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scott@vtx-cpd.com

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Viewing 15 posts - 1,576 through 1,590 (of 2,333 total)
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  • scott@vtx-cpd.com
    Keymaster

    Replying to Amy E. 05/09/2022 - 21:32

    Hello Amy.

    Thank you for joining the course. Teaching the students sounds fun, that was always one of my favourite parts of working in universities. If there are any cases you would like to discuss, make sure to pop them on the forum.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Hannah McAuley 05/09/2022 - 16:48

    Hello Hannah.

    Thank you so much for joining us. I hope the course is helpful! Just so you know children are very welcome at the live Q&A’s! The veterinary world is definitely different post babies and COVID (I speak from experience), so I really hope we can help support.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Nicholas K. 05/09/2022 - 15:03

    Hello Nick!

    Hopefully the course will help you navigate your first few months in practice. I know it can be stressful, but it is also a really exciting time in your career, try and have as much fun as possible too.

    Please let me know if you have any questions or any cases that you would like to discuss.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Kathryn B. 05/09/2022 - 14:43

    Hello Kathryn.

    Thank you so much for joining the course. I had my first job in the North East. PDSA in Gateshead… it is still the favourite job of my career!

    I hope the course helps with your confidence. Please let me know if you have any questions at any time.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Mariska H. 05/09/2022 - 10:26

    Hello Mariska!

    Thank you so much for joining the course all the way from Tasmania! Please let me know if you have any questions at any time!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Georgina F. 05/09/2022 - 14:07

    Georgie!

    Thank you so much for being part of the vtx crew for this course! Such an honour to have you work for us!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Ursula Lanigan 27/08/2022 - 10:54

    Hey.

    Great questions. I am not sue we know exactly which antibiotic is best. I would try and use an antibiotic with as narrow as spectrum as possible. To be honest amox/clav or metronidazole would be fine. I would try and give these antibiotics orally if possible in these cases. I would only use IV if they had significantly altered conciousness.

    There are some other options. The goal of oral antibiotic treatments is to reduce the mass of ammonia-producing bacteria in the colon. Neomycin, an aminoglycoside antibiotic, alters the composition of the bacterial flora in the colon, thus decreasing the number of ammonia-producing bacteria. Neomycin (20 mg/kg PO q12h) should be considered in patients intolerant of lactulose. Neomycin can also be administered via a retention enema (15 mg/kg diluted in water q6h after cleansing enema). Neomycin, although poorly absorbed from the intestines when given orally, is highly nephrotoxic and should never be given parenterally.

    Studies on the use of oral metronidazole in treatment of HE are limited in human medicine and lacking in veterinary medicine. Metronidazole undergoes extensive hepatic metabolism; therefore, the dose must be reduced in patients with HE (7.5 mg/kg PO q8-12h) to avoid toxic effects. Advantages of using metronidazole over lactulose or neomycin include decreased risk of diarrhea and nephrotoxicity. Maintenance therapy at high doses has been associated with a central vestibular syndrome characterized by ataxia and nystagmus.

    I hope that helps.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Ursula Lanigan 27/08/2022 - 08:47

    Hello!

    It was indeed PFK!!! This is the report from the genetic testing in the dog:

    PFKD/ PFKD (Genetically Affected)

    Interpretation:

    The examined animal is homozygous for the causative mutation for PFKD in the PFKM-gene.
    Trait of inheritance: autosomal-recessive
    Scientific studies found correlation between the mutation and symptoms of the disease in the following breeds: American Cocker Spaniel, English Springer Spaniel, Whippet

    Cool right!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Hello!

    Just a wee welcome from me too! My name is Scott and I am one of the founders of vtx and a specialist in small animal internal medicine.

    I am not directly involved with the course delivery, we leave that to the incredible Helen!

    Thank you so much for chosing vtx and I really hope you enjoy the course!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Ursula Lanigan 27/08/2022 - 08:47

    Hello!

    These are all brilliant questions and all things I would evaluate!

    Bleeding or IMHA would definitely immediately pop to the top of my DDX list. There were no spherocytes present, slide agglutination was negative and Coombs was also negative. POCUS was performed chest and abdomen and no free fluid was seen… always a good shout! No melena was reported in this case, but I always do a rectal as owners will not always notice this!

    These were all really important parts of the investigation here… good work!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Lacey Pitcher 30/08/2022 - 08:28

    Hello my lovely friend!

    We are so lucky to have you as part of the course!

    Have a great week.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Charlotte Anne Jarman 29/08/2022 - 09:01

    Hello Charlotte!

    Welcome. I am so glad you enjoyed the first lesson.

    Let me know if you have any questions at anytime!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Amy Arbuthnott 28/08/2022 - 11:20

    Great team at Edinburgh!

    So glad you are enjoying the course.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Hello.

    Hope you are well. I agree with Emma! I would go with the HA too in growing animals!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Gergana G. 18/08/2022 - 21:34

    Hello.

    Hope you are well. I think speed wise it is OK to use a normal centrifuge but you need a special attachment to allow the micro haematocrit tubes to fit in.

    Hope that helps.

    Scott 🙂

Viewing 15 posts - 1,576 through 1,590 (of 2,333 total)