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scott@vtx-cpd.com

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  • scott@vtx-cpd.com
    Keymaster
    20:24 22/08/20

    Yes! I had all the question marks too!!!

    So… there is definately something abnormal in the stomach. The DV really allows us to see that it is definatley still in there. So… I did decide to scope this dog. There was lots of thick mucus in stomach with likley food material in it. Definately nothing obstructive and nothing I could remove with the scope.

    I took a radiograph post endoscopy and the same opacity was there… what might be the other reason for this radiographic abnormaity?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    13:17 21/08/20

    Thanks for the update!

    I do think some dogs just do this after castrayion, it would be good to hear others experience.

    Do you think you will do further investigations? If not, it may be good to consider tranexamic acid before future surgery?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    21:54 20/08/20

    My relpy…

    “Hope the wee guy is doing better.

    This could definitely be one of this situations where this could be something or nothing. I have definitely seen dogs that have bleeding and bruising like this post castration and there is no real explanation for this.

    In order to fully assess primary coagulation I would make sure to run a platelet count (manual) and consider a BMBT. A BMBT would be an easy way to asses for a thrombocytopathia. Can be tricky though in a conscious dog!

    If PT and aPTT are normal then you could also consider D-dimers and fibrinogen.

    The way to really assess coagulation in the best way would be to do TEG! That may give you the ultimate peace of mind!”

    What do you all think?

    Scott x

    scott@vtx-cpd.com
    Keymaster
    21:38 20/08/20

    Yes.

    I did say that. I just watched it back. Sorry the quality was not up to standard.

    Let me know if you have any other questins.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    20:58 20/08/20

    Sooo…

    This is a very interesting point… I love this trick. When I first graduaed I remeber my mentor saying to me that I should mix 0.5ml of ketamine and 0.5ml of diazepam in a 1ml syringe and give to effect!… and I never looked back! Does work really well.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:15 19/08/20

    This is really helpful Gemma.

    Thank you!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    19:15 18/08/20

    Really good point.

    The numbers in the dog studies are so much better.

    It definately highlights the need for owner discussion prior to surgery.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    11:54 18/08/20

    Hello.

    Thank you so much for the questions. I am glad you are enjoying the course.

    The cat question is a good one! There is a very recent paper looking at that exact question:

    https://pubmed.ncbi.nlm.nih.gov/32691934/

    This would suggest that it is not necessary as a pre-treatment. I would consider using levetiracetam to manage any post attenuation neurological signs if they develop.

    It is a really good point regarding the omeprazole. Overall, these cases seem to tolerate the omeprazole at the standard doses, so I would use at 1mg/kg BID.

    Hope that helps.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    13:55 11/08/20

    This is really interesting Simon!

    I think Andy’s question about intralipid is a really good one… I might indeed be a consideration in these cases.

    Why have the human medics moved away from gastric lavage? Is there evidence to support worse outcomes? I wonder if the outcomes are worse in these cases because they have the more severe toxins to begin with?

    It is always a worry inducing emesis in the cases that are neurological or likely to become neurological. If they are obviously neurological on presentation when I would not induce emesis. If they are clinically normal on presentation I often will.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    08:13 08/08/20

    I feel your pain! Hope things settle down a bit! 🙂

    scott@vtx-cpd.com
    Keymaster
    22:06 04/08/20

    Thank you Gemma.

    This is really useful. Thank you so much for this.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    21:49 04/08/20

    Andy…

    I think this actually raises a really good point. Is an epidural something a nurse can do?!

    I dont know the answer?!

    Anyone?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    21:47 04/08/20

    Hey Charlotte.

    Hope that sounds OK. If your clinics are anything like mine at the moment, I understand why you are a bit behind!

    The discussion forum will be live till then, so feel free to keep asking questions.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    23:18 03/08/20

    Thanks again for all of this discussion.

    I think this is why it so interesting/important to look what is actually included in the products we have on the shelve!

    I had a question for our friends at Protexin. Why have you included SAMe over DL-methionine in Denamarin?

    Loving asking the questions for a change! 🙂

    scott@vtx-cpd.com
    Keymaster
    19:16 02/08/20

    Sure.

    Do you worry about toxicity?

    Scott 🙂

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