Jill Maddison's guest appearances

Jill Maddison

The Vet Vault

Sarah Heath

Justin Ward

Ben Cox

Aaron Wallace

Philip McKernan

Victoria Johnson

Kathy Anderson

Dave Collins

Olivia James

Louisa Johnson

Dan Markwalder

Liz Crowe

Nigel Marsh

Cindy Adams

Mina Hamilton

OwlTail

Prof Jill Maddison

This episode from our clinical series is brought to you by Elanco, makers of the broadest range of parasiticides including Advocate, Milbemax, Seresto and Credelio Plus.  "The question about the biochemistry is really interesting, because what your question now is, is 'what is it, and where is it?' And the problem that we have is that the liver enzymes aren't gonna tell us, because it's really hard to separate hepatic from post-hepatic on bloods. ALP is very insensitive in the cat and will go up with both hepatic and post-hepatic. ALT will go up with hepatic and post-hepatic. Bilirubin will be up. So what?!"  We recorded this case-based interactive session about how to work up the jaundiced cat with one of the world's leading Small Animal Medicine specialists and teachers, ⁠Prof Jill Maddison⁠ at session our live event in 2022.  Prof Jill Jill Maddison, BVSc, DipVetClinStud, PhD, SFHEA, MRCVS, is a professor of general practice, the director of professional development, and the BVetMed and CertAVP course director at Royal Veterinary College. She is also a coordinator for London Vet Show and is a consultant at a local veterinary practice and at Beaumont Sainsbury Animal Hospital in London. Dr Maddison is the senior editor of the second edition of Small Animal Clinical Pharmacology and the senior editor of Clinical Reasoning in Small Animal Practice. She has lectured worldwide on clinical problem-solving, small animal internal medicine, and clinical pharmacology.  In this session she helps us reason through a case of jaundice in a cat to create a deeper understanding, rather than a simple list of facts. She also shifts some long-standing beliefs around diagnostic testing in liver disease in both dogs and cats.   Topic list: 5:07 Where to begin your workup. 6:05 Defining the problem and localising the problem: Pre-hepatic, hepatic or post-hepatic? 9:17 How much does dehydration actually affect PCV?  10:43 Bilirubin - how useful is it?  "It’s the most over-interpreted test I reckon. I have so many vets tell me, “Oh, the bilirubin is 16, it has to have a problem with its liver…” No, it probably just has inflammatory disease." 13:14 Dd’s for hepatic disease in cats.  14:20 Dd’s for post-hepatic causes of jaundice.  16:04 Biochem in jaundice: ALP, ALT, GGT.  "The problem that we have is that the liver enzymes aren't going to tell us." 19:51 Why bile acids are useless in the diagnosis of liver disease.  "The bile acids don't tell you anything more than you already know. There is no relationship between the level of bile acids and the prognosis or reversibility of the lesion." 24:25 Can't I just trial-treat?  26:16 Ultrasound. 28:27 Signalment: how useful is it?  29:36 Cholesterol and liver disease.  30:52 Pancreatic lipase and pancreatitis in cats.  "What we found was that we had 24% false negatives. So we had a quarter of our cats who had what seemed to be pancreatitis that did not have an increased Pli."  36:54 Hepatic lipidosis.   For more world-class specialists in an easy-to-consume format join our community of Vet Vault Nerds at vvn.supercast.com. Visit thevetvault.com for the show notes for this episode.  Join us in at Vets on Tour in Wanaka, New Zealand on 13 - 18 August 2023 for great CE, more live podcasting and snow... lots of snow!      ---   Send in a voice message: https://podcasters.spotify.com/pod/show/vet-vault/message

This episode from our clinical series is brought to you by <a href="https://mypetandi.elanco.com/au" rel="noopener noreferer nofollow" target="_blank">Elanco</a>, makers of the broadest range of parasiticides including Advocate, Milbemax, Seresto and Credelio Plus. "The question about the biochemistry is really interesting, because what your question now is, is 'what is it, and where is it?' And the problem that we have is that the liver enzymes aren't gonna tell us, because it's really hard to separate hepatic from post-hepatic on bloods. ALP is very insensitive in the cat and will go up with both hepatic and post-hepatic. ALT will go up with hepatic and post-hepatic. Bilirubin will be up. So what?!" We recorded this case-based interactive session about how to work up the jaundiced cat with one of the world's leading Small Animal Medicine specialists and teachers, <a href="https://www.rvc.ac.uk/about/our-people/jill-maddison" rel="nofollow" target="_blank">⁠Prof Jill Maddison⁠</a> at session our live event in 2022. Prof Jill Jill Maddison, BVSc, DipVetClinStud, PhD, SFHEA, MRCVS, is a professor of general practice, the director of professional development, and the BVetMed and CertAVP course director at Royal Veterinary College. She is also a coordinator for London Vet Show and is a consultant at a local veterinary practice and at Beaumont Sainsbury Animal Hospital in London. Dr Maddison is the senior editor of the second edition of Small Animal Clinical Pharmacology and the senior editor of Clinical Reasoning in Small Animal Practice. She has lectured worldwide on clinical problem-solving, small animal internal medicine, and clinical pharmacology.  In this session she helps us reason through a case of jaundice in a cat to create a deeper understanding, rather than a simple list of facts. She also shifts some long-standing beliefs around diagnostic testing in liver disease in both dogs and cats. Topic list: 5:07 Where to begin your workup. 6:05 Defining the problem and localising the problem: Pre-hepatic, hepatic or post-hepatic? 9:17 How much does dehydration actually affect PCV? 10:43 Bilirubin - how useful is it? "It’s the most over-interpreted test I reckon. I have so many vets tell me, “Oh, the bilirubin is 16, it has to have a problem with its liver…” No, it probably just has inflammatory disease." 13:14 Dd’s for hepatic disease in cats. 14:20 Dd’s for post-hepatic causes of jaundice. 16:04 Biochem in jaundice: ALP, ALT, GGT. "The problem that we have is that the liver enzymes aren't going to tell us." 19:51 Why bile acids are useless in the diagnosis of liver disease. "The bile acids don't tell you anything more than you already know. There is no relationship between the level of bile acids and the prognosis or reversibility of the lesion." 24:25 Can't I just trial-treat? 26:16 Ultrasound. 28:27 Signalment: how useful is it? 29:36 Cholesterol and liver disease. 30:52 Pancreatic lipase and pancreatitis in cats. "What we found was that we had 24% false negatives. So we had a quarter of our cats who had what seemed to be pancreatitis that did not have an increased Pli." 36:54 Hepatic lipidosis. For more world-class specialists in an easy-to-consume format join our community of Vet Vault Nerds at <a href="https://vvn.supercast.com/new_landing?" rel="noopener noreferer nofollow" target="_blank">vvn.supercast.com.</a> Visit <a href="https://thevetvault.com/" rel="noopener noreferer nofollow" target="_blank">thevetvault.com</a> for the show notes for this episode. Join us in at <a href="https://www.eventbrite.com.au/e/vets-on-tour-wanaka-2023-tickets-555959067537" rel="noopener noreferer nofollow" target="_blank">Vets on Tour in Wanaka, New Zealand</a> on 13 - 18 August 2023 for great CE, more live podcasting and snow... lots of snow! --- Send in a voice message: <a href="https://podcasters.spotify.com/pod/show/vet-vault/message" rel="nofollow" target="_blank">https://podcasters.spotify.com/pod/show/vet-vault/message</a>

#89: Live recording: The jaundiced cat, and rethinking liver diagnostics. With Prof Jill Maddison. 

Clint Yudelman

Dr Rosanne Jepson

It’s been a while since we’ve released one of our clinical episodes on here, so we thought we’d create this lovely little compilation of kidney content for you. These are some of our biggest ‘AHA!’ moments from a series of episodes that we've done over on the clinical podcast over the past few months on those tricky little beans that stop us from being poisoned by our own waste products. We start with some wisdom from small animal medicine guru Prof Jill Maddison about making sense of azotaemia and USG. Spoiler alert - it's not as straightforward as you might think, and there are DEFINITELY a few traps to avoid that Jill outlines in this conversation. Next is Dr Rosanne Jepson, another medicine specialist and associate professor at the Royal Vet College and a leader in the field of nephrology and especially hypertension to guide us through everything blood pressure.  And tying a bow on it all is Dr Clint Yudelman from Insight Mobile Diagnostics to help us make sense of the relationship between calcium and kidneys.   And if you want MUCH more of Prof Maddison then join us live in Noosa in November when she joins forces with Prof David Church for what promises to be the most fun vet event of the year. Details are here - but don't book there - email us at vetvaultpodcast@gmail.com to tell us that you heard about the conference on here and we'll send you a listener-only discount code.   Go to thevetvault.com for show notes and to check out our guests’ favourite books, podcasts and everything else we talk about in the show.  If you want to lift your clinical game, go to vvn.supercast.com for a free 2-week trial of our short and sharp highly practical clinical podcasts. We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via email at vetvaultpodcast@gmail.com.   ---   Send in a voice message: https://podcasters.spotify.com/pod/show/vet-vault/message

It’s been a while since we’ve released one of our clinical episodes on here, so we thought we’d create this lovely little compilation of kidney content for you. These are some of our biggest ‘AHA!’ moments from a series of episodes that we've done over on the <a href="https://vvn.supercast.com/" rel="nofollow" target="_blank">clinical podcast</a> over the past few months on those tricky little beans that stop us from being poisoned by our own waste products. We start with some wisdom from small animal medicine guru <a href="https://www.rvc.ac.uk/about/our-people/jill-maddison" rel="nofollow" target="_blank">Prof Jill Maddison</a> about making sense of azotaemia and USG. Spoiler alert - it's not as straightforward as you might think, and there are DEFINITELY a few traps to avoid that Jill outlines in this conversation. Next is <a href="https://www.rvc.ac.uk/about/our-people/rosanne-jepson" rel="nofollow" target="_blank">Dr Rosanne Jepson</a>, another medicine specialist and associate professor at the Royal Vet College and a leader in the field of nephrology and especially hypertension to guide us through everything blood pressure.  And tying a bow on it all is Dr Clint Yudelman from <a href="https://www.google.com/search?client=firefox-b-d&amp;q=insight+mobile+veterinary+diagnostics" rel="nofollow" target="_blank">Insight Mobile Diagnostics</a> to help us make sense of the relationship between calcium and kidneys.  And if you want MUCH more of Prof Maddison then join us live in Noosa in November when she joins forces with Prof David Church for what promises to be the most fun vet event of the year. Details are <a href="//Also - who's joining us live in Noosa in November with Prof David Church and Prof Jill Maddison for what promises to e the most fun vet event of the year?! Details are here - but don't book there - email us at vetvaultpodcast@gmail.com to tell us that you heard about the conference on here and we'll send you a listener-only discount code.   Go to thevetvault.com for show notes and to check out our guests’ favourite books, podcasts and everything else we talk about in the show.  If you want to lift your clinical game, go to vvn.supercast.com for a free 2-week trial of our short and sharp highly practical clinical podcasts.  We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via email at " rel="nofollow" target="_blank">here</a> - but don't book there - email us at vetvaultpodcast@gmail.com to tell us that you heard about the conference on here and we'll send you a listener-only discount code.   Go to<a href="https://thevetvault.com/" rel="nofollow" target="_blank"> thevetvault.com</a> for show notes and to check out our guests’ favourite books, podcasts and everything else we talk about in the show.  If you want to lift your clinical game, go to <a href="https://vvn.supercast.com/" rel="nofollow" target="_blank">vvn.supercast.com</a> for a free 2-week trial of our short and sharp highly practical clinical podcasts. We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via email at vetvaultpodcast@gmail.com. --- Send in a voice message: <a href="https://podcasters.spotify.com/pod/show/vet-vault/message" rel="nofollow" target="_blank">https://podcasters.spotify.com/pod/show/vet-vault/message</a>

Kidney compilation, with Prof Jill Maddison, Dr Rosanne Jepson and Dr Clint Yudelman

Professor Jill Maddison is currently Professor of General Practice, Director of Professional Development and Director of the BVetMed course at the Royal Veterinary College in the United Kingdom. She is actively involved in undergraduate teaching and CPD at the RVC in the areas of small animal medicine, clinical problem solving and clinical pharmacology.She has lectured extensively around the world on clinical problem solving, small animal internal medicine and clinical pharmacology. If you’ve ever listened to one of her lectures you’ll know that she is the epitome of clear-minded scientific thinking. And if you haven’t had the privilege of hearing her speak - well, luckily she’ has a book just for you: Jill is senior editor of a book called Clinical Reasoning in Small Animal Practice, a must-read for anyone in practice. She’s also published over 60 refereed papers in veterinary and medical journals and is the senior editor of a previous book, Small Animal Clinical Pharmacology. To keep in touch with the realities of private general practice she consults at a local veterinary practice and at the RVC’s first opinion practice, the Beaumont Sainsbury Animal Hospital. In this episode we talk about clinical vet work for a change: Jill talks about some common mistakes that many vets make when it comes to clinical decision making, and why curiosity and thinking skills are more important than knowledge and facts. Jill gives us her insights about the value of internships and tells us what her favourite textbooks are for everyday practice. Please enjoy - the queen of small animal veterinary medicine - Professor Jill Madison. --- Send in a voice message: https://podcasters.spotify.com/pod/show/vet-vault/message

Professor Jill Maddison is currently Professor of General Practice, Director of Professional Development and Director of the BVetMed course at the Royal Veterinary College in the United Kingdom. She is actively involved in undergraduate teaching and CPD at the RVC in the areas of small animal medicine, clinical problem solving and clinical pharmacology. She has lectured extensively around the world on clinical problem solving, small animal internal medicine and clinical pharmacology. If you’ve ever listened to one of her lectures you’ll know that she is the epitome of clear-minded scientific thinking. And if you haven’t had the privilege of hearing her speak - well, luckily she’ has a book just for you: Jill is senior editor of a book called Clinical Reasoning in Small Animal Practice, a must-read for anyone in practice. She’s also published over 60 refereed papers in veterinary and medical journals and is the senior editor of a previous book, Small Animal Clinical Pharmacology. To keep in touch with the realities of private general practice she consults at a local veterinary practice and at the RVC’s first opinion practice, the Beaumont Sainsbury Animal Hospital. In this episode we talk about clinical vet work for a change: Jill talks about some common mistakes that many vets make when it comes to clinical decision making, and why curiosity and thinking skills are more important than knowledge and facts. Jill gives us her insights about the value of internships and tells us what her favourite textbooks are for everyday practice. Please enjoy - the queen of small animal veterinary medicine - Professor Jill Madison. --- Send in a voice message: <a href="https://podcasters.spotify.com/pod/show/vet-vault/message" rel="nofollow" target="_blank">https://podcasters.spotify.com/pod/show/vet-vault/message</a>

#8: Defining the problem. Prof Jill Maddison