Paws & Reflect: Neurology Nuggets with Dr. Jennifer Rich

In this illuminating episode of Diagnostic Tails, Dr. Amy Armentrout and Dr. Lon Hayes sit down with board-certified veterinary neurologist and neurosurgeon, Dr. Jennifer Rich. Together, they demystify the complex world of neurology—from simple localization techniques to advanced imaging decisions—making it more approachable for general practitioners.Dr. Rich shares invaluable tips for performing neurologic exams, choosing the right imaging modality, and determining when a spinal tap or MRI is truly necessary. Through real-life cases, including a Cavalier with overlapping diagnoses and a cat with a massive meningioma, listeners gain a deeper understanding of how to think critically about neurologic cases. Plus, Dr. Rich emphasizes that neurology, when broken down into practical steps, is not only manageable—but fun.⏱️ Timestamps & Topics00:00 - Introduction to Diagnostic Tails & Dr. Jennifer Rich02:00 - Why Dr. Rich started a teleconsultation neurology service04:00 - Keeping an open mind in vet school and choosing neurology05:30 - The “big picture” breakdown of neurologic exams08:00 - Deciding when and what to image: localization tips10:30 - A Cavalier case: When the MRI doesn't match the clinical picture14:00 - Degenerative myelopathy: Not just a German Shepherd problem16:30 - The role of CSF taps and when to use them18:30 - Most rewarding case: Meningitis with a literal “luge” of pus21:00 - Least favorite: A tough case of discospondylitis23:00 - Neurologic emergencies: When a seizure is serious25:30 - Most common neuro cases by breed: Frenchies, Border Collies, and Dachshunds28:00 - Old dog vestibular disease vs. seizure: How to tell the difference32:30 - Steroids: When and how to use them in neurologic cases34:30 - Feline neurology: Meningiomas, seizures, and carts for paralyzed cats37:30 - Final takeaway: Neurology doesn’t have to be scary—follow the breadcrumbsNotable Quotes“Neurology is fun—it just presents itself if you listen to the clues.”“An MRI tells us a lot, but the patient tells us everything.”Resources & TakeawaysQuick Localization Framework (Dr. Rich’s Simplified Approach):Forebrain: Personality changes, circling, contralateral deficitsBrainstem (hindbrain): Cranial nerve deficitsSpinal Cord: Normal brain, weakness, proprioceptive deficitsSpinal Nerves: Reflex deficits, flaccid paresisPractical Tools for General Practitioners:Always get a thorough history + home videos when possibleUse bloodwork + physical exam to assess imaging riskDon’t default to full-body imaging—localize firstCSF tap = only after imaging and with safety confirmedBe cautious with steroids📆 Upcoming CE Event🧠 Neurology CE Day with Dr. Jennifer Rich – July 12thStart the day with tech-focused positioning training and finish with practical neuro pearls from Dr. Rich herself.Animal Imaging Veterinary Radiology Specialistshttps://animalimaging.net/(972) [email protected] https://www.facebook.com/AnimalImaging/Linked In https://www.linkedin.com/company/animalimagingInstagam

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