scott@vtx-cpd.com

Replying to Jennifer Cartwright 03/03/2023 - 21:40

Yes!

Apart from being cool it does have a urinary theme as the dog had ongoing problems with UTIs. I have popped some information about the case below for everyone:

“This is the radiograph of a dog that had a spinal cord injury and subsequent loss of control of urine voiding… in this case the solution to the problem was pretty cool!

Loss of control over urine voiding is a common complication after spinal cord injury or other disorders of the nervous system, and may be permanent. Often, because of loss of supraspinal regulation, incoordination of detrusor and sphincter contraction develops. This causes a functional obstruction that reduces the ability to void urine and impairs emptying of the bladder by manual expression. Management of overflow incontinence consequent to dyssynergia can be difficult in dogs. Management options include intermittent catheterization, manual expression, and indwelling catheterization, but these are all associated with risk of urinary tract infections.

For many years a “sacral anterior root stimulator” has been available to paraplegic humans which permits bladder emptying on demand through electrical stimulation of the sacral spinal nerves. This type of technique is also available for dogs!

https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.12011#:~:text=This%20study%20suggests%20that%20the,dogs%20without%20difficulty%20at%20home.

Hope that helps.

Scott 🙂

Replying to Rachael Porter 07/03/2023 - 21:07

Hey Rachel.

I worked for the PDSA for three years at the very start of my career. Still my favorite job ever I think. I worked with some amazing people.

I hope you enjoy the course! Thank you so much for joining us.

Scott 🙂

Replying to Siriol B. 07/03/2023 - 13:04

I think this is a great point.

I would for sure avoid doxycycline in cats in these cases. The evidence for doxycycline causing stricture formation is actually relatively sparse in dogs so I would be less worried. But you make a good point, if there were antibiotic alternatives in these cases then I may go for that.

Amoxicillin/clavulanic acid is still a reasonable first-line antibiotic in bronchopneumonia cases.

Hope that helps.

Scott 🙂

Replying to Gisela T. 07/03/2023 - 13:39

Gisela.

Really pleased you have signed up for the course.

I really hope we can aswer all of these questions!

Have a great week.

Scott 🙂

Replying to Vigre B. 07/03/2023 - 11:31

Vigre!

Lovely to hear from you and great to have you on the course!

Let me know if you have any questions at anytime.

Scott 🙂

Replying to Siriol B. 06/03/2023 - 21:56

Siriola!

Thank you so much for joining the course and supporting vtx. We appreciate it!

I would replace the word ‘dinosaur’ with ‘very brilliant and experienced’!

I really hope you enjoy the course.

Scott 🙂

Replying to Ornella R. 06/03/2023 - 21:41

Hello Ornella.

I am really glad that you enjoyed the first lesson. I have popped some thoughts under your questions below:

1-OE tube with incorporated balloon. Do you place it like a normal OE tube? Do we need to to do endoscopy to check that the balloon is at the level of the stricture? If the stricture is at the distal oesophagus would it be OK to use this method and leave the OE tube in that position?

This is a great question. It is placed like a normal oesophageal feeding tube. I would recommend doing an endoscopy to confirm/check placement. I would be a little careful at the very distal oesophagus. I would avoid having the balloon dilating the lower oesophageal sphincter if possible. There is always the risk that this could cause gastro-oesophageal reflux.

2-the x-ray with the dog that had a massive knife in the oesophagus😱 How did it happen? How do you deal with that? Do you remove it through the mouth or the stomach? High risk of perforation there.

Crazy cases indeed! The case I was involved with was all over the news. The knife in this case was removed via gastrotomy. We used the endoscope to assess the degree of mucosal damage. The oesophagus is surprisingly tough!

https://www.bbc.co.uk/news/uk-scotland-glasgow-west-38649586

3-the dog with dysphagia that had fluoroscopy showed a narrowing of the oesophagus at the level of the heart. What was the cause? PRAA?

Yes. This dog had a PRAA. Sady, this dog went for surgery but continued to have some problems with regurgitation.

Hope that helps/

Scott 🙂