This is a difficult topic: anaphylaxis never comes with nice confirmatory histopathology, clinical pathology or advanced imaging. It’s a clinical diagnosis based on pattern recognition (acute onset and rapid remission, usually with prompt and full recovery, are important features). Partly for this reason I believe that it’s probably still widely under-diagnosed. At least, personally-speaking, I … Continue reading
The patient here is a 1 y.o. MN Labrador with a lifelong history of intermittent diarrhoea without specific diagnosis. He had been treated routinely with prophylactic moxidectin. Presenting complaint on this occasion was acute onset vomiting, diarrhoea, lethargy and ‘red eyes’ within 48 hrs of changing from chicken-based diet to lamb-based. On physical examination he … Continue reading
This idea came to us via the excellent: J Vet Med. 2013; 2013: 217314.Sternal Aspiration of Bone Marrow in Dogs: A Practical Approach for Canine Leishmaniasis Diagnosis and MonitoringRosa Paparcone, 1 Eleonora Fiorentino, 2 Silvia Cappiello, 1 Manuela Gizzarelli, 1 Luigi Gradoni, 2 Gaetano Oliva, 1 , * and Valentina Foglia Manzillo 1 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590857/ Their … Continue reading
*Note on nomenclature: torasemide is effectively the WHO official name; torsemide the US name. In human CHF management we have a good, bang-up-to-date meta-analysis comparing furosemide with torasemide: Am J Cardiol. 2020 Jan 1;125(1):92-99Meta-Analysis Comparing Torsemide Versus Furosemide in Patients With Heart Failure.Abraham B1, Megaly M2, Sous M3, Fransawyalkomos M4, Saad M5, Fraser R2, Topf … Continue reading
I am starting to think that examination of the neck might be a useful part of the routine sonographic examination for cats and dogs: especially in complex cases. In addition to those with sepsis, foreign bodies, thyroid disease, lymphadenopathy or salivary gland changes, patients with impaired oesophageal function are sometimes picked up. Some animals with … Continue reading
There’s a nice JSAP paper by Livia Benigni from a few years back which revealed the variability in distribution of pulmonary oedema in the lungs of cats with congestive heart failure. J Small Anim Pract. 2009 Jan;50(1):9-14. doi: 10.1111/j.1748-5827.2008.00655.x. Epub 2008 Aug 13.Radiographic appearance of cardiogenic pulmonary oedema in 23 cats.Benigni L1, Morgan N, … Continue reading
I think this may be an under-appreciated phenomenon. Since, this article appeared: Biomed Res Int. 2016;2016:4727054Prevalence and Prognosis of Anemia in Dogs with Degenerative Mitral Valve Disease.Yu IB1, Huang HP1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5093253/ I’ve been more switched on to the fact that a proportion of our ‘routine’ mitral valve disease patients indeed are mildly anaemic and without … Continue reading
In recent years I’ve seen a series of cats with a striking syndrome of acute, severe diarrhoea of unknown cause. The more I see of these; the more I’m suspicious it’s a disease entity which isn’t fully described in the published literature. The three recent cases described below are typical representatives of the phenomenon. All … Continue reading
Just a snippet of information -but something I’ve always struggled to find published confirmation of in the past: that both cats and dogs with portosystemic shunts may have normal range pre- and post-prandial bile acids. I note that in the recent JVIM paper: J Vet Intern Med. 2019 Nov 19. doi: 10.1111/jvim.15649. [Epub ahead … Continue reading
This is an interesting snippet of recently-published information from Utrecht which I hadn’t seen until today: https://dspace.library.uu.nl/handle/1874/362993 ‘Postligation seizure syndrome (PLS) is described in 5-18% of the dogs postoperative to ligating the extrahepatic shunt and is mostly seen within 72 hours after surgery(1). Scientific literature claims a preventative effect of a preoperative treatment with levetiracetam, … Continue reading
