Submit Case Report

Do you wish to submit this report?

Submit Case Report

Prior to submitting please preview the report using the Save and Preview button.

Use the browser back button to return.

Cancel Case Report Assignment

Are you sure you wish to cancel your assignment to report on this case – all inputted data will be lost!

Delete Case

Do you want to delete this case?

Southfields

Your login session has timed out.
Please login below.

By using this website, you agree to our use of cookies to enhance your experience.

Formerly VRCC

+44 (0)1268 564664

24 hour veterinary and nursing care

+44 (0)1268 564664

24 hour veterinary and nursing care

This site is optimised for modern web browsers, and does not fully support your version of Internet Explorer, some sections of the website may not work correctly such as web forms

Internal Medicine

Chris-Scudder

Chris Scudder

BVSc PhD DipACVIM MRCVS

Head of Internal Medicine
Diplomate of the American College of Internal Medicine

Chris graduated from the Univeristy of Bristol in 2007 and then worked in first opinion small animal practice for three years. In 2010 he undertook a rotating internship back at the Univeristy of Bristol, followed by an internal medicine residency at the Royal Veterinary College. Chris became an ACVIM Diplomate in 2015 and finished his PhD in feline acromegaly at the Royal Veterinary College in 2017.

Chris really enjoys looking after cats and dogs with medical conditions, and his areas of interest are endocrinology and haematological conditions. He aims to provide the highest level of care for his patients and their owners, and is very much enjoying working at Southfields Veterinary Specialists.

Gostelow R, Hazuchova K, Scudder CJ, Niessen SJM. (2017) How to…Manage the diabetic dog. BSAVA Companion, Volume 2017, Issue 10, Oct 2017, p. 18 - 24

Scudder CJ, Niessen S, Gostelow R, Hazuchova K. (2017) How to …Manage the diabetic cat. BSAVA Companion, Volume 2017, Issue 7, Jul 2017, p. 12 - 17

Hazuchova K, Gostelow R, Scudder CJ, Forcada Y, Church DB, Niessen SJM. Acceptance of home blood glucose monitoring by owners of recently diagnosed diabetic cats and impact on quality of life changes in cat and owner. J Feline Med Surg. doi: 10.1177/1098612X17727692. [Epub ahead of print]

Heaps LA, Scudder CJ, Lipscomb VJ, Steinbach SM, Priestnall SL, Martineau H, Szladovits B, Fowkes RC, Garden OA. (2017) Serum anti-Müllerian hormone concentrations before and after treatment of an ovarian granulosa cell tumour in a cat. JFMS Open Rep. 2017 Aug 10;3(2):2055116917722701. doi: 10.1177/2055116917722701.

Gostelow R, Hazuchova K, Scudder CJ, Forcada Y, Church D, Niessen SJ. (2018) Prospective evaluation of a protocol for transitioning porcine lente insulin-treated diabetic cats to human recombinant protamine zinc insulin. J Feline Med Surg. 2018 Feb;20(2):114-121. doi: 10.1177/1098612X17697482.

Gostelow R, Scudder CJ, Keyte S, Forcada Y, Fowkes RC, Schmid HA, Church DB, Niessen SJ. (2017) Pasireotide Long-Acting Release Treatment for Diabetic Cats with Underlying Hypersomatotropism. J Vet Intern Med. 2017 Mar;31(2):355-364. doi: 10.1111/jvim.14662.

Scudder CJ, Niessen SJ, Catchpole B, Fowkes RC, Church DB, Forcada Y.(2017) Feline hypersomatotropism and acromegaly tumorigenesis: a potential role for the AIP gene. Domest Anim Endocrinol. 2017 Apr;59:134-139. doi: 10.1016/j.domaniend.2016.11.005.

Scudder CJ, Hazuchova K, Gostelow R, Niessen SJM. (2016) Diabetes mellitus in cats and the veterinary nurse's role. The Veterinary Nurse 2016 7:9, 516-525.

O'Neill DG, Scudder CJ, Faire JM, Church DB, McGreevy PD, Thomson PC, Brodbelt DC1. (2014) Epidemiology of hyperadrenocorticism among 210,824 dogs attending primary-care veterinary practices in the UK from 2009 to 2014. J Small Anim Pract. 2016 Jul;57(7):365-73. doi: 10.1111/jsap.12523.

Fletcher JM, Scudder CJ, Kiupel M, Pipe-Martin HN, Kenny PJ, Mantis P, Fenn J, Smith K, Blair RV, Granger LA, Niessen SJM. (2016) Hypersomatotropism in 3 Cats without Concurrent Diabetes Mellitus. J Vet Intern Med. 2016 Jul;30(4):1216-21. doi: 10.1111/jvim.14360.

Scudder CJ, Gostelow R, Forcada Y, Schmid HA, Church D, Niessen SJ. (2015) Pasireotide for the Medical Management of Feline Hypersomatotropism. J Vet Intern Med. 2015 Jul-Aug;29(4):1074-80. doi: 10.1111/jvim.12608.

Scudder CJ, Niessen SJM. (2016) Acromegaly in cats The Veterinary Nurse 2016 May (7): 224–230

Scudder CJ, Kenny P, Niessen SJM. (2015) Treatment of canine and feline hyperadrenocorticism: trilostane and the alternatives. Companion Animal 2015 20:4, 230-238.

Hill, M., Scudder, CJ., Glanemann, B., Drees, R. (2014) Hypertrophic osteodystrophy in a dog imaged with CT Veterinary Record Case Reports . 201: e000155. doi: 10.1136/vetreccr-2014-000155.

  • Endocrine disorders – Overproduction or a lack of production of certain hormones leads to common diseases such as Cushing’s disease, Diabetes Mellitus, and Hyperparathyroidism and correct management can be challenging.
  • Gastro-intestinal diseases – Endoscopy with biopsies can be performed to diagnose diseases such as inflammatory bowel disease or gastro-intestinal lymphoma.
  • Urinary diseases – Cystoscopy and imaging studies can be performed to diagnose reasons for incontinence or abnormal urination. Renal failure, protein losing disorders and bladder stones are also managed.
  • Hepatic diseases – Imaging and biopsies are often needed to define a treatment plan for different liver diseases.
  • Infectious diseases – Resistant bacterial infections and tick-borne diseases are commonly treated.
  • Immune-mediated diseases – Immune-mediated haemolytic anaemia, thrombocytopenia, and polyarthropathy often require intensive care and thorough investigation.
  • Respiratory diseases – Chronic nasal discharge is a common problem requiring advanced imaging and rhinoscopy for definitive diagnosis.
  • Pancreatic diseases – Acute pancreatitis requires rapid diagnosis, intensive care and monitoring.
  • Rhinoscopy
  • Tracheo-bronchoscopy
  • Upper GI endoscopy, including foreign body removal
  • Lower GI endoscopy
  • Cystoscopy, urethroscopy
  • Joint taps
  • CSF collection
  • Bone marrow collection
  • Feeding tube placement
Sofia-Rapastella

Sofia Rapastella

DVM MRCVS

Intern

Sofia graduated with honours from University of Perugia, Italy in October 2015.

During her studies she did a 6 month pre-graduation internship in the Veterinary Teaching Hospital of Perugia. After graduation, Sofia spent a short time working in general practice in Italy before completing a 5 month externship in Internal Medicine and Oncology at Southfields Veterinary Specialists. Sofia then completed a one year rotating internship with us, before starting an internship in Internal Medicine in December 2017.

Sofia is particularly interested in Internal Medicine and Emergency and Critical Care, in particular, transfusion medicine, immunology and endocrinology.

Outside work, Sofia enjoys to travel and spending time with family, friends and her beloved dog, Iuma.

Jennifer-Raj

Jennifer Raj

BSc (Hons) BVetMed MRCVS - ECVIM – residency trained

Clinician in Internal Medicine

Jen graduated from the Royal Veterinary College, University of London in 2008.  She subsequently spent several years working in small opinion practice and working on veterinary charity projects across the world. 

Upon her return to the UK she completed a rotating internship at Dick White Referrals in Cambridgeshire.  Following her internship, she completed a residency (specialist training) in Internal Medicine at the same hospital, which is one of the largest and busiest referral hospitals in Europe.

Jen enjoys all aspects of internal medicine, but has developed a particular interest in haematological disorders. Jen is really enjoying work at Southfields as the hospital and team allows her to offer the highest standards of care to all of her patients.

Out of work, Jen enjoys spending time with her family. She has always enjoyed an active life and has historically enjoyed running and surfing although she struggles to now find the time to pursue these activities with her two young sons!

  • Endocrine disorders - Overproduction or a lack of production of certain hormones leads to common diseases such as Cushing’s disease, Diabetes Mellitus, and Hyperparathyroidism and correct management can be challenging.
  • Gastro-intestinal diseases – Endoscopy with biopsies can be performed to diagnose diseases such as inflammatory bowel disease or gastro-intestinal lymphoma.
  • Urinary diseases - Cystoscopy and imaging studies can be performed to diagnose reasons for incontinence or abnormal urination. Renal failure, protein losing disorders and bladder stones are also managed.
  • Hepatic diseases - Imaging and biopsies are often needed to define a treatment plan for different liver diseases.
  • Infectious diseases - Resistant bacterial infections and tick-borne diseases are commonly treated.
  • Immune-mediaed diseases - Immune-mediated haemolytic anaemia, thrombocytopenia, and polyarthropathy often require intensive care and thorough investigation.
  • Respiratory diseases - Chronic nasal discharge is a common problem requiring advanced imaging and rhinoscopy for definitive diagnosis.
  • Pancreatic diseases - Acute pancreatitis requires rapid diagnosis, intensive care and monitoring.
  • Rhinoscopy
  • Tracheo-bronchoscopy
  • Upper GI endoscopy, including foreign body removal
  • Lower GI endoscopy
  • Cystoscopy, urethroscopy
  • Joint taps
  • CSF collection
  • Bone marrow collection
  • Feeding tube placement