vtx logo

request clinical advice

vtx logo sticky

Areti Tsioka

Forum Replies Created

Viewing 15 posts - 16 through 30 (of 47 total)
1 2 3 4
  • Author
    Posts
  • Areti Tsioka
    Participant
    19:45 27/04/21

    Hi Scott, thank you so much for your reply and just on time as i have booked tomorrow the dog for the 1st glucose curve so i will know now what to do!thank you so much, always very helpful and i can work my cases in high standards!

    Areti

    Areti Tsioka
    Participant
    19:05 20/04/21

    Hi Scott,

    Thank you so much for your reply.I have couple of questions if you can help me. Blood glucose was 29.34mmol/l (3.89-7.95mmol/l) so quite high and had glucose +++ in urine as well. Dog is 29.4kg and is on a very low dose of a quarter of a 5mg predisolone tablet twice daily. I started him on caninsulin 15units twice daily and will see him next week for glucose curve. I will leave him on steroids for now and see how he goes then and if not well controlled then i will swap to alternative.

    1)He is on hypoallergenic diet as well due to IBD, do i continue with this diet instead of swap him to one for diabetes control and just feed the same amount daily?

    2)Also dog has very elevated ALP(2000), could this be purely due to DM or should i consider cushings? Or could be due to long term steroids?gGT is 2x upper refference as well, ALT and albumins normal. I was thinking to do a urine cortisol to crea ratio, do you think doing it now or should i stabilise diabetes first?

    3)upc was 1.4, could it be high due to very concentrated urine and glucose in urine or should i consider treat the proteinuria?

    4)and last question 🙂 how do you diagnose DKA if you can’t check bloid gas? He had ketones on urine multistix and i did the urine strip with blood serum as well and positive for ketones. Is this enough though to diagnose ketoacidosis? His electrolytes were normal and hydrated so i sent him home on caninsulin. But is there a way to diagnose DKA other than confirm acidotic state with blood gas?

    Thank you a lot and sorry for long post 🙂

    Areti Tsioka
    Participant
    11:21 17/04/21

    Hi Scott,

    I had a case where i suspected iayrogenic cushings but the owner didnt want to spend money on Acth test and she asked me what is the point to test and why we can’t just taper down the steroids and stop them. What would be the best answer to this question to know for yhe future? And how quickly do you taper down the steroids? This dog was on steroids for chronic bronchitis, could an inhaler would be alright once taper down steroids?

    Areti

    Areti Tsioka
    Participant
    21:07 16/04/21

    Thank you Liz, have a bice weekend too

    Areti Tsioka
    Participant
    20:44 16/04/21

    Hi Scott,

    I usually use just steroids in these cases with success so far as no diphenydramine available where i work ?

    Areti Tsioka
    Participant
    20:42 16/04/21

    Hi Liz,

    Very interesting article, i dont use pimobendan in cats either. What is your “go to” as a treatment in these cats?

    Areti

    Areti Tsioka
    Participant
    09:13 21/03/21

    Hi Scott,

    Thank you very much for your reply!always very helpfull 🙂

    About the last question sorry i meant hypothyroid, but i assume the answer is straight away ? i was between consults when i was writing the questions ?

    Areti

    Areti Tsioka
    Participant
    10:53 17/03/21

    Thank you Liz, very helpful answer, much appreciated!

    Areti

    Areti Tsioka
    Participant
    15:57 16/03/21

    Hi Scott,

    May i ask about cats that normally they fed ad libitum, does this affect the glucose curve when in the clinic for the day and we offer food 3-4 times? Or should we not feed ad libitum when in for glucose curve?

    Areti

    Areti Tsioka
    Participant
    10:40 04/03/21

    Hi Scott,

    Everything is very clear now inside my head, thank you once more for taking the time to answer my questions. Looking forward for next session!
    Areti

    Areti Tsioka
    Participant
    17:27 03/03/21

    Hello everyone, i am Areti, a small animal vet working in West Sussex. I have graduated in 2010 in Greece and moved to UK in 2013 working in different small animal practices. In 2018 i gained the PG certificate in small animal medicine with improve international so my main interest is medicine but i really enjoy ultrasound and in general diagnostic imaging. I am really happy i found vtx cpd as i have learnt a lot from Scott as always explains things in a simple way and answer my thousand questions 🙂

    Areti Tsioka
    Participant
    17:22 21/02/21

    Hi Scott,

    I can seethe cardiomegaly on the lateral view as VD a bÃŽt not straight to judge the mediastinal shift i think. What was the outcome of this case in the end?
    Areti

    Areti Tsioka
    Participant
    17:04 21/02/21

    Hi,

    Do both pre and post need to be above cut off to be suspicious for a liver shunt? Any update on this case?

    Areti Tsioka
    Participant
    12:39 07/01/21

    Great, thank you!! 🙂

    Areti Tsioka
    Participant
    14:06 06/01/21

    Hi Scott,

    Thank you so much for your answers, as always very clear and helpful 🙂
    Only questions i got is, as you mentioned in entire males should treat for possible prostatitis, i assume if owner happy to investigate then could take prostate wash and confirm diagnosis, but if owner not keen for further diagnostics, would it be reasonable to use fluoroquinolones as 1st line if confirm uti in case is prostate related? As amoxicillin not good penetration.
    And also , how many days need a dog to be off antibiotics before you consider collect urine from bladder for culture to be reliable?

    Areti

  • Author
    Posts
Viewing 15 posts - 16 through 30 (of 47 total)
1 2 3 4