A case in 4 sentences!
High five to any students able to follow this, if you have anything to add feel free to contribute!

1: 12 year old scottish terrier has a 3 month history of coughing, you examine and find laboured breathing on expiration (dyspnoea), and a grade 3 heart murmur (systolic left apical).

2: Given the lack of systemic signs, no abnormal (adventitious) lung sounds and a heart murmur, top of our list of different diseases (differentials) is compression of bronchus due to atrial enlargement or chronic bronchitis.

3: X-rays show a slight enlargement of the left atrium with lung patterns (bronchointerstitial), a slight enlargement should not induce a cough and although the lung patterns can be consistent with ageing the coughing suggests a chronic bronchitis.

4: Treatment of bronchitis involved elimination of airborne pollutants, cough suppression using an anti-tussives and a bronchodilator inhalers.

A case in 4 sentences! High five to any students able to follow this, if you have anything to add feel free to contribute!

1: 12 year old scottish terrier has a 3 month history of coughing, you examine and find laboured breathing on expiration (dyspnoea), and a grade 3 heart murmur (systolic left apical).

2: Given the lack of systemic signs, no abnormal (adventitious) lung sounds and a heart murmur, top of our list of different diseases (differentials) is compression of bronchus due to atrial enlargement or chronic bronchitis.

3: X-rays show a slight enlargement of the left atrium with lung patterns (bronchointerstitial), a slight enlargement should not induce a cough and although the lung patterns can be consistent with ageing the coughing suggests a chronic bronchitis.

4: Treatment of bronchitis involved elimination of airborne pollutants, cough suppression using an anti-tussives and a bronchodilator inhalers.

Hard at work (Honest!)

I really must get into the habit of writing once again. I have a flood of messages to answer and I’m sorry for not getting round to them.

Hard at work (Honest!)

I really must get into the habit of writing once again. I have a flood of messages to answer and I’m sorry for not getting round to them.

Hello! I hope you haven't given up on your posts and are just busy! I really like your blog, and not only because I'm currently a veterinary student. It's really well built and I think you are a good writer. :) Have a good day. — Asked by rakkune

Very busy! I also need to get into the flow of writing once again. I took some time off to go lambing recently; you forget how much of a roller coaster it is.

Anyway, it’s Monday morning and I’m a little morose so I won’t inflict my mood on an audience that isn’t captive ;-)
Joe

Study Tip
Whilst working, Position yourself so that everyone can see what it is your working on or what is on your screen. It might seem silly but I find it keeps me from procrastinating too much!

Study Tip

Whilst working, Position yourself so that everyone can see what it is your working on or what is on your screen. It might seem silly but I find it keeps me from procrastinating too much!

Nice blog! Which uni are you at? — Asked by yorkshireladinlondonish

Hey! I’m studying at Bristol University in the UK. I clicked on your site but couldn’t see what you are studying. Are you interested in Veterinary?

Joe

Not Eating..? Here’s my thought process! [Part 1]
Prelude: If you’re reading this, your long term memory retention is probably better than mine. It’s likely due to my sparrow like attention span but whatever the reason, it means I simplify things into neat bite-size chunks I like to share with you.
So here’s what is going through my head when you tell me Fidget the dog or cat isn’t eating too well.
Not eating is pretty vague so I need to find something more specific!
We can narrow things down with a good history of the problem from you combined with a thorough physical check over. When do this we aren’t just poking around aimlessly, vets really can feel individual intestinal loops, kidneys, liver, bladder!
As I’m writing this I suddenly I have suddenly realised how long I could talk about the 101 things we are looking for, I will call this part 1 and work my way through over a series of posts instead.
One of the most important questions I would ask is how long this is going on for. Cats (overweight ones in particular) are predisposed to something called hepatic lipidosis so if he hasn’t eaten in 3 days I would certainly intervene and bring him into the hospital to get some nutrition in. Dogs are a little more hardy on this front and I would consider the same within 5 days or so.
In the physical check over I would inspect teeth pretty early on, I’m sure any of you can appreciate how difficult it is to eat with any degree of tooth pain permeating through your head. The age of Fidget is a major indicator to possible problems here. We are looking for anything from retained baby (deciduous) teeth, gingivitis to tooth root abscesses.
Staying in the mouth next up would be gum colour - typically a salmon pink colour on the gums and lips. One of the biggest indicators of the liver not functioning perfectly is a yellowing of the gums (or generally mucous membranes). The colour occurs when a chemical normally removed by the liver (bilirubin - a chemical created when your red blood cells breakdown) builds up in the blood stream.
I will be working my way through my thought process over the next week. I hope next time you goto the vet you will feel a little better informed. Any questions please send a message :-)

Not Eating..? Here’s my thought process! [Part 1]


Prelude: If you’re reading this, your long term memory retention is probably better than mine. It’s likely due to my sparrow like attention span but whatever the reason, it means I simplify things into neat bite-size chunks I like to share with you.

So here’s what is going through my head when you tell me Fidget the dog or cat isn’t eating too well.

  1. Not eating is pretty vague so I need to find something more specific!
  2. We can narrow things down with a good history of the problem from you combined with a thorough physical check over. When do this we aren’t just poking around aimlessly, vets really can feel individual intestinal loops, kidneys, liver, bladder!

As I’m writing this I suddenly I have suddenly realised how long I could talk about the 101 things we are looking for, I will call this part 1 and work my way through over a series of posts instead.

One of the most important questions I would ask is how long this is going on for. Cats (overweight ones in particular) are predisposed to something called hepatic lipidosis so if he hasn’t eaten in 3 days I would certainly intervene and bring him into the hospital to get some nutrition in. Dogs are a little more hardy on this front and I would consider the same within 5 days or so.

In the physical check over I would inspect teeth pretty early on, I’m sure any of you can appreciate how difficult it is to eat with any degree of tooth pain permeating through your head. The age of Fidget is a major indicator to possible problems here. We are looking for anything from retained baby (deciduous) teeth, gingivitis to tooth root abscesses.

Staying in the mouth next up would be gum colour - typically a salmon pink colour on the gums and lips. One of the biggest indicators of the liver not functioning perfectly is a yellowing of the gums (or generally mucous membranes). The colour occurs when a chemical normally removed by the liver (bilirubin - a chemical created when your red blood cells breakdown) builds up in the blood stream.

I will be working my way through my thought process over the next week. I hope next time you goto the vet you will feel a little better informed. Any questions please send a message :-)

Not just a cliché

Not just a cliché

Can the nay-sayers and dooms-day fan boys please leave. The rest of us have a future to build.



Using acid or alkali baths and limestone to show fast and slow twitch muscle fibres.
We were all taught that muscles come in the fast (type 2 glycolytic, quick to fatigue) and slow twitch (type 1 oxidative, slow to fatigue) varieties but I doubt you were ever actually shown this, which is a shame as its damn cool.
Our muscles will release an inorganic phosphate ion when contracting (ATP -> ADP + Pi by myosin ATPase), by soaking the muscle in an alkali bath we can inhibit phosphate production in the slow twitch muscles, by then adding calcium we can form limestone which is mixture of calcium phosphorous and oxygen (CaPO4). That might do the job but to make things even more visible we convert the limestone into cobalt sulphide. The result is the picture above.
The joys of histochemistry! Many students overlook how cool this is, understanding something at a deep enough level makes everything interesting.

Using acid or alkali baths and limestone to show fast and slow twitch muscle fibres.

We were all taught that muscles come in the fast (type 2 glycolytic, quick to fatigue) and slow twitch (type 1 oxidative, slow to fatigue) varieties but I doubt you were ever actually shown this, which is a shame as its damn cool.

Our muscles will release an inorganic phosphate ion when contracting (ATP -> ADP + Pi by myosin ATPase), by soaking the muscle in an alkali bath we can inhibit phosphate production in the slow twitch muscles, by then adding calcium we can form limestone which is mixture of calcium phosphorous and oxygen (CaPO4). That might do the job but to make things even more visible we convert the limestone into cobalt sulphide. The result is the picture above.

The joys of histochemistry! Many students overlook how cool this is, understanding something at a deep enough level makes everything interesting.

On The Moors (with friends)
Joe Barrington -www.VetsTail.com

On The Moors (with friends)

Joe Barrington -www.VetsTail.com

Beware!
For those of you that live in high rise buildings, please try to keep your cats off the outer window ledge!

It isn’t difficult to see the problem, the femur has fractured into about 5 different pieces. The cat recovered followed some major surgery using pins and an external skeletal fixator. Before and after pictures to come

Beware!
For those of you that live in high rise buildings, please try to keep your cats off the outer window ledge!

It isn’t difficult to see the problem, the femur has fractured into about 5 different pieces. The cat recovered followed some major surgery using pins and an external skeletal fixator. Before and after pictures to come

Pemphigus Erythematosus
Perhaps not the prettiest of sites but fortunately for this dog it’s one of the milder forms of autoimmune disease
Antibodies within the animal attack the ‘cement’ that hold the cells together, causing separation of the layers on the nose.
Treatment is relatively simple, we suppress with immune system of the animal with steroids, reducing body’s ability to damage itself.

Pemphigus Erythematosus

Perhaps not the prettiest of sites but fortunately for this dog it’s one of the milder forms of autoimmune disease

Antibodies within the animal attack the ‘cement’ that hold the cells together, causing separation of the layers on the nose.

Treatment is relatively simple, we suppress with immune system of the animal with steroids, reducing body’s ability to damage itself.

Diving, March 2012
www.VetsTail.com

Diving, March 2012

www.VetsTail.com

Argh! Yes yes, you guys are right, propofol is the only milky wonder that can go IV!My mind is focused on horses at the moment and if propofol was licensed in horses at all it would need a syringe like the one above!
Forgive my error!

Argh! Yes yes, you guys are right, propofol is the only milky wonder that can go IV!

My mind is focused on horses at the moment and if propofol was licensed in horses at all it would need a syringe like the one above!

Forgive my error!

Just a reminder!

Just a reminder!