Florida Aqua News For Aquatic Animal Veterinarians Spring 2005 Volume 1, Issue 2 Contents Tools for the wet vet 1 DOA…why? 1 Health certificates, how2 3 General Transport Tips 4 Calendar of Events 7 From the Fish Tank 9 About the Authors 9 Aquatic Tool Time What Equipment do you need for a Fish Patient? ments in their aquatic diagnostic techniques unique collection; thus such owners to fish examinations. It is become quite concerned wise to consult these More and more clients are when their fish are ill. resources, but also realize seeking veterinary advice for Fortunately, veterinary that the fundamentals learned their sick pet fish. A survey of interest and education in in veterinary school are pet owners by the American aquatics has been growing. applicable to fish medicine4. Pet Products Manufacturers As a reader of this newsletter Various diagnostic procedures Association, Inc., found that you are a prime example of used in small animal medicine there were 192 million pet fish this! can be adapted for use in in the United States at the For veterinarians just starting piscine patients. Many of the time of the 2003/2004 to learn about fish medicine, supplies you already have on survey . Some people form there are a number of hand in your veterinary clinic emotional attachments to publications2,3,4 and continuing can be used to work-up a fish their fish while others have education opportunities avail- case. This article will review significant economic invest- able that explain basic some necessities if you intend By Dr. Jennifer Matysczak 1 Continued on page 5… Fish Transport: Too much of a good thing? Hemorrhage in mouth of gar. Photo by Jamie Holloway By Dr. Lara Croft to live wells (43” x38” x22”, 32-gallon trash can with no At the Fish Health Laboratory 155 gallons), filled with water supplemental oxygen. MS-222 at the University of Florida we from the holding tanks. The (an anesthetic) was added to recently received a case gar did have brief exposure to the water at 30 ppm to where 3 adult and 1 juvenile freezing temperatures and provide sedation and longnose gar had died during winter winds during the trans- consequently decrease stress transport. fer from the holding tubs to associated with transport. It History: The gar had been the livewells. One livewell (X) was adequately buffered with housed in holding tubs for contained one carp (24”) and sodium bicarbonate at a 2:1 approximately 6 months and 3 adult gar (38-46”). Another ratio. Next, the livewells were appeared healthy prior to livewell (Y) contained one tightly baffled (a baffle is a transport. First, the gar were medium size juvenile gar cover placed just over the caught up in nets by the (~13”) and 3 adult gar (38- surface of the water to min- aquarium staff and brought 46”). Also, seven small imize sloshing) and then out to the load-ing dock. From juvenile gar (6-9”) were loaded into the back of a there, they were transferred transported in an uninsulated rental truck. Aeration was Continued on page 2… 2 FLORIDA AQUA NEWS 2 TYPE TITLE HERE Fish Transport…continued from page 1 Supersaturation Gas bubble disease (GBD) is a sequela for fish with acute or chronic exposure to water supersaturated with dissolved gases. Fish may die of acute GBD without any visible lesions. Clinical behavioral signs can include sudden anorexia, lethargy, loss of equilibrium and buoyancy, abnormal swimming activity, or spasmodic convulsions. Uni- or bilateral exophthalmia is a common clinical sign. Also gas bubbles can be seen grossly in blood vessels or tissues of the oral cavity, capillaries of gill filaments, eyes, or within subcutaneous tissue. Histopathology of GBD can reveal edema of secondary gill lamellae with degeneration of overlying epithelium, edema and infarction of buccal and intestinal mucosa, and vacuolar degeneration of renal tubular epithelium. Lesions have also been documented in liver and muscle. Mechanisms through which water can become supersaturated with dissolved gas: provided by two large com- changes. three large gar revealed pressed oxygen tanks, each All other fish from the trans- bright red gill cartilages on with aeration lines running port (the carp from livewell X, two fish and a few tiny air through a single stage one large gar and one juvenile bubbles (2-3 per filament) pressure regulator and gar from livewell Y were doing within the gill lamellae. flowmeter to large airstones in fine. The four dead fish were External biopsies on the the livewell. frozen and subsequently juvenile gar were all within At the first check, less than shipped to us with three normal limits. one hour into the trip, one water samples (one from the Internal examination of the large gar from livewell Y was original holding tank and one three adult gar revealed sub- found dead with severe from each livewell) for jectively reddened, injected hemorrhaging. Approximately thorough necropsy and liver, spleen, anterior, and 6½ hours into the trip transport problem review. posterior kidneys. Internal another large gar in livewell Y Necropsy: On physical examination of the fourth fish was found dead and two large exam, all three large gar had (juvenile gar) was unremark- gar from livewell X were some blotchy areas of able. Organs showed no observed lying on their sides hyperemia along the ventrum obvious pathology microscop- with decreased respiration and on one, along the lateral ically on squash preps. rates. Dissolved oxygen (DO) line. There was mild to mod- Bacterial cultures were was checked at this time and erate diffuse hyperemia of all performed on the posterior was 12.11 ppm. Upon arrival fins. The irises of the eyes kidney, liver, and spleen of all (8½ hours later) the third also appeared reddened. The fish; all yielded no growth. large gar from X was also gills were very dark/brick red Unfortunately, histopathology laying on its side barely and were oozing blood. A could not be performed since gilling. Also, one of the small small amount of free blood the fish had been frozen and juveniles in the trashcan was (~1ml) was discovered in the the freeze-thaw artifacts reported to have a slight oral cavity of all three. obscure normal architecture twitch and appeared Physical exam findings on the and pathologic changes moribund. One of the large fourth fish, a small juvenile, microscopically. gar from livewell X and the were within normal limits. All three water samples con- juvenile gar died later that Skin scrape and fin clip were tained small air pockets at the night. The two other stressed unremarkable except for some top of the bottles, which may gar from livewell X appeared excess mucous which is have caused measured much better following probably an artifact from dissolved gas levels (DO and acclimation and water freezing. Gill biopsy from the CO2 to be spuriously lower Continued on page 3… 1. Groundwater from springs and deep wells 2. Air entrapment through small leaks in pipe valves or fittings and incompletely submerged intakes leading to systems 3. Heating cold water 4. Water flowing from areas of increased hydrostatic pressure into areas of less hydrostatic pressure (i.e. hydroelectric projects). Table 1 Water Source Temperature TAN (total ammonia nitrogen) pH UIA (unionized ammonia) Nitrite (NO2-) Salinity Total Alkalinity Total Hardness Dissolved oxygen (DO) Original aquarium 70 F/ 21 C 0.4 ppm Livewell A or ? 65 F/ 18 C 1.1 ppm Livewell B or ? 65 F/ 18 C 0.8 ppm 7.3 0.004 ppm 7.3 0.01 ppm 7.4 0.008 ppm 0 ppm 2 ppt 17.1 ppm 68.4 ppm 9.5 ppm 0 ppm 2 ppt 17.1 ppm 68.4 ppm 12.4 ppm 0 ppm 1 ppt 17.1 ppm 68.4 ppm 12.0 ppm 3 Health Certificates Preparing Health Certificates for Aquatic Animal Shipments? By Dr. Kathleen H. Hartman First, you must feel comfortable with assessing aquatic animal health. Most certificates may be signed courses on fish health ranging from 2 days to 2 weeks. Harbor Branch Oceanographic Institution (HBOI) also offers several educational programs Feeling a little hesitant about following a visual examination signing health certificates for of the animals or sub-set of aquatic animals? You’re not animals being shipped. the only one! Many However, you must be able to Second, which form to use? practitioners feel anxiety evaluate fish, shrimp or clam To date there is no dedicated about signing health health (as examples) by visual form for aquatic animal health certificates for aquatic animals inspection. If you are not certification (one is in the and there are several reasons comfortable with this – don’t works though!). For now use for it! Which form? What sign! There are several APHIS form 7001 (Certificate should the certificate say? opportunities around the state of Health Examination for How to inspect the animals of Florida to receive Small Animals) or APHIS form and what should the continuing education (and 17-140 (United States Origin statements attest to? sometimes for credit!) on Health Certificate). As with Hopefully I can address some aquatic animal health. The other official documents of of these questions and University of Florida’s Institute this type, the certificate concerns. of Food and Agricultural should be typewritten, Sciences (IFAS) offers several including one on shrimp medicine (www.hboi.edu). accurate, and complete and Continued on page 4… Fish Transport…continued from page 2 Carbon dioxide… is very soluble in water and removal than the actual levels. At the which tissues are affected. have on hand, and histopath- of dissolved CO2 requires given water temperature, the Tissue hemorrhage and brain ology, which was not an vigorous surface aeration. sum of the measured levels of damage have been postulated option since these fish had Excess aqueous CO2 inhibits diffusion of CO2 out of the DO and CO2 alone (not to cause mortality. been frozen, are other tests accounting for other Conclusions that may have helped to blood. High CO2 in the blood atmospheric gasses which In this case, we believe cause confirm a diagnosis of gas lowers blood pH and may have been present), of death in these fish was bubble disease. Postulated decreases the oxygen carrying indicated that the water was acute gas bubble disease with causes for the gas supersat- capacity of hemoglobin. This at least 120% saturated [see possible carbon dioxide toxic- uration include: excessively causes respiratory distress, sidebar on page 2]. In ity [see sidebar on this page] high regulator setting or flow and eventually CO2 narcosis general, levels of >110% based on history, clinical rate of oxygen into the live- and death. Chronically saturation are considered signs, and water quality wells; extremely tight baffling elevated CO2 has been dangerous for fish, however analysis. It is possible that preventing adequate associated with this varies with age and this was compounded by ventilation and gas exchange nephrocalcinosis and systemic species of the fish. Pathology transient temperature stress at the surface of the water, or granuloma in salmonids. from gas super-saturation subsequent to carrying the lack of a mechanical agitator Warmwater fish are much occurs when excess gas gar in winter wind and temp- which is often used in more tolerant of hypercarbia leaves solution in the eratures to the livewells at the combination with an oxygen than coldwater fish. Optimal bloodstream and forms emboli start of the transport. diffuser to help aerate and in various tissues. Severity of Measurement of the total gas remove carbon dioxide. damage depends upon the saturation of the water with a number of emboli formed and saturometer, which we did not (Note: See General Transport Tips on page 4.) CO2 levels are <10 ppm. Clinical signs of carbon dioxide toxicity can be seen at levels >20 ppm. 4 4 FLORIDA AQUA NEWS TYPE TITLE HERE Quick Guide for Health Certificates Step 1. Determine from the client what the health requirements are for the state or country to where the animals are being shipped. (See Useful Resources on page 5.) Step 2. Perform health evaluation as directed by certificate requirements set by importing state or country. Step 3. Complete and sign health certificate. Until specific aquatic animal certificates are available use APHIS forms 7001 or 17-140. Step 4. If endorsement is required – send completed forms to the area office (via express mail (with pre-paid return envelope) with a check made out to the USDA for $24.00 (per certificate to be endorsed) or contact Dr. Kathleen Hartman, in Ruskin at 813-671-5230 x119. Include copies of test results for any required laboratory tests. Step 5. Collect your fee for performing inspection. Health Certificates…continued from page 3 must be signed in a color currently listed there. For observed no signs of disease, different from the text. example, England and France 2) The fish are packed in new have import requirements not containers and 3) Fish did not yet added to the USDA originate from an area under database. For movement of quarantine. At a minimum, fish to the European Union the number of animals and (EU) check out website the common and scientific http://www.efishbusiness.co.u names of each should be k/default.asp. It is strongly described on the form. Third, what should the certificate say? It is the responsibility of the owner/exporter/shipper to determine what the requirements are for the state or country that the animals are being shipped to. For international destinations, each country may have specific health requirements for the entry of animals. These requirements are established by the importing country, not the United States. Other countries may also have their own certificate format. Only five countries have specific health requirements related to shipments of aquatic animals to their country. Brazil, Chile, China, Japan and Spain have specific health requirements for some aquatic species that can be found at www.aphis.usda.gov/NCIE/. However not all countries that have import requirements are recommended that exporters wanting to ship aquatic animals to countries whose requirements are not described specifically, have the importer/buyer in the country of destination apply for an import permit at the appropriate ministry. This import permit will most likely outline the specific requirements. If no specific requirements are known, general attestations may be printed or typed on the form or check the appropriate boxes (form 7001). Examples of general attestations regarding fish health include statements such as: 1) I performed a visual examination of the fish at the time of shipment, and For interstate movement of aquatics, check website: www.aphis.usda.gov/vs/sregs for individual state regulations. It is highly recommended that the shipper contact the State Veterinarian’s office in the destination state to make sure all the requirements are met. In some states the state wildlife agency should be contacted also, as the state veterinarian is not the lead “agency” for fish health in some states. For example, the lead agency for importation of hard clams (Mercenaria mercenaria) in Virginia is the Marine Resources Commission (http://www.mrc.state.va.us/c s1002.htm). Continued on page 5… General Transport Tips By Dr. Lara Croft 1 cm of fish (or 0.5 gallon per appropriate temperature. 1 inch fish). Fish can be Ideally, withhold food from For smaller scale transport transported in higher densities fish for at least 1-2 days (i.e. a client bringing a fish to or for longer duration if before transport in warmer your clinic) the best mode of supplemental oxygenation is weather and 3 days or more trans-port is a plastic available. To avoid during cooler weather (do not aquarium bag. Clean plastic temperature extremes it is starve cannibalistic fish longer buckets, plastic-lined coolers, best to place the container of than 3 days). Fish with empty or Styrofoam coolers are fish or the fish itself directly in stomachs will not regurgitate acceptable alternatives. If the a cooler. Heat packs may be food in transport unit, and will trip is short term (<30 required in winter and ice produce less metabolic waste. minutes) a good general rule packs may be required in is providing 1L water for every summer to maintain the Poor water quality is the most Continued on page 7… 5 Health Certificates…continued from page 4 Be aware too, that states and and the export clerk’s number countries may have is: 352-333-3120 x200. restrictions on certain species. Advise clients to check if the animals they’re moving require a permit from the U.S. Fish and Wildlife Service (e.g. CITES listed animals such as seahorses. Refer to website: http://permits.fws.gov/Specie sLists/SpeciesLists.shtml) or if a state has certain restrictions on animals (e.g. injurious wildlife such as the walking catfish (family Clariidae). Fourth, how to inspect a shipment? Unless specific sampling or tests are required for entry into a state or country (e.g. the state of Florida requires that shrimp entering the state be tested and free of these viral diseases: White Spot, Taura Syndrome and Yellowhead) a visual examination of the shipment population or a reasonable sub-set of the For additional information on shipment population suffices. export requirements, contact If there is any sign of the Area Veterinarian-in- morbidity, pathogens or Charge (AVIC) who can abnormalities, advise the provide information on current client appropriately and don’t regulations, tests, and sign the health certificate. inspections that may be Some countries require that required. Because export diagnostic testing be requirements frequently performed at USDA approved change, obtain the current laboratories. Refer to export requirements from the http://www.aphis.usda.gov/vs Veterinary Service office in /nvsl/labcertification/aquaappl your area before each ab.htm for a listing of shipment. In Florida the area laboratories and their office is located in Gainesville approval status. Fifth, who has to sign the certificate? Health certificates for the export of aquatic animals are completed by the accredited veterinarian who certifies animal health status by inspecting the shipment and collecting any required specimens for diagnostic testing, and recording test results for the animals being exported. Some foreign countries require that exports from the United States be endorsed by a Veterinary Services area office in order to be valid. For endorsement, certificates may be sent to the APHIS area office in Gainesville or to Dr. Kathleen Hartman (see sidebar on USDA Resources). Copies of results from required diagnostic tests prior to shipment should be included with the health certificate. The current user fee for endorsing a health certificate is $24.00. Aquatic Tool Time…continued from page 1 to see fish patients. seeing fish to have a water pet stores may be Water Quality quality test kit. Even if clients recommended for client moni- Assessment of water quality is insist that they have tested toring of water quality. For of utmost importance, given their water and all parameters the best results, all testing that fish eat, breathe and live are normal, experience has solutions should be discarded in the same water where they shown that it is wise to check and replaced if not used defecate. Perturbations in water quality to confirm this. before their expiration date or water quality parameters can Francis-Floyd provides a good within a year of purchase. have direct or indirect reference on water quality5. Test kits should be kept in a influence on a fish’s health. A Accurate, reasonably priced cool, dry place. great num-ber of cases can water quality test kits are At a minimum, one should be resolved by identifying and avail-able from several invest in ammonia, nitrite, pH rectifying water quality companies including HACH, and alkalinity tests. Additional problems. Therefore, it is LaMotte and Orion. common tests include essential for any clinician Inexpensive tests available at hardness, nitrate, chlorine and Continued on page 6… Useful Resources: USDA APHIS, Veterinary Services Area Office Export clerk 7022 NW 10th Place Gainesville, FL 32605 Phone: 352-333-3120 x200 Fax: 352-333-1912 Dr. Kathleen H. Hartman Aquaculture Epidemiologist, USDA APHIS, VS 1408 24th Street, S.E. Ruskin, FL 33570 Phone: 813-671-5230 x119 Fax: 813-671-5234 For international destinations: www.aphis.usda.gov/NCIE/ For interstate movement: www.aphis.usda.gov/vs/sregs (also recommended to contact the State Veterinarian’s Office and the state wildlife agency of the destination state). 6 FLORIDA AQUA NEWS 6 TYPE TITLE HERE Aquatic Tool Time…continued from page 5 Performing a gill biopsy tank side. copper. Other essential to have microscope slides and suspicious looking organs may equipment includes something cover slips. For small fish, the provide valuable information. to check salinity (a fin and gill clips require a small While it can sometimes be refractometer will suffice), a set of scissors, such as ophthal- difficult to discern the initiating dissolved oxygen meter, and a mic scissors. Transport water pathogen from cultures of thermometer with an can be used to mount the ulcers, proper culture of ulcers appropriate temperature range biopsies on the slide; alterna- may yield useful information2,7. (digital thermometers for tively saltwater can be used for Culturettes can be used as humans will not work). marine fish or non-tap transport media to be sent to a “Holding and Handling” freshwater can be used for laboratory accustomed to Equipment samples from freshwater fish. A working with fish samples. An Of course you will need nets of microscope that allows in-house, benchtop acid-fast various sizes to catch swimming visualization at 40X, 100X and stain to preliminarily identify patients4; soft woven nets will 400X magnification will be mycobacteria is essential for minimize trauma to fish . adequate for evaluation of these any practitioner seeing fish Having a number of buckets on external biopsies. However, cases. hand is a good idea as well. 1000X is helpful for examining Advanced Diagnostics, Nets and buckets must be any gram stained slides or Anesthesia, and Surgery disinfected between patients. histology that might be Radiology and ultrasound can Quaternary ammonia com- required. In case of excessive be insightful into a fish’s pounds are commonly used hemorrhage from a gill clip, medical condition8. Having a disinfectants that can be silver nitrate sticks may be use- “normal” of the same species followed by an alcohol spray. ful for hemostasis, although the and similar size is helpful for Be sure to rinse equipment very long-term effects of this comparison purposes when well after any disinfectant use, application are unknown6. evaluating a diseased fish. In as any residual compounds can A gram scale measuring up to a addition to supplies used for be toxic. Bleach is an kilogram (unless, of course, you radiographing small animals, a alternative to quaternary are working with large koi or plastic wrap or other protective ammonia compounds, but the other large fish that weigh more covering to keep film cassettes risks of toxicity from contam- than that) is instrumental in dry is needed. Radiographs can ination of a fish’s water with monitoring a patient for weight help identify swim bladder bleach are greater6. Bleach can change4. abnormalities, foreign bodies, be neutralized with an If the client has a number of neoplasia, gastrointestinal appropriate agent, such as fish and can sacrifice one for obstructions and other sodium thiosulfate; testing for diagnostic purposes or can pathologies4. Studies with chlorine residuals in a container provide a freshly dead barium or other contrast media by adding water to it and individual, necropsy can provide can be very informative. The measuring chlorine levels is valuable information. For this ultrasound probe will also need recommended. you will need cover slips and to be wrapped up in plastic or Use of non-powdered latex microscope slides for wet mount other material to avoid water gloves is important to minimize preparations of organs2, a dis- damage. Ultrasound can be damage to the fish’s protective secting kit (scalpel with blades, used to identify abnormalities or skin layer and to shield the scissors, forceps), dissecting to assist with needle biopsies or clinician from zoonotic diseases. board, freshwater (not muni- swim bladder deflation6. Biopsy and Necropsy cipal tap water) for the internal Some fish will require sedation Physical examination of a fish organ squash preps, and for diagnostic procedures. should always include a skin supplies for preserving tissues Tricaine methane sulfonate (MS- scrape as well as fin and gill for histology. Sterile culture of 222) is the most universally clips7. For these, you will need brain, kidney, spleen, and any used fish anesthetic; this drug 6 “Physical examination of a fish should always include a skin scrape as well as fin and gill clips” Continued on page 8… Calendar of Events 7 June 6-7, 2005 Seavet I Sarasota, St. Petersburg, Tampa, St. Augustine, and Orlando, Florida Kendal Harr Phone: 352-392-4700 x5686 Fax: 352-846-1171 Email: harrk@mail.vetmed.ufl.edu Website: http://conference.ifas.ufl.edu/ame/index.html June 13-17, 2005 30th Eastern Fish Health Workshop Shepherdstown, West Virginia Rocco Cipriano Phone: 304-724-4432 Fax: 304-724-4435 Email: rocco_cipriano@usgs.gov Website: www.fisheries.org/fhs/eastern.htm July 16-20, 2005 American Veterinary Medical Association, 142nd Annual Convention Minneapolis, MN AVMA Registration and Housing Bureau/ITS Phone: 1-800-521-6017 Website: http://reg.itsmeetings.com/its/0507avmmsp/choices.asp July 27-29, 2005 AFS Fish Health Section Annual Meeting Minneapolis, MN Joe Marcino Phone: 651-779-6770 Email: joe.marcino@dnr.state.mn.us Website: www.fisheries.org/fhs/meeting.htm September American Fisheries 11-15, 2005 Society, 135th Annual Meeting Anchorage, AK Website: http://www.fisheries.org November Advanced Fish Medicine 13-19, 2005 Orlando & Gainesville, FL Ruth Francis-Floyd Phone: 352-392-4700 x5638 Fax: 352-846-1171 Email: Francis-FloydR@mail.vetmed.ufl.edu Website: http://conference.ifas.ufl.edu/ame/afm Transport Tips…continued from page 4 A small fish properly bagged Photo from http://www.flippersandfins.net common cause of fish losses during transport. While the previous case involved supersaturation, hyperoxia, and hypercarbia, a much more common problem is hypoxia or low dissolved oxygen (DO). In general, 6.0-9.5 ppm is desirable range for DO. If transporting fish for >30 minutes or if the fish are densely packed it is recommended to have a portable aerator. Alternatively, fish can be shipped in a sealed plastic aquarium bag with an oxygen-enriched atmosphere. Other water quality issues that arise during transport are due to the buildup of waste products, specifically ammonia and CO2. Over the duration of the trip ammonia and CO2 levels will rise and consequently pH will decrease. Therefore, upon culmination of the transport it is crucial to acclimate the fish to the new water since rapid shifts in temperature and/or pH can kill the fish and raising the pH will increase the proportion of ammonia in the toxic unionized form. A good easy way to acclimate fish is to float a bag containing the fish in the transport water in the new water for 10 minutes to equilibrate temperature. Next check and compare water quality parameters between transport water and new tank water. If pH values are similar (within 0.5) take the fish out of the transport water and move it directly into the new tank. If pH values vary by >0.5 and the desired pH will not increase unionized ammonia to >0.05 mg/L, add new water into the bag until you have doubled the initial volume, discard some of the water in the bag and repeat the process once or twice more. Finally, scoop the fish from the bag and transfer it to the new water. Never dump transport water into the new system! In summary, careful planning and monitoring can help cut down on many fish losses during transport. After all, fish medicine is a field on the move, and sometimes so are your patients! References Jensen, GL. (1990) Transportation of Warmwater Fish: Equipment and Guidelines. Southern Regional Aquaculture Center Publication No. 390 Speare, DJ. (1998) Disorders Associated with Exposure to Excess Dissolved Gases. In: Woo, P and Leatherland, J. (eds) Fish Disorders and Diseases, Vol. 2 CABI Publishing, New York, pp.207223 Wedemeyer, GA. (1996) Physiology of Fish in Intensive Culture Systems. Chapman and Hall. New York, pp. 121-139 TYPE TITLE HERE 88 FLORIDA AQUA NEWS References: 1 American Pet Products Manufacturers Association, Inc. http://www.appma.org/press_re leasedetail.asp?v=ALL&id=36, March 1, 2005. 2 Noga, EJ. 1996. Fish Disease: Diagnosis and Treatment. St. Louis, Mosby. 367pp. 3 Stoskopf, MK. 1993. Fish Medicine. Philadelphia, WB Saunders. 882pp. 4 Lewbart, GA. 1998. Emergency and critical care of fish. Veterinary Clinics of North America: Exotic Animal Practice, 1(1):233-249. 5 Francis-Floyd, R. Fish. 1998. in Aiello SE (ed). The Merck Veterinary Manual, ed 8. Whitehouse Station, NJ, Merck and Company, Inc. pp 12681294. 6 Francis-Floyd, R. 1999. Clinical Examinations of fish in private collections. Veterinary Clinics of North America: Exotic Animal Practice, 2(2):247-264. 7 Yanong, RPE. 2003. Necropsy techniques for fish. in Echols S (ed). Practical Gross Necropsy of Exotic Animal Species. in Fudge AM (ed). Seminars in Avian and Exotic Pet Medicine. Philadelphia, PA, W.B. Saunders Co. 12(2): 89-105. 8 Love, NE and GE Lewbart. 1997. Pet fish radiography: techniques and case history reports. Veterinary Radiology and Ultrasound, 38:24-29. 9 Lewbart, GA and CH Harms. 1999. Building a fish anesthesia delivery system. Exotic DVM, (12): 25-28. 10 Lewbart, GA. 2001. Surgical techniques in the koi patient. ICE Proceedings, p43-47. 11 Hurty, CA and DC Brazik, JM Law, K Sakamoto, GA Lewbart. 2002. Evaluation of the tissue reactions in the skin and body wall of koi (Cyprinus carpio) to five suture materials. Veterinary Record, 151: 324-328. 12 Weisse, C. 2002. Fish Surgery. in Introduction to Fish Diseases, University of Pennsylvania School of Veterinary Medicine curriculum, March 26. Aquatic Tool Time, continued from page 6 has been approved by the FDA strips, an ophthalmoscope, and commitment to fish medicine, for use in food fish (with a 21 eye ointments and drops used some may want to have hospital day withdrawal period). Again, for other companion animals tanks in their facility. Standard there are numerous references frequently find use in fish equipment for fish tanks that can be consulted if you do medicine. includes, but is not limited to, not have experience using this Miscellaneous Supplies the tanks themselves, air drug6. You will also need sod- A number of other miscell- stones, filters, siphon hoses for ium bicarbonate (baking soda) aneous items are useful for the water changes, sodium chloride, to buffer the MS-222 solution, fish practitioner. Especially and sea salt. Heaters and which tends to be acidic. For critical is a commercial substrate or décor appropriate short-term sedation, the drug dechlorinator or chloramine for the fish species being can be administered in aerated remover to help detoxify water housed may also be necessary. water within a bucket containing laden with chlorines or And don’t forget fish food! the fish. An IV fluid bag with chloramines. Ammonia locking You’ve Got More than You drip set and red rubber catheter or binding solutions, available Think. . . can also be used to flush small over-the-counter, can also be Hopefully it is clear that while volumes of anesthetic water helpful under some circum- some additional supplies will be over the gills of a small patient. stances. In addition, assisted needed to see fish patients, For long procedures, a fish feeding or administration of oral much of the equipment used in anesthesia delivery machine is medications can be done with a fish medicine is already found at recommended; please consult gavage tube or red rubber the average veterinary clinic. cited references for more catheter and syringe. So go for it! Get wet! information and list of supplies Medications that are frequently needed9. used in the care of non-food pet Only a few additional supplies fish or aquarium display fish may be needed for fish surgery include injectable antibiotics beyond the equipment found at such as enrofloxacin and most veterinary practices. A florfenicol; topical preparations plastic surgical drape such as such as Panalog®; dewormers those used for avian patients is and other parasiticides (fen- recommended and can be bendazole, praziquantel, fastened to the patient with levamisole, metronidazole); lubricant jelly. An water treatments such as ophthalmologic surgical pack copper and formalin; and and head loupes will facilitate emergency drugs including surgery on small patients10. A doxapram, epinephrine, dexa- study by Hurty et al11 methasone, atropine (for acute recommended monofilament organophosphate toxicity), and polyglyconate suture material furosemide. Lidocaine and for body wall skin and muscle sterile water should be stocked closure in koi. Weisse as well. Heparin is useful for discourages the use of cyano- coating syringes to prevent acrylate glue, which may cause blood from clotting when dermatitis and dehiscence12. collected. For some cases, endoscopy/ Finally, it is important to create laparoscopy may be warranted new record sheets specifically for diagnostic or surgical for fish patients that reflect the procedures. different anatomy of these Eye pathology is not uncommon animals and to incorporate the in fish. Ophthalmic equipment diagnostic tests unique to them. and supplies such as fluorescein Depending on a clinician’s Other Educational Resources In addition to books and other publications including this newsletter, classes such as the biannual two day fish health workshop at the Tropical Aquaculture Laboratory, the University of Florida’s Diseases of Warmwater Fish two week course, state and national veterinary conferences, and online continuing education on the Veterinary Information Network are great places for Floridian vets to learn about fish medicine. The University of Florida also has numerous online publications discussing husbandry and common diseases of fish at http://edis.ifas.ufl.edu/deptlist .html under “Fisheries and Aquatic Sciences” and “Veterinary Medicine”. 9 From the Fish Tank Contacts: It took longer than expected, Thanks also to those who wrote link to go to the site. but the second issue of Florida in asking for specific inform- In the next issue, we will report Aqua News is finally ready. ation on fish med topics. I hope on the IAAAM meeting in I want to thank everyone who that the articles in this news- Alaska, and a new column sent in the data cards. For those letter answer your questions. reviewing fish medicine books who requested that their Your input is vital; please help will begin. If you have an information be placed on the me to identify subject matter interesting case, please share FVMA website, Dr. Hartman has that will be useful to you. with us! forwarded the information to Note that all of the web links Denise Petty, Editor the appropriate FVMA person. are enabled. Just click on the Denise Petty 352-392-9617 x229 Roy Yanong 813-671-5230 x104 Kathy Hartman 813-671-5230 x119 Ruth Francis-Floyd 352-392-4700 x5638 About the Authors Lara Croft is the Aquatic Animal Medicine resident at the University of Florida College of Veterinary Medicine where she is concurrently pursuing an MS degree. She received her DVM from the University of Florida in 2003. Dr. Croft is an active member of the International Association for Aquatic Animal Medicine (IAAAM) and American Association of Zoo Veterinarians (AAZV). Jennifer Matysczak is a veterinarian at the Tropical Aquaculture Laboratory (TAL) in Ruskin and the Florida Aquarium in Tampa. She is a 2003 graduate of the University of Pennsylvania School of Veterinary Medicine. Dr. Matysczak is also a member of IAAAM. Kathleen Hartman is the USDA APHIS, Veterinary Services aquaculture epidemiologist stationed at TAL. She received a DVM and PhD from Virginia-Maryland Regional College of Veterinary Medicine and a MS from the University of Maryland, College Park. She is an active member of AVMA, IAAAM, World Aquaculture Society and American Fisheries Society. UNIVERSITY OF FLORIDA 7922 NW 71ST STREET GAINESVILLE, FL 32653-3071 CUSTOMER NAME STREET ADDRESS ADDRESS 2 CITY, ST ZIP CODE We’re on the Web! See us at: http://fishweb.ifas.ufl.edu
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