Clinical Pearls

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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