dogs – Page 2 – Vet Practice Support

The significance of bright bits in the pancreas. Ultrasound elastography (USE) in pancreatitis

Ultrasound elastography, or elastosonography, is increasingly available on high-end ultrasound machines;. At the most basic level USE gives an indication of tissue stiffness. This may be either in response to mechanical pressure (strain imaging) or to ultrasound-generated compression (shear wave elastography). Mechanical pressure in strain imaging is exerted externally (manually) or by internal changes due … Continue reading

25/11/2020 roger Internal medicine, ultrasonography, Uncategorized

Cardiac manifestations of anaphylaxis in dogs

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

19/07/2020 roger cardiology, Internal medicine, ultrasonography, Uncategorized

Sternal bone marrow aspirates in dogs: a revelation!

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

30/03/2020 roger Internal medicine, ultrasonography

Asymmetric or unilateral cardiogenic pulmonary oedema in dogs

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

09/03/2020 roger cardiology, Internal medicine, ultrasonography, Uncategorized

Potential association between proton pump inhibitor (PPI) use and pneumonia in dogs

A putative link is reasonably well-documented in people: PLoS One. 2015 Jun 4;10(6):e0128004. doi: 10.1371/journal.pone.0128004. eCollection 2015.Risk of community-acquired pneumonia with outpatient proton-pump inhibitor therapy: a systematic review and meta-analysis.Lambert AA1, Lam JO2, Paik JJ3, Ugarte-Gil C4, Drummond MB1, Crowell TA5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4456166/ ‘Outpatient PPI use is associated with a 1.5-fold increased risk of community-acquired pneumonia, … Continue reading

14/12/2019 roger Uncategorized

More on portosystemic shunts in cats and dogs with normal post-prandial bile acids

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

05/12/2019 roger Internal medicine, ultrasonography

An update on the prophylactic use of peri-operative levetiracetam in dogs undergoing portosystemic shunt attentuation

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

04/12/2019 roger Internal medicine

Lung ultrasound: contusions, interstitial syndrome, A, B, C, E, I and Z-lines explored

I reckon lung ultrasound must be one of the most profound developments in veterinary medicine during my career. The facility to diagnose rapidly, and with high degree of confidence, pneumonia, pulmonary oedema, contusions, pneumothorax and neoplasia is a phenomenal advance. Having arrived in our tool-kit in the last 10 years, this is still an evolving field. In this … Continue reading

02/11/2019 roger cardiology, Internal medicine, ultrasonography, Uncategorized

The case against the use of metronidazole in canine canine diarrhoea gains traction

I’ve been uneasy for a while about the drugs we often use in acute vomiting/diarrhoea dogs. Metronidazole being high on the list. Recent evidence supports the contention that metronidazole isn’t necessary. And that’s not taking into account any possible longer-term adverse effects on gut microbiota. Front. Vet. Sci., 04 June 2019 | https://doi.org/10.3389/fvets.2019.00163 A Randomized … Continue reading

26/10/2019 roger Internal medicine

Sonographic features of Leptospirosis in dogs in the UK

There’s a nice recent article on the subject of ultrasound findings in dogs with lepto: Vet Radiol Ultrasound. 2018 Jan;59(1):98-106. doi: 10.1111/vru.12571. Epub 2017 Nov 1. Prospective evaluation of abdominal ultrasonographic findings in 35 dogs with leptospirosis. Sonet J1, Barthélemy A2, Goy-Thollot I2, Pouzot-Nevoret C2. https://www.ncbi.nlm.nih.gov/pubmed/29094440 by ….but that was in France and, now, … Continue reading

13/10/2019 roger Internal medicine, ultrasonography

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