of California, Davis. She was certified by the American Board of Veterinary Practitioners in 1983 and by the American College of Veterinary Dermatology in Dr. Sousa worked in private small animal practice, owned a small animal clinic in Sacramento and worked in a private dermatology referral practice before joining Zoetis in She retired in She has lectured extensively to veterinarians worldwide as well as publishing in numerous veterinary publications. In 2008 Dr. Sousa received the ACVD Award for Excellence. She currently maintains an appointment as an Adjunct Clinical Professor in the Department of Medicine and Epidemiology at the University of California, Davis and as an Adjunct Assistant Professor at Washington State University.