Animal Welfare_Oct 25_SHB

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What is the definition of brachycephaly?

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Brachycephaly refers to a condition characterized by a shortened skull shape, leading to a broad, flat head. This condition is often seen in certain dog breeds, resulting in various health issues.

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Definition of Brachycephaly

What is the definition of brachycephaly?

Brachycephaly refers to a condition characterized by a shortened skull shape, leading to a broad, flat head. This condition is often seen in certain dog breeds, resulting in various health issues.

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Common Dog Breeds Affected

Which dog breeds are commonly affected by brachycephaly?

Breed
Boxer
English Bulldog
Cavalier King Charles Spaniel
Pekingese
Shih Tzu
Pug
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Health Problems in Brachycephalic Dogs

What are some common health problems associated with brachycephalic breeds?

ConditionUnderlying causeTypical clinical implications
Respiratory issuesNarrowed airways, stenotic nares, elongated soft palateExercise intolerance, noisy breathing, heat sensitivity, respiratory distress
Dental problemsCrowded/misaligned teeth due to shortened jawsMalocclusion, periodontal disease, difficulty eating
Eye conditionsShallow orbits, prominent eyesCorneal ulcers, trauma, exposure keratitis
Skin issuesFacial skin folds and excessive skinIntertrigo, dermatitis, secondary infection
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Welfare Issues Related to Health Problems

What welfare issues are associated with health problems in brachycephalic dogs?

Welfare issues include:

  • Chronic pain and discomfort due to respiratory distress
  • Reduced quality of life from ongoing health complications
  • Increased risk of heat stress due to compromised breathing
  • Emotional distress from inability to engage in normal activities
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Solutions for Health Problems in Brachycephalic Br...

What solutions can be implemented to overcome health problems in brachycephalic breeds?

PurposeExamplesNotes
Surgical correctionStenotic nares resection, soft palate resection, fold resectionEffective for anatomical obstructions; invasive, requires anesthesia
Medical/managementWeight management, treat infections, physiologic supportNon‑surgical, often required long‑term
Preventive careRegular veterinary checks, dental care, groomingEarly detection reduces complications
Breeding & educationSelective breeding for longer muzzles, public education on risksLong‑term strategy to improve welfare
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Definition of Brachycephaly

What is brachycephaly?

Brachycephaly is not clearly defined and can vary based on different evaluation methods and measurements. There are also notable differences within breeds.

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Common Dog Breeds Affected

What are some relevant brachycephalic dog breeds found in Hong Kong?

  • Pug
  • French Bulldog
  • English Bulldog
  • Chihuahua
  • Pekingese
  • Shi Tzu
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Health Problems in Brachycephalic Dogs

What are the common health problems associated with brachycephalic dogs?

ConditionUnderlying causeTypical clinical implications
Respiratory problemsShort snout, obstructive airway anatomyObstructive airway syndrome, exercise intolerance, heat sensitivity
Dental issuesCrowded teeth and malalignmentPeriodontal disease, chewing difficulty
Eye problemsProtruding eyes and shallow orbitsCorneal ulcers, ocular trauma
Skin issuesWrinkled/folded skinInfections, dermatitis
Heat sensitivityCompromised respiratory coolingIncreased risk of heat stress
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Common Dog Breeds Affected

What factors influence the speed of eye contact formation in dogs with unfamiliar humans?

Shorter headed dogs, visually cooperative breeds, younger and playful dogs form eye contact faster with an unfamiliar human.

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Health Problems in Brachycephalic Dogs

What is the focus of the study on Syringomyelia in Cavalier King Charles Spaniels?

The study aims to determine risk and protective factors in the conformation of the Cavalier King Charles Spaniel dog related to Syringomyelia.

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Brachycephalic Airway Syndrome

What is Brachycephalic Airway Syndrome?

Brachycephalic Airway Syndrome is a condition affecting certain dog breeds characterized by obstructed airflow due to anatomical abnormalities in the upper airway.

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Diagnosis and Treatment of Brachycephalic Health I...

What are the key aspects covered in the review of Canine Brachycephaly?

The review covers the anatomy, pathology, genetics, and welfare implications of canine brachycephaly.

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Dermatological Issues in Brachycephalic Dogs

What percentage of dermatological problems are commonly seen in brachycephalic dogs?

Dermatological problems are commonly seen in 10 to 30% of brachycephalic dogs.

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Dermatological Issues in Brachycephalic Dogs

What are some contributing factors to dermatological problems in brachycephalic breeds?

Contributing factors include skin fold formation, genetics, and environmental factors.

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Dermatological Issues in Brachycephalic Dogs

What are the primary dermatological problems associated with brachycephalic dogs?

ProblemMechanismExamples/Clinical impact
Skull conformation changesAltered facial/skull anatomy affects adjacent structuresPressure changes in middle ear/nasopharynx; respiratory impacts
Pressure changes in middle ear/nasopharynxEustachian dysfunction, altered ventilationPredisposes to otitis and related issues
Narrow ear canalsReduced airflow and drainageIncreased risk of otitis externa
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Dermatological Issues in Brachycephalic Dogs

What are the secondary dermatological problems in brachycephalic dogs?

ProblemNot directly linked to brachycephalyExamples/Notes
Allergic dermatitisCommon skin disorder that can affect any breedAtopic dermatitis, flea allergy
Endocrine-related skin diseaseSystemic hormonal causesHypothyroidism, hyperadrenocorticism
Parasitic/infestationsExternal parasites causing skin diseaseMites, fleas leading to secondary infection
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Dermatological Issues in Brachycephalic Dogs

What are the key factors contributing to the pathogenesis of intertrigo in Shar Pei dogs?

CategoryExamplesImpact
ConformationExcessive skin folds, tail formationSkin apposition, increased friction and occlusion
Genetic/BiologicalIncreased HS2 activity, breed predispositionAltered skin physiology, inflammatory tendency
EnvironmentalHigh humidity, high temperature, poor air circulationMoisture retention, impaired drying
PhysicalTrauma/friction, debris accumulationBarrier disruption, entry points for microbes
MicrobialCommensal overgrowth, toxin productionSecondary infection, sustained inflammation
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Dermatological Issues in Brachycephalic Dogs

What are the clinical signs of Intertrigo in dogs?

SignDescription / SeverityOnset / Note
Hidden (not recognized)Lesions lie within folds and may be missedOften chronic before detection
AlopeciaLocalized hair lossVariable
ErythemaRedness of skinCommon early sign
Accumulation of debrisWaxy/greasy material in foldsFavors infection and malodour
Erosion / UlcerationLoss of epidermis, may bleedPainful, may be secondary to infection
CrustsDried exudateSuggests chronicity
LichenificationSkin thickeningDevelops with long-term disease
Pigmentary changesHyper- or hypopigmentationChronic change
MalodourFoul smellSuggests secondary infection
Variable pruritusItching may be presentDepends on cause
Variable painPain can occur with deep lesionsOwner-observed discomfort
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Diagnosis and Treatment of Brachycephalic Health I...

What are the two main approaches to treating intertrigo in dogs?

ApproachIndicationsExamples / Pros & Cons
SurgicalSevere anatomical folds, recurrent or refractory casesFold resection/excision: definitive but invasive; requires anaesthesia
MedicalMild‑to‑moderate disease, initial management or adjunctTopical antiseptics/antifungals (e.g., TrizCHLOR™4), silver sulfadiazine, cleansing washes: non‑invasive but may need long‑term care
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Otitis Externa in Brachycephalic Breeds

What are the common breeds affected by Otitis Externa?

The common breeds affected by Otitis Externa include French Bulldogs, Pugs, and Boxers.

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Otitis Externa in Brachycephalic Breeds

What are the typical signs of Otitis Externa in dogs?

Typical signs of Otitis Externa in dogs include:

  1. Head shaking
  2. Ear scratching
  3. Discharge
  4. Malodour
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Otitis Externa in Brachycephalic Breeds

Is there a specific gender or age predisposition for Otitis Externa?

There is no specific gender or age predisposition for Otitis Externa; it can affect dogs regardless of these factors.

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Otitis Externa in Brachycephalic Breeds

What is the general nature of Otitis Externa?

Otitis Externa is characterized by inflammation/infection of the ear canal and is considered a common problem in certain dog breeds.

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Otitis Externa in Brachycephalic Breeds

What are the predisposing factors that can increase the chance of otitis externa in dogs?

Factor typeExamplesPreventive notes
AnatomyPendulous ears, narrow ear canals, very haired ear canalsRegular cleaning, avoid unnecessary hair plucking
Environmental / BehaviouralSwimming, ear manipulationDry ears after swimming, minimise trauma
OthersIncreased humidityImprove airflow and dry environment
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Otitis Externa in Brachycephalic Breeds

What are the primary factors that can directly induce otitis externa?

CauseMechanismDiagnostic clues
AllergyHypersensitivity causing inflammationBilateral involvement, history of atopy
ParasitesMites causing intense irritationOtoscopic visible parasites/debris
Foreign bodyLocal irritation and obstructionAcute onset, focal signs
GrowthsPolyps or tumours causing obstructionUnilateral, mass on otoscopy
HormonalEndocrine influence on skinConcurrent systemic signs
AutoimmuneImmune-mediated inflammationOften refractory to standard therapy
Keratinization abnormalitiesAbnormal epithelial turnover and debrisChronic waxy accumulation
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Otitis Externa in Brachycephalic Breeds

What are the secondary factors that contribute to otitis externa under optimal conditions?

AgentTypical findingsTreatment considerations
BacteriaPseudomonas, Staphylococcus speciesCulture and sensitivity may be needed; targeted antibiotics
YeastsMalassezia spp.Antifungal therapy/topicals; often responds well
Opportunistic mixed floraVariable signsMay require combination or systemic therapy
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Otitis Externa in Brachycephalic Breeds

What are the perpetuating factors associated with chronic changes in otitis externa?

Perpetuating factorEffect on chronicity / treatment
Canal hyperplasia / fibrosisNarrowing of canal, reduced topical penetration, worse prognosis
Chronic secretions and crustsPersistent nidus for infection, harder to clear
Otitis media involvementMore complex disease, may need systemic/or surgical intervention
Self-trauma / painOngoing damage and reduced healing
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Diagnosis and Treatment of Brachycephalic Health I...

What is the standard treatment approach for Otitis Externa?

TreatmentDose / FrequencyPurpose / Notes
Ear cleanerEOD (every other day) to once weeklyRemove debris, restore environment for topical therapy
Topical ear drops (antimicrobial/anti-inflammatory)Per product instructionsTreat infection and reduce inflammation; choose based on cytology/culture
Oral prednisolone0.5–1 mg/kg SID (if indicated and safe)Moderate systemic anti-inflammatory effect
AnalgesiaAs prescribed (e.g., veterinary‑approved analgesics)Pain control; paracetamol/codeine only if prescribed and appropriate
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Diagnosis and Treatment of Brachycephalic Health I...

Why is it important to address the primary cause of Otitis Externa?

  • Always needs to be addressed in addition to symptomatic treatment.
  • If not done, it can lead to relapses and end stage otitis.
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Diagnosis and Treatment of Brachycephalic Health I...

What is the recommended treatment duration for Otitis Externa?

  • Recheck every 10 to 21 days.
  • Perform otoscopy and cytology.
  • If both are normal, treatment might be stopped or extended for a few more days.
  • Ear cleaner may be used once to twice a week ongoing.
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Health Problems in Brachycephalic Dogs

What are the concerns regarding ototoxicity in ear products?

  • Most commercial ear products rarely cause ototoxicity.
  • Ototoxicity can affect hearing and balance.
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Pain Management

What are some pain management options for dogs and cats?

MedicationDosageUsage
Nonsteroidal anti-inflammatory drugs-Cat and dog
Glucocorticoids-Cat and dog (anti-inflammatory)
Tramadol3 to 5mg/kg BID to TIDCat (bitter)
Paracetamol10mg/kg BIDDog (limited studies)
Codeine1 to 2mg/kg BID to TIDCat and dog
Amantadine3 to 5 mg/kg BIDCat and dog
Gabapentin5 to 10 mg/kg TIDCat and dog
Buprenorphine0.02 mg/kg, sublingualCat
LidocaineBefore skin biopsies (wait at least 5 minutes; lasts for 60 to 120 minutes)Cat and dog
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Common Dog Breeds Affected

What breeds are commonly affected by Primary Secretory Otitis Media (PSOM)?

Commonly affected breeds include:

Breed
Cavalier King Charles Spaniel
Boxer
Boston Terrier
French Bulldog
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Health Problems in Brachycephalic Dogs

What are some general considerations regarding Primary Secretory Otitis Media (PSOM)?

General considerations include:

  • Overall not common
  • Typically affects middle-aged dogs
  • Associated with decreased nasopharynx width
  • Increased mucus production
  • Possible pressure differences
  • Potential allergic response
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Diagnosis and Treatment of Brachycephalic Health I...

What are the common clinical signs of PSOM (Primary Secretory Otitis Media)?

  • Aural pruritus
  • Neck pain
  • Abnormal vocalisation
  • Reduced hearing
  • Secondary otitis externa (15%)
  • Neurological signs
  • Lethargy
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Diagnosis and Treatment of Brachycephalic Health I...

What diagnostic methods are used for PSOM?

  • Otoscopy (bulging pars flaccida)
  • Videootoscopy
  • Culture and sensitivity testing
  • CT (middle ear, bone)
  • MRI (neuro signs)
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Diagnosis and Treatment of Brachycephalic Health I...

What are the treatment options for PSOM?

  • Myringotomy and flushing
  • Topical and/or systemic steroids
  • Oral N-acetylcysteine (600mg BID)
  • Oral amitriptyline (1 to 2 mg/kg BID)
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Chiari-like Malformation and Its Impact

What percentage of Cavalier King Charles Spaniels (CKCS) are affected by Chiari-like Malformation (CLM) with PSOM?

40% of CKCS with PSOM are affected by Chiari-like Malformation (CLM).

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Chiari-like Malformation and Its Impact

What are some clinical signs associated with Chiari-like Malformation in dogs?

Clinical signs of Chiari-like Malformation include:

  • Rubbing the face
  • Air-guitar pseudo-pruritus
  • Abnormal pain sensation
  • Abnormal vocalisation
  • Body shaking and hopping
  • Neurological signs
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Diagnosis and Treatment of Brachycephalic Health I...

What are the primary pain management options for dogs diagnosed with Chiari-like malformation (CLM)?

The primary pain management options include:

  1. Opioids
  2. Anticonvulsants (e.g., gabapentin, pregabalin)
  3. NSAIDs
  4. Glucocorticoids
  5. Cerebrospinal fluid reduction medications (e.g., omeprazole, acetazolamide, methazolamide)
  6. Acupuncture
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Diagnosis and Treatment of Brachycephalic Health I...

What is the likely progression of Chiari-like malformation (CLM) in dogs?

The progression of Chiari-like malformation (CLM) is very likely, and it is recommended that dogs be referred to a specialist in surgery if the condition worsens.

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Dermatological Issues in Brachycephalic Dogs

What are common dermatological problems in brachycephalic breeds?

Common dermatological problems in brachycephalic breeds include:

  • Pruritus (itchiness)
  • Pain
  • Impaired quality of life

These issues are often not recognized or identified at a late stage, and they tend to be very chronic and relapsing.

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