scott@vtx-cpd.com
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Replying to Anna D. 21/09/2021 - 13:35
Welcome Anna!
Remember the material is available for 6 months, so you should have lots of time to catch up.
Lovely to have you on board!
Scott π
Hello.
Lesley, would you mind giving us an update on this case?
The liver certainly appears very abnormal. This could indicate neoplasia, but could still just be non neoplastic reactivate change. In an ideal world, I would take FNA’s if possible. FNA’s of the liver are not perfect and will not be diagnostic in many cases, but might be diagnostic in some neoplastic cases. In some cases the only way to make a definitive diagnosis is going to be a biopsy.
In cases where biopsy is not an option and I was to pick a regime of supportive care I would consider a combination of a product that contains sAME (Denamarin) and ursodeoxycholic acid (Destolit). Antibiotics are often not that useful in these cases. If all else fails then I do not disagree with good old steroids!
Hope that helps.
Scott π
Replying to deirdre coleman 19/09/2021 - 19:52
Really interesting.
Not something I have ever done!
Scott π
Replying to Emma A. 15/09/2021 - 12:24
Hello.
If you email me the PDF I will try and share it in another way.
Scott π
Replying to austeja Zykute 15/09/2021 - 12:34
Hello.
I hope you are safe and well. We get it through a company called BOVA:
Let me know how you get on.
Scott π
Replying to Stephanie C. 13/09/2021 - 21:12
It really is a wonder drug!
It has significantly decreased the number of feeding tubes that we place!
We get it from this supplier:
Scott π
Replying to Emma F. 13/09/2021 - 22:02
Hey.
I will drop you an email.
Scott π
Replying to Jacquin M. 14/09/2021 - 08:42
Thank you so much for this lovely feedback.
It always a great session.
Mairi is amazing. Thank you for your contribution too.
Scott π
Replying to Gail S. 13/09/2021 - 19:47
Hello.
Thanks for flagging. I will drop you an email now.
Scott π
Replying to Stephanie C. 13/09/2021 - 13:57
Hey.
Will drop you an email now.
Scott:)
Replying to Emma A. 10/09/2021 - 11:39
Thank you for your bravery Emma! I look forward to hearing what others think.
Scott π
Replying to Emma Holt 10/09/2021 - 13:28
This is an interesting case Emma!
I think you were the one that shared this paper with me at the time!Scott π
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 π
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 βlet time pass then retestβ. How much time? Iβm 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 weekβs topic?
Of course! Ask away!
Scott π
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 π
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