Veterinary Clinical Podcasts

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  • Coxofemoral luxation

    Thu, 18 May 2017

    Author: Dominic Barfield

    Duration: 00:26:27

    In this podcast, we talk to Elvin Kulendra, lecturer in orthopaedic surgery here at the RVC about coxofemoral luxation in dogs.  The most common luxation in dogs and the majority are related to trauma. Elvin talks about initial assessment, the major body systems, and gait and neurological function, which radiographs to take and steps on how to perform a closed reduction, which should be successful 50% of the time (higher in cats). Allegedly there are 20 ways to perform an open reduction, though we don’t talk about all of them. Cage rest regardless of reduction technique for at least 4 weeks, lead walking only (no jumping, stairs etc).

     

    A review on coxofemoral luxations: https://www.ncbi.nlm.nih.gov/pubmed/15943127  

     

    If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield or @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

  • Acute vestibular disease

    Fri, 12 May 2017

    Author: Dominic Barfield

    Duration: 00:29:25

    In this podcast, we talk to Joe Fenn, lecturer in veterinary neurology and neurosurgery here at the RVC about presentation and management of acute vestibular disease. There might be a couple of references to wittertainment, though it’s mainly about vestibular disease. Enjoy.

     

    Here are a couple of links if you’d like to read more on vestibular disease:

    https://www.ncbi.nlm.nih.gov/pubmed/22847320

    https://www.ncbi.nlm.nih.gov/pubmed/22847321

     

    If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield or @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

  • Blood pressure in dogs and cats

    Mon, 1 May 2017

    Author: Dominic Barfield

    Duration: 00:33:20

    In this podcast, we talk to Dr Rosanne Jepson, lecturer in internal medicine here at the RVC about blood pressure in dogs and cats.

     

    Hypotension, hypertension and everywhere in between. How, with what, where and why to measure. Are we underestimating, overestimating with different techniques? Cuff size and repeatability of readings. Do your patients have ‘white coat’ hypertension? Tips and tricks, if you are regular user, or it is something that you are wanting to bring in more to your practice. Enjoy the pod.

     

    Here are some links:

    Consensus statement from ACVIM published in 2007, https://goo.gl/bmtxuP though we believe will be updated soon

    IRIS http://www.iris-kidney.com International Renal Interest Society, a great resource.  

     

    If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield or @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

  • Rule of Six

    Fri, 7 Apr 2017

    Author: Dominic Barfield

    Duration: 00:28:02

    In this podcast, we talk to Tom Cardy, staff clinician in neurology and neurosurgery here at the RVC about the ‘Rule of Six’, or the ‘Six Finger Rule’ (which has no bearing on Count Rugen or indeed Inigo Montoya). It is a clever process used to teach clinical reasoning in canine spinal disease, in six steps.

     

    Signalment

    Onset

    Deterioration

    Pain

    Asymmetry

    Neuroanatomical localisation

     

    Here is the link to the paper published in the Veterinary Record in 2015 http://veterinaryrecord.bmj.com/content/early/2015/07/21/vr.102988

     

    Tools and mnemonics that make our day to day life easier are always warmly welcomed!

     

    If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield or @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

  • Continuous Renal Replacement Therapy and Therapeutic Plasma Exchange 36

    Fri, 31 Mar 2017

    Author: Dominic Barfield

    Duration: 00:22:41

    Today we talk to Stefano Cortellini, lecturer in emergency and critical care here at the RVC about the process and indications for Continuous Renal Replacement Therapy (CRRT) and Therapeutic Plasma Exchange (TPE). Further information about this therapy can be found here http://www.rvc.ac.uk/small-animal-referrals/advanced-techniques-and-specialist-procedures/continuous-renal-replacement-therapy

     

    Information on acute kidney injury (AKI) and grading can be found on the website of the International Renal Interest Society (IRiS) here http://www.iris-kidney.com/guidelines/grading.html

     

    The indications for considering treating patients with AKI are; metabolic acidosis, electrolyte imbalance (especially refractory hyperkalaemia), and uraemia. The patients we see, have a potential reversible cause, are often anuric and we can successfully catheterise.  tend to be most affected are those that are anuric. Some toxins can be removed by dialysis when different filters are used. TPE has been used for immune mediated diseases (IMHA, polyradiculoneuritis), and cutaneous and renal glomerular vasculopathy.

     

    If you are in the UK and have a patient that you might think benefit from this therapy, then do not hesitate to contact the RVC http://www.rvc.ac.uk/small-animal-referrals/

     

    Suggested reading.

    Review of CRRT and blood purification http://onlinelibrary.wiley.com/doi/10.1111/vec.12028/abstract

    Single pass lipid dialysis for ivermectin toxicosis http://onlinelibrary.wiley.com/doi/10.1111/vec.12581/abstract

    Therapeutic plasmapheresis in IMHA http://onlinelibrary.wiley.com/doi/10.1111/j.1476-4431.2009.00431.x/abstract  

     

    If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield or @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

  • Bite wounds 35

    Wed, 4 Jan 2017

    Author: Dominic Barfield

    Duration: 00:29:11

    Today we talk to Zoë Halfacree, senior lecturer in soft tissue surgery here at the RVC, about bite wounds and some things to consider in how to approach them, after initial patient assessment and stabilisation.

    ·      Analgesia; full mu opioid based upon pain score

    ·      Antibiotics; broad spectrum, such as potentiated amoxicillin

    ·      Culture where possible

    ·      Diagnostic imaging

    ·      When to explore; preferably within 4-6 hours of presentation

    ·      Lavage techniques; isotonic crystalloid (e.g. compound sodium lactate) using a 25ml syringe and 19-gauge needle. If you attach the fluid bag to an extension set and that to a three-way tap, with the needle and syringe, if makes it a little easier to flush.

    ·      Wet to dry dressing vs placing a drain

     

    Zoë discussed these aspects of bite wound management. Although this is a relatively common problem that we encounter, there is little information in the literature to help guide us on ways to manage these challenging patients.

    Enjoy!

    If you have any comments about this podcast, please get in touch, email dbarfield@rvc.ac.uk; tweet @RoyalVetCollege using #rvcpod; or use the RVC Facebook page. We would greatly appreciate your time to rate us on iTunes and write a review.

  • 34 EPIC

    Thu, 3 Nov 2016

    Author: Dominic Barfield

    Duration: 00:43:40

    In this podcast we talk to one of the principle investigators of the EPIC study, Professor Adrian Boswood. We discuss the findings of the evaluation of pimobendan in dogs with cardiomegaly caused by preclinical mitral valve disease. Why not go to the Journal of Veterinary Internal Medicine’s website, download it and have a read now! http://onlinelibrary.wiley.com/doi/10.1111/jvim.14586/full

     

    It is not often that a single paper has the ability to radically change clinical practice. This epic study has overwhelming evidence that pimobendan administration before the onset of clinical signs in dogs with mitral valve disease (MVD) prolongs the preclinical period by 15 months. The dogs were identified by having a ≥3/6 grade systolic heart murmur, echocardiographic evidence of MVD, and radiographic or echocardiogram evidence of cardiomegaly.

     

    You can also see a video of Professor Boswood discussing this study on youtube https://www.youtube.com/watch?v=wtzr1E3V-gE and an infographic too https://www.youtube.com/watch?v=5qxHMGZ-9aU

     

    It is indeed EPIC.

     

    If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

  • 33 Angiostrongylosis redux

    Mon, 10 Oct 2016

    Author: Dominic Barfield

    Duration: 00:26:04

    To kick start the return of the RVC Clinical podcast we speak to Karen Humm, Lecturer in Emergency and Critical Care here at the RVC.  Karen was last heard here when she spoke to Shailen about this disease in number 23 of the podcast, two years ago now.

     

    As with most of the diseases we treat, prevention if far better than cure. There has been a paper published earlier in the year by groups at Bristol and Swansea University (http://www.ncbi.nlm.nih.gov/pubmed/26830203) that shows the prevalence can change dramatically depending upon your location. What is it like in your area?

     

    If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

  • 32 Radiography and Radiology In Practice: Top Ten Tips

    Sun, 22 Feb 2015

    Author: Shailen Jasani

    Duration: 01:30:26

    Access to plain radiography is very widespread now in veterinary medicine. As with any diagnostic test it is essential to make sure that we use this modality in the best ways possible for our patients, their carers and indeed our personal and professional performance. In this episode I am joined by Andrew Parry who is a European specialist in Veterinary Diagnostic Imaging and a member of the Diagnostic Imaging team at the QMHA. Most of this long episode is spent discussing Andy's top 10 tips for how to get the most value out of plain radiography and radiology but we also talk about advanced imaging modalities that are becoming increasingly available and consider some of the issues surrounding this development.

    To summarise, Andy's top 10 tips were as follows:

    1. The more specific the question that you want to answer is, the more likely the imaging modality will answer it. Imaging used as a screening tool is rarely very useful. Make sure the appropriate imaging has been done. When do we use a retrograde study for example?
    2. Pay attention to patient positioning.
    3. Using an exposure guide in practice can be really useful.
    4. Just because you are using a CR system, you should still be careful about radiographic technique.
    5. When imaging the thorax, a high KV, high mA and low S technique should be used. When imaging the abdomen a low KV, high mA and higher S technique should be used.
    6. With dyspnoiec cats, you can take a DV thoracic radiograph by placing the cassette within the cat carrier and exposing through the open box. Most dyspnoiec cats will lie in a roughly DV position and it’s better than manual restraint.
    7. When imaging the thorax under sedation or anaesthesia, obtain the DV first, before the laterals. Inflate the chest if under GA.
    8. When obtaining limb radiographs, if you are uncertain whether a finding on one limb is truly significant, radiograph the contralateral limb.
    9. The more effort you put into your imaging study, the more likely you are to get a result. It’s all about making it easy for yourself.
    10. When describing a radiograph, describe the obvious things that you see first. That means you wont be constantly distracted by them.

    As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk ; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

    Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

  • 31 Lymphoma in Dogs and Cats

    Sat, 31 Jan 2015

    Author: Shailen Jasani

    Duration: 01:15:48

    Lymphoma (previously often referred to as lymphosarcoma) is one of the most (if not the most?) common types of cancer to affect dogs and cats. In this episode we discuss lymphoma in general terms covering a variety of topics such as what it is, patient presentation, clinical approach to the patient, treatment options and prognosis. For this episode I am joined once again by Chiara Leo, Lecturer in Oncology at the Royal Veterinary College.

    As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk ; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

    Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

    (Image: "Canine lymphoma 1" by Joel Mills - Own work (Wikipedia))