scott@vtx-cpd.com

Replying to Nicholas K. 05/09/2022 - 14:59

Hey Nick.

Hope you are well. Thank you so much for your great questions. Regarding Molly/CKD cases. I think it does vary with these cases as far as how often you need to run bloods. The are two main scenarios:

1. Not that often! There is a lot about these patients that will not change. Once they have been diagnosed with CKD, the renal parameters are not suddenly going to dramatically reduce with diet etc. I think I would be generally monitoring these patients every 3-6 months depending on clinical signs. Monitoring with bloods/urine is important as there are changes that can be acted on. If the patient becomes proteinuric, that can be treated. If the patient becomes hyperphosphataemic, that can be treated. If the patient becomes anaemia, that can be treated. Does that make sense?

2. Much more often! If the patient presents more acutely with renal disease, I would monitor bloods more. It is important to remember that patients with acute or acute on chronic renal problems might get better with initial fluid therapy, but they might also never go back to ‘normal’.

Regarding treatment with the PUPD patient while you are investigating. I would warn the owner from the start that the PUPD may be a persistent issue until you get right to the bottom of the problem. I would reassure them many of the DDX are not life threatening. There is no rush to diagnose Cushing’s disease! Most of the more serious issues would become evident more quickly. I would offer symptomatic treatment if needed (maropitant for vomiting/nausea).

Does that answer your question? I hope it helps.

Scott 🙂

• This reply was modified 2 years, 2 months ago by scott@vtx-cpd.com.

Replying to Kelly M. 05/09/2022 - 22:19

Kelly!

Thank you for joining us! I will not ask what the year of graduation was!? 🙂 I feel like I need to go back to vet school almost every day, I think we all feel like we don’t know enough. I really hope you enjoy the course.

Scott 🙂

Replying to Hannah McAuley 05/09/2022 - 16:48

Hello Hannah.

Thank you so much for joining us. I hope the course is helpful! Just so you know children are very welcome at the live Q&A’s! The veterinary world is definitely different post babies and COVID (I speak from experience), so I really hope we can help support.

Scott 🙂

Replying to Kathryn B. 05/09/2022 - 14:43

Hello Kathryn.

Thank you so much for joining the course. I had my first job in the North East. PDSA in Gateshead… it is still the favourite job of my career!

I hope the course helps with your confidence. Please let me know if you have any questions at any time.

Scott 🙂

Replying to Georgina F. 05/09/2022 - 14:07

Georgie!

Thank you so much for being part of the vtx crew for this course! Such an honour to have you work for us!

Scott 🙂

Replying to Ursula Lanigan 27/08/2022 - 08:47

Hello!

It was indeed PFK!!! This is the report from the genetic testing in the dog:

PFKD/ PFKD (Genetically Affected)

Interpretation:

The examined animal is homozygous for the causative mutation for PFKD in the PFKM-gene.
Trait of inheritance: autosomal-recessive
Scientific studies found correlation between the mutation and symptoms of the disease in the following breeds: American Cocker Spaniel, English Springer Spaniel, Whippet

Cool right!

Scott 🙂

Replying to Ursula Lanigan 27/08/2022 - 08:47

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!

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

Scott 🙂

Replying to Charlotte Anne Jarman 29/08/2022 - 09:01

Hello Charlotte!

Welcome. I am so glad you enjoyed the first lesson.

Let me know if you have any questions at anytime!

Scott 🙂