How to check your own measurement repeatability on echo

RE: How to check your own measurement repeatability on echo

Dave Dickson — Thu, 27 Jun 2019 13:05:37 GMT

I had a look and couldn't find this. Do you know where you read it?

Happy to give you my thoughts on it - perhaps in a new thread?

Dave

RE: How to check your own measurement repeatability on echo

Dave Dickson — Thu, 27 Jun 2019 13:03:00 GMT

I think in a seizuring dog that's a different thing altogether...

RE: How to check your own measurement repeatability on echo

Anthony Dennison — Thu, 27 Jun 2019 10:14:42 GMT

[quote user="Dave Dickson"]That's madness - every patient needs an MRI too, just in case they have a brain tumour?![/quote]

Sorry to digress, but this happened at my practice last week. Young dog presented with cluster seizures, started on AEDs but then had another cluster within 24 hours. I rolled my eyes when they sent it for an MRI thinking it was just an uncontrolled idiopathic epilepsy, came back with a mass in the olfactory lobe with an associated fluid build up! One of the very rare occasions I know...

RE: How to check your own measurement repeatability on echo

Iain Richards — Wed, 26 Jun 2019 16:59:57 GMT

THe other cardiac related concern I have is the use of proBNP and troponin. I understand the BNP was created to distinguish pulmonary or cardiac respiratory distress in humans, and there was/is a RCVS knowledge review suggesting it's of no use for animals. Same for trop_t - a marker of iscaemic heart disease.

Are they genuine, or just lab company's hype?

RE: How to check your own measurement repeatability on echo

Dave Dickson — Tue, 25 Jun 2019 10:55:59 GMT

[quote user="Iain Richards"]just about any animal with a murmur has to have en echo[/quote]

That's madness - every patient needs an MRI too, just in case they have a brain tumour?! Sadly I think the history and clinical examination findings, in context with a thorough understanding of the diseases possible (i.e. using the veterinary training we all received) is not given the credit it deserves, and people rely far too much on just running tests.

I see a lot of people (Specialists included) who run tests "just to make sure" - which is a dangerous road to go down.

Ho hum.

Dave

RE: How to check your own measurement repeatability on echo

Iain Richards — Tue, 25 Jun 2019 10:29:55 GMT

[quote user="Dave Dickson"]the long and probably boring post[/quote]

Not at all. It highlights a concern I have seeing some comments on social media where just about any animal with a murmur has to have en echo as part of a work up. I wasn't aware of variability, obvious when I think about it. THaks for posting