Prospective evaluation of techniques for differentiating shoulder pathology as a source of forelimb lameness in medium and large breed dogs.

Objective: To assess lameness evaluation, shoulder abduction angles, radiography, and ultrasonography for determining presence, location, and severity of forelimb pathology.

Study Design: Prospective cohort study.

Animals: Dogs >or=20 kg (n=30).

Nonsteroidal antiinflammatory drugs: a review.

The increasing use of nonsteroidal antiinflammatory drugs (NSAIDs) in small animals has resulted in the development of new and innovative additions to this class of drugs. Examples of NSAIDs now available for use in small animals include aspirin, etodolac, carprofen, ketoprofen, meloxicam, deracoxib, and tepoxalin. The purposes of this article are to review the pathophysiology of prostaglandin synthesis and inhibition, the mechanisms of action, pharmacokinetics, pharmacological effects, and potential adverse reactions of aspirin and the newly released NSAIDs.

Transitional cell carcinoma presenting as clitoral priapism.

Background: Clitoral priapism is an uncommon cause of clitoromegaly. It should be suspected in the absence of hirsuitism and the presence of clitoral engorgement, pain, and local irritation.

Case: A 48-year-old female had a straight catheterization of her bladder for a history of frequent urinary tract infections.

Lung cancer metastatic to a cervical polyp.

Background: We describe an unusual finding of a lung cancer metastatic to a cervical polyp.

Case: A 69-year-old female with metastatic lung cancer was referred for evaluation of an asymptomatic cervical polyp. The polyp was removed and pathologic examination revealed a focus of invasive adenocarcinoma with signet ring features within a polypoid fragment of squamous mucosa.

The effects of peer counseling on smoking cessation and reduction.

Objective: To evaluate a peer counseling intervention for pregnant smokers.

Methods: One hundred forty-two pregnant, predominantly Hispanic women were assigned to a peer-led smoking cessation program or to usual care.

Results: Compared with usual care, peer counseling reduced smoking (-9.

Primary hyperparathyroidism in pregnancy: evidence-based management.

Unlabelled: Primary hyperparathyroidism during pregnancy poses significant risks to the mother and the fetus. Fortunately, prompt diagnosis and effective management can improve outcomes for both. There is controversy regarding appropriate management of these patients, especially late in gestation.