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Sarah Clements

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  • 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?

    Sarah Clements
    Participant
    18:02 29/07/20

    Okay I can’t upload a pic.
    So here goes.

    TP 72 (50-72)
    Alb 39 (26-40)
    Glob 33 (19-46)
    Urea 11 H (1.7-7.4)
    Bil 4.3 (0-16)
    Chol 9 H (2.8-8.3)
    BA 10 (<15)
    ALT 88 H (13-78)
    ALP 125 H (12-83)
    GGT 0 (0.1-9)
    GLDH 47 H (2-6)
    AST 37 (14-53)

    Haematology all normal.
    Owner also brought urine SG 1.034, pro ++, pH 6, rest norm/neg.

    Given the ALT and ALP are so mildly raised and no signs of decreased liver function I guess just crack on a think of some anxiety meds to give this dog!

    Thanks, Sarah

    Sarah Clements
    Participant
    17:33 29/07/20

    Thanks Scott

    I like that you also looked up GLDH on e-clinpath 😉

    I’m not at work today but the dog had bloods and ultrasounds and FNAs in March; believe it had moderate elevations in ALT and ALP at that time; was going to have further investigations but then lockdown happened. Was not put on any meds/supplements.

    Presented to me on Saturday because the owner wants something for her anxiety (this has been an ongoing problem for the dog for a few years). Otherwise clinically well apart from looking like an old warty Yorkie.
    So I thought I better check bloods before thinking what medication I might be able to use for it.

    I am not tech savvy but let me see if I can upload results.

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