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25.01.2022 Lottie’s Barium Contrast Study Lottie presented to Dr Luke following a loss of appetite of 2-3 weeks duration and regurgitation following eating a meal. L...ottie was housed in an appropriate tank free of any small pebbles; however, fine gravel was used as a substrate several months ago. Lottie has always been a very fussy eater preferring to eat largely mealworms. On physical exam, Lottie appeared to be bloated in her abdomen and we were concerned she may have a gastrointestinal obstruction. The decision was made to perform radiographs to assess for a blockage. Lottie was anesthetised to allow her to be placed directly onto the x-ray plate. X-rays can be taken while the patient is in the water; however, placing the patient out of the water for a short space of time allows for more accurate positioning and interpretation. The radiographs showed an accumulation of pebbles in her gastrointestinal tract, however we were unable to determine definitively if the pebbles were in the intestines or the stomach. It was important to identify the exact location as the stones were too small to be causing issues in the stomach, however, could potentially obstruct the intestines if they were bunched together with other debris. After consideration, we performed a barium contrast study to allow us to determine the location of the possible obstruction. Lottie had two rounds of radiographs performed the evening after the barium study commenced, and then was taken home by the owner for monitoring overnight with the plan to come back in the morning for further radiographs. That evening Lottie defecated for the first time in many weeks, and she passed the stones that were identified on the radiographs. She also passed a large collection of mealworm exoskeletons and a large volume of mucous. Follow-up radiographs were performed the next day and confirmed that most of the contrast agent had passed through and that the stones were no longer present. Although it’s not the purpose of the procedure, it appears as if the barium contrast had lubricated the contents of Lottie’s intestines allowing for easy passage! Lottie’s owner reports that Lottie was much more active and happier almost immediately after defecating. Lottie was also observed to have poor skeletal condition likely secondary to reduced calcium in her diet. Lottie’s owner is going to begin supplementing the calcium in the diet while working hard to get Lottie moved to a much more variable diet, which should also help to prevent further obstructions! Lottie is currently doing very well at home and getting more and more back to her old self every day. Clinic: Murdoch www.unusualpetvets.com.au

17.01.2022 Due to the recent cases in Northern Sydney we are reinstating the wearing of masks in our clinics. A quick reminder of our COVID policies: - only 1 adult to att...end the appointment - use the hand sanitizer provided before entry - use the QR scanner to check in - wait outside until a nurse comes out to assist you - a mask must be worn to enter the clinic - if you are feeling unwell, please stay at home, or get someone else to bring in your pet Stay safe everyone For more information on cases and alerts in NSW visit https://www.health.nsw.gov.au//case-locations-and-alerts.a.

14.01.2022 https://www.facebook.com/byronbaywildlifehospital/ https://www.facebook.com/byronbaywildlifehospital/

07.01.2022 Awww puppy school!! Xx #TheBest !

06.01.2022 Loving this page! Vets are so creative and caring!