scott@vtx-cpd.com
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Replying to Liz Bode 17/09/2023 - 20:44
Really interesting.
Thank you for sharing.
Scott
Replying to Steph Sorrell 18/09/2023 - 11:28
I agree!
I would retrieve endoscopically when possible. There was another earlier study looking at this:
https://pubmed.ncbi.nlm.nih.gov/25029309/
Scott
Replying to Idris Vandekinderen 17/09/2023 - 21:20
Hello Idris.
I hope you are well. Thank you for your comments.
I agree… I would not rest either! I must admit I would retrieve them by endoscopy if possible. There is another review article looking at this:
https://pubmed.ncbi.nlm.nih.gov/25029309/
Do you ever use endoscopy to retrieve foreign bodies?
Scott
Replying to Lesley m. 15/09/2023 - 00:14
Hey Lesley.
You make some great points. I would worry and would remove when possible. There are a number of these sharp foreign bodies migrating in quite concerning ways:
https://pubmed.ncbi.nlm.nih.gov/35083753/
https://pubmed.ncbi.nlm.nih.gov/15266859/I LOVED that you brought up the asparagus! I tried to find an actual reference for this, but could not find one. Where did you see this mentioned?
Scott
Replying to Laura Jones 18/09/2023 - 07:56
Laura!!!!
We are so excited that you are running this brilliant course!
I am very excited to medicine geek out with you for the next few weeks!
Scott
Hello Lynne.
Lovely to have you here! The thought of lambing and calving fills me with dread! I really hope you enjoy the course.
Let us know if you have any questions.
Scott
Here is the radiographic report:
R lateral abdomen, DV thorax, oblique thorax and R and L lateral thorax radiographs available to review as JPEG images
Skeleton:
There are no skeletal abnormalitiesThorax:
There is a an alveolar pattern with air bronchograms affecting predominently the right middle lung lobe. The other lung lobes are unremarkable.
The cardiac silhouette is within normal limits. There are no abnormalities in the cranial mediastinum, the oesophagus is mildly dilated with air on the left lateral view. The diaphragmatic line is clear on the right lateral view but obscured on the left lateral view.Abdomen:
There is moderate ingesta and a small structure of bone opacity in the stomach. There is mild gas in the colon as expected. The remaining abdominal organs are unremarkableDDx aspiration pneumonia, bronchopneumonia, haemorrhage, less likely oedema, torsion or neoplastic infiltrate
Replying to Claire G. 17/09/2023 - 17:26
Claire!
You are spot on! Great observations. Interestingly, when this case was referred to me there was a concern about a possible defect in the diaphragm. I think that confusion came due to the opacity in the ling field.
Air bronchograms indeed! I will pop the full report below.
Any thought on next steps?
Scott
Really interesting Liz!
Is this drug currently available in the UK? As far as I am aware, we do not use it in any other clinical settings in small animal, is that correct?
Scott x
Replying to Sybil Dryburgh 16/09/2023 - 20:13
Interesting, they might just be painful?
Did you go down the gabapentin road?
Scott
Replying to Sarah Keir 17/09/2023 - 07:33
I agree Sarah.
It has to be driven by a balance of risk and what the owners are wanting. I must admit I am much more proactive regarding sharp FB’s due to the reports of penetration risk.
Scott
Replying to Sarah Keir 17/09/2023 - 07:42
MILA do a kit for this purpose too:
https://www.milainternational.com/fecal-management-system.html
I promise I am not sponsored by them, I just like what they do!
Scott
Replying to Sarah Keir 17/09/2023 - 07:42
I think when they work, they work really well!
I have had a couple of cases where the faecal material was still a bit thick, wither that or my collection tubes were too small!
Scott
Replying to Sarah Keir 17/09/2023 - 07:49
Hey Sarah.
Yes, I had the same concerns and will often use an IV catheter for the actual unblocking.
Colleagues that use them are really happy with the results and feel they work well for both purposes.
Would be interested to hear if anyone has experience using them.
Scott
Replying to Sarah Keir 17/09/2023 - 07:55
Really interesting Sarah.
Thanks for sharing.
Scott
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