scott@vtx-cpd.com
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Replying to Kathryn B. 03/07/2023 - 16:04
Hey.
I have probably confused things a little by sharing the later blood results from day 23! The one thing we can be confident of is that the blood glucose was persistently high. The dog was diabetic… feel like that is not too much of a give away! 🙂
The main intervention between the 2 time points was insulin therapy was started.
There were some more investigations along the way too…
Scott 🙂
Replying to Kerry Doolin 25/06/2023 - 05:08
Well hello Kerry!
Amazing to have you join us. You obviously have to share a picture of the Pug now. These wee dogs have a funny way of making it into our lives! I don’t know if you remember we rescued one a wee while back too!
Scott 🙂
Replying to Talia C. 27/06/2023 - 19:07
Talia!
Brilliant to see you. You have had quite the career! How cool to have worked in so many incredible places.
I hope you enjoy the course and we can help a bit with the tricky anaemia cases.
Thank you again for supporting vtx.
Scott 🙂
Replying to Helen S. 19/06/2023 - 21:58
Thank Helen.
Honestly, I loved this!
I would live to hear peoples thoughts on this one!
I hope you are all having a lovely week.
Scott 🙂
Replying to Carolyn C. 20/06/2023 - 04:49
Carolyn!!!
Lovely to hear from you and thank you for joining us all the way from Sydney!
We are having lots of sunshine at the moment, but I am sure it is not at the level you are used to!
I hope you enjoy the course. Please let me know if you have any questions at any time.
Scott 🙂
Replying to Lindsay R. 14/06/2023 - 22:20
Hello Lindsay.
Sorry abaout that! I will ask Andy to look at this now!
I hope you are enjoying the course.
Scott 🙂
Replying to Nadia C. 14/06/2023 - 23:11
Hello Nadia!
Lovely to have you here. Thank you so much for learning with us.
I really hope you enjoy the course! I am really looking forward to the coagulation too!
Thanks again.
Scott 🙂
Replying to Anya W. 15/06/2023 - 07:11
Sounds exciting!
I am happy to help in amy way I can. I would obviously say that a medicine residency is the best option! 🙂
Scott
Replying to Francesca Lamb 11/06/2023 - 19:17
Hello again.
Yes, the recording will be avaiable to watch back.
Let me know if you have any questions you would like me to ask.
Scott 🙂
Replying to Francesca Lamb 11/06/2023 - 17:35
Thank you so much, Fran!
Brilliant effort. I will let others comment before I share some more information!
Thank you again for being brave and the first one to comment.
Hope you are enjoying the sun.
Scott 🙂
These questions might help!
•Is thoracic volume normal, reduced or increased?
•Is lung volume normal, increased or decreased?
•Is there an alteration in intra- or extra- thoracic opacity (increase or decrease)?
•If so, where is it located?
•Are thoracic boundaries and skeletal structures normal?
•Are lung margins displaced medially by fluid or gas or laterally by soft tissue?
•Are interlobar fissures visible?
•Are small pulmonary vessels visible in the periphery?
•Is the mediastinum displaced, increased in width or altered in opacity?
•Is the tracheal lumen clearly visible, in normal location and of normal diameter?
•Is the oesophagus visible?
•Are any other normally “invisible” structures visualised?
•Is the cardiac silhouette fully delineated and of normal size, shape and location?
•Is pulmonary vasculature visible and of normal diameter?
•Are the lungs of normal opacity?
•If there is an alteration in lung opacity: What is the appearance and distribution?
•Are mainstem bronchi traceable, of normal width & in normal location?
•Are smaller bronchial walls visible peripherally?Scott 🙂
Hey Tessa!
Keep asking questions. This is a great question!
So, ranitidine is a funny one. Despite its poor gastric acid modifying effect, some beaople use it due to the possible pro-kinetic effect.
There is a agood RCVS review atricle on this:
file:///C:/Users/skilpatrick/OneDrive%20-%20IDEXX/Downloads/357-Article%20Text-4095-3738-10-20210212.pdf
“The vast majority of the evidence investigating ranitidine as a prokinetic has been carried out in experimental
settings both in vivo with healthy conscious and anaesthetised dogs and in vitro. Under these circumstances
ranitidine has shown some prokinetic properties. However, it is difficult to translate these results into reliable
clinical recommendations, as the doses mentioned in these studies are often higher than the ones clinically
recommended and healthy canine patients might respond differently to clinically affected onesConclusion
Although in experimental settings ranitidine has shown some prokinetic activities, no reliable clinical
recommendations can be drawn from the appraised studies. There is a need of prospective clinical trials
evaluating the administration of ranitidine to dogs presenting with GI hypomotility. Until further relevant
studies become available, the efficacy of ranitidine administration as a prokinetic agent in dogs with GI
hypomotility remains uncertain.”Honestly, I have used it for this purpose in the past, but rarely do now.
Hope that helps.
Scott 🙂
Replying to Tessa Verkade 07/06/2023 - 22:48
Hey Tessa.
Great to hear from you. I hope you are safe and well. Great question. I tend to use the doses from the cobalamin review in JVIM:
https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.15638
I think you are right… it is hard to give too much and you will just pee out the rest!
Hope that helps.
Scott 🙂
Replying to Sarah H. 31/05/2023 - 10:45
Thank you, Sarah.
I am so glad you have enjoyed the course… I appreciate the support!
CRP is such a mixed bag! I will contact Fiona and see if I can get a bit more information about their findings!
I agree that CRP never rules anything fully in or fully out! This paper suggests it might be useful:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4895454/
As ever in veterinary medicine… do we really know?
Scott 🙂
Replying to Sybil Dryburgh 05/06/2023 - 14:54
I think I might agree!
There is really nothing as good as insulin… yet!
Scott 🙂
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