Intestinal Biopsies. Histologic evaluation of the digestive
tract is known to be difficult. Substantial interobserver variation was detected,
and clinicians should be cautious about correlating clinical signs and
histo-pathologic descriptions of intestinal biopsy specimens. Diagnosis is best
accomplished jointly between clinician and pathologist.
Liver Biopsies. As morphologic diagnoses assigned to 2 18-gauge needle
biopsy specimens of the liver concurred with the definitive wedge biopsy diagnosis
in only 59 of 124 (48%) of the animals, needle biopsy results of the liver from dogs
and cats must be interpreted with caution.
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Recently, the FDA had approved use of carprofen (Rimadyl®) for
pre-surgical and post-surgical pain relief. This drug, like all nonsteroidal
anti-inflammatory agents, inhibits platelet function. It would be important,
therefore, to avoid using this class of drugs for surgical cases having known
hemostatic disorders or for breeds of dogs, such as Doberman Pinschers, that are
predisposed to diseases like von Willebrand disease.
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