Specialist in Small Animal Internal Medicine, North Downs Specialist Referrals, UK
Laura graduated from the University of Glasgow in 2009. She then completed a rotating internship at the royal veterinary college, London.
Following this, she spent a year and a half in first opinion practice in Northern Ireland. In 2012 she returned to the University of Glasgow to commence a combined masters and ECVIM-CA internal medicine residency programme, which she completed in 2016. During her residency Laura worked closely with Dechra pharmaceuticals to research and develop an alternate method of monitoring dogs receiving trilostane. This method (pre-trilostane cortisol) is now widely used in first opinion and referral practice throughout the UK and Ireland. After her residency Laura has been working as an Internal Medicine clinician in private referral practice.
Laura Macfarlane is speaking at the following sessions
Bronchoscopy - coughing dogs and cats - case examples
This lecture will review the differentials for coughing in dogs and cats, with specific focus on cases that would benefit from bronchoscopy. The practicalities of bronchoscopy will be discussed, including how to achieve a systematic assessment and when and how to perform BAL and how to interpret results. Common and more obscure case examples will be shown with lessons Laura has learnt along the way.
Laura will discuss her top tips for the investigative process for patients presenting with PU/PD. This will include a step by step work-up and how to determine when it might be appropriate to consider a DDAVP trial. This will help both clinicians to formulate a logical process when managing these patients and owners to understand that a negative test is not necessarily a waste of time and money.
Laura will discuss her top tips for the most logical approach to the diagnosis of hyperadrenocorticism, including common pitfalls and mistakes along the way. Treatment options will briefly be mentioned before a discussion on the monitoring of Trilostane therapy.
Laura will focus on the management of IBD. Which patients can be managed with diet alone, what diets are recommended and how long a diet trial should last. She will then focus on the medications which are used most frequently including antibiotics, probiotics, glucocorticoids and alternative immunosuppressive drugs. Novel therapies for refractory cases will also be discussed.
In this lecture, Laura will discuss current evidence for which drugs to use and when, and how to anticipate and prevent complications. The use of blood transfusions, both in dogs and cats will be also be reviewed as well as how patients are monitored after achieving remission, including tapering regimes.
Placing a feeding tube
Laura will discuss which factors help her to decide when to place a feeding tube and which type is most appropriate in the individual patient. This will include review of how they are placed and the management afterwards, both in the hospital and at home. Finally, she will focus on the most common complications of feeding tubes with strategies for prevention and resolution.
Placing chest drains
The decision as to when to place a chest drain and which kind will be discussed. This will include a discussion on the types of equipment needed when considering a one off thoracocentesis through to surgical placement of in-dwelling chest drains will be mentioned. Finally, the management of chest drains and common complications that we see will be reviewed.