We now have all parts of the UK covered with your Welsh input! I am ashamed to say I have never visited Wales! A visit has to be one of my post pandemic goals! Whenever I interview someone from Bristol University on the podcast I always bang on about what a cool city Bristol is! I think it must have been a lot of fun to be a student there!
Thanks for your support and for joining us on the course.
So pleased to see you on here! I am glad I did not put you off from the ECC certificate! Hope you are safe and well. I remember you saying that you liked to go to London Vet Show. We have a stand there this year so please come and say hello!
I did some locum work recently at the University of Glasgow Small Animal Hospital which I loved. I currently live in East Ayrshire so always glad to hear from the Scottish contingent!
There seems to be a strong Belfast contingent on this course which I am very happy to see! I really hope you enjoy the course, really happy you are joining us.
Really lovely to hear from you. GI cases do seem to make up a large part of our job. When I completed my case log as part of my residency over 50% of the cases were GI.
Thank you for your kind words about the first lesson. Hope you enjoy the rest! GI disease is the easy part really… it is juggling the kids that I find most challenging!
Thank you so much for joining and supporting the course. Belfast is a very cool city… slightly colder than what you are used to?! We have just booked a holiday to Portugal in May… very excited.
That is some career to date! I can confirm that the dog and cat GI tract is definitely different from that of a horse! I really hope you enjoy the course.
Hope you are well. Pancreatitis could definitely be a consideration here. I would consider it a possible differential in any lethargic/vomiting/weight loss cat. The bloods sound quite not specific. The biochemistry amylase is not really that helpful. A SNAP fPL might be a good next step, if this was negative then pancreatitis is much less likely.
Generally with weight loss like this in a cat, I would always keep GI disease high up on the list. Remember that many cats with GI disease will not always have loads of vomiting and diarrhoea. Other bloods to consider would be folate and cobalamin.
I would definitely get some imaging on this wee guy, ultrasound would be a great next step.
Let me know what happened next and I will help where I can.
”When there is a break in the corneal epithelium, then bacteria can more readily adhere to the underlying stroma, even normal commensals can then lead to infection with associated complications of corneal melting. We would therefore always recommend the use of topical antibiotic until the cornea is fluorescein negative. There is no data about the percentage of cases becoming infected if left untreated, but anecdotally there was an issue a few years ago when a new ocular lubricant became available and the initial marketing led people to believe it removed the need for antibiotic. Ophthalmologists saw a sharp increase in the number of melting corneal ulcers and many more cases that were not receiving topical antibiotics prior to referral. The company involved were contacted and subsequently re-worded their marketing and funded CPD to attempt to raise awareness that their drop alone was not sufficient treatment for corneal ulcers. We would suggest use of a first line broad spectrum antibiotic such as Chloramphenicol in any corneal ulcer, unless cytology suggests there are intracellular rods or bacilli in which case we would be more suspicious of an anaerobe such as Pseudomonas and a drug such as Exocin or Tiacil would be more appropriate.”
I hope you are safe and well. The data using it topically in animals is obviously lacking but I would use it in the same way as they do in humans by soaking a swab in the injectable form. Some of this will be absorbed, but not all. With topical applications like this I would always calculate the dose I am applying topically, this is obviously more important for drugs like lidocaine.
You can definitely use TXA in cats, it is just less commonly reported. I would still use 10-15mg/kg q8-12 hours.
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