vtx logo

request clinical advice

vtx logo sticky

Ursula Lanigan

Forum Replies Created

Viewing 15 posts - 1 through 15 (of 16 total)
1 2
  • Author
    Posts
  • Ursula Lanigan
    Participant
    22:46 23/06/24

    I typically remove any medications or supplements that contain any kind of flavourings or meat products. However after attending BSAVA there was the suggestion that we do not need to be so strict with our diet trials and so I might consider using it in cases where I felt it was needed. I have moved away from Fortiflora to Vivomixx instead. While more expensive I have had good experience with this product. I also used to feel that all hydrolysed diets were interchangeable and I could mix and match to keep animals interested in them and to allow feeding of both wet and dry, but I believe that is not actually the case and we should stick to one hydrolysed diet at a time?

    Ursula Lanigan
    Participant
    22:40 23/06/24

    I think there is a mild diffuse bronchointerstitial pattern but on the dv radiograph there appears to be a right middle lung lobe consolidation, possibly due to aspiration? . Is there also a persistent thymus on the right lateral radiograph?
    I would suggest CT of the neck, chest and abdomen with bronchoscopy and BAL.

    Ursula Lanigan
    Participant
    22:25 23/06/24

    Could I ask what the preference would be for fluid resuscitation in cats?

    Ursula Lanigan
    Participant
    19:22 28/10/22

    Thanks Liz! Will have to figure out how to change my machine!

    Ursula Lanigan
    Participant
    20:45 09/09/22

    Replying to scott@vtx-cpd.com 06/09/2022 - 13:12

    Thanks Scott! This has been really helpful 🙂

    Ursula Lanigan
    Participant
    22:47 04/09/22

    Replying to scott@vtx-cpd.com 04/09/2022 - 19:34

    This is really helpful thank you!

    Ursula Lanigan
    Participant
    22:45 04/09/22

    Replying to scott@vtx-cpd.com 04/09/2022 - 18:44

    Very interesting! food for thought for my current case.
    If an animal comes in with haemolysis secondary to PFK is there any treatment we can give such as immunosuppressives or is it just supportive care?

    Ursula Lanigan
    Participant
    18:15 29/08/22

    PFK deficiency – did not think of this! I am currently treating a young springer spaniel with very similar symptoms that I was struggling with a diagnosis! Now I at least have something else I can test for and hopefully get an answer!

    Ursula Lanigan
    Participant
    10:54 27/08/22

    Hi Scott
    This is really interesting. Currently we use amoxyclav in the initial stabilisation period and then when we see flare ups if for whatever reason surgery is not an option. I work in an emergency practice so see alot of these dogs come in stuporous or seizuring. We usually give a lactulose enema to these patients along with intravenous co -amoxyclav. Do you think we should stop giving intravenous antibiotics unless a secondary uti was found? And should we be using metronidazole instead of co-amoxyclav if we are to use antibiotics?

    Ursula Lanigan
    Participant
    08:47 27/08/22

    To me it seems we have a moderately severe anemia which is regenerative. Bleeding or IMHA would be my main differentials. Were any spherocytes present? And was a slide agglutination performed? Coombs? and was any imaging performed such as POCUS examinations? Any melena?

    Ursula Lanigan
    Participant
    22:54 06/03/22

    Replying to scott@vtx-cpd.com 04/03/2022 - 11:19

    Hi Scott
    Thank you for the information. Yes we have seen a couple of cases over the years of cats with cystitis and urinary catheters placed that bleed heavily. We have even had a couple who became severely anemic. I was thinking it would be useful in these cases?
    Ursula

    Ursula Lanigan
    Participant
    22:51 06/03/22

    I thought cricopharyngeal achalasia, but I don’t see any gagging? But does have repeated attempts to swallow and regurgitation through the nostrils. Was an oral exam mentioned? have we ruled out a cleft palate also?

    Ursula Lanigan
    Participant
    16:21 01/03/22

    wow, this is really useful. I never thought to use it topically. do we assume use the same as in people – soak cotton wool in injectable format and leave in place ? also never thought to use it in case with FIC bleeding! Anyone know what dose you should use in cats?
    Ursula

    Ursula Lanigan
    Participant
    16:06 01/03/22

    Hi Scott.
    Thank you for the information. Working in an emergency practice, this is very useful. I have yet to read the paper fully but was there a difference between cooked and raw bones when left in situ in the stomach? Usually if we have a dog that is vomiting that has a large bone in the stomach, particularly a cooked bone, we would usually go straight for gastrotomy. Our concerns would be if it was left, would it cause perforation, particularly if cooked. I do not usually go for endoscopy as I would be concerned about the length of anaesthesia if the scope was not successful and also the risk of causing oesophageal damage. No evidence for any of that, just my overly cautious mind!
    Ursula

    Ursula Lanigan
    Participant
    16:00 01/03/22

    wow. what alot to think about. I think the main area I would like to focus on is gastro intestinal disease in cats and also I would like to know more about the microbiome and when faecal transplantation may be useful.
    Ursula

  • Author
    Posts
Viewing 15 posts - 1 through 15 (of 16 total)
1 2