Joining Brian and myself in our studio we are delighted to have Dr Sarah Tayler, one of our fabulous lecturers and Dr Jodie Green, one of our amazing residents both in our Small Animal Internal Medicine team here at the RVC. We thought it was time to catch up about Feline Infectious Peritonitis (FIP), it has been a couple of years and we are understanding a little more about the therapies that we have, trying to find out why some patients don’t respond to therapy (going from a nearly 100% mortality to 20% and we are asking questions about these 20% - how times change quickly). We have a little more experience now in using these drugs in the UK, built on information from our Australian colleagues, and now they are available in the USA. We hope that you enjoy.

Some websites of interest

https://www.rvc.ac.uk/small-animal-vet/specialist-referrals/clinical-services/veterinary-internal-medicine/feline-infection-peritonitis

https://bova.co.uk/resources/bova-scholars/

have webinars on FIP

https://www.rvc.ac.uk/small-animal-vet/news/successful-fip-treatment-with-remdesivir 

Some papers of interest

https://pubmed.ncbi.nlm.nih.gov/37766254/
https://pubmed.ncbi.nlm.nih.gov/37548535/
https://pubmed.ncbi.nlm.nih.gov/36002137/
https://pubmed.ncbi.nlm.nih.gov/37403259/
https://pubmed.ncbi.nlm.nih.gov/37732386/
https://pubmed.ncbi.nlm.nih.gov/37551843/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 143 Feline Infectious Peritonitis 2024 with Sarah Tayler and Jodie Green. Published on Jun 28 2024 If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; or podcast@rvc.ac.uk or Instagram @rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, Acast or Spotify and kindly write us a review.

Joining Brian and myself in our virtual studio we are joined by the fantastic Richard Sparrow, Staff Clinician in Internal Medicine here at the RVC. Richard recently published a paper looking at relapse rates in immune mediated diseases (immune mediated haemolytic anaemia, immune mediated thrombocytopenia and immune mediated polyarthritis) in dogs and we thought to use this as a sounding board for a conversation about this topic, how to treat and taper immunosuppressive drugs and what do we do about ongoing preventative healthcare, such as vaccination. We hope that you enjoy.  

Reference: 

https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.17004

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 142 Relapse of dogs with immune mediated disease with Richard Sparrow. Published on May 17 2024

If you have any comments about this podcast, please get in touch: emailpodcast@rvc.ac.uk or follow us on instagram@rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review.

Joining Brian and myself in our virtual studio (although again I crept into the studio) we are delighted to have Dr Jack Lawson, one of our fabulous lecturers in Internal Medicine here at the RVC. We talk to him about canine mast cell tumours. Current recommendations and what is new. We hope that you enjoy.

The review paper we discuss, further references are in the article:https://pubmed.ncbi.nlm.nih.gov/34428941/ 

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 133 Chronic kidney disease and hypertension in cats with Jack Lawson. Published on May 13 2022

If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review. 

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 (email dbarfield@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.

In our 42nd podcast 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 as it was then.

If you have any comments about this podcast, please get in touch (email dbarfield@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.

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 injury;

https://www.ncbi.nlm.nih.gov/pubmed/22063205

https://www.ncbi.nlm.nih.gov/pubmed/22063206

http://onlinelibrary.wiley.com/doi/10.1111/jvim.12368/abstract

http://onlinelibrary.wiley.com/doi/10.1111/j.1939-1676.2001.tb01594.x/abstract

If you have any comments about this podcast, please get in touch (email dbarfield@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.

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 don’t talk about all of them. Cage rest regardless of reduction technique for at least 4 weeks, lead walking only (no jumping, stairs etc.).

A review on coxofemoral luxations: https://www.ncbi.nlm.nih.gov/pubmed/15943127  

If you have any comments about this podcast, please get in touch (email dbarfield@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.

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, please get in touch (email dbarfield@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.

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 practice. Enjoy the pod.

Here are some links:

Consensus statement from ACVIM published in 2007, https://goo.gl/bmtxuP though we believe will be updated soon

IRIS http://www.iris-kidney.com International Renal Interest Society, a great resource.  

If you have any comments about this podcast, please get in touch (email dbarfield@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.

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.

1. Signalment
2. Onset
3. Deterioration
4. Pain
5. Asymmetry
6. Neuroanatomical localisation

Here is the link to the paper published in the Veterinary Record in 2015 http://veterinaryrecord.bmj.com/content/early/2015/07/21/vr.102988

Tools and mnemonics that make our day to day life easier are always warmly welcomed!

If you have any comments about this podcast, please get in touch (email dbarfield@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.

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 here http://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 Interest Society (IRiS) here http://www.iris-kidney.com/guidelines/grading.html

The indications for considering treating patients with AKI are; metabolic acidosis, electrolyte imbalance (especially refractory hyperkalaemia), and uraemia. The patients we see, have a potential reversible cause, are often anuric and we can successfully catheterise.  tend to be most affected are those that are anuric. Some toxins can be removed by dialysis when different filters are used. TPE has been used for immune mediated diseases (IMHA, polyradiculoneuritis), and cutaneous and renal glomerular vasculopathy.

If you are in the UK and have a patient that you might think benefit from this therapy, then do not hesitate to contact the RVC http://www.rvc.ac.uk/small-animal-referrals/

Suggested reading.

Review of CRRT and blood purification http://onlinelibrary.wiley.com/doi/10.1111/vec.12028/abstract

Single pass lipid dialysis for ivermectin toxicosis http://onlinelibrary.wiley.com/doi/10.1111/vec.12581/abstract

Therapeutic plasmapheresis in IMHA http://onlinelibrary.wiley.com/doi/10.1111/j.1476-4431.2009.00431.x/abstract  

If you have any comments about this podcast, please get in touch (email dbarfield@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.

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) using a 25ml syringe and 19-gauge needle. If you attach the fluid bag to an extension set and that to a three-way tap, with the needle and syringe, if makes it a little easier to flush
• Wet to dry dressing vs placing a drain

Zoë discussed these aspects of bite wound management. Although this is a relatively common problem that we encounter, there is little information in the literature to help guide us on ways to manage these challenging patients.

Enjoy!

If you have any comments about this podcast, please get in touch, email dbarfield@rvc.ac.uk; tweet @RoyalVetCollege using #rvcpod; or use the RVC Facebook page. We would greatly appreciate your time to rate us on iTunes and write a review.

In this podcast we talk to one of the principle investigators of the EPIC study, Professor Adrian Boswood. We discuss the findings of the evaluation 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 study has overwhelming evidence that pimobendan administration before the onset of clinical signs in dogs with mitral valve disease (MVD) prolongs the preclinical period by 15 months. The dogs were identified by having a ≥3/6 grade systolic heart murmur, echocardiographic evidence of MVD, and radiographic or echocardiogram evidence of cardiomegaly.

You can also see a video of Professor Boswood discussing this study on youtube https://www.youtube.com/watch?v=wtzr1E3V-gE and an infographic too https://www.youtube.com/watch?v=5qxHMGZ-9aU

It is indeed EPIC.

If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review

Joining Brian and myself in our virtual studio (although I was actually in the studio by myself) we are delighted to have Dr Andy Yale, one of our fabulous lecturers in Oncology (congratulations too on passing your board examinations this year and he is now an EBVS® European Veterinary Specialist in Small Animal Oncology). We talk to him about canine mast cell tumours. Current recommendations and what is new. We hope that you enjoy.  Some papers of interest (there are lots more)

https://pubmed.ncbi.nlm.nih.gov/32542733/
https://pubmed.ncbi.nlm.nih.gov/34977208/
https://pubmed.ncbi.nlm.nih.gov/34513966/
https://pubmed.ncbi.nlm.nih.gov/34671978/
https://pubmed.ncbi.nlm.nih.gov/33724647/
https://pubmed.ncbi.nlm.nih.gov/34513966/
https://pubmed.ncbi.nlm.nih.gov/33222871/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 132 Canine Cutaneous Mast Cell Tumour with Andy Yale. Published on May 6 2022 If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast or Acast and kindly write us a review.

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 change dramatically depending upon your location. What is it like in your area?

If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

Access to plain radiography is very widespread now in veterinary medicine. As with any diagnostic test it is essential to make sure that we use this modality in the best ways possible for our patients, their carers and indeed our personal and professional performance. In this episode I am joined by Andrew Parry who is a European specialist in Veterinary Diagnostic Imaging and a member of the Diagnostic Imaging team at the QMHA. Most of this long episode is spent discussing Andy's top 10 tips for how to get the most value out of plain radiography and radiology but we also talk about advanced imaging modalities that are becoming increasingly available and consider some of the issues surrounding this development.

To summarise, Andy's top 10 tips were as follows:

1. The more specific the question that you want to answer is, the more likely the imaging modality will answer it. Imaging used as a screening tool is rarely very useful. Make sure the appropriate imaging has been done. When do we use a retrograde study for example?
2. Pay attention to patient positioning.
3. Using an exposure guide in practice can be really useful.
4. Just because you are using a CR system, you should still be careful about radiographic technique.
5. When imaging the thorax, a high KV, high mA and low S technique should be used. When imaging the abdomen a low KV, high mA and higher S technique should be used.
6. With dyspnoiec cats, you can take a DV thoracic radiograph by placing the cassette within the cat carrier and exposing through the open box. Most dyspnoiec cats will lie in a roughly DV position and it’s better than manual restraint.
7. When imaging the thorax under sedation or anaesthesia, obtain the DV first, before the laterals. Inflate the chest if under GA.
8. When obtaining limb radiographs, if you are uncertain whether a finding on one limb is truly significant, radiograph the contralateral limb.
9. The more effort you put into your imaging study, the more likely you are to get a result. It’s all about making it easy for yourself.
10. When describing a radiograph, describe the obvious things that you see first. That means you wont be constantly distracted by them.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk ; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

Lymphoma (previously often referred to as lymphosarcoma) is one of the most (if not the most?) common types of cancer to affect dogs and cats. In this episode we discuss lymphoma in general terms covering a variety of topics such as what it is, patient presentation, clinical approach to the patient, treatment options and prognosis. For this episode I am joined once again by Chiara Leo, Lecturer in Oncology at the Royal Veterinary College.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk ; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

(Image: "Canine lymphoma 1" by Joel Mills - Own work (Wikipedia))

In and amongst all the science and medicine that are at the centre of veterinary practice, it is essential that we don't overlook the overarching principles and considerations relating to Ethics and Animal Welfare. After all, they have to be a guiding light for what we do in clinical practice. This is the second in a two-part mini-series of podcast episodes featuring Martin Whiting, Lecturer in Veterinary Ethics and Law here at the RVC. In these episodes we discuss a variety of topics and issues. We start with discussing what 'veterinary ethics' and 'animal welfare' mean and then spend the remainder of the time seeing how these concepts apply to a variety of small animal clinical scenarios. The podcasts end with some comments on professional ethics in the context of regulatory bodies.

If you haven't listened to Part 1, we would recommend you do this before listening to this second episode.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk ; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

In and amongst all the science and medicine that are at the centre of veterinary practice, it is essential that we don't overlook the overarching principles and considerations relating to Ethics and Animal Welfare. After all, they have to be a guiding light for what we do in clinical practice. This is the first in a two-part mini-series of podcast episodes featuring Martin Whiting, Lecturer in Veterinary Ethics and Law here at the RVC. In these episodes we discuss a variety of topics and issues. We start with discussing what 'veterinary ethics' and 'animal welfare' mean and then spend the remainder of the time seeing how these concepts apply to a variety of small animal clinical scenarios. The podcasts end with some comments on professional ethics in the context of regulatory bodies. 

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

This is the second part in the two-part mini-series on corneal ulceration in dogs and cats with Màrian Matas Riera who is a lecturer in Ophthalmology here at the RVC. If you haven't listened to Part 1 yet it is highly recommended that you listen to that episode first as we dive right back in here in the second part. In this two-part podcast mini-series we start with a refresher of the anatomy of the eye and more specifically the anatomy and function of the cornea. We then discuss causes of corneal pathology and the spectrum of severity in ulcerative keratitis. Examination of the patient and appropriate treatment according to severity are discussed and the podcast mini-series is rounded off with some chat about corneal transplant and a quick tangent on diabetic cataracts!

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

Finally some Ophthalmology! Corneal ulceration (ulcerative keratitis) is a problem that is encountered commonly in small animal practice and the approach to treatment depends on a good understanding of the severity of the problem in the individual patient. In this two-part podcast mini-series we start with a refresher of the anatomy of the eye and more specifically the anatomy and function of the cornea. We then discuss causes of corneal pathology and the spectrum of severity in ulcerative keratitis. Examination of the patient and appropriate treatment according to severity are discussed and the podcast mini-series is rounded off with some chat about corneal transplant and a quick tangent on diabetic cataracts! I am joined for this feast of Ophthalmology by Màrian Matas Riera who is a lecturer in Ophthalmology here at the RVC. Part 2 of this mini-series will be uploaded in approximately 3 weeks' time.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

This is the second part of my discussion on blocked cats with Dr Rosanne Jepson, Lecturer in Small Animal Internal Medicine and Dominic Barfield, Lecturer in Emergency and Critical Care; and in absentia with Nicola Kulendra, Lecturer in Small Animal Surgery. And of course like in the first episode I can't help but chip in as well! As nentioned in the last post, there is a lot to talk about so we have not been able to plunge into the deepest depths in any one area but this is a very useful overview of the topic.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

Tomcats with urethral obstruction are sadly a common small animal emergency population; this problem is one of the 'classics' no doubt, and with the potential to be fatal. Survival rates in the short-term can be extremely high with the right approach to stabilisation and management, medium-to-long term the prognosis can be more guarded. In a slightly roundtable fashion I am joined to discuss this topic by Dr Rosanne Jepson, Lecturer in Small Animal Internal Medicine; by Dominic Barfield, Lecturer in Emergency and Critical Care; and in absentia by Nicola Kulendra, Lecturer in Small Animal Surgery. And of course I can't help but chip in as well! In this two-part podcast series we discuss a whole host of questions surrounding this disorder including what FLUTD is, approach to the blocked cat, and recommendations following successful intervention. There is a lot to talk about so we have not been able to plunge into the deepest depths in any one area but this is a very useful overview of the topic.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

All veterinary students have to undertake extramural studies (EMS) as part of their undergraduate training. How can they go about making the most of these experiences? Many veterinary practices and other organisations offer EMS placements to students. What steps can they take to ensure that not only do students get the most from their placement but also that the practice benefits from having students seeing practice with them? What steps can both parties take to maximise the potential of the EMS experience and ensure that it is as mutually beneficial as possible? These and other things, especially clinical teaching in practice, are what we discuss in this podcast episode for which I am joined by Ruth Serlin and Jane Tomlin. Both Ruth and Jane are very involved in student teaching and development at the RVC and they explain their respective roles further in the podcast.

Anyone potentially interested in becoming an EMS provider, please see further details HERE.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

In our virtual studio joining myself and Brian we are delighted to have Dr Sarah Tayler, one of our fabulous staff clinicians and Dr Jodie Green, one of our amazing residents both in our Small Animal Internal Medicine team here at the RVC. We talk to them both about Feline Infectious Peritonitis and the game changing new treatments available. We have only just begun using these new drugs in the UK and it is incredibly promising so far. We hope that you enjoy.

Some websites of interest

https://sockfip.org

https://bova.co.uk/resources/bova-scholars/ have webinars on FIP

https://www.rvc.ac.uk/small-animal-vet/news/successful-fip-treatment-with-remdesivir

Some papers of interest

https://pubmed.ncbi.nlm.nih.gov/32441826/

https://pubmed.ncbi.nlm.nih.gov/30755068/

https://pubmed.ncbi.nlm.nih.gov/29778200/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 131 Feline Infectious Peritonitis with Sarah Tayler and Jodie Green. Published on Feb 4 2022

If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast or Acast and kindly write us a review.

Angiostrongylosis is a horrible disease affecting dogs not just in the UK but in many other countries besides. The two most commonly reported clinical presentations are associated with spontaneous bleeding or respiratory signs due to verminous pneumonia! In this podcast we discuss this parasitic infection in some depth and I am joined once again by Karen Humm who is a Lecturer in Emergency & Critical Care (ECC) at the QMHA and a co-Director of the Transfusion Medicine service.

In the podcast Karen and I were not entirely clear about exactly what the two licensed veterinary preparations are licensed for...I am not sure I am any more clear so here are some links for you to check them out!

Milbemax

Advocate

Alongside this podcast, I have also just published a short blog piece summarising a couple of papers on A. vasorum recently published in The Veterinary Record which you can find HERE.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

PS. In the podcast Karen mentions some parasite that has a life-cycle which as you can tell she finds very exciting! She was keen I shared the link with you so here you go!

So you've made it through vet school, landed your veterinary degree, now what? It's the start of another phase in your lifelong journey! There are many things to consider as a new grad vet starting life in practice. In this podcast we discuss issues such as choosing your first job, coping with those early days seeing cases, sources of support and advice, the PDP (UK), internships and specialisation! I am joined in this podcast by Dr Tom Cardy who graduated in 2011 and is now a resident in Neurology & Neurosurgery at the QMHA. Tom has had an interesting and unusual working life to date which gives him some extra valuable insights.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! And note that these podcasts are now also available on Stitcher Radio.

Dogs - and cats - with chronic intermittent gastrointestinal signs are a common population in small animal practice! What's to be done? How should we approach these patients? In this podcast I discuss these questions with Dr Karin Allenspach, Associate Professor and Reader in Small Animal Internal Medicine and Head of the Clinical Investigation Centre (CIC) at the RVC. Karin has a special interest in gastroenterology and especially in canine inflammatory bowel disease (IBD) which we go on to discuss in more detail here.  

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! And note that these podcasts are now also available on Stitcher Radio.

Anyone for some blood? Or how about some plasma? Transfusion medicine is a developing field in small animal practice as access to blood products increases - at least in some countries - and no doubt this trend is set to continue. In this podcast we discuss topics such as what transfusion medicine is and what the main indications are as well as some of the practical considerations with respect to administration. We also discuss blood banks and blood donors. Oh, and the small matter of changing our terminology for canine blood types! I am joined in this podcast by Karen Humm who is a Lecturer in Emergency & Critical Care (ECC) at the QMHA and a co-Director of the Transfusion Medicine service. During the podcast Karen also gives us a brief overview of the Transfusion Medicine service at the QMHA.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks.

Chronic kidney disease (CKD) is a common problem in cats and dogs, especially as they get older. In the first podcast on CKD we discussed topics such as the anatomy and function of the kidney, why the kidney may become dysfunctional and what the consequences are, some terminology, and causes of kidney disease. In this second part we will look at clinical aspects of CKD in terms of patient approach and management, covering topics such as suspecting and making the diagnosis, IRIS staging, treatment and prognosis. I am joined once again by Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular.

As mentioned in the podcast, do check out the International Renal Interest Society (IRIS) website.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please rate the podcasts in iTunes and write a review too! Thanks.

Chronic kidney disease (CKD) is a common problem in cats and dogs, especially as they get older. In this first of two podcasts on CKD we discuss topics such as the anatomy and function of the kidney, why the kidney may become dysfunctional and what the consequences are, some terminology, and causes of kidney disease. In the second part we will look at clinical aspects of CKD in terms of patient approach and management. I am joined for both episodes once again by Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please rate the podcasts in iTunes and write a review too! Thanks.

Everyone knows that the nurses are really in charge!!...Having already undergone some substantial changes over the last two decades or so, veterinary nursing in the United Kingdom remains in the midst of changing times as nurses continue to work for greater recognition, endorsement and accountability. This podcast features Hayley Carne BSc (Hons) RVN Grad Dip, Assistant Lecturer in Veterinary Nursing at the Royal Veterinary College.

Some of the things we discuss include how to become a veterinary nurse, potential career options, procedures and treatments registered nurses are allowed to do, and CPD requirements. We also touch on some more potentially contentious issues such as what impact the move towards greater qualification may have on attitudes towards basic patient care, and the future for individuals who have worked as veterinary nurses for some time without formal qualification.

Find out more about nursing courses offered by the RVC at the links below:

Foundation Degree in Veterinary Nursing
BSc in Veterinary Nursing
Graduate Diploma

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

Portosystemic shunts (PSS) are a relatively common problem in small animals and are the subject of this next podcast in our series. The podcast features Vicky Lipscomb who is Head of the Soft Tissue Surgery service at the QMHA and has a particular interest in these troublesome vessels! Some of the things we discuss in this podcast include the different types of PSS, when to be suspicious of the problem, diagnosis and treatment options.

Find out more about CPD from the RVC featuring Vicky here.

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

Over the last 18 months or so a number of dogs in the United Kingdom have been affected by a disorder which causes skin lesions initially followed within a few days by signs of acute kidney injury. Histopathology in these cases has shown cutaneous and renal glomerular vasculopathy consistent with changes seen in a condition known as Alabama Rot, described in North America but not previously reported in the UK. In this podcast we discuss the experience with this disorder in the UK thus far and illustrate what is – or more accurately – what is not known about this disorder. The podcast features Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular.

A couple of links mentioned in the podcast include:

Forestry Commission (England) website which has a list of the reported cases including their geographical distribution

The Animal Health Trust questionnaire has now closed.

Another source of further information about the disease is Anderson Moores.

If you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Heart disease is relatively common in domestic cats and these patients form a significant part of the caseload for many companion animal veterinary practices. In this podcast we discuss feline cardiomyopathy in general terms touching on issues such as classification of types, screening for subclinical cardiomyopathy, the relevance of dietary taurine, arterial thromboembolism, and prognostication. This podcast features Professor Virginia Luis Fuentes of the QMHA Cardiology Service who has a special interest in feline cardiomyopathy and aortic thromboemoblism and is always involved in research and progress in these areas.

Find out more about CPD from the RVC featuring Virginia here.

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

In our virtual studio joining myself and Brian we are delighted to have Dr Rhiannon Morgan, one of our fabulous lecturers in Equine Diagnostic Imaging here at the RVC. We talk to Rhiannon about pre-purchase radiographs and expand to all forms of diagnostic imaging. Some common things to look out for and when you should ask for another opinion. Rhiannon is very familiar to podcasting as she is the host of the EVJ In conversation podcast, though it is the first time for her to be the guest, and we are delighted that she joined us. We hope that you enjoy.

Information on Pre-purchase examinations

https://www.beva.org.uk/Guidance-and-Resources/PPE
https://www.rcvs.org.uk/setting-standards/advice-and-guidance/code-of-professional-conduct-for-veterinary-surgeons/supporting-guidance/equine-pre-purchase-examinations/

Some papers of interest

https://pubmed.ncbi.nlm.nih.gov/34687227/
https://pubmed.ncbi.nlm.nih.gov/33862666/
https://pubmed.ncbi.nlm.nih.gov/31418917/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 130 Pre-purchase radiographs with Rhiannon Morgan. Published on Nov 18 2021 If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast or Acast and kindly write us a review.

What are human factors, non-technical skills and professionalism? Human factors, non-technical skills and professionalism are concepts whose importance in clinical practice is increasingly being recognised and appreciated. So far more attention has been paid to these concepts in the field of human medicine but some discussion is now occurring in veterinary medicine too. In this podcast which features Liz Chan we discuss these concepts explaining what they mean and why they are relevant to clinical practice and/or patient safety. Liz is a specialist in Veterinary Anaesthesia and Analgesia and currently works at the RVC as a Lecturer in Veterinary Education.

Find out more about CPD from the RVC featuring Liz here.

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

Healthcare-associated infection is an extremely important consideration both in veterinary and human medicine. In this podcast we discuss issues such as what terminology we should use, why we should care about HAI, and prevention and monitoring. The podcast features Dan Chan who is Head of the Emergency and Critical Care services and also a member of the Infection Control Committee at the Queen Mother Hospital for Animals.

Find out more about CPD from the RVC featuring Dan here and consider some relevant webinars here and here.

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

Many, many dogs and cats undergo general anaesthesia daily around the world. It is such a common intervention that being prepared and confident is vital and knowing how to maximise safety essential. In this podcast featuring Ian Self we discuss aspects such as patient assessment, preparation, induction, maintenance and recovery. We also touch on what the published data about peri-anaesthetic mortality is for dogs and cats. Ian is Head of the QMHA Anaesthesia and Analgesia service and a Lecturer in Anaesthesia.

Find out more about CPD from the RVC featuring Ian here.

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

Cruciate disease is one of the most common orthopaedic problems in dogs. In this podcast we review the anatomy and function of the cruciate ligaments and then go on to discuss the ways in which they can become diseased, how the diagnosis is made, and what the various treatment options are including surgical versus conservative management. The podcast features Richard Meeson who is a Lecturer in Orthopaedic Surgery and part of the QMHA Orthopaedic service. This podcast is a 'must listen' for anyone who sees or will go on to see dogs as clinical patients!

Find out more about CPD from the RVC featuring Richard here.

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

Oncology is a relatively young speciality in small animal veterinary medicine but one that is exciting and continually evolving. In this latest podcast we discuss this area with Chiara Leo of the QMHA Small Animal Oncology service. Some of the things we talk about include what cancer is and general principles of the approach to and treatment of cancer. Chiara also offers her opinion on how pre-existing perceptions of veterinary oncology need to be rethought and to evolve as this field of veterinary medicine makes good clinical progress. Be sure to listen and remember....

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

There are many potential ways in which dogs and cats can poison themselves! In this latest podcast we discuss some of the more well known 'classic' poisons such as chocolate, ethylene glycol (antifreeze) and anticoagulant rodenticides, as well as some more recently identified ones such as grapes/raisins/currants/sultanas and xylitol in dogs. We also chat about neuromuscular toxins such as metaldehyde and permethrins,. One of the key things we stress is the difference between dose-dependent and non dose-dependent (idiosyncratic) poisoning. The podcast features Dom Barfield, Lecturer in Emergency and Critical Care at the QMHA.

Find out more about CPD from the RVC featuring Dom here.

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

"Every month is diabetes month in my mind!" (Stijn Niessen, 2013). Diabetes mellitus is a common and very important hormonal disease in both dogs and cats. And while not reported in dogs, it has been known for some time that cats can go into diabetic remission. In this podcast featuring Stijn Niessen, Lecturer in Internal Medicine at the QMHA, we start by discussing diabetes mellitus in general terms, including how best to classify the different types, common signs of the disease, making the diagnosis and trying to make sense of the different types of insulin preparations available. Stijn then goes on to fill us in on the motivation for and aims of the new RVC Feline Diabetic Remission Clinic (email fdrc@rvc.ac.uk).

In the podcast Stijn also mentions that vets in the United Kingdom can submit samples from cats for fructosamine measurement for free - find out more at this RVC Clinical Investigations Centre website page under 'Feline diabetes and acromegaly'.

Find out more about CPD from the RVC featuring Stijn here.

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

Physiotherapy, hydrotherapy and rehabilitation therapies are gaining increasing recognition as being an important part of veterinary healthcare and these services are increasingly available. In this podcast we discuss the emergence, uses and potential benefits of these therapies with Holly Smith, Head Nurse for Neurology and Rehabilitation in the QMHA.

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

A quick update on how the podcasts are going and a BIG THANK YOU to you the listeners for your interest and support!

Please do feel free to get in touch including with questions about current podcasts and suggestions for future topics:

• Email Shailen at sjasani@rvc.ac.uk
• Post on our Facebook page
• Tweet @RoyalVetCollege hashtag #saclinpod

IF YOU LIKE THIS PODCAST SERIES PLEASE RATE IT ON ITUNES - THANK YOU!!!

Urethral obstruction ('blocked cats') is a well recognised emergency problem in cats. However obstruction of one or both ureters is also increasingly recognised. In this podcast Nicola Kulendra (nee Bound) of the QMHA Soft Tissue Surgery service explains more about this condition, what the consequences are, how the diagnosis is made and treatment options available. This is a condition that may be easy to miss so be sure to listen to this podcast!

Find out more about CPD from the RVC featuring Nicola here and here

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

129 Aspiration pneumopathy without antimicrobials  In our virtual studio joining myself and Brian we are delighted to have Simon Cook, one of our fabulous lecturers in Emergency and Critical Care here at the RVC. We talk to Simon about aspiration pneumopathy and treating without antimicrobials, mainly asking him about a recent retrospective study. Food for thought about current practice and working towards generating more information to provide guidelines to help clinical decision making in these cases. We hope that you enjoy.

Link to the paper:
https://pubmed.ncbi.nlm.nih.gov/34423436/

Link to keep up with veterinary literature:
https://vetlit.org/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 129 Aspiration pneumopathy without antimicrobials with Simon Cook. Published on Oct 08 2021 If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast or Acast and kindly write us a review.

What are the consequences of malnutrition? What is nutritional support? When is the right time to start nutritional support? Does refeeding syndrome truly exist? When should you start feeding patients after gastrointestinal surgery?

These are some of the things that we discuss in this podcast which features Dan Chan who is Head of the Emergency and Critical Care services and Clinical Nutritionist at the Queen Mother Hospital for Animals. Nutritional support of veterinary patients is an area that has received quite a lot of attention in recent times so be sure to listen to this episode!

Find out more about CPD from the RVC featuring Dan here

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

Polyuria/polydipsia (PU/PD) is a common presenting complaint in small animal practice; a number of different disease states can disrupt normal physiology resulting in this problem. In this episode I discuss PU/PD with Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the QMHA. Some of the things we discuss include what we mean by polyuria and polydipsia, background pathophysiology that can lead to this problem, and a rational approach to the PU/PD patient.

Find out more about CPD from the RVC featuring Rosanne here

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

Limb fractures are a common injury following blunt trauma in dogs and cats and a rational approach to the management of these patients is crucial. In this episode I discuss this problem with Elvin Kulendra who is a Lecturer in Small Animal Surgery at the QMHA and spends most of his time nowadays doing orthopaedics. Some of the things we talk about include how easy it is to detect a fracture, when is the best time to manipulate a fracture, open versus closed fractures, tips on radiography and the rational use of antimicrobials.

Find out more about CPD from the RVC featuring Elvin here

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.