Clinical Pearls

June 11, 2025

Clotting Times in Acute Liver Failure

From Ep 184 on the Medicine Feed With Dr Ava Tan We know that when the liver gets sad, it stops making ALL the things we need for effective clotting. So it's no surprise when you run PT/PTT on that acute liver failure patient and see some very worr…

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June 8, 2025

Cushing's Reflex

From Episode 181 on the ECC stream. With Dr Leah Wright. This epic traumatic brain injury recap reminded me to look out for the Cushing’s reflex in patients with bad brain disease. Here’s a recap: The Cushing’s Reflex is a la…

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June 4, 2025

Mitochondria: Our Other 'Patient'

From Ep 180 on the ECC feed. With Dr Laurence St Pierre. The pearls from this one are (for now) fairly academic, but I found it really interesting. Dr St Pierre is a geek for all things mitochondria, and in this chat, we were reintroduced to the mi…

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June 1, 2025

No Such Thing As An 'Old Dog Lung'

From Episode 1281 on the Medicine Stream. With Belinda Hopper You know when you look at lung rads of an old dog, and things look a bit weird, we tend to say: ‘Oh, it’s just an old dog lung.’ Well, here’s the bad news: Radiol…

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May 28, 2025

Patching Popped Lungs

From ep 178 on the ECC feed With Dr Andrew Linklater I don’t know about you, but my enthusiasm for surgery rapidly evaporates when it comes to thoracotomies. I’d rather not. But when faced with a pneumothorax from a ruptured lu…

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May 25, 2025

Two Other Reasons Why an ECC Clinic Might Want to Keep Some Desmopressin on the Shelf

From episode 121 on the ECC stream. With Prof Kate Hopper When we recorded this masterclass on treating patients with sodium abnormalities Prof Kate mentioned that you can use desmopressin to prevent sodium levels from coming up too fast when …

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May 21, 2025

Quick and Easy Osteosarcoma Diagnosis

From a Case on our Specialist Support Space. Someone posted a radiograph of a suspicious looking bone lesion in our support space a few weeks ago to ask our specialists what they thought. Surgeon Dr Mark Newman said it looked like bad new…

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May 11, 2025

Your "Asthma" Cat That Won't Get Better

From episode 181 on the medicine stream. With Dr Belinda Hopper. You know how every once in a while you’ll get an ‘asthma cat’ that just doesn’t respond to treatment? Like Dr Hopper puts it: …”they're…

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May 7, 2025

Hosepipe Hydrotherapy

From Episode 177 on the Surgery Feed. With Dr Jenny Groover. Back in 2024 (remember 2024?!) when I spoke to the great Prof Karen Tobias she referenced a paper that showed that cleaning wounds with tap water can actually yield BETTER results co…

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May 4, 2025

What is a Dog??

From Episode 180 on the Medicine Stream. With nutritionist Romaine Trousset. Sounds like a weird question, right? But it turns out that it’s a relevant one when it comes to the whole ‘feed your dog like a wolf’ conversation. In th…

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April 30, 2025

Some Help with Those Cleft Palate Puppies

From Episode 174 on the Surgery Stream. With Dr Kevin Ng. This is a lovely episode on how to manage and fix cleft palate puppies, but we all know that one of the main stumbling blocks is getting them through those first 4-6 weeks. Many owners …

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April 27, 2025

Are Tracheal Washes Ever Useful?

From Episode 176 on the Medicine Stream. With Prof Lynelle Johnson. I don’t know about you, but I was led to believe that for diagnosing lung disease tracheal washes are kinda useless. Too many contaminants for culture or something along thos…

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April 23, 2025

Reducing Anaesthetic Risk

From Episode 173 on the Surgery Feed. With Dr Kenneth Joubert. Anaesthetist and critical care enthusiast Dr Kenneth Joubert helped me unpack a talk he gave on what we can do to reduce anaesthetic risk. Here are a couple of standout facts that got m…

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April 20, 2025

A Useful Early Warning Test for Kidney Damage

From Episode 172 on the ECC stream. With Dr Tina Wismer. Your patient has eaten a potential nephrotoxin. You want to monitor its kidneys, and ideally you want to know as soon as possible if there’s a problem, right. And by the time the CREA s…

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April 16, 2025

Eosinophilic Lung Disease - It’s a Thing

From Episode 175 on the Medicine stream. With Prof Lynelle Johnson. Confession: I’d heard of the term eosinophilic lung disease, but I thought it was some rare condition that dogs get in other countries where they struggle with lots of l…

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April 13, 2025

Grapes and Dogs - Finally Some Answers!

From Episode 172 on the ECC stream. With Dr Tina Wismer. Making a 30 kg dog puke because it ate 1 grape always feels a bit excessive, right? But until recently, because we had no idea of what was actually causing the kidney damage, never mind how m…

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April 9, 2025

Nifty Trip for GDVs

From Episode 169 on the Surgery Stream. With Dr Nicole Buote. I previously mentioned an article that discussed delayed surgery for GDV’s, where they used nasal catheters to keep the stomach deflated while the patient wait for surgery.  B…

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April 6, 2025

Sepsis and Septic Shock Summary

From episode 170 in the ECC feed. With Dr Claire Sharpe. Many of the signs in this episode are things you probably know, but I’ve not heard them packaged as concisely in one place as in this conversation. Here are a couple of lightbulb m…

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April 2, 2025

Feline Herpes Ulcers Simplified

From episode 172 on the Medicine feed, with Dr Izak Venter. Some practical pearls from an ophthalmologist to simplify feline Herpes ulcers: When you see eye ulcers in an adult cat, once you've ruled out dry eye, trauma etc, you can as…

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March 30, 2025

Why Your Well-Managed Otitis Patients Seem to Fall to Pieces After a Few Years

From Otitis 101, episode 173 on the Medicine Feed. With Dr Nellie Choi. Have you noticed that? Your patient has the occasional manky ear that you are able to manage really effectively, but as they get older those infections seem to pick up momentum…

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March 26, 2025

Steroids For Critical Illness

From a talk on sensible steroid usage in the ER by Dr Alex Blutinger. Have you heard about CIRCI? That’s Sepsis/Critical Illness-Related Corticosteroid Insufficiency (CIRCI), where your very sickest patients seem to ‘run out of cor…

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March 23, 2025

Some Useful Things I Didn’t Know About Opioids

From a talk on sedating the critical patient by Dr H. Nicole Trenholme The nausea that we see with pure mu opioids is WORSE when they’re given intramuscularly. Hydromorphone specifically, when given IM, is much more likely to induce …

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March 19, 2025

Why Heart Failure Sneaks Up on us With Cats.

From Episode 167 on our ECC stream. With Dr Fiona Meyers. You know how, when you diagnose a cat with congestive heart failure, everyone is always surprised, because the cat was ‘fine until yesterday’, and now it suddenly can’t bre…

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March 12, 2025

A New Explanation for those Chronic Coughing Dogs

From episode 170 on our Medicine Stream. With Dr Belinda Hopper. It's not often that we get to add a brand new condition to our list of differentials for a problem. But this is one of those times. At last year's ASAV conference I recorded this…

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