Veterinary Case Library

Browse real specialist consultations across 13 veterinary specialties. Each case includes multi-specialist analysis, drug protocols, and clinical reasoning.

126 cases

Canine Laryngeal Paralysis Polyneuropathy

Excellent case, and your suspicion is spot on. This is a classic presentation for Geriatric Onset Laryngeal Paralysis Polyneuropathy (GOLPP). It's critical to remember that this is

🧠 Neurology🔪 Surgery🩺 Internal Medicine
DVM RoundsApr 1, 2026 · 1 Q

Feline Triaditis Treatment Protocol

Colleague, Excellent workup. Your presumptive diagnosis of triaditis is very well-supported by the clinical picture and diagnostics. This is a complex case, and a multi-pronged ap

🩺 Internal Medicine🥗 Nutrition📷 Radiology
DVM RoundsApr 1, 2026 · 1 Q

Canine Protein Losing Enteropathy Treatment

Excellent work on this case. A confirmed diagnosis of PLE with lymphangiectasia and inflammation in a Yorkshire Terrier requires an aggressive, multi-modal approach, and your diagn

🩺 Internal Medicine📷 Radiology🥗 Nutrition
DVM RoundsApr 1, 2026 · 1 Q

Canine Thoracic Radiograph Interpretation Guide

Excellent. This is a fundamental skill, and approaching it with a consistent, disciplined method is the only way to avoid missing subtle but critical findings. Let's walk through t

📷 Radiology
DVM RoundsApr 1, 2026 · 1 Q

Egg Binding Bird Emergency Treatment

Agent not found.

🦜 Avian🚨 Emergency💊 Pharmacology
DVM RoundsApr 1, 2026 · 1 Q

Parrot Feather Plucking Treatment

Agent not found.

🦜 Avian🥗 Nutrition
DVM RoundsApr 1, 2026 · 1 Q

Gabapentin Veterinary Pain Protocol

Excellent question. Gabapentin is one of the most commonly prescribed adjunct medications, but its efficacy is highly dependent on appropriate indication, dosing, and titration. Le

💊 Pharmacology
DVM RoundsApr 1, 2026 · 1 Q

MDR1 Drug Sensitivity Collie Breeds

Excellent. My MDR1/Breed Sensitivity Specialist has provided a solid foundation of the genetics and a comprehensive drug list. Let me synthesize this into a practical clinical fram

💊 Pharmacology
DVM RoundsApr 1, 2026 · 1 Q

Hepatic Lipidosis Cat Feeding Tube Nutrition

Excellent, my Critical Care Nutrition Calculator has provided a solid framework. Let's integrate this into a comprehensive clinical plan. This is a nutritional emergency. For a ca

🥗 Nutrition🩺 Internal Medicine🚨 Emergency
DVM RoundsApr 1, 2026 · 1 Q

Renal Diet Dog CKD Nutrition Protocol

Excellent. My 🧮 Renal Nutrition Calculator has provided a solid, data-driven foundation for this case. Here is my clinical synthesis and a comprehensive management plan for your I

🥗 Nutrition🩺 Internal Medicine
DVM RoundsApr 1, 2026 · 1 Q

Canine Glaucoma Emergency Treatment

Colleague, you are absolutely correct to treat this as a vision-threatening emergency. Your diagnosis and plan are sound. Let's refine the protocol for maximum effect, as every min

👁️ Ophthalmology🚨 Emergency💊 Pharmacology
DVM RoundsApr 1, 2026 · 1 Q

Canine Corneal Ulcer Treatment Protocol

Excellent, let's walk through this case. A Shih Tzu with an acute ulcer is a classic presentation, and your description is clear. Based on your findings—a superficial, fluorescein

👁️ Ophthalmology
DVM RoundsApr 1, 2026 · 1 Q

Canine Demodex Treatment Protocol

Excellent, thanks for the consult on this classic case. The sub-agent's breakdown is spot on. Here is my synthesis and clinical plan. This is a textbook presentation of juvenile-o

🔬 Dermatology💊 Pharmacology
DVM RoundsApr 1, 2026 · 1 Q

Feline Chin Acne and Eosinophilic Complex

Good to connect on this case. It's a classic feline presentation, and you're right to think of these as two manifestations of one underlying problem, which is almost certainly alle

🔬 Dermatology
DVM RoundsApr 1, 2026 · 1 Q

Canine Atopic Dermatitis Treatment Protocol

Excellent workup. This is a classic signalment and presentation for atopic dermatitis, and you've appropriately ruled out the other major differentials with a strict flea control p

🔬 Dermatology
DVM RoundsApr 1, 2026 · 1 Q

Canine Pancreatitis Treatment Protocol

Colleague, this is a classic presentation for the breed and you've got a solid diagnosis. My approach to these cases is aggressive and multimodal from the start to prevent systemic

🩺 Internal Medicine🚨 Emergency🥗 Nutrition
DVM RoundsApr 1, 2026 · 1 Q

Canine Immune Mediated Hemolytic Anemia

Colleague, this is a classic and severe presentation of IMHA. Good job confirming it with saline agglutination. Here is the multi-faceted protocol I would initiate immediately. 1.

🩺 Internal Medicine🚨 Emergency💊 Pharmacology
DVM RoundsApr 1, 2026 · 1 Q

Feline Diabetes Mellitus Insulin Protocol

Excellent work getting a definitive diagnosis on this diabetic cat. Uncomplicated cases like this are prime candidates for remission, so let's set this patient up for success. My

🩺 Internal Medicine🥗 Nutrition
DVM RoundsApr 1, 2026 · 1 Q

Canine Addison Disease Crisis Treatment

Agreed, this is a textbook Addisonian crisis until proven otherwise, and the hyperkalemia is the immediate life threat. That heart rate is deeply concerning. Let's get this dog sta

🚨 Emergency🩺 Internal Medicine
DVM RoundsApr 1, 2026 · 1 Q

Canine Cushing Disease Diagnosis Treatment

Excellent, thank you for the clear summary. My endocrinology sub-agent has provided a detailed protocol, which aligns perfectly with my approach. Here is my synthesis and plan for

🩺 Internal Medicine
DVM RoundsApr 1, 2026 · 1 Q

Feline Hyperthyroidism Treatment Options

Colleague, This is a classic and critical scenario where we have to balance treating one disease without exacerbating another. The hyperthyroid state is maintaining glomerular fil

🩺 Internal Medicine🥗 Nutrition🔪 Surgery
DVM RoundsApr 1, 2026 · 1 Q

Canine Gastric Foreign Body Surgery

Alright, team. This dog is sick, and the 3-day history is a major red flag. My priority is stabilizing this patient for whatever procedure is decided upon. Before we debate scope v

🚨 Emergency🔪 Surgery📷 Radiology
DVM RoundsApr 1, 2026 · 1 Q

Feline Urethral Obstruction Treatment

Alright, colleague. This is one of our bread-and-butter emergencies, but it's a killer if you don't respect the potassium. Let's walk through it. Priority one: The heart. Forget t

🚨 Emergency🔪 Surgery
DVM RoundsApr 1, 2026 · 1 Q

Canine Pyometra Surgery Emergency

Alright, let's get this dog to the OR. You've got a classic septic pyometra, and time is tissue. My priority is stabilizing her for anesthesia, because the definitive treatment is

🚨 Emergency🔪 Surgery🩺 Internal Medicine
DVM RoundsApr 1, 2026 · 1 Q

TPLO Surgery Recovery Timeline Dog

Excellent, this is a classic case and a good plan. TPLO is my procedure of choice for a young, active, 30kg Labrador, and the presence of a meniscal click confirms we need to addre

🔪 Surgery
DVM RoundsApr 1, 2026 · 1 Q

Lily Toxicity Cat Emergency Treatment

Alright, good catch. This is a time-critical toxicity and we need to move fast. Every minute we delay costs us nephrons. My immediate plan is aggressive decontamination and fluid

🚨 Emergency☠️ Toxicology🩺 Internal Medicine
DVM RoundsApr 1, 2026 · 1 Q

Rat Poison Anticoagulant Rodenticide Dog

Alright, colleague, this is a classic and manageable scenario if we're aggressive upfront. Brodifacoum is a long-acting anticoagulant, so our main goals are immediate decontaminati

☠️ Toxicology🚨 Emergency
DVM RoundsApr 1, 2026 · 1 Q

Grape Raisin Toxicity Dog Treatment

Excellent, thanks for the call. This is a classic case where we have to act despite the lack of a clear toxic dose. Let's get this patient managed. The core issue with grape and r

☠️ Toxicology
DVM RoundsApr 1, 2026 · 1 Q

Canine GDV Bloat Emergency Treatment

Cole here. Classic presentation. This is a surgical emergency, and time is tissue. Our job is to get this dog to the OR alive in the next 60-90 minutes. Don't delay surgery for per

🚨 Emergency🔪 Surgery
DVM RoundsApr 1, 2026 · 1 Q

Xylitol Sugar Free Gum Dog Poisoning

I couldn't formulate a response.

☠️ Toxicology🚨 Emergency
DVM RoundsApr 1, 2026 · 1 Q

Chocolate Toxicity Dog Treatment Calculator

Alright, colleague. This is a significant ingestion that requires immediate and aggressive management. Let's move quickly. My Dose Calculator confirms the severity here: your pati

☠️ Toxicology🚨 Emergency
DVM RoundsApr 1, 2026 · 1 Q

Canine Meningoencephalitis of Unknown Origin

Colleague, This is a classic and heartbreaking presentation for Necrotizing Meningoencephalitis (NME), especially given the signalment. A young Pug with multifocal CNS signs (fore

🧠 Neurology📷 Radiology
DVM RoundsApr 1, 2026 · 1 Q

Old Dog Vestibular Disease Treatment

Colleague, This is a classic and often dramatic presentation. The key to this case, as with all vestibular presentations, is differentiating central from peripheral disease. Your

🧠 Neurology📷 Radiology
DVM RoundsApr 1, 2026 · 1 Q

Canine Idiopathic Epilepsy Management

Excellent workup. With a normal interictal exam, bloodwork, and MRI in a 2-year-old Border Collie, you've correctly arrived at a diagnosis of idiopathic epilepsy. Given the patient

🧠 Neurology💊 Pharmacology
DVM RoundsApr 1, 2026 · 1 Q

Canine IVDD Thoracolumbar Treatment

Hey! I'm the DVM Rounds orchestrator. I have a team of 11 board-certified AI specialists — each with sub-agents — ready to consult on any clinical case. Describe your patient and I

DVM RoundsApr 1, 2026 · 1 Q

Patent Ductus Arteriosus Puppy Treatment

Colleague, This is a classic presentation for a hemodynamically significant, left-to-right shunting patent ductus arteriosus. Your prompt diagnosis is the critical first step. The

❤️ Cardiology🔪 Surgery
DVM RoundsApr 1, 2026 · 1 Q

Canine Congestive Heart Failure Emergency

This is a classic presentation of fulminant cardiogenic pulmonary edema. Our immediate goals are to reduce preload, reduce afterload, improve contractility, and decrease the patien

🚨 Emergency❤️ Cardiology💊 Pharmacology
DVM RoundsApr 1, 2026 · 1 Q

Feline Hypertrophic Cardiomyopathy Treatment

Good work on the echo. Your findings are classic for hypertrophic obstructive cardiomyopathy (HOCM). This cat is in ACVIM Stage B2 (structural disease with chamber enlargement, but

❤️ Cardiology
DVM RoundsApr 1, 2026 · 1 Q

Canine Dilated Cardiomyopathy Doberman

This is a classic and concerning presentation for occult (Stage B2) Doberman Cardiomyopathy. The high arrhythmial burden places this dog at significant risk for sudden cardiac deat

❤️ Cardiology
DVM RoundsApr 1, 2026 · 1 Q

Pimobendan Dosing for MMVD Stage B2

Excellent workup and accurate staging. This is a classic presentation for a Stage B2 Cavalier, and you've identified the key parameters that guide our intervention. Yes, you shoul

❤️ Cardiology
DVM RoundsApr 1, 2026 · 1 Q

Canine Transitional Cell Carcinoma Bladder

Excellent workup. A BRAF-positive trigonal mass in an 11-year-old Scottie is TCC until proven otherwise. My primary goal here is to manage this as a medical disease, focusing on sl

🧬 Oncology🔪 Surgery📷 Radiology
DVM RoundsApr 1, 2026 · 1 Q

Canine Hemangiosarcoma Spleen Treatment

🧫 Thanks for reaching out about this challenging case. A post-splenectomy hemangiosarcoma diagnosis is always tough, and it's good you're moving quickly to discuss adjuvant thera

🧬 Oncology
DVM RoundsApr 1, 2026 · 1 Q

Feline Oral Squamous Cell Carcinoma

Colleague, this is one of the toughest diagnoses we deal with. My condolences to you and your client. Feline oral SCC, particularly in the sublingual location, is an aggressive dis

🧬 Oncology🔪 Surgery🥗 Nutrition
DVM RoundsApr 1, 2026 · 1 Q

Canine Osteosarcoma Treatment Protocol

Excellent, thank you for the detailed workups from my team. Here is my integrated plan for this patient. Colleague, This is a classic presentation for appendicular osteosarcoma

🧬 Oncology🔪 Surgery💊 Pharmacology
DVM RoundsApr 1, 2026 · 1 Q

Canine Mast Cell Tumor Grading and Treatment

Thanks for the consult on this Boxer. This is a very common scenario, and the good news is that with a Kiupel low-grade tumor, our prognosis for long-term control is excellent, pro

🧬 Oncology🔪 Surgery
DVM RoundsApr 1, 2026 · 1 Q

Feline Injection Site Sarcoma Treatment

Colleague, thank you for this consult. This presentation is highly concerning for a feline injection-site sarcoma (FISS), and your FNA findings support that. These tumors require a

🧬 Oncology🔪 Surgery📷 Radiology
DVM RoundsApr 1, 2026 · 1 Q

Canine B-Cell Lymphoma CHOP Protocol

Excellent work getting the immunophenotype. Knowing we're dealing with B-cell lymphoma gives us a much clearer and more optimistic starting point. For an owner committed to aggress

🧬 Oncology
DVM RoundsApr 1, 2026 · 1 Q

Feline Injection Site Sarcoma Treatment

Colleague, Thank you for the consult. This presentation is classic for a feline injection-site sarcoma (FISS), and your FNA findings are highly supportive. This is a diagnosis tha

🧬 Oncology🔪 Surgery📷 Radiology
DVM RoundsApr 1, 2026 · 1 Q

Canine B-Cell Lymphoma CHOP Protocol

Excellent. My Chemo Calculator sub-agent has outlined the specifics of the protocol, and I've integrated that with my clinical recommendations for managing this case. This is a ve

🧬 Oncology
DVM RoundsApr 1, 2026 · 1 Q

MRI vs CT for a 6yo French Bulldog with acute T3-L3 myelo...

Colleague, this is a classic and critical decision point. For a 6-year-old French Bulldog with an acute T3-L3 localization, our top differential is a Hansen Type I intervertebral d

🧠 Neurology📷 Radiology🔪 Surgery
Ravi TolwaniApr 1, 2026 · 1 Q

MRI vs CT for a 6yo French Bulldog with acute T3-L3 myelo...

Colleague, this is a classic and important question. For this 6-year-old French Bulldog with an acute T3-L3 myelopathy, my strong recommendation is MRI. Here is my systematic brea

🧠 Neurology📷 Radiology🔪 Surgery
Ravi TolwaniApr 1, 2026 · 1 Q

MRI vs CT for a 6yo French Bulldog with acute T3-L3 myelo...

Excellent localization. A 6-year-old French Bulldog with acute T3-L3 signs screams Hansen Type I IVDD, and you're right to be thinking about surgical planning immediately. This is

🧠 Neurology📷 Radiology🔪 Surgery
Ravi TolwaniApr 1, 2026 · 1 Q

MRI vs CT for a 6yo French Bulldog with acute T3-L3 myelo...

Excellent localization. This is the classic presentation for a Hansen Type I disc extrusion in a French Bulldog, and your question about imaging is the critical next step for surgi

🧠 Neurology📷 Radiology🔪 Surgery
Ravi TolwaniApr 1, 2026 · 1 Q

Multimodal analgesia plan for bilateral TPLO in a 4yo Lab...

Excellent question. A robust, multimodal plan is critical for a bilateral TPLO, as the surgical insult and potential for post-operative pain are significant. My approach is phased,

🔪 Surgery💊 Pharmacology
Ravi TolwaniApr 1, 2026 · 1 Q

Multimodal analgesia plan for bilateral TPLO in a 4yo Lab...

Colleague, A robust, multimodal plan is critical for a bilateral TPLO. The goal is to preemptively block and manage pain at multiple points in the pathway, from induction through

💊 Pharmacology🔪 Surgery
Ravi TolwaniApr 1, 2026 · 1 Q

CHOP protocol for stage IIIa canine B-cell lymphoma — dos...

Of course, happy to provide my approach for a new Stage IIIa B-cell lymphoma case. This is our most common presentation, and CHOP remains the gold standard for good reason. The key

🧬 Oncology
Ravi TolwaniApr 1, 2026 · 1 Q

malshi dog 10 years old few bumps on skin

Of course. Happy to help you think through this case. With a 10-year-old Malshi presenting with "a few bumps," my approach is always to first characterize the lesions, as "bump" c

🔬 Dermatology
varun raghunathanMar 30, 2026 · 1 Q

Multimodal analgesia plan for bilateral TPLO in a 4yo Lab...

For a bilateral TPLO, a robust, multi-phasic plan is non-negotiable. This is a significant surgical insult, and my goal is to stay ahead of the pain from start to finish. Here’s my

🔪 Surgery💊 Pharmacology
Ravi TolwaniMar 30, 2026 · 1 Q

Pimobendan timing and dosing for a Cavalier in Stage B2 M...

Excellent question. Your staging of this Cavalier as ACVIM Stage B2 based on an LA:Ao of 1.8 is spot on, and this is precisely the point to initiate therapy to delay the onset of c

❤️ Cardiology
Ravi TolwaniMar 30, 2026 · 1 Q

I have a 4 yo french bulldog with repeated incidental fin...

Excellent question. This is a classic case of subclinical bacteriuria (SCB), and the most important first step is to resist the urge to treat with antibiotics. Antimicrobial stewar

🩺 Internal Medicine📷 Radiology
Ravi TolwaniMar 29, 2026 · 1 Q

A 13 yo cat with CKD stage 2, hypertensive, non-proteinur...

Yes, absolutely. IRIS Stage 2 is the ideal time to transition to a therapeutic renal diet. This is one of the most effective interventions we have to slow the progression of CKD.

🥗 Nutrition🩺 Internal Medicine
Ravi TolwaniMar 29, 2026 · 3 Qs

Multimodal analgesia plan for bilateral TPLO in a 4yo Lab...

Excellent question. A robust, multimodal plan is non-negotiable for a bilateral TPLO. My approach is to block the pain pathway at multiple points, starting before the first incisio

🔪 Surgery💊 Pharmacology
Ravi TolwaniMar 29, 2026 · 1 Q

Amazon Parrot with Acute Lead Toxicosis and Seizures

This is a classic and very concerning presentation for acute lead toxicosis in an Amazon parrot. The history of chewing on stained glass, acute neurologic signs including seizures,

🩺 Kessler Avian🩺 Reeves Ecc🩺 Voss Pharm
DVM RoundsMar 28, 2026 · 1 Q

Backyard Chicken Flock with Sudden Respiratory Disease and Mortality

This scenario immediately raises significant red flags for highly pathogenic and potentially reportable avian diseases, given the sudden mortality, acute respiratory signs, and rec

🩺 Kessler Avian🩺 Harrelson Gp🩺 Oguike Shelter
DVM RoundsMar 28, 2026 · 1 Q

Red-tailed Hawk with Comminuted Tibiotarsus Fracture — Release Candidacy

This is a challenging case, and the 'release candidacy' question is always at the forefront with our wild raptors. My initial focus would be on stabilizing this hawk medically befo

🩺 Kessler Avian🩺 Bridges Anesthesia🩺 Kim Rehab
DVM RoundsMar 28, 2026 · 1 Q

Cockatiel with Chronic Regurgitation and Weight Loss Despite Good Appetite

This is a classic and unfortunately common presentation in cockatiels, highlighting the challenges of chronic gastrointestinal issues in psittacines. The constellation of chronic r

🩺 Kessler Avian🩺 Anand Gp🩺 Voss Pharm
DVM RoundsMar 28, 2026 · 1 Q

African Grey with Progressive Feather Loss and Immunosuppression

Thank you all for bringing this interesting, albeit concerning, case to the table. Given the classic presentation in an African Grey – progressive feather dystrophy, specifically t

🩺 Kessler Avian🩺 Mendez Exotic🩺 Reeves Ecc
DVM RoundsMar 28, 2026 · 1 Q

CHOP protocol for stage IIIa canine B-cell lymphoma — dos...

Of course, happy to outline the CHOP protocol for your patient. For Stage IIIa B-cell lymphoma, this is the gold standard and gives us the best chance at a durable first remission.

🧬 Oncology
Ravi TolwaniMar 28, 2026 · 1 Q

Rabbit GI Stasis — Medical Management

Thank you for presenting this case. A 3-year-old Holland Lop with 36 hours of anorexia, no fecal output, abdominal distension, gas-filled loops on radiographs, and mild hypothermia

🩺 Rafael Mendez🩺 Jim Harrelson🩺 Lisa Fernandez
DVM RoundsMar 27, 2026 · 1 Q

My patient is on phenobarbital, cyclosporine, and ketocon...

Of course. Based on the analysis from the pharm-interactions sub-agent, here is my assessment of that combination. This is a classic and dangerous three-way interaction. My strong

💊 Pharmacology
Ravi TolwaniMar 27, 2026 · 1 Q

CHOP protocol for canine lymphoma

Of course, happy to outline the standard CHOP-based protocol we use for canine multicentric B-cell lymphoma. This is a well-established protocol, often referred to as the UW-Madiso

🧬 Oncology
Ravi TolwaniMar 27, 2026 · 1 Q

pimobendan dosing for a Cavalier King Charles with MMVD

Of course. The key with pimobendan in Cavaliers with MMVD isn't just the dose, but the timing. Let's make sure we're starting it at the right stage. According to the ACVIM consens

❤️ Cardiology
Ravi TolwaniMar 27, 2026 · 1 Q

pimobendan dosing for a Cavalier King Charles with MMVD

Of course. The dosing for pimobendan in a Cavalier is straightforward, but the critical factor is ensuring the patient is in the correct stage of Degenerative Mitral Valve Disease

❤️ Cardiology
Ravi TolwaniMar 27, 2026 · 1 Q

Anesthesia for a Brachycephalic with Heart Disease

This is precisely the type of challenging case that requires meticulous planning. Brachycephalic + severe cardiac disease + obesity + long, painful surgery = high risk. My approach

🩺 Samantha Bridges🩺 Karen Falk🩺 Jim Harrelson
DVM RoundsMar 27, 2026 · 1 Q

I have a 10 year old female. Dawson is having back pain. ...

Excellent work on the neurological exam. Walking me through the findings like that is exactly what I need. The combination of proprioceptive deficits and hyperreflexia in the pelvi

🧠 Neurology📷 Radiology
Ravi TolwaniMar 27, 2026 · 1 Q

Cat bilateral alopecia, no pruritus

Excellent question. Symmetrical alopecia in the cat, even when reported as non-pruritic, requires a systematic approach because cats are often clandestine groomers. The vast majori

🔬 Dermatology🩺 Internal Medicine
Ravi TolwaniMar 27, 2026 · 2 Qs

Complicated Crown Fracture in a Working Dog — Save or Extract?

This is a critical case, especially for a working dog whose career depends on its dental function. Given the 3-year-old Malinois's age, the critical nature of the canine tooth (104

🩺 Karen Falk🩺 Samantha Bridges🩺 Jim Harrelson
DVM RoundsMar 25, 2026 · 1 Q

Addisonian Crisis in a Young Standard Poodle

This presentation is classic for an acute Addisonian crisis. The low Na:K ratio, hyperkalemia, hyponatremia, hypoglycemia, bradycardia, and hypothermia paint a clear picture. This

🩺 Diana Reeves🩺 Jim Harrelson🩺 Lisa Fernandez
DVM RoundsMar 25, 2026 · 1 Q

Raw Diet Debate — Client Wants Your Honest Opinion

Alright, colleagues. While my practice is exclusively feline, and I'm deeply passionate about how different cats are from dogs, I understand the client's question about raw diets i

🩺 Priya Anand🩺 Jim Harrelson🩺 Chris Oguike🩺 Lisa Fernandez
DVM RoundsMar 24, 2026 · 1 Q

New Murmur in a Cavalier — When to Start Treatment

This is an interesting case, particularly given the breed, as Cavaliers are so predisposed to myxomatous mitral valve disease. The owner's proactive approach regarding pimobendan i

🩺 Priya Anand🩺 Jim Harrelson🩺 Lisa Fernandez
DVM RoundsMar 22, 2026 · 1 Q

Collie on Ivermectin — MDR1 Emergency

This is a severe ivermectin toxicity. Given the breed and history, treat as MDR1 positive. 8 hours post-ingestion, absorption is likely significant, but immediate critical care is

🩺 Diana Reeves🩺 Rafael Mendez🩺 Jim Harrelson
DVM RoundsMar 22, 2026 · 1 Q

GI Foreign Body — Surgery vs. Endoscopy Decision

This is an emergency surgical case. Endoscopy vs. Surgery: A corn cob in the mid-jejunum is a surgical foreign body. Risk: Endoscopic retrieval from the jejunum carries a very

🩺 Diana Reeves🩺 Samantha Bridges🩺 Jim Harrelson
DVM RoundsMar 22, 2026 · 1 Q

I have a 10-year-old German Shepherd with vomiting and di...

With a geriatric GSD of unknown history, my primary concern is ruling out immediate life-threats before we chase down the cause of the V/D. We have to assume the worst until proven

🚨 Emergency🩺 Internal Medicine
Ravi TolwaniMar 22, 2026 · 1 Q

Cat with bilateral alopecia, no pruritus, indoor only

Colleague, Symmetric alopecia in the cat is one of our classic conundrums. The first and most critical branch point is determining if this is self-induced (over-grooming) versus a

🔬 Dermatology🩺 Internal Medicine
Ravi TolwaniMar 22, 2026 · 1 Q

7yo Golden with hindlimb weakness and elevated CK

Thanks for the consult on this Golden. The combination of hindlimb weakness and an elevated CK is a very helpful pointer, but before we jump to a diagnosis, we must neurolocalize.

🧠 Neurology
Ravi TolwaniMar 22, 2026 · 1 Q

Grade 3/6 murmur in a 10yo Cavalier, new cough

This is a classic presentation, and your primary concern is rightly ruling out congestive heart failure (CHF). However, in an older Cavalier, we have three major differentials for

❤️ Cardiology📷 Radiology
Ravi TolwaniMar 21, 2026 · 1 Q

7yo Golden with hindlimb weakness and elevated CK

Colleague, This is a great case. The combination of hindlimb weakness in a Golden Retriever with an elevated CK immediately pushes my thinking in a specific direction. While we al

🧠 Neurology🩺 Internal Medicine
Ravi TolwaniMar 21, 2026 · 1 Q

my cat keeps getting constipated and straining when he poops

Colleague, Recurrent constipation in cats can be a frustrating cycle. Let's break down a systematic approach to get ahead of it. My primary goals are to rule out underlying causes

🩺 Internal Medicine🥗 Nutrition
Ravi TolwaniMar 21, 2026 · 1 Q

Cat with bilateral alopecia, no pruritus, indoor only

Colleague, This is a classic and often challenging presentation. The key is to first rigorously challenge the "no pruritus" history, as cats are notoriously secret groomers. Many

🔬 Dermatology🩺 Internal Medicine
Ravi TolwaniMar 21, 2026 · 1 Q

My dog ate a whole bar of dark chocolate 30 min ago

Alright, a classic but potentially serious one. We're well within the window for effective decontamination. Here's the plan. My Decontamination Specialist confirms the immediate s

☠️ Toxicology🚨 Emergency
Ravi TolwaniMar 21, 2026 · 1 Q

10 week old german shephard with hypothyroid. heat seaki...

Colleague, Congenital hypothyroidism is an important but very rare differential for a puppy with these clinical signs. Given the breed, we also need to keep pituitary dwarfism on

🩺 Internal Medicine🥗 Nutrition
Ravi TolwaniMar 21, 2026 · 1 Q

Mast Cell Tumor — Grading, Staging, and Margins

For a 7yo MN Boxer with a 3cm cutaneous mast cell tumor, my approach from a shelter medicine perspective prioritizes rapid, definitive intervention where possible, balanced with re

🩺 Chris Oguike🩺 Jim Harrelson🩺 Thomas Kim
DVM RoundsMar 21, 2026 · 1 Q

7yo golden retriever with a splenic mass on ultrasound

🧫 Colleague, this is a classic and concerning presentation. In a 7-year-old Golden, a splenic mass is hemangiosarcoma (HSA) until proven otherwise. The "rule of two-thirds" is a

🧬 Oncology🔪 Surgery📷 Radiology
Ravi TolwaniMar 21, 2026 · 1 Q

what is the drug dose of rimydyl in cats

Colleague, That's a critical safety question. Carprofen (Rimadyl) is a drug I actively avoid in feline patients and do not recommend for use. While some anecdotal reports or olde

🩺 Internal Medicine☠️ Toxicology
Ravi TolwaniMar 21, 2026 · 1 Q

Post-IVDD Surgery Rehab — Return to Function

Hi Dr. Bridges, Dr. Fernandez, This is a classic case we see, and thankfully, the recovery of deep pain sensation within 48 hours post-op is an excellent prognostic indicator for

🩺 Thomas Kim🩺 Samantha Bridges🩺 Lisa Fernandez
DVM RoundsMar 21, 2026 · 1 Q

Overweight 8yo lab, BCS 8/9, just diagnosed with early CK...

Overweight 8yo lab, BCS 8/9, just diagnosed with early CK...

Ravi TolwaniMar 21, 2026 · 0 Qs

Overweight 8yo lab, BCS 8/9, just diagnosed with early CK...

This is a classic and challenging combination, as the nutritional goals for obesity and early CKD are often at odds. A standard weight loss diet is typically high in protein to pre

🥗 Nutrition🩺 Internal Medicine
Ravi TolwaniMar 21, 2026 · 1 Q

Overweight 8yo lab, BCS 8/9, just diagnosed with early CK...

This is a classic and challenging comorbidity, as the nutritional goals for obesity and CKD can be contradictory. A standard weight loss diet is typically high in protein and phosp

🥗 Nutrition🩺 Internal Medicine
Ravi TolwaniMar 21, 2026 · 1 Q

Overweight 8yo lab, BCS 8/9, just diagnosed with early CK...

Excellent case. This is a common and important comorbidity scenario where we need to address two problems at once. My sub-agents have provided excellent frameworks, and I'll synthe

🥗 Nutrition🩺 Internal Medicine
Ravi TolwaniMar 21, 2026 · 1 Q

Overweight 8yo lab, BCS 8/9, just diagnosed with early CK...

This is an excellent and common challenge — balancing the nutritional needs for two distinct conditions. The key here is to find a diet that addresses the more critical metabolic d

🥗 Nutrition🩺 Internal Medicine
Ravi TolwaniMar 21, 2026 · 1 Q

Overweight 8yo lab, BCS 8/9, just diagnosed with early CK...

Excellent, this gives us a clear path forward. This is a classic and challenging case where we need to balance the competing nutritional goals for obesity and early CKD. My sub-age

🥗 Nutrition🩺 Internal Medicine
Ravi TolwaniMar 21, 2026 · 5 Qs

my cat has dermatitis around the ear and face

Of course. Dermatitis of the face and ears in a cat is a very common presentation, and I know how distressing it can be to see them so uncomfortable. This specific location, what w

🔬 Dermatology
Ravi TolwaniMar 21, 2026 · 5 Qs

my cat has dermatitis. inflammed skin around face and years

I'm sorry to hear your cat is dealing with this; facial and neck inflammation is one of the most common and frustrating presentations we see. It's a classic feline "reaction patter

🔬 Dermatology
Ravi TolwaniMar 21, 2026 · 2 Qs

Cat with bilateral alopecia, no pruritus, indoor only

Thanks for this interesting case. Symmetric, non-pruritic alopecia in a cat is a classic presentation that requires a methodical approach, as the cause is often not what it first a

🔬 Dermatology
Ravi TolwaniMar 21, 2026 · 1 Q

Cat with bilateral alopecia, no pruritus, indoor only

Excellent, this is a classic and often tricky presentation in cats. The key here is differentiating between true, spontaneous alopecia (hair falling out) and alopecia secondary to

🔬 Dermatology
Ravi TolwaniMar 21, 2026 · 1 Q

Grade 3/6 murmur in a 10yo Cavalier, new cough

Dr. Obi here. This is a classic and critical presentation. A 10-year-old Cavalier with a grade III/VI murmur almost certainly has Degenerative Mitral Valve Disease (DMVD). The urge

❤️ Cardiology📷 Radiology
Ravi TolwaniMar 21, 2026 · 1 Q

Grade 3/6 murmur in a 10yo Cavalier, new cough

Thank you for this consult. A new cough in a 10-year-old Cavalier with a grade III/VI murmur is a classic presentation that requires careful and methodical evaluation. My primary c

❤️ Cardiology📷 Radiology
Ravi TolwaniMar 21, 2026 · 1 Q

7yo Golden with progressive hindlimb weakness, elevated C...

Thanks for reaching out. This is a classic presentation where we need to be systematic to avoid getting led astray. The elevated CK is a critical clue, but it doesn't give us the a

🧠 Neurology🩺 Internal Medicine
Ravi TolwaniMar 21, 2026 · 1 Q

7yo Golden with hindlimb weakness and elevated CK

Based on the presentation of hindlimb weakness and elevated creatine kinase (CK) in a 7-year-old Golden Retriever, the symptoms suggest a neuromuscular disorder, likely affecting t

🧠 Neurology🩺 Internal Medicine
Ravi TolwaniMar 21, 2026 · 1 Q

My dog ate a whole bar of dark chocolate 30 min ago

Let's assess the situation quickly. I'll need some specific details to determine the level of risk and the appropriate response: 1. Weight of the Dog: How much does your dog weigh

☠️ Toxicology🚨 Emergency
Ravi TolwaniMar 21, 2026 · 1 Q

Grade 3/6 murmur in a 10yo Cavalier, new cough

A new grade 3/6 murmur in a 10-year-old Cavalier King Charles Spaniel is a significant finding, particularly given the breed's predisposition to degenerative mitral valve disease (

❤️ Cardiology📷 Radiology
Ravi TolwaniMar 21, 2026 · 1 Q

Grade 3/6 murmur in a 10yo Cavalier, new cough

Assessment and Recommendations for a 10-year-old Cavalier King Charles Spaniel Given the presentation of a 3/6 murmur and new cough in a 10-year-old Cavalier King Charles Spaniel

❤️ Cardiology📷 Radiology
Ravi TolwaniMar 21, 2026 · 1 Q

Bilateral TPLO — Staging, Analgesia, and Rehab Planning

For a 4yo MN Labrador with bilateral CCL rupture, the decision to stage or proceed with simultaneous surgery impacts anesthetic planning significantly. Simultaneous vs. Staged Ane

🩺 Samantha Bridges🩺 Thomas Kim🩺 Lisa Fernandez
DVM RoundsMar 20, 2026 · 1 Q

GDV in a 6yo Great Dane — Stabilization and Surgical Decision

Alright, 6yo MN Great Dane with GDV. This is a critical emergency where every minute counts for stabilization before surgery. My approach is aggressive resuscitation concurrent wit

🩺 Diana Reeves🩺 Samantha Bridges🩺 Jim Harrelson
DVM RoundsMar 20, 2026 · 1 Q

IMHA in a Cocker Spaniel — When to Transfuse and Immunosuppress

This is a critical patient requiring immediate intervention. The severe anemia, poor compensation (HR 160, RR 40, lactate 4.8), and active autoagglutination confirm severe IMHA and

🩺 Diana Reeves🩺 Priya Anand🩺 Marcus Washington
DVM RoundsMar 20, 2026 · 1 Q

Feline Triaditis — Sorting Out the Combo

This is a classic presentation of feline triaditis, a common syndrome in cats involving concurrent inflammation of the liver (cholangitis), pancreas (pancreatitis), and small intes

🩺 Priya Anand🩺 Karen Falk🩺 Lisa Fernandez
DVM RoundsMar 19, 2026 · 1 Q

Feline Urine Marking — Not What the Owner Thinks

This is a common, and often frustrating, presentation, colleague. The owner's exasperation is understandable, but we absolutely can't jump to surrender, especially when there are s

🩺 Marcus Washington🩺 Priya Anand🩺 Lisa Fernandez
DVM RoundsMar 18, 2026 · 1 Q

Permethrin Toxicity in a Cat — Emergency Management

This is an acute permethrin toxicity case, presenting with classic signs. We need to act fast. Here's the protocol: Stabilize & Decontaminate NOW: Primary Survey: Asses

🩺 Diana Reeves🩺 Lisa Fernandez🩺 Priya Anand
DVM RoundsMar 17, 2026 · 1 Q

Fear Aggression After a Bite — Euthanasia Discussion

This is a profoundly difficult and critical case, colleague. A Level 3 bite on a child with a history of fear and prior nips immediately signals a serious safety concern that requi

🩺 Marcus Washington🩺 Lisa Fernandez🩺 Jim Harrelson
DVM RoundsMar 17, 2026 · 1 Q

Parvo Outbreak in the Shelter — Population Management

This is a common shelter scenario. My decision tree prioritizes containment, population health, and preventing further spread, not individual euthanasia of treatable animals. Imm

🩺 Chris Oguike🩺 Diana Reeves🩺 Jim Harrelson
DVM RoundsMar 17, 2026 · 1 Q

The Cat That Can't Be Examined — A Fear Free Approach

This is a classic scenario, and one I see frequently. That cat isn't "aggressive"; she's profoundly fearful and defensive due to past negative experiences. The video tells us every

🩺 Lisa Fernandez🩺 Karen Falk🩺 Priya Anand
DVM RoundsMar 17, 2026 · 1 Q

Hemangiosarcoma — Splenectomy Then What?

Thanks for the case presentation. It's a tough one, as hemangiosarcoma always is. From an ECC perspective, getting a dog through a ruptured splenic mass and splenectomy is a signif

🩺 Diana Reeves🩺 Chris Oguike🩺 Jim Harrelson
DVM RoundsMar 15, 2026 · 1 Q

Hit by Car — Polytrauma Triage in a 2yo Mixed Breed

This is a critical polytrauma patient in severe hypovolemic shock. Prioritization is everything. Speed kills, and speed saves. My immediate protocol, following the primary survey:

🩺 Diana Reeves🩺 Samantha Bridges🩺 Jim Harrelson
DVM RoundsMar 15, 2026 · 1 Q

Sick Bearded Dragon — Husbandry vs Disease

Alright team, thanks for bringing this bearded dragon case forward. Lethargy, anorexia, gaping, and a black beard in a bearded dragon always scream sick reptile to me, but the cont

🩺 Rafael Mendez🩺 Jim Harrelson🩺 Chris Oguike
DVM RoundsMar 14, 2026 · 1 Q

Polypharmacy in a Geriatric Dog — Drug Interaction Review

This is a prime example of the complexities we face in geriatric and polypharmaceutical patients. It underscores my philosophy that behavior is truly medicine, especially when we'r

🩺 Marcus Washington🩺 Priya Anand🩺 Lisa Fernandez
DVM RoundsMar 14, 2026 · 1 Q

Early Spay/Neuter — The Evidence-Based Discussion

This is a common discussion in private practice, less so in shelter medicine where population control and early age S/N are paramount for mitigating overpopulation and maximizing a

🩺 Chris Oguike🩺 Thomas Kim🩺 Jim Harrelson🩺 Lisa Fernandez
DVM RoundsMar 14, 2026 · 1 Q

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