The picture on the left shows a small breed dog’s normal upper canine, lower canine, and third incisor.  The picture on the right shows the same dog’s other side, where the upper canine tooth is completely missing — or is it?  It appears to be present, unerupted, under the gum, despite the fact that the dog is 2 years old.  Teeth should be fully erupted before 6 months of age.  I recommended extraction of the tooth to the owners, given that it is never going to erupt at this stage and may predispose to the formation of dentigerous bone cysts, but the owners have declined for now.

The first photo shows a large splenic tumor in a retriever mix, consistent with a hemangiosarcoma.  The second photo shows metastasis to the liver.  The dog also exhibited hemoabdomen, or profuse bleeding into the abdomen, which is also consistent with a hemangiosarcoma, a tumor of blood vessels.  Impression smears of a cut tumor nodule are photographed below, showing large cells of irregular size and shape, and one cell with two nuclei.  Dividing cells and atypia are two signs of malignancy.  The dog was euthanized after profound anemia occurred, and necropsy discovered the above findings.

A fun picture of yeast (the footprint/peanut shaped purple blobs), cocci (the tiny round purple blobs), and cellular debris seen in a dog’s ear infection.

A fun picture of yeast (the footprint/peanut shaped purple blobs), cocci (the tiny round purple blobs), and cellular debris seen in a dog’s ear infection.

Behind the Medic: “Dr. Cranquis, the electronic prescribing system is down until further notice…”

cranquis:

My nurses just looked at me funny when I started flipping the workstation lightswitch on and off while making glottal techno-beat noises.

Diagnosis: hyperthyroidism-associated cardiomyopathy

Diagnosis: hyperthyroidism-associated cardiomyopathy

(via hallloween)

How can you ensure you get those vital work experience placements and how do you make the most of them?

getmeintovetschool:

I once read a quote from a vet saying ‘if work experience wasn’t so valuable, it wouldn’t be so hard to get’. When I was still at school, I wholeheartedly believed this after applying to endless vet surgeries for placements and often never even getting a reply. Perhaps this is the first hurdle hopeful applicants must pass? Determination is crucial for getting through vet school, so must we prove it before applying?

Many vets are more than happy to take on students once they are at vet school. Often, this is because of insurance policies in place to protect the students and themselves in case of accidents. Often, this is because they have a far more developed knowledge of anatomy, drugs, diseases and treatments. Often, this is because they have proved themselves worthwhile students, keen to learn and willing to get stuck in. This, however, is absolutely no help when still at school or college and is extremely frustrating since every vet school demands at least 2 weeks experience. When vet schools use work experience gained as a way of filtering applicants, these valuable placements become just as important as your grades.

So, what can you do to help get work experience placements and how should you make the most of them?

  1. It’s all about who you know. ANY link to a vet (family, friends, teacher’s friends, your vet, your stable’s vet etc.) is a huge asset in asking for a placement. Don’t be afraid of being shameless in asking favours or name-dropping if it will ensure you gaining that placement!
  2. Be persistent (but not annoying). Send a letter, phone them and if need be, drop in in person. If they say no, accept it and move on. If they are vague or don’t get back to you, try again.
  3. Keep an open mind. Placements don’t have to be purely veterinary based to still be extremely useful. I spent 6 weeks at the University of Liverpool studying molecular biology of plants and learnt loads of laboratory skills. This placement really made me stand out amongst applicants because it was so unusual. I also had to produce a written project report which is really similar to the research project I have to produce in 2nd year. See? Who’d have thought studying plants for a whole summer would land me with the skills I need in vet school?
  4. Be prepared. Read up about the practice, company or type of farm you’ll be going to. It will impress your supervisor if you’re interested in their business and prevents them having to explain the basics to you. Make a list of question you could ask before you go - most of these will be answered within your first few days anyway but you’ll find yourself adding to it during your placement. It’s also a good idea to ring a few days before your placement to confirm the timings, lunch arrangements, clothing required etc.
  5. Network and make contacts. A HUGE part of being a vet is about getting on with other people - colleagues and clients. If you’re shy or nervous, try to be open about it. Placement supervisors won’t push you into doing anything you don’t want to and would rather know if you were feeling uncomfortable. Having said that, make sure you get involved! Chat to as many people as you can and get yourself known. Vets are not experts in every area and are certainly not the only people you can learn from!!
  6. Don’t be disappointed by the bad days, focus on the good days. Everyday is different as a vet so supervisors cannot guarantee you’ll get to see groundbreaking surgery or emergency limb reconstruction. Instead,they’ll take it day by day and do their best to offer you a true taste of veterinary life. You may well spend days addressing envelopes or mucking out stables or sweeping yards. So be it. There’ll be other days where you get to witness something extraordinary, get involved in something exciting or get to meet really interesting people! 
  7. Keep a diary. Sounds silly but you’ll soon forget your experiences or mix up days if you don’t record them properly. It doesn’t have to be long, just a quick summary of your day’s work - you could start a blog like I did! It’s also incredibly useful for adding details into your personal statement or having case studies to talk about at interview.
  8. Leave a good impression; send a thank you card at the very least. At the end of the day, no matter how useful/fun/educational your placement was (or wasn’t), they have done you a huge favour by letting you into their place of work. You never know when you might meet them in the future or need their help/advice for something so make sure they remember you for all the right reasons! In my experience, cakes/biscuits/chocolates always go down well in busy vet practices!

So I think that’s pretty much it…. It’s hard work to achieve, especially while balancing studies, jobs, a social life, hobbies and sleep but in a way it is great preparation for uni! 

Good luck! 

Thank you for everyone who reblogged this post and tried to help spread the word. Merry was taken home this week as a foster, but she was scared and antisocial, and did not seem well-suited to the foster’s home (apartment, with other animals). She behaved poorly and unfortunately will be euthanized tomorrow due to the fact she may never make a good pet. ;_;

This is so sad. I don’t know why they adopted her out to obviously an unsuitable home - multiple other animals are a no no. She should only have gone to an experienced pet owner with a no pet household.

No one would take her. It was not as if there were people lining up for her. One of the staff took her home for a trial period to see if they could collect enough evidence that she could make a good pet to try and convince local rescues/shelters to give her another chance (they have said no every time). No one else has been willing/able to take her even for a trial run. This was basically a last ditch effort, I would not blame the experienced pet-owning person who tried to take her home and isolate her in the home away from the other pets. Even in isolation Merry seemed terrified (not simply cautious as cats usually are in new environments and would wedge herself in behind furniture and places they couldn’t get her out of, and showed not even slight improvement over the course of a week. If you can take her please let me know but otherwise, I would chalk this up to a sad fact of pet overpopulation and lack of spaying/neutering pets, and not blame any particular person. Basically with lack of adopters coming forward for her, the choice is remaining in a cage for the rest of her life, being released in the wild with a health condition to be likely eaten by the coyotes that are common here, or euthanasia. She is unhappy in the cage, and the second option is cruel, leaving the third option as the only reasonable one. :(

(via ofwordsandwaltzes)

thevetsaidwhat:

veterinaryrambles:

Merry is a 9 year old stray female cat, most likely spayed. She is currently living in a veterinary clinic in a cage. A Good Samaritan found her several months ago, with severe injuries to both ears. It took months but the scabs and infection eventually healed, though her ears will always be bald and she will always need to be watched to make sure she doesn’t scratch her ears. She is a little overweight and has dental disease, but otherwise appears to be healthy.

The trouble is, the good Samaritan, while she has been paying for Merry’s care, has been unable to find a home for her. Merry is shy in a cage, and doesn’t always make a great first impression because she stays nervous, even though she’s been in a kennel a long time now. She doesn’t seem to like other animals. No area shelters have wanted to take her because she has been shy, and is not perfectly healthy. Merry is trapped in limbo.

Merry was tested in one of the clinic rooms today with a staff member. To our surprise the shy cat didn’t bolt to hide under the couch, or run away - instead she purred loudly for petting and seemed content sitting on the couch for affection.

Merry could be a great cat in the right home - she just needs someone to reach out, and she will rub your hand for more petting.

Merry lives in the greater Los Angeles area. If you are anywhere near there and could open your home to a lonely kitty, please message me privately for more information. If you can’t take her but know someone or a group who would be interested in helping her find a home, message me. If you can’t help her directly but want to spread the word, please boost the signal. Merry wants a forever home - shy kitties deserve love, too!

Signal boost!

Thank you for everyone who reblogged this post and tried to help spread the word. Merry was taken home this week as a foster, but she was scared and antisocial, and did not seem well-suited to the foster’s home (apartment, with other animals). She behaved poorly and unfortunately will be euthanized tomorrow due to the fact she may never make a good pet. ;_;

(via pandaveganlove)

asker

Anonymous asked: Hi, have you ever have had any experience with SIADH?

I’m afraid I haven’t! I’m on vacation so don’t have access to some of my resources I would normally have, but it seems to be a disease process seen mostly in humans with only rare cases in dogs. If you have seen a case let me know, that would be interesting to read about.

Simple names for surgical operations

daughter-of-sevenless:

-tomy: The surgeon cut something.

-ectomy: The surgeon cut something out.

-ostomy: The surgeon cut something to make a mouth. If one organ is named, the mouth opened to the outside of the patient. If two organs are named, the mouth connected two organs.

-plasty: The surgeon changed the shape of an organ.

-pexy: The surgeon moved the organ to the right place.

-rraphy: The surgeon sewed something up.

-desis: The surgeon made two things stick to one another.

(via nursingisinmyblood)

radiologysigns:

What are the two diagnoses and are they related? 

ANSWER: http://goo.gl/AbTduW

Hint: this is also a common diagnosis in veterinary medicine.

radiologysigns:

What are the two diagnoses and are they related?

ANSWER: http://goo.gl/AbTduW

Hint: this is also a common diagnosis in veterinary medicine.

climballtherocks:

Prince Edward, a bulldog, managed to eat his owners’ false teeth. Somehow the owner managed to speak to the vet without them.

climballtherocks:

Prince Edward, a bulldog, managed to eat his owners’ false teeth. Somehow the owner managed to speak to the vet without them.

(via getmeintovetschool)

asker

cranquis asked: LOVED your commentary on the "worrying about med school debt" post. Thanks!

Thanks!  I feel a bit flattered having the tumblr-lauded cranquis send me a note :)  I enjoy keeping a few medblrs on my follow list to see the similiarities and differences between human and veterinary medicine, always a fascinating read.  Sometimes they’re eerily similar, other times I’m grateful to be working on animals instead of people! 

Ask Me Anything: Is it ok to worry about med-school debt?

cranquis:

thecraftypremed asked:

Hiya Dr. Cranquis!

One of the things I’m concerned about going into the medical profession is the amount of debt I’d be going into. I know money shouldn’t be of concern if I’m going into a career that I want to be in, but I also don’t want to be in a financial mess. How do you manage to pay off student loans while getting on with your life (having a Cranq-family & all that jazz)? 

EXCELLENT question - I’m going to start off by pointing you to me #financial aid tag, which contains quite a few prior replies/posts about this very question.

However, I also want to specifically address a misconception I detected in your question: “If you’re going into a career which you enjoy, and/or which is primarily focused on helping others, then it’s uncouth/impolite/a sign of weakness to express concern about the financial debt which that career entails, right?”

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Interesting perspective from the human side of things. While I think student loan debt is out of control in every profession, the fact that the MDs are having a difficult time is sobering to me. Especially given that I as a recent graduate veterinarian have student loan debt in accordance with physicians (greater than $350,000) and yet earn a salary that is a little better than a military doctor ($58,000) but not as good as a non-doctor research assistant ($80,000). This is average for veterinarians. Think hard on it - the only thing that makes it worth it is the passion. If you only kinda like vet med, run the other direction! You’ve got to love this to make it anything like worthwhile with a debt to salary ratio like that!

Yet another example of what can happen when your pet’s teeth are neglected.  Oronasal fistulas occur when the bone between the mouth and the nasal cavity becomes eroded.  When that happens, there is a essentially a hole between the mouth and the nose.  Food and hair can be trapped in that hole, as in this photo.  In this case the animal also had an infection from the ONF, resulting in an abscess rupturing on his face beneath his eye.  He was euthanized for multiple reasons, one of which being his severely infected mouth.

Yet another example of what can happen when your pet’s teeth are neglected.  Oronasal fistulas occur when the bone between the mouth and the nasal cavity becomes eroded.  When that happens, there is a essentially a hole between the mouth and the nose.  Food and hair can be trapped in that hole, as in this photo.  In this case the animal also had an infection from the ONF, resulting in an abscess rupturing on his face beneath his eye.  He was euthanized for multiple reasons, one of which being his severely infected mouth.