scott@vtx-cpd.com
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Replying to Rachel G. 01/03/2022 - 11:58
Rachel.
Thank you for your kind words about the first lesson. Hope you enjoy the rest! GI disease is the easy part really… it is juggling the kids that I find most challenging!
Really pleased to have you on the course.
Scott 🙂
Replying to Rachel F. 01/03/2022 - 11:46
Rachel!!!!
I just realised who it was. We qualified from Edinburgh at the same time!
I really hope you are safe and well. So glad you are on the course.
Scott 🙂
Replying to Maedhbhina M. 28/02/2022 - 20:55
Hello Mae.
How interesting. Have you always had a interest in nutrition? What further qualifications have you done?
Very excited to have you on the course.
Scott 🙂
Replying to Andreia M. 28/02/2022 - 19:33
Hello Andreia.
Thank you so much for joining and supporting the course. Belfast is a very cool city… slightly colder than what you are used to?! We have just booked a holiday to Portugal in May… very excited.
I really hope you enjoy the course.
Scott 🙂
Replying to Lesley M. 28/02/2022 - 19:27
Welcome Lesley!
That is some career to date! I can confirm that the dog and cat GI tract is definitely different from that of a horse! I really hope you enjoy the course.
Scott 🙂
Hello.
Hope you are well. Pancreatitis could definitely be a consideration here. I would consider it a possible differential in any lethargic/vomiting/weight loss cat. The bloods sound quite not specific. The biochemistry amylase is not really that helpful. A SNAP fPL might be a good next step, if this was negative then pancreatitis is much less likely.
Generally with weight loss like this in a cat, I would always keep GI disease high up on the list. Remember that many cats with GI disease will not always have loads of vomiting and diarrhoea. Other bloods to consider would be folate and cobalamin.
I would definitely get some imaging on this wee guy, ultrasound would be a great next step.
Let me know what happened next and I will help where I can.
Scott 🙂
Replying to Amy G. 03/03/2022 - 14:16
Hello again.
Georgie sent me the following reply:
”When there is a break in the corneal epithelium, then bacteria can more readily adhere to the underlying stroma, even normal commensals can then lead to infection with associated complications of corneal melting. We would therefore always recommend the use of topical antibiotic until the cornea is fluorescein negative. There is no data about the percentage of cases becoming infected if left untreated, but anecdotally there was an issue a few years ago when a new ocular lubricant became available and the initial marketing led people to believe it removed the need for antibiotic. Ophthalmologists saw a sharp increase in the number of melting corneal ulcers and many more cases that were not receiving topical antibiotics prior to referral. The company involved were contacted and subsequently re-worded their marketing and funded CPD to attempt to raise awareness that their drop alone was not sufficient treatment for corneal ulcers. We would suggest use of a first line broad spectrum antibiotic such as Chloramphenicol in any corneal ulcer, unless cytology suggests there are intracellular rods or bacilli in which case we would be more suspicious of an anaerobe such as Pseudomonas and a drug such as Exocin or Tiacil would be more appropriate.”
Hope that helps.
Scott 🙂
Replying to Ursula Lanigan 01/03/2022 - 16:21
Hello Ursula.
I hope you are safe and well. The data using it topically in animals is obviously lacking but I would use it in the same way as they do in humans by soaking a swab in the injectable form. Some of this will be absorbed, but not all. With topical applications like this I would always calculate the dose I am applying topically, this is obviously more important for drugs like lidocaine.
You can definitely use TXA in cats, it is just less commonly reported. I would still use 10-15mg/kg q8-12 hours.
Do you mean using it in cases of feline cystitis?
Thanks again.
Scott 🙂
Replying to Amy G. 03/03/2022 - 14:16
Hello Amy.
I hope you are safe and well and enjoying the course.
I will pass on your question and get back to you ASAP.
Have a lovely weekend.
Scott 🙂
Replying to Nathalie Cunha 01/03/2022 - 21:11
This is a super interesting case!
I will wait and see if we have any suggestions before throwing my thoughts in the ring!
Scott x
Replying to Lesley M. 28/02/2022 - 19:23
HAHAHA!
Good point! Chronic diarrhoea fills me with dread too!!!
Thanks for the suggestions and I will make sure we cover all of thiS.
Scott 🙂
Replying to Leah H. 27/02/2022 - 19:34
No problem.
Let me know if any issues. I have so much admiration for you being able to fit it all in around working!
Have a lovely week.
Scott 🙂
Replying to Sophie I. 27/01/2022 - 09:30
Hello.
This is the reply from Josep:
”Very good question.
Pulse therapy is suitable as adjunct therapy with another anti-epileptic or as the sole therapy. Pulse therapy is specially indicated in dogs with cluster seizures.
If a client is reluctant to medicate, but does consider pulse therapy, this could be started even before the first seizure occurs, if it can be quite reliable predicted. Alternatively it can be started after the first seizure has occurred and as soon as the dog can safely eat to try to prevent other seizures from occurring. If used as sole therapy and started after the first seizure, it wont have any effect trying to prevent other seizures from occurring after the treatment is discontinued again (it will help while on treatment).”I hope that helps.
Let me know if you have any other questions.
Scott 🙂
Replying to Leah H. 21/02/2022 - 22:13
Hello Leah.
I hope you are safe and well. The access is normally six months from the 1st lesson.
If you are struggling to complete everything then drop me a wee email and we can try and help!
Scott 🙂
Replying to Sophie I. 27/01/2022 - 09:30
Hello Sophie.
I hope you are safe and well. I am so sorry I missed this question.
I have reached out to Josep and will get back to you ASAP.
Scott 🙂
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