Neuromuscular disease: a case based approach

Neuromuscular diseases are complex and fascinating, and this webinar is an excellent resource for veterinarians who encounter these conditions in their daily practice. In this engaging and informative case-based video tour, Alex Forward explores various neuromuscular diseases, helping viewers learn how to neuroanatomically localize and create a list of differential diagnoses while discussing diagnostic and treatment options. 

The learning objectives of this talk are:   

• Practice your neurological exam and ability to localise with case videos.  

• Learn to assess and manage neuromuscular diseases in general practice.  

• Create succinct and accurate neurological differential diagnoses for neuromuscular conditions.  

• Learn about different diagnostic and treatment options in both the first opinion and referral hospital setting.  

• Discover about a range of neuromuscular conditions and the prognosis expected for each  

The webinar begins with an explanation from Alex that the most common way patients present is with general weakness rather than ataxia, and that reflex testing during the physical examination is a critical diagnostic tool for neuromuscular diseases. Alex then covers differential diagnoses for a dog with neuromuscular disease, including acute idiopathic polyriculonephritis and myasthenia gravis, and emphasizes that peripheral nerve problems rather than brain or spinal cord issues are the root cause. 

Alex expertly walks us through the process of diagnosing a neuromuscular disease. Using the case of Toby, a 10-year-old dog with progressive weakness in his limbs. We are presented with a video of Toby's arrival to help us understand what is meant by progressive limb weakness. He then demonstrates how he checks Toby's reflexes in the video. Toby's patellar reflex is present but weak, and he is unable to pull away during the withdrawal reflex due to his weakness. Alex demonstrates how to locate the injury, provide a list of potential differential diagnoses, and explain the reasons for each option. 

He then explains the importance of conducting various diagnostic tests, including blood and biochemical tests, thoracic x-rays, and abdominal ultrasound, among others, to reach a definitive diagnosis. Using this approach, Alex arrives at a final diagnosis of acute idiopathic polyradiculoneuritis for Toby. 

Another case study presented is Ebony, a cat with neuromuscular disease. Alex shows videos of Ebony's laboratory tests, including the various diseases that veterinarians must rule out in cats such as toxoplasmosis, and x-rays. Ebony's treatment is similar to that of a dog with myasthenia gravis, and Alex highlights the importance of understanding the nuances of neuromuscular diseases in cats as they may present differently than dogs. 

Overall, this webinar is an excellent resource for veterinarians looking to improve their knowledge and skills in dealing with neuromuscular diseases in dogs and cats. With engaging case videos and practical learning objectives, it is an essential tool for any veterinarian looking to provide the best possible care for their patients. 

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