single limb peripheral oedema

RE: single limb peripheral oedema

Stephen Courtney — Wed, 20 Jan 2016 22:11:54 GMT

Something is interfering with lymphatic return from the limb - anything else would be more generalised/ symmetrical.

That something is most likely neoplasia. Tell the client that, tell him confirmation cannot be done without expensive testing, and if he isn't willing to follow that up with even more expensive treatment - which may well not be in the dog's interest anyway - then there is little point taking it further, and offer palliative treatment eg analgesia as and when it seems to be required.

Some clients appreciate practical advice and best professional guesses, and you can't always work things up to your satisfaction. doesn't mean you can't be sympathetic and helpful, you just have to manage expectations and not be judgemental.

RE: single limb peripheral oedema

grumpyoldman — Wed, 20 Jan 2016 21:56:32 GMT

You could try clipping it up aspirating the popliteal lymph node having a look at the FNA in house and ultra sounding the muscle groups in the thigh ,This sometimes happens with lipomas liposarcomas rhabdomyosarcomas PVWT etc . But make it clear his problem is not your problem he has a responsibility to the welfare of his pet ,your function is to help him meet that responsibility ,unfortunately your not a charity and he has to pay you for your time , If he does not wish to investigate and treat his pets problem he can have it euthanised and buy a rocking horse . Which will be a bit dull but not have any health care costs . So Wyn is right .

RE: single limb peripheral oedema

Hannah Wynne Richards — Wed, 20 Jan 2016 14:16:29 GMT

There isn't one - because the owner won't let you do what's correct. That's the owners fault - definitely not yours.

Wynne