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Francois Ravier

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Viewing 15 posts - 1 through 15 (of 17 total)
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  • Francois Ravier
    Participant

    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

    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

    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

    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

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

    the ecg lesson I mean

    Francois Ravier
    Participant

    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

    Thank you

    Francois Ravier
    Participant

    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

    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

    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

    thank you

    Francois Ravier
    Participant

    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

    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

    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

    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.

Viewing 15 posts - 1 through 15 (of 17 total)