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Liz Bode

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  • Liz Bode
    Keymaster
    22:49 26/11/21

    Replying to scott@vtx-cpd.com 26/11/2021 - 15:36

    Hi all,

    The device is the same as the medical one but as it has been validated in dogs, cats abs horses they market it as a veterinary device separately (this is my understanding at least).
    You can buy it for your iPhone and there is a vet/owner specific app for the phone. You can use it without clipping I think and the trace you get is equivalent to lead II and is good for arrhythmias and normal rhythms. It doesn’t replace a Holter or Linq device (3 year microchip ECG) but still def has its place if owners can’t afford these.

    Liz

    Liz Bode
    Keymaster
    07:13 12/11/21

    Replying to Megan B. 11/11/2021 - 22:46

    Hi Megan,

    Thanks for the question. Scott might have more to add but a game changer is using gentle suction (if you have this available) and a mucus trap. You attach the mucus trap directly to the scope and the longer end to suction. Place 1ml/kg saline in a syringe with some air also, inject where you want it to go, coupage the chest as you inject and then as soon as you’ve stopped injecting apply the mucus trap with very gentle suction. Carry on with the coupage until you start to see a bit of foam – which is surfactant. You know you’ve sampled the alveoli then. There is no need to use a catheter with this technique.
    If you don’t have suction then you will have to use a BAL catheter. Do the same with fluid and coupage but you’ll get much less fluid back.
    Once you have fluid ensure it goes directly into a plain and an EDTA pot.
    Hope that’s helpful

    Liz

    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 🙂

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