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Francois Ravier

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  • Author
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  • Francois Ravier
    Participant
    12:03 08/03/22

    Hi,

    I’m François, I’m a vet and graduated in 2017.
    I initially worked for a charity as a new grad, then OOH for a year before joining a general practice.
    I am focusing on trying to be a good general practictioner for now, but I don’t exclude doing a certificate in the future in one of the area that I am interested in.

    Cheers.

    Francois Ravier
    Participant
    14:35 11/12/21

    Replying to Liz Bode 08/12/2021 - 20:44

    Thank you Liz.

    So it is more another finding on top of his MVD ? And it shouldn’t need any treatment for this RBBB I suppose ?

    Francois Ravier
    Participant
    13:17 07/12/21

    Hi Liz,

    HR 120 bpm
    Irregular rythm
    P:QRS 1:1
    QRS complexes look the same but are large
    Measures, as a CKCS we could expect an MVD so an enlarged LA too, but the P wave amplitude seems to be aprox 0.4 mV which seems normal. For the large QRS, could it be a conduction abnormality ? But they seem Ventricular in origin.

    Cheers.

    Francois Ravier
    Participant
    13:19 04/12/21

    Hi Liz,

    Thanks for the ECG, sorry I am just having a look now.

    About the measures of the complexes :
    The P wave duration seems normal to me.
    The QRS complexes seem to start with the Q, then reach the R (which the amplitude seems normal) and start to go down by just a bit before having this “plateau” and then go down with a negative T wave before it comes back to the baseline.
    So I would say the duration is increased which would be a sign of left ventricular enlargement and/or the ST interval is elevated, which could be hypoxia or artefactual?

    For this extra abnormal complexe at the beginning, it seems to start as a normal P-wave, and seems to happen during it. By the shape of it would it be more a ventricular origin as it looks quite large ?

    Thanks

    Francois Ravier
    Participant
    17:02 16/06/21

    Replying to Francois Ravier 16/06/2021 - 16:59

    the ecg lesson I mean

    Francois Ravier
    Participant
    16:59 16/06/21

    Hello,
    Sorry to be a pain, I suppose it is due to the website update but I don’t see the video of the lesson 7, just in case.
    Cheers.

    Francois Ravier
    Participant
    14:06 08/06/21

    Thank you

    Francois Ravier
    Participant
    11:07 08/06/21

    Hi Liz,

    Sorry, I don’t know if it’s only on my computer, but I don’t have the video on the page of lesson 6.

    Cheers,
    Francois.

    Francois Ravier
    Participant
    20:57 27/05/21

    Hi,

    I think it is not relevant but is the aortic annulus is normal in the LA/Ao ratio view ? I don’t do enough echocardiography but it doesn’t look right to me… But I may be completely wrong.

    Francois Ravier
    Participant
    17:05 26/05/21

    Hi,

    Nathalie’s post seems already very complete.
    About the hypovolaemia I would expect the HR to be increased, but just in case I would perform an ultrasound of abd and chest to rule out any presence of abdominal, pleural and pericardial effusion even in small quantity.

    edit : I think we were writting at the same time and you posted before me Liz haha

    Francois Ravier
    Participant
    17:55 22/05/21

    thank you

    Francois Ravier
    Participant
    17:38 22/05/21

    Hi Liz,

    I’m sorry I’ve not been able to attend the first Q&A session, do you know if it will be available for watching if it has been recorded ?

    Cheers,
    Francois.

    Francois Ravier
    Participant
    14:18 15/05/21

    Hi,

    I’m Francois, I graduated 4 years ago, I work in general practice in Glasgow.
    I started the course as I would like to become more confident and learn more in cardiology and echocardiography.

    Cheers.

    Francois Ravier
    Participant
    13:37 15/05/21

    Thank you, I only heard it once in an old Chihuahua, I had to ask my colleague to double check it to make sure the problem was not coming from me.

    Francois Ravier
    Participant
    15:37 12/05/21

    Hi Liz,

    Thank you for the 2 lessons so far.
    While we are speaking about Gallop sounds.
    Concerning dogs, you mentionned we could here it in MVD and TVD, I suppose we could also hear it in older dogs too if they have a stiffer ventricule linked with DCM. Is there a possibility we could here a physiological gallop sound in dogs ? If there is an important (more than normal) quantity of blood arriving in a “normal” ventricule for example ?

    François.

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