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01883 741440

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Tip of the Month - March

2 March 2018

Internal Medicine

Diagnosing hyperadrenocorticism with confidence

Canine hyperadrenocorticism:

How to not stress about the diagnosis

  1. Identify other diseases before endocrine testing 
  2. ACTH (Synacthen®) is not necessary to diagnose the condition in many dogs 
  3. UCCR is rarely used to confirm the disease
  4. Beware the 'unwell' dogs with hyperadrenocorticism
» Read more

Tip of the Month - February

2 February 2018


'Local anaesthesia techniques for ovariohysterectomy'

Female ovariohysterectomy is one of the most common surgical procedures in veterinary practice. It 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...

» Read more

RSA Insurance Group – Important Update

9 November 2017

In order to stay committed to excellence and fully support our clients, North Downs Specialist Referrals will now be subsidising the £200 fee that may be charged to our clients by the Royal Sun Alliance (RSA) as part of their preferred provider’s scheme.

» Read more

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...

» Read more

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.

» Read more

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.

» Read more

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...

» Read more

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.

» Read more

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.

» Read more

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.

» Read more

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...

» Read more

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)...

» Read more

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...

» Read more

London Vet Show

27 October 2016

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

» Read more

Committed to excellence