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  • This handout summarizes the normal function of the dog heart, and outlines the abnormalities and changes associated with degeneration of the four different valves found in the heart. An explanation is provided of clinical signs associated with valve disease, as well as the recommended tests and treatments for this condition. Staging of heart disease is also discussed.

  • Chronic kidney disease (once called chronic kidney failure) is mainly a problem in mature and senior cats (seven years and older). Unfortunately, once the kidneys are damaged, they have minimal ability to recover. However, with proper management, most CKD cases progress very slowly. This handout describes the clinical signs of the condition, along with causes, diagnosis, treatment, and nutritional management.

  • The kidneys have many functions. They are primarily responsible for removing waste from the body and unfortunately in some dogs they will begin to fail at this task. Various tests will be done to determine the stage of kidney disease. Treatment will be recommended to help preserve the remaining kidney function and improve quality of life. Most dogs will respond well to treatment and can live a good life.

  • Chronic lymphocytic leukemia is a slowly progressing cancer of a type of white blood cell called a lymphocyte. It can develop at any age but is more typically detected in middle-aged to senior dogs. It also seems to be more prevalent in German Shepherds and Golden Retrievers. This disease is often asymptomatic and detected on routine lab screening. Further diagnostic procedures, as well as treatments and prognoses, are described in this handout.

  • Chronic upper respiratory tract disease in cats results from inflammation of any part of the upper respiratory tract. Many conditions contribute to this. Treatment is based on the underlying cause.

  • Chylothorax is a life-threatening condition caused by chyle leaking out of the thoracic duct into the chest cavity, causing lung compression and the inability of the lungs to fill with air. This occurs more commonly in purebred cats. The causes, diagnostics, treatments, and prognosis are explained in this handout.

  • Cidofovir ophthalmic is a topical antiviral medication used to treat viral eye infections, such as feline herpesvirus-1, in cats. This medication must be compounded by a veterinarian or veterinary pharmacy before use in cats. Side effects may include a mild stinging sensation or redness of the eyes. Pregnant women should not handle this medication.

  • Cimetidine is given by mouth and is used off label to treat various gastrointestinal conditions related to acid production, such as ulcers and reflux. Side effects are uncommon and have not been documented in animals. Do not use in pets that are allergic to it or other histamine2 blockers. If a negative reaction occurs, please call your veterinary office.

  • Ciprofloxacin ophthalmic (brand name Ciloxan(R)) is an antibacterial agent used in the treatment of eye infections in dogs and cats. Its use in dogs and cats is off label or extra label. This medication should not be used in dogs that are allergic to quinolones. Some medications may interact with ciprofloxacin, so it is important to tell your veterinarian about any medications that your pet is taking. If a negative reaction occurs, please call your veterinary office.

  • Ciprofloxacin is a systemic fluoroquinolone antibiotic used to treat bacterial infections. It is often given by mouth, but an injectable form is also available. The most common side effect is gastrointestinal distress, but other side effects are possible. It is contraindicated in young or dehydrated pets, or in pets with liver or kidney disease. It should not be the first-choice fluoroquinolone for veterinary patients.