scott@vtx-cpd.com

Replying to Lesley M. 14/02/2023 - 23:02

Hey Lesley.

Thanks for your thoughts. I will give the others a wee bit longer and then I can share what happened next.

The clinical discussions part of the forum section of the website is where we share cases and some other useful stuff!

Clinical Discussions

Scott 🙂

Replying to Kim Choo L. 08/02/2023 - 19:10

Hello Kim.

I hope you are well. Could you share the blood results? If you email them to me I can post them anonymously.

scott@vtx-cpd.com

I think with such a low cobalamin I would be suspicious of significant small intestinal disease/chronic enteropathy.

It would be worth running a basal cortisol to rule out Addison’s. Have you tried a diet trial on this dog? If not it would be worth considering a hydrolysed diet. I would also consider Vivomixx as Jenny mentioned in her lecture.

The cobalamin will need longer if you are supplementing orally (12 weeks in some studies). The other option would be weekly injections. The cobalamin review is really helpful:

https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.15638

The next steps, in this case, maybe endoscopy/biopsies. Steroids may be necessary. I would also consider the abdominal US.

The intermittent nature is not uncommon with some enteropathies. Will depend a bit on how much work the colon is doing with water reabsorption!

Hope that helps.

Scott 🙂

Replying to Alison S. 08/02/2023 - 13:12

Hey Alison.

Let me know if you have any troubles finding the notes!

Scott 🙂

Replying to Cristina M. 14/02/2023 - 00:00

Thank you Cristina!

You beat me to it!

Hope you are having a great week.

Scott 🙂

Replying to Sophie B. 07/02/2023 - 11:49

Sophie!

Lovely to hear from you. We seem to have a growing Aberdeen crew on the course.

I think CRI’s and acid-base fries the brains of the best of us, regardless of the time of day or night!

I really hope you enjoy the course.

Scott 🙂