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scott@vtx-cpd.com

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  • scott@vtx-cpd.com
    Keymaster
    13:31 10/09/21

    Replying to Jacquin M. 10/09/2021 - 11:57

    Hey.

    I definitely prefer gabapentin in cats and trazadone in dogs.

    Both if really challenging!

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster
    13:17 10/09/21

    Hello!

    I feel your pain. My remaining brain cell is often exhausted! I have popped some thoughts/answers below your questions below:

    1/ Urine samples. I know they are supposed to be from multiple days but how does this work practically? We usually send out clients home with a uripet. Do you ask clients to mix everything in a big container and decant into a sample tube before bringing it in?
    Or just get a bit of urine every day into the pottle?
    Or something else?

    when collecting from multiple days in the AM the main thing I would be looking at would be the USG. I would just get them to bring in a little bit of urine sample in to practice for USG. I would do these as individual samples and not pooled.

    If you are asking owners for a home caught urine sample to measure UPC, that is a bit different. I would ask them to collect from 3 days and pool the samples.

    2/ Sometimes you mention β€˜let time pass then retest’. How much time? I’m guessing it depends on whether the pet is sick or well?

    Totally depends on the pet and how sick. This is mostly applicable to cases of possible Cushing’s disease. If there is any uncertainty overall and there is not a rush for a diagnosis I would re-test in 2-4 weeks. Will depend on case however.

    3/ Are we allowed to ask questions about things we are seeing in practice that have nothing to do with this week’s topic?

    Of course! Ask away!

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster
    08:45 10/09/21

    Replying to Emma A. 09/09/2021 - 20:38

    Hello everyone!

    I love reading about everyone’s backgrounds. What a brilliantly diverse group of people form all over the world. Lots of equine vets too! I think we have lots to learn from each other.

    Emma and Holly, I have dropped you an email regarding the discussion forum. if anyone else if having problems posting a new post, drop me an email (scott@vtx-cpd.com).

    Have a lovely weekend.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster
    10:51 08/09/21

    Hello everyone!

    It is so nice to hear everyone’s backgrounds.

    We want you to get as much as possible out of the course and want this to be a very safe space to ask any questions you like! If you are not comfortable asking questions on the discussion forum, you are always welcome to email me directly.

    Hope you are all having a lovely week.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster
    10:49 08/09/21

    Replying to Holly S. 06/09/2021 - 18:33

    Hey.

    Hope you are well. If you scroll under the first lesson you can access the discussion forum by clicking on the view group tab (image below):

    Lesson-1-a

    You can then add a new topic on this page:

    Lesson-1-b

    Hope that helps.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster
    09:45 08/09/21

    Replying to austeja Zykute 08/09/2021 - 08:16

    Hey.

    We get it from a company called BOVA who do a lot of reformulations. They have lots of great products actually.

    I would drop them and email and see if they can help:

    https://www.bova.co.uk/contact/

    Hope that helps.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster
    16:59 31/08/21

    Replying to austeja Zykute 31/08/2021 - 11:01

    This really interesting Austeja.

    Thank you for sharing. Funnily enough I just recorded a podcast with Dr DeNicola yesterday! He is a really lovely guy.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster
    09:18 28/08/21

    Hey.

    This is really interesting Liz.

    I suppose the question is how much it should prompt us to do something?

    From this study, it would seem that most patients had an underlying disease that would have other clinical signs/findings that would lead us in a certain direction.

    Scott x

    scott@vtx-cpd.com
    Keymaster
    19:34 26/08/21

    Replying to Lucy Morley 25/08/2021 - 17:05

    Hey.

    Great question! The increase in ALP is interesting but not sure how much this can be attributed to liver when there seems to be on-going inflammation in the pancreas. I would definitely be reassured by the ALT not increasing dramatically. The increase in the bilirubin in generally mild. Is it a single bile acids?

    I might be inclined to continue to monitor and make sure that phenobarbitone levels are kept in the reference.

    sAME?

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster
    10:59 21/08/21

    Replying to Emma Holt 21/08/2021 - 10:46

    Emma! This answer would suggest that you are not rubbish at cytology!!!!!

    We did FNA the SC mass and it was consistent with lipoma.

    I will see if there are any takers for the cytology before sharing the next bits!

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster
    19:00 20/08/21

    Replying to Areti Tsioka 19/08/2021 - 14:39

    Thank you so much for the update.

    This is really interesting and a really useful learning case!

    Glad patient is doing well now.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster
    10:02 17/08/21

    Replying to pippa coupe 16/08/2021 - 16:54

    Thank you for your reply Pippa.

    Really helpful. I hope you are safe and well.

    Sx

    scott@vtx-cpd.com
    Keymaster
    10:02 17/08/21

    Replying to pippa coupe 16/08/2021 - 16:54

    Thank you for your reply Pippa.

    Really helpful. I hope you are safe and well.

    Sx

    scott@vtx-cpd.com
    Keymaster
    17:55 11/08/21

    Replying to Ekaterina Stadnik 08/08/2021 - 14:19

    This is a great question.

    The short answer is that these parameters can very, regardless of the type of liver disease. Post prandial bile acids are normally increases in cases of cPSS, but there can be some outliers. This was highlighted in a recent paper:

    https://pubmed.ncbi.nlm.nih.gov/33955592/

    Postprandial SBAs are more sensitive but less specific than resting SBAs for the diagnosis of liver disease. There were dogs in all categories of liver disease with resting SBAs <10 and >90 ΞΌmol/L. Therefore, careful interpretation of both normal and elevated values is required.

    Ammonia can be even more variable. It can absolutely be used as a guide for the diagnosis of cPSS and encephalopathy, but it is not absolute.

    I would be suspicious your cases does have a cPSS… could you mind sharing the results with us?

    We will pop up the recording of the Q&A so you can review the content.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster
    19:08 06/08/21

    Replying to austeja Zykute 26/07/2021 - 16:40

    Hey.

    Just wanted to keep you updated. I have spoken to a number of colleagues and I am still not sure that people are using the higher doses reported in this webinar. I am still waiting to hear back from the presenter of the webinar and I have bought the webinar to watch myself. I will keep you posted on it all.

    Thanks again for the brilliant question.

    Scott πŸ™‚

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