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Just cutting the chicken won’t cut it! – Tips and tricks on how to perform successful diet trials
Presented by Laura O’Shaughnessy-Hunter, BSc, DVM, MSc, Dipl. ACVD
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Just cutting the chicken won’t cut it! – Tips and tricks on how to perform successful diet trials
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Questions
1. Which of the following diets would be most suitable for an elimination diet trial for a 2-year-old dog who was on Purina Pro Plan Essential Care Puppy kibble as a puppy, followed by Hill’s t/d as an adult. His only treat is beef liver.
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Hill’s Derm Complete
Royal Canin Anallergenic
Performatrin Ultra Limited Ingredient Fish & Sweet Potato
Big Country Raw Pure Kangaroo
2. A 6-year-old FS DSH presents with a chronic history of overgrooming to the point of hair loss. There is alopecia of the ventral abdomen extending down the medial thighs. Cytology is unremarkable. What do you recommend to the owner?
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Perform environmental and food blood allergy testing to identify the underlying cause of the itching
A course of antibiotics to rule out an infection
An elimination diet trial to identify the underlying cause of the itching
A trial of clomipramine as overgrooming the ventral abdomen is most likely due to anxiety
3. A 3-year-old French bulldog presents for a repeat Cytopoint injection, 4 weeks after starting a hypoallergenic diet trial. The owner wants to return to previous Nutro Salmon & Brown Rice Recipe diet as the itch has returned. What do you recommend?
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Repeat the Cytopoint injection but continue the hypoallergenic diet trial for another 4 weeks, as only 50% of dogs will show an improvement in their symptoms at this stage of the diet trial
Repeat the Cytopoint injection and switch back to the Nutro Salmon & Brown Rice, as food allergies are ruled out at this point
Continue the diet trial for another 4 weeks, as only 50% of dogs will show an improvement in their symptoms at this stage of the diet trial, but don’t repeat Cytopoint as this will prevent you from evaluating the response to the diet trial
4. A 4-year-old Bernedoodle presents to you for chronic itching and licking of the paws, ears, perianal area, armpits and groin. The owner has seen no improvement with over-the-counter diets so they have ruled out food allergies. You speak with the owner:
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They have effectively ruled out food allergies and environmental allergies are most likely
Unfortunately, over-the-counter (OTC) diets are not an appropriate option for elimination diet trials and you recommend a true prescription diet trial with Rayne Adult Health-RSS for 8 weeks
Unfortunately, OTC diets are not an appropriate option for elimination diet trials and you recommend a true prescription diet trial with Royal Canin Hydrolyzed Protein HP for 8 weeks
Unfortunately, OTC diets are not an appropriate option for elimination diet trials and you recommend performing food allergy testing to confirm this patient does not have food allergies.
5. True or False. Food allergies in dogs and cats can develop at any age.
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True
False
6. True or False: Food and environmental allergies in dogs and cats cannot be distinguished based on clinical signs.
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True
False
7. True or False: Most dogs will develop a flare-up of their allergic symptoms within a day of being fed a food allergen.
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True
False
8. True or False: Using hydrolyzed chicken diets can lead to false negative diet trial results in up to 40% of dogs with chicken allergies.
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True
False
9. An 8-year-old, spayed Bengal presents with chronic itching, a granular soft tissue mass on the tongue and diffuse small crusting on the back. She eats Fromm Feline Adult Gold. You perform cytology but results are unremarkable. What do you advise?
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Start Atopica daily and a diet trial with Royal Canin Selected Protein PD
Start a tapering course of prednisolone and a diet trial with Royal Canin Anallergenic
Start Atopica daily and a diet trial with Royal Canin Anallergenic
Start a tapering course of prednisolone and a diet trial with Royal Canin Selected Protein PD
10.A 6-month-old, female Golden Retriever presents with bilateral redness, smell and itchiness of the ears. She is fed Acana Large breed Puppy, a variety of table scraps and treats, and regularly gets into their cat’s food. What do you advise?
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Treat the ear infection based on cytology and eliminate chicken from the diet
Treat the ear infection based on cytology and switch to Royal Canin Hypoallergenic HP Puppy, 100% exclusively
Treat the ear infection based on cytology and switch to Hill’s Derm Complete Puppy, 100% exclusively
Switch to Royal Canin hypoallergenic HP Puppy, 100% exclusively
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COMPANION
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