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scott@vtx-cpd.com

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  • scott@vtx-cpd.com
    Keymaster
    09:42 10/07/20

    Hello.

    I agree, the lack of liver enzyme increase is a bit weird. There may have been an initial increase, but if not lots of ongoing inflammation and infection then the values maybe decreased.

    Regardless of where the needle came from I am surprised that there was not more of a local peritonitis.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    08:34 07/07/20

    Hello.

    Thank you so much for your question.

    Fine-needle aspiration of the liver should be performed with ultrasound guidance and typically using a 22G to 25G needle. Often less blood contamination is obtained with rapid agitation of the needle without a syringe (“sewing machine technique”) compared with aspiration using a syringe. Several aspirates from different sites should be collected in patients with diffuse disease. The collected sample should be sprayed onto glass slides and thin smears should be made.

    I typically use a 1 1/4″ 23g. I would use the same size for dogs and cats.

    Hope that helps.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    17:52 05/07/20

    Really interesting!

    It is really nice that you have a few units in stock. We probably do not see enough cases to justify having it is stock. The Portuguese Blood Bank is amazing. If we order the feline blood before 4pm one day we have it the next!

    What about in an emergency situation when there was not time for the external crossmatch. Based on this paper would you consider using one of the appropriately typed units even if they do not crossmatch?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    18:19 02/07/20

    Was there a peritonitis associated. I presume the penetrating woud was small so not significant leakage?

    Scott x

    scott@vtx-cpd.com
    Keymaster
    18:17 02/07/20

    The cost does seem to be the issue… It is so much easier though.

    Scott x

    scott@vtx-cpd.com
    Keymaster
    10:26 01/07/20

    It is amazing how these sharp objects can migrate through the GI tract wall. I have seen one penetrate the spleen too before.

    The dog had surgery and actually did really well.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:24 01/07/20

    I think it is about choosing the right cases. I definitely think they have a place in cases where animals have a diagnosis and are already being appropriately treated. I can understand his concerns as there will be cases where it just becomes a way of making them eat.

    The drug I was talking about above is definitely worth looking in to:

    Entyce

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:14 01/07/20

    Indeed. I think it is good to have the option.

    Especially in cases that are hospitalised and need more than maropitant. I think it highlights the really good point regarding stopping vomiting and tacking nausea. They are different and need to be tackled differently.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:09 01/07/20

    Hey.

    Thanks for this. Interesting comments. Does anyone every administer sorbitol in these cases? I have never given it as a separate thing. Is there an animal safe preparation of sorbitol?

    I have always found activated charcoal difficult to calculate the dose and administer (especially the powder). There is a new suspension that does seem easier to administer:

    Carbomate

    Does anyone have experience of using this?

    Scott x

    scott@vtx-cpd.com
    Keymaster
    09:26 30/06/20

    Intracellular bacteria and neutrophils indeed! Thanks for the comments about the glucose and lactate too!

    The dog has a BBQ skewer through its stomach wall!

    Scott x

    scott@vtx-cpd.com
    Keymaster
    19:03 29/06/20

    I am so pleased she is still with us.

    I definitely think the tylosin would be worth a shot!

    Scott x

    scott@vtx-cpd.com
    Keymaster
    14:45 27/06/20

    How did this case get on? Any improvement?

    Scott x

    scott@vtx-cpd.com
    Keymaster
    14:33 27/06/20

    Hey.

    I really think there would be. Appetite stimulants are always tricky from the point of view of knowing when to use them. On the other hand, nutrition is so important for healing generally.

    I think it may be the little kick start those DKA and pancreatitis cases need!

    I would definitely have a bottle in stock.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:32 24/06/20

    Hello.

    It does seem to be amazing stuff. The most useful time seems to be in the early inflammatory period to kill bacterial contaminants. It seems that if a would is ‘too wet’ or it has started granulating it becomes less useful.

    The following is a free article regarding the use of Italian Honey in veterinary medicine:

    https://pubmed.ncbi.nlm.nih.gov/27504886/

    Hope that helps.

    Scott x

    scott@vtx-cpd.com
    Keymaster
    11:00 21/06/20

    Here is the link to the paper:

    https://pubmed.ncbi.nlm.nih.gov/32255828/

    Scott 🙂

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