@article{boyle_hawkins_davis_robertson_2011, title={Failure of nebulized irritant, acidic, or hypotonic solutions or external mechanical stimulation of the trachea to consistently induce coughing in healthy, awake dogs}, volume={75}, number={3}, journal={Canadian Journal of Veterinary Research}, author={Boyle, T. E. and Hawkins, E. C. and Davis, J. L. and Robertson, I. D.}, year={2011}, pages={228–232} } @article{boyle_holowaychuk_adams_marks_2011, title={Treatment of Three Cats with Hyperviscosity Syndrome and Congestive Heart Failure Using Plasmapheresis}, volume={47}, ISSN={["1547-3317"]}, DOI={10.5326/jaaha-ms-5635}, abstractNote={Three cats were evaluated at a veterinary teaching hospital for congestive heart failure (CHF) secondary to hyperviscosity syndrome from plasma cell neoplasia. All cats had severe hyperproteinemia due to hyperglobulinemia. Multiple myeloma or plasma cell neoplasia was diagnosed based on cytopathology and post mortem examination. The cats presented with signs of CHF including acute collapse, tachypnea, increased respiratory effort, and pulmonary crackles. All cats had heart murmurs and echocardiographic signs consistent with hypertrophic cardiomyopathy. An enlarged left atrium was found in all cats and two of three cats also had spontaneous echocardiographic contrast. Plasmapheresis (centrifugal plasma exchange) was performed on all three cats by the removal of whole blood and the infusion of a balanced electrolyte solution while the whole blood was centrifuged and separated. The RBCs were then washed before being readministered to the patient. Plasmapheresis alleviated the clinical signs of CHF (tachypnea) in all three cats. Plasmapheresis should be considered in cases of CHF secondary to hyperviscosity syndrome to rapidly alleviate clinical signs associated with heart failure while diagnosis of the underlying cause is made and appropriate therapy implemented.}, number={1}, journal={JOURNAL OF THE AMERICAN ANIMAL HOSPITAL ASSOCIATION}, author={Boyle, Tonya E. and Holowaychuk, Marie K. and Adams, Allison K. and Marks, Steven L.}, year={2011}, pages={50–55} } @article{lennon_boyle_hutchins_friedenthal_correa_bissett_moses_papich_birkenheuer_2007, title={Use of basal serum or plasma cortisol concentrations to rule out a diagnosis of hypoadrenocorticism in dogs: 123 cases (2000-2005)}, volume={231}, ISSN={["0003-1488"]}, DOI={10.2460/javma.231.3.413}, abstractNote={Abstract Objective—To determine whether basal serum or plasma cortisol concentration can be used as a screening test to rule out hypoadrenocorticism in dogs. Design—Retrospective case-control study. Animals—110 dogs with nonadrenal gland illnesses and 13 dogs with hypoadrenocorticism. Procedures—Sensitivity and specificity of basal serum or plasma cortisol concentrations of either ≤ 1 μg/dL or ≤ 2 μg/dL to detect dogs with hypoadrenocorticism were estimated by use of the ACTH stimulation test as the gold standard. Results—Basal cortisol concentrations of ≤ 1 μg/dL had excellent sensitivity (100%) and specificity (98.2%) for detecting dogs with hypoadrenocorticism. For basal cortisol concentrations of ≤ 2 μg/dL, sensitivity was 100% but specificity was 78.2%. Conclusions and Clinical Relevance—On the basis of sensitivity and specificity, basal serum or plasma cortisol concentrations had high negative predictive values over a wide range of prevalence rates and can be used to rule out a diagnosis of hypoadrenocorticism. Dogs with basal cortisol concentrations > 2 μg/dL that are not receiving corticosteroids, mitotane, or ketoconazole are highly unlikely to have hypoadrenocorticism. However, if the basal cortisol concentration is ≤ 2 μg/dL, little to no information regarding adrenal gland function can be obtained and an ACTH stimulation test should be performed.}, number={3}, journal={JAVMA-JOURNAL OF THE AMERICAN VETERINARY MEDICAL ASSOCIATION}, author={Lennon, Elizabeth M. and Boyle, Tonya E. and Hutchins, Rae Grace and Friedenthal, Arit and Correa, Maria T. and Bissett, Sally A. and Moses, Lorra S. and Papich, Mark G. and Birkenheuer, Adam J.}, year={2007}, month={Aug}, pages={413–416} }