vtx logo

request clinical advice

vtx logo sticky

scott@vtx-cpd.com

Forum Replies Created

Viewing 15 posts - 436 through 450 (of 1,928 total)
  • Author
    Posts
  • scott@vtx-cpd.com
    Keymaster

    Replying to Aaron H. 05/03/2024 - 07:20

    Welcome Aaron.

    So excited to have you here! Thank you so much for sharing the oncology love!

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Sarah Clements 04/03/2024 - 09:44

    Also!

    I think your profile photo might be my favourite of all time!

    Love the inclusion of the baby vet!

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Neus E. 16/02/2024 - 22:09

    Thank you for this.

    Super interesting! Would be great if you could share the topic paper. What did you think was causing the bleed in your thoracotomy case? Did you just instil some tranexamic acid down the chest drain.

    Your comments got me thinking more about tranexamic acid. The love to use TXA a lot more than we do in human medicine. It seems that they also give it before a caesarean procedure (parentally). Is this something we should be considering doing?

    https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10881416/

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Junwei FΓΆhr 19/02/2024 - 20:02

    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!

    The glucose around the time of the episodes was normal. We did run a CK… but I am struggling to find it. It was very mildly elevated.

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

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Junwei FΓΆhr 19/02/2024 - 20:02

    Hey.

    Hope you are well. UA was looked at on a few occasions. The urine was persistently positive for bilirubin (4+), but also intermittently contained large amounts of free haemoglobin (4+, negative sediment).

    Hope that helps.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Talia C. 04/03/2024 - 17:49

    Talia!

    It is so great to see you. I really appreciate your kind words and your ongoing support!

    I really hope you enjoy the course.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Christina L. 04/03/2024 - 08:41

    Hello.

    We also have a separate webinar on this subject, if that is helpful:

    Anaesthesia for rabbits and other small mammals

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Rachel L. 02/03/2024 - 17:11

    I agree Rachel!

    Terrifying indeed!!!! I always wonder how they got that published! ‘Do no harm’ and all that!!!

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    This is a super interesting point of discussion.

    I feel sometimes we move the pulse oximeter around on the patient until we get the answer we ‘like’ the most!

    Am I being unfair?

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Felipe M. 04/03/2024 - 18:47

    Thank you so much for sharing Felipe.

    Really useful information.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Sarah Clements 04/03/2024 - 09:44

    Sarah!

    Lovely to see you here. Thank you so much for your ongoing support.

    Congratulation on the AP status! That is very exciting. I need to make sure I up my game! πŸ™‚

    I really hope you enjoy the course.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Junwei FΓΆhr 01/03/2024 - 20:19

    Hello!

    Really interesting question. I will look forward to hearing Jenny’s thoughts.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Rachel L. 25/02/2024 - 18:42

    Hello Rachel.

    Me again. You have me down a polycythaemia rabbit hole.

    I wanted to share this slightly unusual treatment strategy for polycythemia in a cat. I am absolutely not advocating doing this:

    A novel bone marrow-sparing treatment for primary erythrocytosis in a cat: Onion powder

    Primary erythrocytosis (PE) is a rare myeloproliferative neoplasm in cats resulting in the overproduction of erythrocytes. Current treatment modalities include repeated phlebotomy and chemotherapeutic drugs. These treatments may not be well tolerated by the cat and can present safety and financial challenges to owners. Because of the rarity of PE, prospective studies for new treatment options are difficult to perform. This case report describes the novel use of onion powder in an attempt to produce Heinz body-induced erythrocyte destruction in order to decrease total erythrocyte mass and normalize the hematocrit in a cat with PE. To our knowledge, the use of onion powder in the treatment of PE in cats has never been described before and may have potential as a safe, low-cost, and highly accessible alternative treatment for this rare disease.

    The full paper can be accessed for free:

    https://www.ncbi.nlm.nih.gov/pmc/articles/pmc8295705/

    Thoughts on using toxicity as a therapeutic strategy!? Not for me!

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Hey Felipe!

    Really interesting question. I look forward to hearing peoples thoughts.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Felipe M. 26/02/2024 - 19:30

    Hey Felipe.

    It is s good point. I think there is some data showing some differences with arterial vs. venous overall. As you mentioned, the blood gas stuff would be the main thing.

    https://pubmed.ncbi.nlm.nih.gov/16690335/

    I think consistency is probably key when looking at serial samples.

    Scott πŸ™‚

Viewing 15 posts - 436 through 450 (of 1,928 total)