Pre-Registration Packet

BEC SponsoredCHIC Health Clinic Forms

Your Breeders’ Education Committee together with Fox Creek Veterinary Hospitalis proud to offer our first ever

“One-Stop-Shop” CHIC Health Clinic!

HIPS ~ ELBOWS ~ THYROID ~ CERF(eyes) ~ HEART ~ SNAP4DX ~ MICROCHIP

Date: Thursday, May 10th

Fox Creek Veterinary Hospital18962 Highway 100, Wildwood, MO 63069-3038

(636) 458-6569(12 minutes from Purina Farms)

This is an opportunity for you to do one of the most important things for the future healthof the Irish Water Spaniel.

**Important** In order to be eligible for CHIC certification and be issued a CHIC number,your dog must be at least 24 months old. However, anyone interested in doing “prelimis” is

welcome to test any dog over 12 months.

Also of mention is that these tests are being offered to you at a greatly reduced cost.Regular pricing for hips, elbows, thyroid & CERF would normally cost $600+ so please

take advantage of this great opportunity!

Test Dogs <80 lbs Dogs >80 lbsHips (without sedation)includes CD and OFA fee

$190 $240

Elbows (without sedation)includes CD and OFA fee

$190 $240

Hips AND Elbows (without sedation)includes CD and OFA fee

$250 $300

Thyroid (lab Michigan State)includes OFA fee

$78.50 $78.50

CERF (eyes) $60 $60

Heart (auscultation) $60 $60Snap4DX(Heartworm, Ehrlichia, Anaplasmosis, Lyme )

$48 $48

AKC-CAR (microchip) $20 $20

Included in this packet please find OFA submission forms for Hips/Elbows, Cardiac andThyroid. Please fill them out in advance and bring them with you to your appointment.This will expedite the time it takes to get through all the testing. Please note that theCERF (eyes) submission form is not included and will be provided on site. If you haveany questions, please contact Mindy Garbarino, mgarbarino@jny.com / 914-419-3270.

HEALTH CLINICPRE-REGISTRATION ONLY

Date of Clinic: Thursday, May 10th, 2012Pre-Registration Deadline – April 18th, 2012

Please fax or e-mail your completed form to Shannon Wertz atfoxcreekveterinaryhospital@yahoo.com / fax: 636-458-0998

For more information on registration, please contact Shannon at 636-458-6569

Your Name

Telephone Email

Address

Dog’s Registered Name DOB Sex Hips Elbows Thyroid Eyes HeartSnap4DX

Microchip

1.

2.

3.

4.

5.

Clinic times will be divided into AM (8am-12pm) and PM (1pm-5pm). Appointment times cannotbe guaranteed; requests will be accommodated to the extent possible. You will receive anappointment confirmation by e-mail on or before April 23, 2012.

Preferred appointment time (check one): 8am-12pm 12pm-4pm

A credit card is required for registration. This information WILL BE held with strictest confidenceand security. Your card will not be charged until the day of the clinic.

“Drop-ins” will be accommodated to the extent possible. Additional fees will be associated withdrop-ins -- $40 hips/elbows, $10 CERF, $10 Heart.

Cancellation policy: Appointments cancelled after confirmation but prior to April 25th willbe subject to a 20% cancellation fee. Cancellations after April 25th will be subject to a 30%cancellation fee

Total ($) Credit Card #

Credit Card Type Exp. Date

Orthopedic Foundation for Animals2300 E Nifong Blvd, Columbia, MO 65201-3806

Phone: (573) 442-0418; Fax: (573)875-5073www.offa.org

A Not-For-Profit Organization

Application for Hip/Elbow Dysplasia Database

APPL _____

RAD ______

CK _______

Office Use Only

OfficeUse

Only

I hereby certify that the radiograph submitted is of the animal described on this application and that neither the pelvic nor the elbow conformation have been surgically altered. I understand that the radiograph and/or image submitted will be retained by the OFA. I understand that the radiograph and/or image is submitted for a consensus evaluation based on the independent, professional judgment of consulting board-certified veterinary radiologists, and I hereby release the OFA from any and all liability resulting from the consensus evaluation. I understand the OFA will release normal hip and/or elbow results for dogs over 24 months to the public, and by submitting this application I agree the OFA may do so. Abnormal hip and/or elbow results will not be released to the public unless the initials of a registered owner appear in the authorization box below. Normal hip results are defined as consensus evaluations of Excellent, Good, or Fair. Abnormal hip results are defined as consensus evaluations of Mild, Moderate, or Severe. For the purpose of determining whether or not the results will be released to the public, consensus hip evaluations of Borderline are considered abnormal. Normal elbow results are defined as a consensus evaluation of Normal. All other elbow consensus evaluations are considered abnormal.Signature of owner or authorized representative _____________________________________________________________________________________________

Authorization to Release Abnormal ResultsI hereby authorize the OFA to release the results of its radiographic evaluation of the animal described on this application to the public if the results are abnormal_______________ (initials of registered owner).

02/23/11

Animals Over 24 Months• Hip dysplasia database only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$35 .00• Hips plus elbows (together) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $40 .00• Elbow dysplasia database only . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$35 .00• Litter of 3 or more submitted together . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$90 .00

Kennel Rate—Individuals submitted as a group, owned/co-owned by same person. • Minimum of 5 individuals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$15 per study

Veterinary InformationThis animal was restrained using: q Physical Restraint Only q Chemical Restraint q Anesthesia (type:_______________________ ) q Tranquilizer (type: ______________________ ) q Other (type: ______________________________)

q I DID verify the tattoo/microchip information on this dog q I DID NOT verify the tattoo/microchip information on this dogOnly dogs with Verified Permanent Identification (VPI) will have their results transmitted to the AKC for inclusion in their registration and pedigree documents

Veterinarian Signature _______________________________________________________________________________________

_______________________________________________ ________________________________________ ____________________ ______________________Visa/Master Card Number Name on Card Exp Date CVV (security code)

Payments can be made by check, money order (U.S. funds drawn on a U.S. bank), cash, Visa, or Mastercard, payable to the Orthopedic Foundation for Animals.

Registered name: Registration number: q AKC q CKC Other registry name:

Other registry #:

Breed: Sex: Date of Birth (month-day-year):

ID Number (if any): q Tattoo q Microchip Registration number of sire: Registration number of dam:

Owner name: Date radiograph taken (month-day-year): Film no.:

Co-Owner name: Examining veterinarian’s name or veterinary hospital:

Mailing address: Mailing Address:

City: State: Zip/postal code: City: State: Zip/postal code:

Phone: E-mail: Phone: E-mail:

FeesAnimals Under 24 Months • Preliminary hip evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$30 .00• Preliminary elbow evaluation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$30 .00• Preliminary hips plus elbows (together) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$35 .00• Litter of 3 or more submitted together . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$60 .00

(see page 2 for information regarding release of prelim results)Consultation• Other radiographic studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$30 .00

See instructions on page 2

Instructions for Taking Films for OFA Dysplasia Evaluations

OFA DatabaseThe dysplasia control database of the OFA is a voluntary program established to evaluate radiographs and to identify films showing no radiographic evidence of dysplasia or other orthopedic problems . All films submitted that are of acceptable diagnostic quality will be reviewed by qualified veterinary radi-ologists and a consensus report will be returned to the owner of record and referring veterinarian . Only animals that are 24 months of age or older to the day at the time of radiography, with no radiographic evidence of dysplasia, will be assigned a breed OFA number . The OFA does offer a consultation service for those under 24 months of age .

Age RequirementOnly dogs that are 24 months of age, to the day, or older at the time of radiography can qualify for an OFA hip number . In gen-eral hip joint status of younger dogs will be evaluated but only a consultation report will be issued . For toy and small breeds interested in the Legg-Calve-Perthes Database the animal has to be 12 months of age or older . The dog’s registration certifi-cate or copy of this information should be available at the time of radiography .

OFA Policy Regarding Release Of Preliminary Re-sults (Animals Under 24 Months)In an effort to encourage open sharing of health test results, the OFA will post preliminary results if:• The animal is at least 12 months at the time of radiography • The animal must be permanently identified via microchip

or tattoo • The owner initials the authorization block to release all

results (including abnormal results) when the application is initially submitted

RestraintObtaining proper film position often requires chemical re-straint . The OFA recommends chemical restraint to the point of muscular relaxation . The type of agent used—sedative, tranquilizer, or general anesthesia—is best determined by the attending veterinarian .

PositioningDorsal recumbency with the rear legs extended and parallel to each other is the preferred positioning . This standard ven-trodorsal view is the basis for evaluation of hip joint status with respect to hip dysplasia . Care should be exercised to be sure the pelvis is not tilted . Elbow joints are evaluated in the fully flexed medial to lateral position .

Film SizeFor large and giant breeds of dogs, 14” x 17” film size is recom-mended . Smaller film sizes can be used for smaller breeds if the area between the sacrum and the stifles can be included .

Film IdentificationPermanent film identification in the film emulsion is required for radiographs to be eligible for OFA evaluation . Lead letters, an I .D . camera, or radio opaque tapes can be used to identify film(a) with the hospital or Veterinarian’s name, date taken, regis-

tered name and/or registration number or (b) with the veterinarian’s unique case number .

• In this latter case (b), the radiograph must be accompa-nied by a signed note from the veterinarian referring to such film by its unique case number and stating the in-formation previously required in (a) above .

• If the above required information is illegible or missing, the OFA cannot accept the film for evaluation purposes . The radiographs should be labeled right or left side for hip studies and right or left elbow for elbow studies .

ExposureGood contrast is desirable (high mAs, low kVp) . Grid techniques are recommended for all large dogs .

Radiation SafetyProper collimation and protection of attendants is the respon-sibility of the veterinarian . Gonadal shielding is recommended for male dogs .

Hormonal EffectSome female dogs show subluxation when radiographed around an estrus cycle which is not apparent when re-radio-graphed in anestrus . The OFA recommends radiographing 3-4 weeks before or after a heat period or 3-5 weeks after weaning a litter of pups .

Application for OFA Film EvaluationThe owner or agent must complete and sign the OFA appli-cation form . This information is best obtained directly from the dog’s certificate of registration and it is recommended that a copy of the registration be included with the submis-sion . Application forms are available on request from the OFA and from the OFA website at www .offa .org . The radiograph, signed form, and service fee should be mailed together to the Orthopedic Foundation for Animals at the address on the front of this form .

Radiographs should be permanently identified in the film emulsion with:1 . Registered name and/or number2 . Name of veterinarian or hospital making the film3 . Date of radiograph taken• Pelvic evaluation are based on the standard VD view

with good pelvic definition, pelvis not tilted and femurs extended and parallel

• Elbow evaluations are based on the standard flexed me-dial to lateral view

Application for Thyroid Database

Veterinary InformationClinical Findings:o Normalo Abnormal signs

o Dermatologic o Reproductive o Lethargyo Obesity o Other __________________________________

InstructionsPlease complete, sign, and include this application with the sample and form requested by the reference laboratory. A check to OFA for $15.00 should be stapled to this application. The laboratory fee is a separate charge and is determined by the laboratory. The sample, ap-plication form, and fee should be sent directly to the laboratory.

q I DID verify tattoo/microchip on this dogq I DID NOT verify tattoo/microchip on this dog_________________________________________________Veterinarian’s signature Date

Reference Laboratory Instructions See back for current laboratories availablePlease complete, sign, and return to Orthopedic Foundation for Animals, 2300 E Nifong Blvd, Columbia, MO 65201-3806, along with laboratory results.Based on the results of the thyroid profile which included free T4 dialysis, canine thyroid stimulating hormone and thyroglobulin auto-antibodies the animal, at this time, is considered as:

o Normalo Positive autoimmune thyroiditiso Positive compensative autoimmune thyroiditiso Idiopathically reduced thyroid functiono Equivocal—the OFA recommends that this animal be retested

in 3 to 6 months—status uncertain for breeding

Fees

11/14/11

Animals Over 12 Months• Thyroid database ........................................................................... $15.00• Litter of 3 or more submitted together ................................. $30.00

Kennel Rate—Individuals submitted as a group, owned/co-owned by same person. • Minimum of 5 individuals ............................................................. $7.50 per study

Affected Animals and Resubmits at No Charge

I hereby certify that the test submitted is of the animal described on this application. I understand that only normal results will be released to the public unless the initials of a registered owner appear in the authorization box below which permits the OFA to release abnormal results to the public. Signature of owner or authorized representative _________________________________________________________________________

Orthopedic Foundation for Animals2300 E Nifong Blvd, Columbia, MO 65201-3806

Phone: (573) 442-0418; Fax: (573)875-5073www.offa.org

A Not-For-Profit Organization

APPL _______

RAD ________

CK _________

Office Use Only

OfficeUse

Only

Authorization to Release Abnormal ResultsI hereby authorize the OFA to release the results of its evaluation of the animal described on this application to the public if the results are abnormal _______________ (initials of registered owner).

_________________________________________________Endocrinologist signature Date

_______________________________________________ ________________________________________ ____________________ ______________________Visa/Master Card Number Name on Card Exp Date CVV (security code)

Payments can be made by check, money order (U.S. funds drawn on a U.S. bank), cash, Visa, or Mastercard, payable to the Orthopedic Foundation for Animals.

Registered name: Registration number: q AKC q CKC Other registry name:

Other registry #:

Breed: Sex: Date of Birth (month-day-year):

ID Number (if any): q Tattoo q Microchip Registration number of sire: Registration number of dam:

Owner name: Date of examination (month-day-year): Date of last routine vaccination:

Co-Owner name: Examining veterinarian’s name or veterinary hospital:

Mailing address: Mailing Address:

City: State: Zip/postal code: City: State: Zip/postal code:

Phone: E-mail: Phone: E-mail:

Animal Health Diagnostic Center (AHDC), Endocrinology Laboratory, Cornell University, 240 Farrier Rd., Ithaca, NY 14853, 607-253-3673 Animal Health Laboratory, Laboratory Services Division, University of Guelph , Door P2 Bldg. 49, McIntosh Lane, Guelph, Ontario, N1G 2W1, CANADA, (519) 824-4120 ext. 54501Antech Diagnostics, 1111 Marcus Ave., Suite M28, Lake Success, NY 11042, 800-872-1001. (Only the Lake Success, NY location of Antech has been certified to process OFA thyroid panels.)

Thyroid LabsThe approved laboratory must be contacted for the appropriate submission forms, sample handling procedures, and labo-ratory service fee before collecting the sample. Currently, samples may be submitted to:

Note: Please contact the laboratory for information about sample collection and submission. Include OFA form and fee with submission and the lab will forward results to OFA.

Indices of thyroiditis:a. Free T4 (FT4)—this procedure is considered to be the “gold standard” for assessment of the thyroid’s production and cellular

availability of thyroxine. FT4 concentration is expected to be decreased in dogs with thyroid dysfunction due to autoimmune thyroiditis.

b. Canine Thyroid Stimulating Hormone (cTSH)—This procedure helps determine the site of the lesion in cases of hypothyroid-ism. In autoimmune thyroiditis the lesion is at the level of the thyroid and the pituitary gland functions normally. The cTSH concentration is expected to be abnormally elevated in dogs with thyroid atrophy from autoimmune thyroiditis.

c. Thyroglobulin Autoantibodies (TgAA)—This procedure is an indication of the presence of the autoimmune process in the dog’s thyroid.

a. Normal FT4 Within normal range cTSH Within normal range TgAA Negative

b. Positive autoimmune thyroiditis FT4 Less than normal range cTSH Greater than normal range TgAA Positive

e. All other results are considered equivocal

Certificationc. Positive compensative autoimmune thyroiditis FT4 Within normal range cTSH Greater than normal range or Equal to normal range TgAA Positive

d. Idiopathically reduced thyroid function FT4D Less than normal range cTSH Greater than normal range TgAA Negative

1. The veterinarian or owner must obtain the “Application for Thyroid Database” from the Orthopedic Foundation for Animals, Inc. (phone 573-442-0418), or online at www.offa.org.

2. The veterinarian and owner must complete their respective portions of the form.

3. Two milliliters (2 ml) of serum are needed for testing, and the serum sample must be from freshly collected blood. Use a plain “red-top” tube for blood collection. Do not use a serum separator tube with clot additives or any other type of plasma collection tube. After collection, place the blood sample in the refrigerator for 60 to 90 minutes to allow clotting. Centrifuge, collect the serum, and transfer to a plain plastic or glass tube suitable for shipping. Clearly label the sample with the owner’s name, animal’s identification, date of blood collection, and “OFA Thyroid Panel.” If the specimen is to be stored for more than 12 hours prior to shipping, frozen storage is recommended.

4. Ship to the approved laboratory of choice via an overnight courier service. It is recommended that all specimens be pack-aged properly and shipped so they are received either chilled or frozen. Serum samples arriving unchilled or at room temperature within 48 hours of the collection date will be accepted. However, samples arriving after this time must be stored either chilled or frozen and arrive at the lab at room temperature or less. Contact the laboratory for further information as necessary.

5. Female dogs should not be tested during an estrus cycle. The date of last routine vaccination should be noted.

6. Please do not submit whole blood, clotted blood, or plasma.

7. Severely lipemic or hemolyzed specimens are also unacceptable.

8. Note the date of last routine vaccination on the application.

9. Test results will be mailed or faxed only to the submitting veterinarian and the Orthopedic Foundation for Animals, Inc.. Results will not be available from the laboratory by telephone. The OFA will send a report to the owner.

Endocrine Diagnostic Center, Diagnostic Center for Popu-lation & Animal Health 4125 Beaumont Road Room 122, Lansing, MI 48910, (517) 353-1683IDEXX, 1345 Denison Street, Markham, Ont L3R 5V2, CANADA, 1-800-667-3411Texas Veterinary Medical Diagnostic Laboratory, 1 Sippel Road, College Station, TX 77843, (979) 845-3414University of California Veterinary Medical Teaching Hospital, Clinical Pathology, Chemistry, Room 1017, 1 Garrod Drive, Davis, CA 95616, (530) 752-7380

Veterinary Instructions for Submission

q I certify that the standards for cardiac examination as set forth by the OFA were carefully followed in performing this examination.q I DID verify tattoo/microchip on this dog q I DID NOT verify tattoo/microchip on this dog_______________________________________________________________________________________________________ Veterinarian Signature Specialty: q Practitioner, q Specialist, q Cardiologist Date

Application for Congenital Cardiac Database

I hereby certify that the animal examined is the animal described on this application. I understand that all normal results will be released to the public.

Signature of owner or authorized representative _________________________________________________________________________________________

Clinical findings based on cardiac auscultation is required. (see page 2)q Auscultation is within normal limits. Additional diagnostic studies not indicated.q Auscultation reveals a soft (grade 1 or grade 2) murmur at rest.q Auscultation reveals a moderate to loud heart murmur.q Auscultation was performed after exercise and revealed:

q Normal heart sounds without a cardiac murmur.q A soft (grade 1 or grade 2) murmur.

Describe any cardiac murmurs:Timings: q systolic q diastolic q continuousPoint of maximal intensity:q Mitral valve area q Aortic or subaortic area q Pulmonary valve area q Tricuspid valve areaq Other location: ❑ Radiation or other characteristics: ________________________________

❑ __________________________________________________________

Echocardiography if indicated (see page 2):q Echocardiography with Doppler was performed and the results were within

limits of normal.q Echocardiography with Doppler was performed and the results were

equivocal: mild congenital heart disease cannot be conclusively diagnosed nor excluded based on this study.

q Echocardiography with Doppler was performed and the results were indicative of congenital heart disease.

Describe any abnormal echocardiographic or Doppler findings, including transvalvular or other pertinent velocities in m/sec.q pulse/continuous wave q left apical/subcostalSummary evaluation and opinion of the examiner:q Normal cardiovascular examination—congenital heart disease is not evidentq Equivocal cardiovascular examination—congenital heart disease cannot be

diagnosed nor excluded; status uncertain for breeding.q Abnormal cardiovascular examination indicative of congenital heart dis-

ease; indicate diagnosis below: ______________________________________________________________

Veterinary Instructions

❑ Animals Over 12 Months . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $15.00❑ Litter of 3 or more submitted together . . . . . . . . . . . . . . $30.00

Fees

Affected Animals, Statistical Data Submission and Resubmissions at No Charge02/21/11

Orthopedic Foundation for Animals2300 E Nifong Blvd, Columbia, MO 65201-3806

Phone: (573) 442-0418; Fax: (573)875-5073www.offa.org

A Not-For-Profit Organization

APPL _______

RAD ________

CK _________

Office Use Only

OfficeUse

Only

Kennel Rate—Individuals submitted as a group, owned/co-owned by same person.

❑ Minimum of 5 individuals . . . . . . . . . . . . . . . . . . .$7.50 per study

_______________________________________________ ________________________________________ ____________________ ______________________Visa/Master Card Number Name on Card Exp Date CVV (security code)

Payments can be made by check, money order, (U.S. funds drawn on a U.S. bank) cash, Visa, or Mastercard, payable to the Orthopedic Foundation for Animals.

Registered name: Registration number: q AKC q CKC Other registry name:

Other registry #:

Breed: Sex: Date of Birth (month-day-year):

ID Number (if any): q Tattoo q Microchip Registration number of sire: Registration number of dam:

Owner name: Co-Owner name: Examining veterinarian’s name or veterinary hospital: Date of Evaluation (mm/dd/yy):

Mailing address: Mailing Address:

City: State: Zip/postal code: City: State: Zip/postal code:

Phone: E-mail: Phone: E-mail:

Authorization to Release Abnormal Results Authorization to Collect Statistical Dataq I hereby authorize the OFA to release the abnormal results

of the animal described on this application to the public.q I hereby authorize the examining veterinarian to submit the

results of the animal described on this application for statis-tical purposes. The results may be shared with the ACVIM or canine health researchers, but will not be disclosed to the general public.

Clinical Examination1. The clinical cardiac examination should be conducted in a

systematic manner. The arterial and venous pulses, mucous membranes, and precordium should be evaluated. Heart rate should be obtained. The clinical examination should be per-formed by an individual with advanced training in cardiac diag-nosis. Board certification by the American College of Veterinary Internal Medicine, Specialty of Cardiology is considered by the American Veterinary Medical Association as the benchmark of clinical proficiency for veterinarians in clinical cardiology, and examination by a Diplomate of this specialty board is recom-mended. However, any licensed veterinarian may be able to perform this examination by auscultation.

2. Cardiac auscultation should be performed in a quiet, dis-traction-free environment. The animal should be standing and restrained, but sedative drugs should be avoided. Panting must be controlled, and if necessary, the dog should be given time to rest and acclimate to the environment. The clinician should be able to identify the cardiac valve areas for auscul-tation. The examiner should gradually move the stethoscope across all valve areas and also should auscultate over the su-baortic area, ascending aorta, pulmonary artery, and the left craniodorsal cardiac base. Following examination of the left precordium, the right precordium should be examined.• The mitral valve area is located over and immediately dorsal to

the palpable left apical impulse and is identified by palpation with the tips of the fingers. The stethoscope is then placed over the mitral area and the heart sounds identified.

• The aortic valve area is dorsal and 1 or 2 intercostal spaces cranial to the left apical impulse. The second heart sound will become most intense when the stethoscope is centered over the aortic valve area. Murmurs originating from or radiating to the subaortic area of auscultation are evident immediately caudoventral to the aortic valve area. Murmurs originating from or radiating into the ascending aorta will be evident craniodorsal to the aortic valve and may also project to the right cranial thorax and to the carotid arter-ies in the neck.

• The pulmonic valve area is ventral and the one intercostal space cranial to the aortic valve area. Murmurs originating from or radiating into the main pulmonary artery will be evident dorsal to the pulmonic valve over the left hemithorax.

• The tricuspid valve area is a relatively large area located on the right hemithorax, opposite and slightly cranial to the mitral valve area.

• The clinician should also auscultate along the ventral right precordium (right sternal border) and over the right cranio-dorsal cardiac border.

• Any cardiac murmurs or abnormal sounds should be noted. Murmurs should be described as indicated below.

Methods of Examination

3. Description of cardiac murmurs—A full description of the cardiac murmur should be made and recorded in the medical record.• Murmurs should be designated as systolic, diastolic, or

continuous.• The point of maximal murmur intensity should be indicated

as described above. When a precordial thrill is palpable, the murmur will generally be most intense over this vibration.

• Murmurs that are only detected intermittently or are vari-able should be so indicated.

• The radiation of the murmur should be indicated.• Grading of heart murmurs is as follows:

Grade 1—a very soft murmur only detected after very care-ful auscultation

Grade 2—a soft murmur that is readily evidentGrade 3—a moderately intense murmur not associated with

a palpable precordial thrill (vibration)Grade 4—a loud murmur; a palpable precordial thrill is not

present or is intermittentGrade 5—a loud cardiac murmur associated with a palpable

precordial thrill and audible even when the stethoscope is lived from the thoracic wall

Grade 6—a loud cardiac murmur associated with a palpable precordial thrill and audible even when the stethoscope is lifted from the thoracic wall

• Other descriptive terms may be indicated at the discretion of the examiner; these include such timing descriptors as: proto(early)-systolic, ejection or crescendo-decrescendo, holo-systolic or pan-systolic, decrescendo, and tele(late)-systolic and descriptions of subjective characteristics such as: musical, vibratory, harsh, and machinery.

4. Effects of heart rate, heart rhythm, and exercise.• Some heart murmurs become evident or louder with

changes in autonomic activity, heart rate, or cardiac cycle length. Such changes may be induced by exercise or other stresses. The importance of evaluating heart murmurs after exercise is currently unresolved. It appears that some dogs with congenital subaortic stenosis or with dynamic outflow tract obstruction may have murmurs that only become evi-dent with increased sympathetic activity or after prolonged cardiac filling periods during marked sinus arrhythmia. It also should be noted that some normal, innocent heart mur-murs may increase in intensity after exercise. Furthermore, panting artifact may be a problem after exercise.

• It is most likely that examining dogs after exercise will result in increased sensitivity to diagnosis of soft murmurs but probably decreased specificity as well. Auscultation of the heart following exercise is at the discretion of the examin-ing veterinarian.

• At this time the OFA does not require a post exercise ex-amination in the assessment of heart murmurs in dogs; however, this practice may be modified should definitive information become available.

Catalog Order Forms& Catalog Ad Submission

This is an Advanced 2012 IWSCA National SpecialtyCATALOG Order Package.

Look for additional 2012 Specialty information, soon.Also, see the Specialty Website at www.iwsca2012.com

2012 IWSCA Pre-Specialty Ads and Catalogs

Catalogs are both a lasting memory of the Specialty and ayearbook of accomplishments for IWS.

CATALOG PRE-ORDERS: Only a limited number of catalogs will be made. Toavoid disappointment, pre-ordering is highly encouraged. Pre-ordered catalogspicked up at the Specialty are $25.00 each. Marked catalogs are $45.00 each(includes shipping to U.S. addresses – extra $10.00 for international shipping).Marked catalogs are only available pre-order. Catalogs sold at the Specialty

will be $35.00 each. Pre-ordered catalogs, not picked up at the Specialty, mayrequire additional shipping.

The 2012 Specialty catalog will be standard size (5½ x 8½ inches) and will cover ALL events.

Deadline: Monday, March 12, 2012

2012 IWSCA National Specialty Catalog Ad /Catalog Order Form

DEADLINE: MONDAY MARCH 12, 2012

Mail Orders and Ad to:Lisa Schaitberger

P. O. Box 148Fontana, WI 53125

Name:

Address:

City/State/Zip:

Telephone: E-Mail:

ADVERTISEMENTS: All ads must be submitted “print ready” in PSD, AI, PDF, or JPEGformat. Ads and Photographs must be in high resolution, 300 dpi. No ad material willbe returned. Paper copy with electronic media (CD) must be submitted by mail.Advanced electronic submissions (email) will be allowed as long as paper copyfollows. Ads will not be processed until funds are received.

QTY ITEM COST TOTAL

Full Page Color or B&W - 7.50x 4.50 inches $ 60.00 $

Half Page Color or B&W- 3.65 x 4.50 inches $ 35.00 $

Pre-Order Catalog $ 25.00 $

Marked Catalog $ 45.00 $

On-Site Catalog $ 35.00

International Shipping $ 10.00 $

Additional Credit Card Fee $ 5.00 $

TOTAL AMOUNT $

Payment must be by Check, Money Order, or VISA/Master Card. NO CASH WILL BEACCEPTED. You must ADD $5.00 to your order total to cover charge card service fees. All non-USOrders must contain $10.00 additional shipping charge.Checks must be payable to “IWSCA”

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WC/WCX Form

Working Certi�cateWorking Certi�cate Excellent

Horseshoe Lake State ParkGranite City, Illinois

MAY 8, 2012

IWSCA Titling Event to be held outdoors for Irish Water Spaniels only

ENTRIES CLOSE ON APRIL 18, 2012

Chuck Pederson, Game Steward & Gun Captain

Test

Com

mit

tee

Mary Reich, Test Co-chair Test Secretary: Mary ReichW4349 Hwy 106

Fort Atkinson, WI 53538Pat Morton, Marshal & Test Co-chair

Entry fees for bitches in season or injured dogs will be refunded in accordance with AKC rules when accompanied by a veterinarian’s statement

Judging will begin at 9:00 A.M.Judges discretion will determine the order of stakes and the running of land or water

JUDGESJim Brennan

Rochester, WA

Elissa KirkegardDoylestown, PA

Mary ReichFt. Atkinson, WI

Susan Sarracino-DeihlMenomonee Falls, WI

ENTRYFEES

WorkingCerti�cate

Working Certi�cateExcellent

$45 $50

BIRDSDucks

On Water

Pheasants OR Chuckars

On Land

PrizesQuali�ers in either the WC or WCX stake will receive a rosette, trophy and certi�cate

ENTRYWorking

Certi�cateWorking Certi�cate

Excellent

Dog’s Registered Name:______________________________________________________

AKC Reg. #___________________________________DOB__________________________

ILP #________________________________________Sex_____________________________

Foreign Reg . #________________________________Country_______________________

Breeder:___________________________________________________________________

Sire:_______________________________________________________________________

Dam:______________________________________________________________________

Actual Owner(s):_____________________________________________________________

Owner’s Address:____________________________________________________________

City_______________________________________State_________Zip________________

Irish Water Spaniel Club of America

O�cial WC/WCX Entry FormMay 8, 2012

Horseshoe Lake State Park, 3321 Highway 111, Granite City, IL 62040

ENTRIES CLOSE ON APRIL 18, 2012

Checks Payable to IWSCA

$45 $50

Entries Mailed To: Mary Reich, W4349 Hwy. 106, Fort Atkinson, WI 53538

I agree that the dog named herein is entered in and will be in the test at my own risk and that I will hold the IWSCA, its members and o�cers, free from liability for any claims arising out of the dog or its presence at the test.Signature of owner or agent duly authorized to make this entry:

____________________________________

Phone:____________________E-mail:_________________________________________

Irish Water Spaniel Club of America

WC/WCX Map & DirectionsHorseshoe Lake State Park is located about 50 miles east of Gray Summit, MO. The park is owned by the Illinois Department of Natural Resources and the park entrance fee has been waived for event participants and observers.

Directions from Gray Summit: Merge on to I-44 E/US-50E and drive about 37 miles. Merge onto I-55N and go .9 mile. Merge onto I-55N/I-64E/I70 E/US-40E drive 6.3 miles. Take exit 6 for IL-111 toward Wood River/Washington Park. Turn left onto IL-111N, drive 3 miles. Once inside the park look for IWSCA signs.

Electronic File: Click Map for Interactive Google Maps

Irish Water Spaniel Club of America

WC/WCX Information

Food and RefreshmentsNo food will be available on the grounds but restaurants are located just outside the park. Please bring your own food, drink and water for your dog. Also, please carry out your own garbage and pick up after your dog. Porta-potties are located at test sites and potable water at the land site.

TrainingPlease remember there is no training on the grounds the day of the test and that you are responsible for cleaning up after your dog.

Motels Near the Test SiteThe test site is approximately a 1-hour drive east Gray Summit and you may want to plan extra drive time to accommodate for morning tra�c. Since the WC/WCX test is the �rst event of the IWSCA specialty, some may consider booking a motel near the test site for the night of May7th. Motels can be found in Pontoon Beach, Granite City and Collinsville, Illinois.

WC/WCS RulesRules for the tests can be found on the IWSCA websitehttp://www.iwsca.org/wcwcx2012.htm

Contact Information for Event ChairsPat Morton: 512-627-7020 (cell)Mary Reich: 920-650-7081 (cell)