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scott@vtx-cpd.com

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Viewing 15 posts - 871 through 885 (of 2,367 total)
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  • scott@vtx-cpd.com
    Keymaster

    Replying to Talia C. 12/03/2024 - 08:25

    Hello Talia.

    Thank you for the brilliant questions. I hope you are enjoying the course.

    Regarding the alpha-1-antitrypsin. There are a few papers looking at the use of it in dogs. Most of them are quite old, but I found this more recent one:

    https://pubmed.ncbi.nlm.nih.gov/26631946/

    Honestly, I am just not sure how useful it is in a practical clinical setting. I have never been in a situation where I thought it would be useful. I am not sure that it would change what I did treatment wise? I would be interested to hear other peoples thoughts. Maybe I am not using it right!

    I would consider clopidogrel in cases of protein losing enteropathy, particularly the more severe cases.

    This is a great question regarding ‘atypical hypoadrenocorticism’. The thinking is that these patients have preferential destruction of the adrenal gland and this will progress with time. I would be doing exactly what you are doing and monitor these cases carefully for progression to mineralocorticoid deficiency. The timescale is poorly determined, so difficult to predict.

    Really interesting regarding the helicobacter! Could the strange smell have been digested blood? Would you be able to share the histopathology results from this case? The way they report the helicobacter can sometimes help decide whether to treat or not.

    Thanks again for the great questions.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Lucy Baker 13/03/2024 - 11:23

    Hello Lucy.

    I hope you are well and enjoying the course.

    Thank you for the great questions.

    I will make sure Kerry and Neus see this question and we will get back to you ASAP!

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Helen G. 14/03/2024 - 17:25

    Hello Helen!

    I also qualified from Edinburgh and then worked and lived in Glasgow!

    Thank you so much for joining the course. Please let me know if you have any questions.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Mahmoud M. 06/03/2024 - 08:49

    Any thoughts on next steps?

    scott@vtx-cpd.com
    Keymaster

    Replying to Mahmoud M. 06/03/2024 - 08:49

    Here is the full radiography report:

    Skeleton:
    There are no skeletal abnormalities

    Thorax:
    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 unremarkable

    DDx aspiration pneumonia, bronchopneumonia, haemorrhage, less likely oedema, torsion or neoplastic infiltrate

    scott@vtx-cpd.com
    Keymaster

    Replying to Mahmoud M. 06/03/2024 - 08:49

    Hello Mahmoud.

    I hope you are enjoying the course.

    Thank you for your brilliant comments. The comment regarding the heart/diaphragm were actually the reason the dog was referred. The referring vets were worried about a defect in the diaphragm.

    Haematology was unremarkable. Echocardiography was not carried out.

    I will pop the full radiology report below.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Erin B. 07/03/2024 - 14:03

    Hello Erin!

    Thank you for joining us. I really hope you enjoy the course. Happy to answer any questions or chat about any of your cases at any time!

    Have a lovely weekend.

    Scott πŸ™‚

    scott@vtx-cpd.com
    Keymaster

    Replying to Jo C. 08/03/2024 - 10:59

    Hello Jo!

    Hope you are well and enjoying the course. I will make sure Felipe sees this and look forward to his reply!

    Have a lovely weekend.

    Scott πŸ™‚

    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™‚

Viewing 15 posts - 871 through 885 (of 2,367 total)