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Liz Bode

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  • Liz Bode
    Keymaster
    16:51 10/11/21

    Replying to Emma Holt 10/11/2021 - 16:45

    Hi Emma,

    Not any more significant than saying ‘this cat most likely has heart disease’. It isn’t haemodynamically significant as it appears on its own and at a rate that is similar to the sinus rate.

    Liz

    Liz Bode
    Keymaster
    14:57 10/11/21

    Replying to Emma Holt 09/11/2021 - 23:02

    Hi Emma,

    Yes, sorry this slipped off the radar but I was thinking yesterday that I hadn’t put up an explanation.

    This ECG shows a heart rate of around 220bpm. It is a sinus rhythm as there is a P wave for every QRS apart from one single, wide and bizarre looking QRS that occurs near the start.

    Liz Bode
    Keymaster
    14:55 10/11/21

    Love these!!

    Liz Bode
    Keymaster
    14:55 10/11/21

    Love these!!

    Liz Bode
    Keymaster
    21:13 25/10/21

    Hi Lesley,

    Sorry I missed this post! Such a sad case.

    I have looked at the radiographs and I can’t see anything obvious in terms of the thorax. The heart is a normal size and shape. The airways look normal. There is mediastinal shift on the DV, but this is likely due to atelectasis from the dog being in lateral recumbency (I would imagine).

    My thoughts on the case:
    Given the forelimb signs and pain, I wonder if she had a cervical disc lesion. This would explain those signs. Also, if it got acutely worse then this could explain the collapse, bradycardia and respiratory arrest as all the nerves controlling these physiological processes arise in the cervical spine?

    Scott may have more to add though 🙂

    Liz

    Liz Bode
    Keymaster
    20:50 04/10/21

    Replying to scott@vtx-cpd.com 14/09/2021 - 10:18

    Hi Scott,
    I’m keen to try this as some of my patients won’t eat until their heart failure is better controlled. Can you use it in both cats and dogs?
    Liz

    Liz Bode
    Keymaster
    19:26 30/09/21

    Replying to Anna Deen 24/09/2021 - 07:28

    Hi both,

    Great answers, it is a tricky one as this could be an MMVD lesion on the posterior valve. The murmur had not been noticed before, CRP was >70 mg/l (very high). I thought that this was most likely an endocarditis lesion – it oscillates separately to the valve and flails into the LA, it is very echodense and organised (almost polypoid). The posterior leaflet is not usually as affected as the anterior leaflet in MMVD, which increased my suspicions more. There was MR associated with it, although the anterior leaflet is also thickened and does display some evidence of MMVD.

    The lameness localised to the carpus, this was tapped and appeared septic. Blood cultures and joint fluid cultures were submitted. CT was performed. Urine cultures also. Then the dog was started on IV antibiotics including potentiated amoxicillin and enrofloxacin. In the literature they say to hospitalise for at least 7 days, but with financial considerations this was not possible. Therefore, she was discharged following normothermia and when she was eating on oral equivalents.

    She is currently doing well and I will re-echo in 4-6 weeks and recheck CRP. If CRP normal then I will stop antibiotics.

    Liz

    Liz Bode
    Keymaster
    17:05 26/09/21

    Replying to Liz Bode 20/09/2021 - 12:11

    Hi all,

    As promised, I have recorded me talking through the interpretation of the radiographs. Please find the link below and let me know if there are any issues with it.

    Radiograph interpretation

    BW

    Liz

    Liz Bode
    Keymaster
    20:24 23/09/21

    Hi Emma,

    That is a cool case (sadly not for the dog, but this is pretty rare I think?). Excellent work 🙂

    Liz

    Liz Bode
    Keymaster
    20:05 23/09/21

    For info (as I didn’t include it before) the paper speed is 50mm/s and sensitivity 20mm/mV

    Liz Bode
    Keymaster
    20:05 23/09/21

    Replying to scott@vtx-cpd.com 23/09/2021 - 11:19

    Hi Scott,

    Yes, just on the right front leg.

    Liz

    Liz Bode
    Keymaster
    12:13 20/09/21

    Replying to scott@vtx-cpd.com 10/09/2021 - 13:31

    Hey,

    I agree with Scott, gaba in cats and trazodone in dogs. It can be really helpful if you want to echo them conscious too as they have no affect on systolic function etc.

    Liz

    Liz Bode
    Keymaster
    12:11 20/09/21

    Replying to scott@vtx-cpd.com 17/09/2021 - 10:58

    Hi all,

    Some really good comments so far. I will try and record a little video explaining the radiographs and place the link on here…This might take me a few days to do but I think this will be more helpful then me writing it here.

    Liz 🙂

    Liz Bode
    Keymaster
    17:32 05/09/21

    Hi everyone,

    Following on from Scott’s post I also wanted to say hello. Scott has worked really hard to curate this course and I think it looks amazing! We really hope you enjoy it and please do remember that you can ask questions/ post cases etc on the forum and we will do out best to help you out. All feedback is welcome on what you enjoyed about the course and other topics you would want us to cover in future.

    We look forward to meeting you at the live Q and A sessions too.

    Liz 🙂

    • This reply was modified 3 years, 8 months ago by Liz Bode.
    Liz Bode
    Keymaster
    08:20 01/09/21

    Replying to scott@vtx-cpd.com 31/08/2021 - 16:59

    I agree, thanks for your input Austeja. I am definitely going to be keeping an eye out for more cases. this dog wasn’t on any other medication, but microloss of blood certainly makes sense.

    Liz

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