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Below are just some of the webinars available to our members or can be purchased individually
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A to Z of Bone Marrows
Nick Carmichael and Adam Bell
In the first part of this joint presentation Adam Bell, Director of Medicine at Calder Vets in Dewsbury discusses the indications, equipment and techniques required for obtaining good quality bone marrow aspirate samples in general practice. When and where to sample, the differences between aspirates and core biopsies and how to prepare and submit samples will be reviewed along with a step by step visual guide to the techniques needed for good results. In short, everything you need to know about taking great bone marrows but were afraid to ask!
In the second part Nick Carmichael, Veterinary Director at CTDS will discuss what clinical pathologists look for in the material from bone marrow and show examples of cases where taking a marrow provides invaluable information for the diagnosis and management of the case. There will also be an introduction to what new techniques such as flow cytometry can add to analysis of blood and bone marrow If you want to know what goes on inside bone marrow and how you can take the samples that provide the answers join us on 9th May.
A to Z of BALs
Adam Bell and Nick Carmichael
In the first part of this joint presentation Adam Bell, Director of Medicine at Calder Vets in Dewsbury discusses the indications, equipment and techniques required for obtaining good quality bronchoalveolar lavage samples in practice. When and where to sample, fluid volumes to use and blind and endoscopic techniques will be reviewed along with a step by step visual guide to techniques for optimal sample recovery.
In short, everything you need to know about taking great BALs but were afraid to ask! In the second part Nick Carmichael, Veterinary Director at CTDS laboratories will discuss what happens at the lab to turn the sample into meaningful results and will talk through cases showing common features in BAL cytology and what they mean for the patient’s final diagnosis and their care.
There will also be a brief discussion of what PCR analysis of BAL samples can offer including the new Angiostrongylus vasorum PCR which has recently become available. If you thought pouring liquid into lungs was bad for them, think again and join us on 2 nd May.
Understanding lab tests in Chronic Kidney Disease
The last 20 years have seen huge progress in the understanding, diagnosis and treatment of chronic kidney disease moving it from a condition with an almost inevitably poor outcome to something that can be managed long term whilst giving a good quality of life.
Central to this change has been the routine use of blood and urine tests.
Many of these tests appear very familiar but to optimise their diagnostic yield we need to understand exactly what they tell us and how they may be affected in renal disease and by other factors.
In addition, the use of clinical decision limits such as those defined within the recent IRIS guidelines to determine kidney disease stage and appropriate therapy challenge some of our conventional ideas about test result interpretation.
In this webinar Nick Carmichael will review the commonly used tests in renal disease, their interpretation and give some guidance for working with IRIS, building a comprehensive but cost- effective approach to monitoring these cases suitable for practice. On the way he will briefly discuss the pathophysiology behind the tests and share some practical tips to ensure the best results from samples analysed in practice or sent out to an external lab.
Nick Carmichael spent 10 years in a mixture of first and second opinion small animal practice before returning to his first love of veterinary pathology. He has worked as a clinical pathologist for over 20 years and is currently the veterinary director of CTDS, a diagnostic laboratory he established together with Dr Andy Torrance in 2004. The lab is one of only a handful in the UK accredited by the laboratory standards committee of the European College of Veterinary Clinical Pathology as a training laboratory for clinical pathologists. The lab provides diagnostic services to first opinion and second opinion practices across the UK and prides itself on the quality not only of the pathology but also on the level of service, contact and follow up with clinicians.
This is in line with Nick’s view that the role of the clinical pathologist is to act as bridge between the laboratory science and clinical practice ensuring we make the best possible use of the information we have for the benefit of the patient and their owners.
Nick enjoys and reports on all aspects of clinical pathology but has a special interest in neurology, haematology and clinical pathology in exotic species.
Blood and Clots – Getting to Grips with Problems of Haemostasis
Problems of haemostasis are regularly encountered in practice, whether as frank bleeding following rodenticide ingestion, mucosal bleeds associated with low platelet counts or thromboembolism in cats suffering from cardiac disease. This session aims to provide the delegates with a logical framework allowing quick and accurate identification of the type of clotting abnormality present and how to achieve a final diagnosis.
In the context of a case presenting with a haemostatic anomaly, anticoagulant toxicity, clotting factor deficiencies and platelet disorders will be discussed with reference to the tests available for their diagnosis and, more importantly, guidance on test selection for a given case. The progression of investigation will follow the diagnostic choices made by the audience when this presentation was recently given face to face, allowing the online delegates to follow a similar train of thought as their peers.
With diagnostic sensitivity it is now apparent that thromboembolism , both venous and arterial, is not uncommon in veterinary patients suffering from a wide range of traumatic, metabolic, neoplastic and cardiac disease. Some of the underlying causes of thromboembolism will be discussed and particularly the evidence available to guide choice of therapy.
Mark Goodfellow has worked both in private practice and in acaedemia. Previously a clinician in the medicine service at Bristol Vet School with a strong bias towards oncology, Mark recently completed bench work for a DPhil in molecular oncology at the University of Oxford. Mark is currently a medicine clinician at Davies Veterinary Specialists were he sees cases in all branches of internal medicine.
Laboratory Diagnosis of Liver Disease
Biochemical testing provides the cornerstone for the diagnosis and monitoring of liver disease. However, a variety of diseases other than primary hepatic disease can affect test results and complicate their interpretation. In addition there are some important species differences both in the interpretation of test results and the spectrum of diseases with which they are associated.
In this webinar Nick Carmichael will review commonly used lab tests in liver disease, their interpretation and outline approaches to assist differentiating between true liver disease and secondary liver changes.
So if you want to look beyond the numbers and see the real picture in liver disease join Nick on the 19th of May.
Cutaneous Cytology of Skin Tumours
Cytology is a much-neglected skill of the small animal practitioner. In this webinar, Richard Fox of Abbey Vet Services, Newton Abbott will be demonstrating to us how easy it is to incorporate cytology into the diagnostic work up.