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Sarah Clements

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  • Sarah Clements
    Participant
    17:35 01/03/21

    Hi all!
    I am a small animal vet working in a fairly large first opinion practice in South Yorkshire. I have been fortunate enough to work in various roles within the same practice to keep things interesting! I have worked here since graduating (2010) except for a brief interlude back home in Scotland in 2018. I am partway through my certAVP in small animal medicine but I am taking it at a leisurely pace!! Look forward to meeting you all during the discussions 🙂

    Sarah

    Sarah Clements
    Participant
    13:06 22/02/21

    I will post once I’m back at work next week! 🙂

    Sarah Clements
    Participant
    19:46 21/02/21

    Hi, yeah I can update on this case. It went for referral but had no further episodes of strange behaviour in the period between presenting and going to referral so no further investigations were done.
    Referral weren’t worried about the BAST results – can’t completely remember their comments!!

    Sarah Clements
    Participant
    20:12 21/12/20

    What can I say! I am preparing for a Christmas DKA ?
    Yeah that makes sense. I think. I just get confused with the dextrose etc.
    So say you’ve been using your neutral insulin and the BG goes below 5.5 and so you stop the insulin and start dextrose – if everything else is stabilising nicely and the animal starts eating, would you wait for the BG to come up again before you start long-acting insulin?
    Thanks Scott!

    P.S. I know I need to get a life!

    Sarah Clements
    Participant
    15:25 07/12/20

    Thanks Scott, you’re a star. I saw her on friday and her starved bile acids were 13 but post-prandial were 69.2 so I’ve sent her off to referral and will eagerly await the report!

    Sarah Clements
    Participant
    19:51 03/12/20

    There’s me trying to be clever, d’oh!

    Is the other tube a chest drain?

    Sarah Clements
    Participant
    17:24 03/12/20

    The labelling of the radiograph gives it away! A PEG tube!

    Sarah Clements
    Participant
    16:20 31/08/20

    Hi Scott, thanks. Unfortunately referral/surgical management is off the table. The cat is currently doing well since the initial thoracocentesis (though it’s only been 2 weeks) and has been on rutin (250mg TID) also. Thoracic radiographs and ultrasound last week showed no evidence of heart disease or neoplasia.
    I guess time will tell!

    Sarah Clements
    Participant
    20:54 23/08/20

    Is the stomach wall calcified? What was this puppies bloods like?

    Sarah Clements
    Participant
    20:52 23/08/20

    Rerun the bloods!

    Sarah Clements
    Participant
    20:50 23/08/20

    Primary polycythemia (polycythemia vera) or secondary polycythemia. Secondary can be due to cardiopulmonary disease such as right-to-left shunt (VSD, tetralogy of fallot etc). Or can be associated with renal hypoxia or renal tumours.

    Got to love google…

    Sarah Clements
    Participant
    19:04 22/08/20

    Is there a pyloric FB? There seems to be poor contrast in the abdomen but I suspect that is just due to age/low body fat.

    Could do a barium study or scope as next step? Or proceed to ex-lap?

    All the question marks….

    Sarah Clements
    Participant
    12:59 22/08/20

    What was the outcome/diagnosis in this case? 🙂

    Sarah Clements
    Participant
    18:07 20/08/20

    I appreciate this is an old thread but I tend to use ketamine/diazepam mixed 1:1 and given to effect and topped up if needed. Can convert to full GA if required but have to say I’ve never needed to! I do love a blocked cat….

    Sarah Clements
    Participant
    18:04 29/07/20

    And yes gonna try and make it tomorrow for sure. Except despite putting a big message on the computer at work saying I need to leave at 7pm I have been booked a PTS at 7.10pm!
    Better late than never though right?

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