Clinical News

This is a selection of the latest articles and case reports that have been written by our staff and in some cases published in notable journals.

Case Report: Hip Septic Arthritis in a German Shepherd Dog

History

fig 1 - extended ventrodorsal view of the right hip showing subluxation of the joint with degenerative changes to the proximal femoral metaphysis. There is remodelling of the femoral head and new bone formation at the insertion of the joint capsule consistent with osteoarthrosis secondary to hip dysplasia.

A nine–year-old, female, neutered German Shepherd Dog presented for assessment of right pelvic limb lameness.

The owner reported progressive lameness since the patient had fallen 10 days previously.  The referring veterinarian’s radiographs revealed marked degenerative changes to the right hip Read More »

Review Article: Management of the Spinal Patient

Introduction

Following on from the last article in our Winter 2012 edition of Downs Diary – Assessment of the Spinal Patient – we thought it might be useful to outline the various treatment options for some of the more commonly encountered causes of spinal disease as even though you may not perform spinal surgery yourself, clients will often request such information at initial presentation. We also offer an update on current thinking for management of the more obscure spinal conditions. Read More »

Update on Small Breed Cranial Cruciate Surgery

Small Breed Modified Maquet Procedure now available at Downs Veterinary Referrals

lateral postoperative radiograph of the Small Breed MMP implants

Given the success of the Modified Maquet Procedure (MMP – tibial tuberosity advancement) in larger breeds (see Review Article: The Modified Maquet Procedure ), we have recently invested in the necessary instrumentation and range of implants specifically designed for smaller patients (<12kg).

This investment enables us to offer MMP for any size of dog (or cat).  However, it is particularly suited to lively patients where premature rupture of lateral retinacular sutures is of concern. Read More »

Case Report: Metatarsal Pad Necrosis secondary to Postoperative Dressing Complications in a Bassett Hound

 
 
History

fig.1 - Initial radiology showed a comminuted, over-ridden diaphyseal fracture of the tibia

fig.2 - caudocranial radiograph on initial presentation

A 12-month-old, entire, female Bassett Hound, body weight 23kg, presented for stabilisation of closed, left tibia and fibula fractures, sustained after jumping from the owner’s car.  Read More »

Review Article: Assessment of the Spinal Patient

Goals of Assessment

What questions should your assessment be able to answer?

An owner might be expected to inquire:

  • what is wrong with their pet?
  • what are the various treatment options?
  • what do these options entail, in terms of morbidity, risks, length and extent of rehabilitation, costs and (in the case of referral) travel involved?
  • is it going to recover sufficiently to ensure an adequate quality of life for a significant length of time?

Read More »

Case Report: Cervical Fracture in an eight-week-old Cocker Spaniel.

An eight-week-old, female Cocker Spaniel was referred with tetraparesis.  The owner reported that the dog had collided with a stair-gate three days prior.  She had initially appeared unaffected, although veterinary assessment at the time had revealed cervical spinal pain.  48 hours later she developed generalised ataxia with increased guarding of the neck.  Progressive tetraparesis became evidence over the following 24 hours.

Read More »

Review Article: The Use of Advanced Imaging in Veterinary Medicine.

Fig. 1a&b: Images of 8yo CKCS presenting with acute onset head tilt. Above,(a) dorsal and below (b), transverse T2W slices showing well-defined segmental oedema of the cerebellum. Diagnosis - infarction.

In recent years, there have been significant strides in the development of and access to advanced imaging in veterinary medicine.  Techniques such as magnetic resonance imaging (MRI), computed tomography (CT) and fluoroscopy were once the preserve of human medical establishments or research facilities.  However, several factors, namely:

– a rising awareness amongst veterinarians and clients as to the results these modalities can deliver,

– a wider uptake of pet insurance to ultimately fund private investment in these technologies, and

– on-going development of both hardware and software, resulting in falling equipment and maintenance cost, have all contributed to increased availability, where the majority of referral practices and many large veterinary groups have on-site equipment, or at least regular access to one or more of these techniques.

Given the inherent limitations of each technique, it is useful to have a broad understanding of the indications and disadvantages of each, so as to offer timely advice to your clients as to how further assessments might proceed, whilst making best use of available funds in each case; in many instances, radiography and ultrasonography will suffice, but these techniques may fail to yield useful information in certain circumstances and might even delay timely referral or possibly exacerbate an unstable patient – it is not unheard of for animals to present with grade V spinal lesions following radiology under general anaesthesia as part of initial assessment for spinal pain or weakness. Read More »

Product Update: New form of Tissue Adhesive for Wound Closure in use at Downs Veterinary Referrals.

After extensive trials in both the human and veterinary referral fields a new method of wound closure is now available and in use here at Downs Veterinary Referrals.   Read More »

Case Report: n-butyl-2-cyanoacrylate Pleurodesis to manage Intractable, Spontaneous Pneumothorax in a Labrador Retriever

History

fig.2 - R lateral radiograph: note elevation of the cardiac silhouette

fig.1 – DV radiograph of chest showing bilateral pneumothorax

A three-year-old, entire, female Labrador Retriever presented to the referring veterinarian for assessment of progressive orthopnoea with associated vomiting over several months.  Read More »

Review Article: The Modified Maquet Procedure.

 

Background

fig. 1.1 - postoperative radiograph of a standard TTA

fig. 1 - postoperative radiograph of a standard TTA

Tibial tuberosity advancement (TTA) is a well-established alternative to tibial plateau levelling osteotomy (TPLO) for neutralising cranial thrust in cruciate deficient canine stifles.  Read More »

Review Article: Update on Mast Cell Tumours

Mast cell tumours (MCT) are among the most common canine cutaneous neoplasms seen in practice. Read More »

Case Report: Nasal Foreign Body in a Domestic Shorthaired Cat

History

 

fig.2 - lateral skull radiograph. There is a metallic-density foreign body located within the ethmoturbinates.

fig. 1 - preoperative photo showing discrete soft-tissue-swelling over the nasal planum

A 15-year-old male, neutered DSH cat presented with a two-week history of right, unilateral epistaxis with concurrent swelling of the nasal planum (see fig. 1). Read More »

Case Report: Surgical Management of Sub-Arachnoid Cyst in a Yorkshire Terrier

A 2.2kg, twelve-month-old, male, entire Yorkshire Terrier was presented for assessment of generalised ataxia. Read More »

Case Report: Un-united Caudal Glenoid in a Labrador Retriever

A four-year-old female, neutered Labrador Retriever was presented with left thoracic limb lameness of several months duration. Read More »

Case Report: Infiltrative Lipoma in a Crossbred Dog

A two-year-old male, neutered crossbred (Labrador/ Greyhound) presented for assessment of a large mass situated over the right hemi pelvis. Read More »