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Case Rounds 10.6.21 - Shared screen with speaker view
José Pedro Amaral Leitão
12:30
perform complete orthopedic and neurologic exam followed by xray/TAC
ΜΑΡΙΟΣ ΓΑΛΑΝΗΣ
12:41
mri
Andrianna Krippaehne
13:35
progressive?
Zhenya Sheriff
14:46
neuro signs ?
ΜΑΡΙΟΣ ΓΑΛΑΝΗΣ
15:02
fever?
Danielle
15:16
Correct everyone!
Zhenya Sheriff
15:44
proprioceptive deficits
José Pedro Amaral Leitão
15:54
peripheral nerves
Ryan Cuddihy
15:54
cp, withdrawls, reflexes
Mala Renwick
16:11
Localising signs on euro exam.
Zhenya Sheriff
16:57
superficial and deep pain
Ryan Cuddihy
17:13
motor, pain
Mala Renwick
17:15
Function/mobility, pain sensation.
Noemi Pusztai
17:17
superficial and deep pain
Noemi Pusztai
19:17
if no neurologic signs, Rx
José Pedro Amaral Leitão
20:01
analgesia
Zhenya Sheriff
20:10
pain medication and rest
José Pedro Amaral Leitão
20:27
and reevaluate after
Iolanda Sousa
20:32
XRay?
Zhenya Sheriff
20:33
no neck collars
Andrianna Krippaehne
20:34
rads for screening and if normal confinement and analgesia
Andrianna Krippaehne
21:05
screen for OTHER lesions: disco, fx, etc
Ryan Cuddihy
21:08
rule out fractures
Zhenya Sheriff
21:21
check for disc calcification/protrusion, spondylosis
José Pedro Amaral Leitão
21:22
eventual fractures/luxations, evidence of spinal hernias
Mala Renwick
21:30
Exclude some trauma lesions eg fracture, luxation
Andrianna Krippaehne
21:59
discospodylitis
Iolanda Sousa
22:11
hemivertebrae
Zhenya Sheriff
24:29
what about esophegous and trachea eval
Mala Renwick
24:31
Because of manipulation needed for GA and MRI.
Mala Renwick
26:15
No CSF tap on that list?
Mala Renwick
27:43
Meningitis?
Zhenya Sheriff
29:31
C6-8 is that spondylosis
José Pedro Amaral Leitão
30:06
narrowed intervertebral space T5-T6-T7
João Paulo Amaral Leitão
30:09
C3-C4 shorter vertebral bodies?; C4-C5 reduced IVD space?
Andrianna Krippaehne
30:30
yes... canal is narrowed in the area of the hemis
José Pedro Amaral Leitão
32:09
why xray focus on thoracic if pain is on neck?
José Pedro Amaral Leitão
33:39
lesions on thoraci column don´t cause painful neck
Andrianna Krippaehne
33:57
C3-4 disc space bulges into canal
José Pedro Amaral Leitão
34:00
mineralization C2-C3
José Pedro Amaral Leitão
34:26
then C3-C4
Zhenya Sheriff
34:29
3-4 ?
Zhenya Sheriff
35:31
why cant you see it on the VD view ?
José Pedro Amaral Leitão
36:31
is it extruded disc?
Danielle
36:47
Yes, mineralized as wwell
José Pedro Amaral Leitão
38:14
thank you
José Pedro Amaral Leitão
39:33
how can that cause neck pain?
José Pedro Amaral Leitão
41:14
first things first: resolve neck pain. analgesia and muscle relaxation may be enough
Zhenya Sheriff
41:40
Treat the IVDD with rest and pain meds +/- steroids or OR nsaids,
Zhenya Sheriff
41:44
Treat the ear infection
Zhenya Sheriff
41:58
and talk about doing a dental in the near future if still in pain
Mala Renwick
42:30
Pain only, no neurological deficits - conservative management - analgesia, cage rest 4-6 weeks.
José Pedro Amaral Leitão
42:41
actual guidelines do not recomend steroids but NSAIDs instead. what is your opinion on that?
José Pedro Amaral Leitão
44:45
i still prefer steroids over NSAIDS despite what the guidelines says
José Pedro Amaral Leitão
49:24
right femoral head is hugely damaged
Andrianna Krippaehne
49:29
physitis?
Mala Renwick
50:18
R subluxation, physitis
José Pedro Amaral Leitão
50:54
kissing lesions on acetabular rim
José Pedro Amaral Leitão
52:19
osteomielitis due to fungal disease? that would make fever plausible
José Pedro Amaral Leitão
54:48
histoplasmosis
Mala Renwick
54:56
With pyrexia (pain, inflammation, infection) osteomyelitis - no imaging signs HD, septic arthritis
Zhenya Sheriff
56:05
neoplasia even though very uncommon
José Pedro Amaral Leitão
56:13
neoplasia
Mala Renwick
56:37
Legg Perthes
Andrianna Krippaehne
56:41
legg calves perthes
José Pedro Amaral Leitão
56:44
calve-legg-perthes
Zhenya Sheriff
56:56
I thought this was only common in small dogs ?
José Pedro Amaral Leitão
57:22
is not that disease more typical in small breed dogs?
Mala Renwick
58:31
Survey / screen for further lesions.
Andrianna Krippaehne
58:32
joint tap
Zhenya Sheriff
58:32
if legg-perthes than femoral Head Ostectomy
José Pedro Amaral Leitão
58:55
biopsy to rule out fungal disease?
Danielle
01:02:53
Serum rather than biopsy, non-invasive
Zhenya Sheriff
01:03:39
if it was coccidiomycosis or bacteria infection - would you more likely see bilateral radiographic evidence
José Pedro Amaral Leitão
01:06:07
thank you!
Zhenya Sheriff
01:06:53
Thank you this was fun :)
Danielle
01:07:38
Thank you for participating and I’m sorry if I didn’t get to your answer, but I want to answer ALL questions
Danielle
01:07:47
If I didn’t get you an answer let me know!
Andrianna Krippaehne
01:10:26
Thank you!
José Pedro Amaral Leitão
01:10:32
fabulous
Noemi Pusztai
01:10:40
ThankYou!
João Paulo Amaral Leitão
01:10:48
thank you