Internal Medicine
Dermatology
Surgery
Oncology
Behavioural Medicine
MVSC CLINICAL CLUB 14 APRIL 2010
Case 1
This dog is a 5-year-old male JRT 3 days after being hit by a car.
1.1 Discuss initial wound management in such cases and potential complications
1.2 Outline a plan(s) for reconstruction of the wound
1.3 What is the physiology behind “skin stretching”
1.4 Describe the “delay phenomenon” with respect to skin flaps
Case 2
An 8-year-old spayed female Rottweiler hit by a car travelling at 25km/hr is presented non-weight
bearing on the right pelvic limb. Previously had bilateral TPLOs performed
2.1 Describe the radiographic findings
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Copyright © 2010 Melbourne Veterinary Specialist Centre
Internal Medicine
Dermatology
Surgery
Oncology
Behavioural Medicine
2.2 Are there any further diagnostics you wish to perform prior to surgery?
2.3 In addition to the surgical repair, list two intra-operative procedures that might be considered
2.4 Critique the post operative radiograph
*Bonus question: List 3 adjunctive therapies that could now be undertaken
T: 03 9887 8844 F: 03 9887 8500 E: office@melbvet.com.au W: www.melbvet.com.au
Copyright © 2010 Melbourne Veterinary Specialist Centre
Internal Medicine
Dermatology
Surgery
Oncology
Behavioural Medicine
Case 3
12-year-old female spayed Doberman was presented for “pain”, difficulty rising, reluctance to leave
her bed and inappetance of 3 weeks duration. Referring Veterinarian “X” had trialled the dog on a 7day course of Rimadyl with no improvement. A canine blood profile and survey spinal radiographs
were performed at this time. No abnormalities were evident. A treatment trial on prednisolone was
then commenced, again there was no improvement.
Examination at MVSC revealed a dog reluctant to move or stand. Pain was elicited over the lumbar
spine. No neurological deficits were present. Temp 38.9.
3.1 Detail the findings on the survey radiographs
3.2 List 3 differential diagnoses
3.3 Describe the MRI findings
3.4 What additional diagnostics could be employed?
3.5 A positive culture was returned (Staph aureus). Discuss treatment and prognosis
T: 03 9887 8844 F: 03 9887 8500 E: office@melbvet.com.au W: www.melbvet.com.au
Copyright © 2010 Melbourne Veterinary Specialist Centre
Internal Medicine
Dermatology
Surgery
Oncology
Behavioural Medicine
Case 4
10-year-old female cocker spaniel with chronic re-occurring otitis.
4.1 Describe the photograph and radiographic findings
4.2 What further pre-operative diagnostics would you like to perform?
4.3 What surgical technique and perioperative procedures would BEST address this dog’s problem?
4.4 Describe the surgical procedure including relevant regional anatomy
4.5 List 3 potential surgical complications
T: 03 9887 8844 F: 03 9887 8500 E: office@melbvet.com.au W: www.melbvet.com.au
Copyright © 2010 Melbourne Veterinary Specialist Centre
Internal Medicine
Dermatology
Surgery
Oncology
Behavioural Medicine
Case 5:
12-year-old female spayed domestic short hair cat hit by a car.
5.1 Describe the fracture
5.2 Fracture fixation was achieved using a plate-rod technique. What are the guidelines for plate-rod
fixation?
5.3 Discuss the advantages of a plate-rod fixation over fixation with plate alone
5.3 In addition to your surgical repair, what intra-operative procedure should be considered
5.4 Critique the post operative and follow up radiographs
T: 03 9887 8844 F: 03 9887 8500 E: office@melbvet.com.au W: www.melbvet.com.au
Copyright © 2010 Melbourne Veterinary Specialist Centre