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Tip of the Month - November

3 November 2017

Internal Medicine

Treatment of ionised hypercalcaemia in cats

When to measure blood calcium in cats and why do we worry?

Clinical signs of hypercalcaemia include PUPD, weakness, depression, anorexia, vomiting, constipation, muscle twitching and cardiac arrhythmias. Often hypercalcaemia is detected on routine bloods as an incidental finding. The detection of ionised hypercalcaemia should always be investigated further and appropriate management instigated...

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Tip of the Month - October

6 October 2017


'Local anaesthesia for general practice: Castration'

Male Orchiectomy is a very common surgical procedure in veterinary practice. The procedure can be extremely painful and although systemic pain medication is routinely included as part of the peri-anaesthetic protocol, some cases still respond to surgical stimulation and may display signs of pain during recovery period.

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Tip of the Month - September

1 September 2017


'The re-birth of the relevance of murmur intensity'

A heart murmur is an abnormal heart sound that indicates a degree of turbulence to the usually laminar blood flow in the heart. It can be physiological in athletic animals, due to congenital cardiac conditions in young patients or caused by non-cardiac condition affecting the way blood flows (anaemia, fever, high cardiac output states, etc) but in an adult dog it is often an indication of heart disease.

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Tip of the Month - August

4 August 2017

Internal Medicine


How do we measure it, and what are the pros and cons of the options? ...

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Tip of the Month - July

7 July 2017


When is a Lipoma not a Lipoma?

Have you ever been mortified to find that the simple lumpectomy you promised has turned into something more? And, as a rule, the greater your pre-operative confidence, the greater the mortification when it becomes apparent that your confidence may have been misplaced...

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Tip of the Month - June

2 June 2017


Metronomic chemotherapy
‘an up-and-coming treatment

Metronomic chemotherapy has been used more and more in veterinary oncology in recent years. It is something which we often prescribe at NDSR, with patients coming back to your practice for monitoring tests.

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Tip of the Month - May

5 May 2017



Pain is a frequently occurring problem in many neurology patients and neuropathic pain can sometimes be very difficult to treat.

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Tip of the Month - April

7 April 2017


Hepatojugular Reflux
‘A must do in the investigation of ascites’

Ascites is the abnormal accumulation of fluid in the peritoneal cavity. There are multiple causes for this condition and investigation of such cases is therefore complex.

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Tip of the Month - March

3 March 2017

Internal Medicine/Anaesthesia

The use of spring-loaded mouth gags in cats

Rarely, blindness can be seen following anaesthesia, in previously seemingly-healthy cats...

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Tip of the Month - February

3 February 2017

Internal Medicine

Cobalamin Supplementation

Hypocobalaminemia is regularly seen in canine and feline small intestinal disease and exocrine pancreatic insufficiency (EPI)...

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Additional Neurologist joins NDSR

16 November 2016

We are pleased to welcome Niklas Bergknut to the neurology team at NDSR. His addition allows us to expand our neurology service and deal with the increasing demand for neurology emergency referrals...

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London Vet Show

27 October 2016

NDSR are excited to be exhibiting at the London Vet Show Excel London • 17-18 November 2016...

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Additional oncologist joins NDSR

3 October 2016

We are pleased to welcome Michael Macfarlane to the North Downs Specialist Referrals oncology team...

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Fellowship Awarded

29 September 2016

Terry Emmerson, MA VetMB CertSAS DipECVS FRCVS, co-founder and hospital director of NDSR, has been awarded Fellowship of the Royal College of Veterinary Surgeons for Meritorious Contributions to Clinical Practice (MCCP)...

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New day ward opens at North Downs

13 June 2016

We are delighted to announce that due to increasing demand for our referral services, we have now completed construction of an additional day ward consisting of 15 kennels...

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