It looked like cardiac disease, now I'm not so sure!

Re: It looked like caridac disease, now I'm not so sure!

Tony Knapp — Wed, 02 Jan 2013 09:40:54 GMT

Thanks all for the replies, Lungworm's a good idea, didn't occur to me, the dog has never travelled, not even to the south coast, so tick born disease is a bit less likely, but either way unfortunatly the owners have decided to PTS rather then trial Tx, so now I'll never know, how frustrating.

Re: It looked like caridac disease, now I'm not so sure!

Evelyn Barbour-Hill — Mon, 31 Dec 2012 19:40:49 GMT

[quote user="David Mills"]

Wowcher.

With the clients we've just finally closed the doors on for 2012 I'd have thought it was a full moon tonight; seems it's a distinct shade of blue, however, in Wales and London.

[/quote]

www.youtube.com/watch

Re: It looked like caridac disease, now I'm not so sure!

David Mills — Mon, 31 Dec 2012 19:06:12 GMT

Wowcher.

With the clients we've just finally closed the doors on for 2012 I'd have thought it was a full moon tonight; seems it's a distinct shade of blue, however, in Wales and London.

Re: It looked like caridac disease, now I'm not so sure!

Hannah Wynne Richards — Mon, 31 Dec 2012 16:57:22 GMT

Seriously This could easily be lungworm so preds panacur and antibiotics could be curative I'd probably be in 2 minds whether or not to try this before radiography anyway because a GA to a severe lungworm case could be dodgy

Wynne

Re: It looked like caridac disease, now I'm not so sure!

Hannah Wynne Richards — Mon, 31 Dec 2012 16:54:08 GMT

And another 5 from me

Wynne

Re: It looked like caridac disease, now I'm not so sure!

Martin Atkinson — Mon, 31 Dec 2012 16:37:37 GMT

[quote user="David Mills"]

If they won't xray, stick it on preds and panacur as will do lungworm and if there's a vasculitis preds should also help.

Failing this, put it on some really expensive and 'really strong' antibiotics - this will likely not cure the dog but will either highlight the error of the owners' ways to them or force them to go to another practice.

Or refer. To a homeopath. They don't need xrays.

[/quote] That must be the first 5 gold stars you've earned David - have 5 more from me.

Re: It looked like caridac disease, now I'm not so sure!

David Mills — Sun, 30 Dec 2012 00:38:33 GMT

If they won't xray, stick it on preds and panacur as will do lungworm and if there's a vasculitis preds should also help.

Or refer. To a homeopath. They don't need xrays.

Re: It looked like caridac disease, now I'm not so sure!

Stephen Courtney — Sat, 29 Dec 2012 23:21:20 GMT

Have you checked a urine sample for specific gravity and dipstick, sediment exam if you have a spare 5 minutes? I'd certainly do that before a GA just for completeness, other than wait and see if they won't let you do anything else.

If the client ties your hands there is little you can do but i would stop the heart meds as they seem inappropriate.

i hate having to examine uncooperative dogs like that, they can be a real challenge ( i have my polite hat on right now....)

Re: It looked like caridac disease, now I'm not so sure!

Bibs — Sat, 29 Dec 2012 21:00:20 GMT

Is it worth doing a faecal sample for lung worm? At least you don't have to touch the dog. Could fit with respiratory and bleeding issues. Not sure if it fits with oedema as such or not.

Re: It looked like caridac disease, now I'm not so sure!

James Laidlaw — Sat, 29 Dec 2012 20:56:34 GMT

Abdo imaging would be good if palpation not easy. Not your fault the aggressive dog can't be examined properly without sedation. Guessing at treatment because people don't want to do diagnostics never goes brilliantly in my experience. Can't really treat if you don't know what you're treating, plus you've tried that twice to no effect - pointing that out to the owners may show them the need to do more to diagnose.

Re: It looked like caridac disease, now I'm not so sure!

Bibs — Sat, 29 Dec 2012 20:24:44 GMT

Ehrlichiosis could cause vasculitis, dyspnea and neutropenia. There are probably a few other things that could too but struggling to think of obvious ones.

Is it possible to take the dog's temperature? Has it ever travelled abroad?

At the end of the day what are you supposed to do if the needs to be knocked out to examine it properly and the owner's wont let you? Frustrating.