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PODCAST

Veterinary Clinical Podcasts

The Royal Veterinary College

Welcome to the RVC veterinary clinical podcast. In these shows, Dominic Barfield, with the technical help of Brian Cox talks to a variety of different faculty/specialists/clinicians from the RVC about clinical relevant material to everyone in practice, if you are just about to start your veterinary career or you are a seasoned professional we aim to provide something for everyone. Whether you’re listening whilst you are cooking dinner, driving home, walking the dog or even at the gym, we want to

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All Episodes

00:42:24

52 Approach to the bleeding patient

Veterinary Clinical Podcasts ·

2017/09/01

Today we talk to Stefano Cortellini, lecturer in emergency and critical care here at the RVC about an approach to the bleeding patient. Where do you start, what you should be thinking and what investigations can you do. We hope it clarifies your approach. Pet blood bank has lots of information on how to choose the right products and FAQs https://www.petbloodbankuk.org Suggested reading: http://www.cuvs.org/pdf/article-bleeding-disorders-diagnostic-approach.pdf If you have any comments about this

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00:22:16

51 Monitoring in diabetes

Veterinary Clinical Podcasts ·

2017/08/25

Today we talk to Stijn Niessen, Senior Lecturer in Internal Medicine here at the RVC about how you monitor and what you monitor in your diabetic patients. Stijn has a wealthy of knowledge on diabetes, literally a world leader and heads our diabetes remission clinic (https://www.facebook.com/RVC.Diabetic.Remission.Clinic/)and you can find out more about the clinics work

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00:21:41

50 Levetiracetam

Veterinary Clinical Podcasts ·

2017/08/18

In this podcast, we talk to Joe Fenn, lecturer in veterinary neurology and neurosurgery here at the RVC about the use of levetiracetam. Joe has been busy with his new-found fame from being mentioned on a radio 5 live podcast. There might be a couple of references to wittertainment, though it’s mainly about levetiracetam, and a DVD of the week. Enjoy. Here are a couple of links if you’d like to read more on

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00:30:48

49 Insulin choice in cats

Veterinary Clinical Podcasts ·

2017/08/11

Today we talk to Stijn Niessen, Senior Lecturer in Internal Medicine here at the RVC about how do you clinically decide about which insulin to use in your feline patients. Stijn has a wealthy of knowledge on diabetes, leads our diabetes remission clinic (https://www.facebook.com/RVC.Diabetic.Remission.Clinic/)and you can find out more about the clinics work herehttp://www.rvc.ac.uk/research/research-centres-and-facilities/clinical-investigation-centre/projects/diabetic-remission-clinic Also

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00:27:37

48 Chickens

Veterinary Clinical Podcasts ·

2017/08/05

Today we talk to Jo Hedley, Lecturer in Exotic species and small mammal medicine and surgery here at the RVC about an approach to common problems with backyard chickens. Covering routine healthcare (vaccinations and anti-parasite medications) and an approach to birds presenting that have been bitten by a fox, sour crop, breathing problems and issues with egg laying. A little vignette to get you started if it has been a while since you last saw a backyard chicken. If you have any comments about this

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00:44:48

47 Clinical reasoning

Veterinary Clinical Podcasts ·

2017/07/28

Today we talk to Jill Maddison, Professor of General Practice and has an international reputation from pharmacology to clinical problem solving. Currently the chair of the World Small Animal Veterinary Association Continuing Education Committee. We could have talked about anything such is the breadth of her knowledge and understanding, though we chose to talk about clinical reasoning. Enjoy. Define the problem Refine the problem Define and refine the system Define the

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00:47:25

46 Spinal trauma

Veterinary Clinical Podcasts ·

2017/07/21

This is the second part of the podcast talking to Dr Patrick J Kenny. Pat was a senior lecturer here at the RVC lecturer in veterinary neurology and neurosurgery, though has recently returned home to Sydney. We talk to Pat about an approach to spinal trauma, the Do’s and Don’ts, what imaging to perform and how to immobilise a patient. We pick up shortly after we were side tracked talking about steroids. Immobilisation Primary survey (ABC’s, or major body systems) Oxygen Check for

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00:46:12

45 Spinal trauma

Veterinary Clinical Podcasts ·

2017/07/14

In this podcast, we talk to Dr Patrick J Kenny. Pat was a senior lecturer here at the RVC lecturer in veterinary neurology and neurosurgery, though has recently returned home to Sydney. We talk to Pat about an approach to spinal trauma, the Do’s and Don’ts, what imaging to perform and how to immobilise a patient. Immobilisation Primary survey (ABC’s, or major body systems) Oxygen Check for deep pain Analgesia Secondary survey Focus on maintaining blood pressure and keep up with

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00:42:01

44 Ophthalmological tips & tricks

Veterinary Clinical Podcasts ·

2017/07/07

We catch up again with Charlotte Dawson, lecturer in ophthalmology here at the RVC, to ask her about her tips and tricks from an array of ophthalmological presentations and conditions. If you have any comments about this podcast, please get in touch (emaildbarfield@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.

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00:47:51

43 Complete Blood Count

Veterinary Clinical Podcasts ·

2017/06/30

In this podcast, we talk to Kate English, lecturer in clinical pathology here at the RVC. From tips on blood collection and how to smear, to how you interpret the results. Listen and enjoy! We’re not suggesting that after you listen to this podcast that you will be able to look at a blood smear and guess the PCV, but you will listen to someone who does! If you have any comments about this podcast, please get in touch (emaildbarfield@rvc.ac.uk; tweet @dombarfield or @RoyalVetCollege using

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00:50:50

42 Ophthalmological examination

Veterinary Clinical Podcasts ·

2017/06/16

In our 42ndpodcast we might not uncover the mysteries of life the universe and everything, though we do have the opportunity to refresh our approach to ocular examination with Charlotte Dawson, lecturer in ophthalmology here at the RVC. It was Jeff Smith who taught me ophthalmology in Sydney, who said more is missed by not looking than not knowing. To be fair he might have borrowed that from Thomas McCrae, one of the forefathers in post graduate medical education, though it is still as pertinent now

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00:38:42

41 Traumatic brain injury

Veterinary Clinical Podcasts ·

2017/05/30

Today we talk to Elsa Beltran, one of our fabulous senior lecturers in neurology and neurosurgery here at the RVC about traumatic brain injury. Initial assessment, tools that we can use to grade injury and see if there is an improvement or not, when to think about diagnostic imaging, and more. We’d loved talking to her and am sure you will get a lot out of it.Some papers of interest including Elsa’s paper on the use of MRI in Traumatic brain

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00:26:27

40 Coxofemoral luxation

Veterinary Clinical Podcasts ·

2017/05/18

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

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00:29:25

39 Acute vestibular disease

Veterinary Clinical Podcasts ·

2017/05/12

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,

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00:33:20

38 Blood pressure in dogs and cats

Veterinary Clinical Podcasts ·

2017/05/01

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

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00:28:02

37 Rule of Six

Veterinary Clinical Podcasts ·

2017/04/07

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

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00:22:41

36 Continuous Renal Replacement Therapy and...

Veterinary Clinical Podcasts ·

2017/03/31

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 herehttp://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

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00:29:11

35 Bite wounds

Veterinary Clinical Podcasts ·

2017/01/04

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)

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00:43:40

34 EPIC

Veterinary Clinical Podcasts ·

2016/11/03

In this podcast we talk to one of the principle investigators of the EPIC study, Professor Adrian Boswood. We discuss the findings of theevaluation 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

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00:26:04

33 Angiostrongylosis redux

Veterinary Clinical Podcasts ·

2016/10/10

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 is 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

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