Saturday, September 24, 2016

2931. Lame RH, neck pain


Said a vet diagnosed knee cruciate ligament rupture
Hip arthritis
Teeth decay
Heart disease

Tuesday, September 20, 2016

2929. A 7-year-old female pug is ataxic after 2 days at the boarding kennel

Sep 16, 2016

"Walks like a drunken person," I palpated the pug's hips which elicited painful cries.
The pug had been clipped bald and  was in a boarding kennel for the last 2 days. Now she has lost appetite, was thirsty and had diarrhea.

"Yes, yes," the man said. "She walks like me when I am drunk, swaying from side to side!"

"It is possible that the boarding kennel had used a strong body wash after clipping the coat. The pug could have drank some of the chemicals or she had suffered some hip injuries as the hips are very painful."

The owner did not want a blood tests. X-rays of hips were normal. I gave an IV drip. The pug went home and was OK the next day.

Monday, September 19, 2016

2928. FUS - Pollakiuria in a 6-year-old male neutered cat

Sep 13, 2016

"My cat keeps going to and fro the litter box, meowing painfully," the owner said.
"Your cat has pollakiuria which is an abnormal frequent urination.," I palpated a small bladder, hence no urethral obstruction. "How many cats are there in the apartment?"
"One cat only," the owner said.

"Did you change the dry cat food?" I asked.

"No, but I gave him more cat treats recently," the owner showed me a packet of Friskies Party Mix cat treats given for the past 1 month.

"Did you change the litter often?" I asked. The owner had not changed the litter for around 7 days or more and had not picked up the stools. It is possible that the cat was stressed and this could cause FUS (Feline Urological Syndrome).

X-rays showed no urinary stones. Blood and urine test was not done to lower medical costs.

3 days later, I phoned. The cat is back to normal and the litter is changed regularly and often. Early vet consultation and treatment enabled the cat to recover the next day.


Friday, September 16, 2016

2927. An Asiatic bear had 2 ranula operation 3 months ago - follow up


In June 2016, Dr Sing Kong Yuen from Toa Payoh Vets flew to Yangon, Myanmar to assist in the operation of an orphaned 5-month-old male  Asiatic bear diagnosed with two ranulas, also known as sublingual mucocoeles. A poacher had killed his mother and was trying to capture them for sale to the China market.

The villages rescued the two month-old sibling bears and sent them to the sanctuary of the Buddhist Thabarwa Centre. One sibling bear had two cysts under the tongue and these cysts grew bigger every day. A wildlife vet from Scotland had volunteered to operate on the bear and the operation was done at the Royal Asia Veterinary Surgery, Yangon     

Video footage - before and after operation

Marsupialisation of two ranulas in an Asiatic bear
Is the ranula operation successful for this bear?
Follow-up 3 months after treatment


What is a ranula?

What are the 2 methods of treatment
1. Marsupialisation - recurrence likely due to closure of opening as in this case (image below)
2. Excision of the ranula and sublingual salivary gland is the choice of treatment

Jun 2016    - 2 surgeries known as marsupialisation. What is marsupialization?



DAY 2 REPEAT OPERATION ON LEFT RANULA - ranula is much less inflamed after medication given on Day 1

Dr Sing Kong Yuen visits the bear in September 2016. 
September 2016 - review

Sibling bear has normal tongue and grows much larger when seen in September 2016

One ranula recurs on right side of lower tongue
50% successful - use images
(Edit videos)

Illustration and interview with Dr Sing Kong Yuen


1. The bear has grown to the size of an adult man. There is a bigger risk and danger to staff in handling this bear at RAVS, as this is a wild animal.
2. A repeat operation by marsupialization  on the right ranula is best done by the volunteer services of the wildlife vet as she has the anaesthetic experience of sedation and handling of this larger bear.
3. The operating room with post-op facilities will not be sufficient in the RAVS for this operation.
4. The choice of treatment is by excision of the ranula and sublingual salivary gland. This is a complex operation involving the neck area. This needs more skill and post-op care.

Therefore I advise that Dr T T Aung not to volunteer for marsupialization or excision as the outcome will not be good due to the lack of post-op facilities and nursing care.   


Dr T T Aung of Royal Asia Veterinary Surgery, Yangon

Dr T T Soe (left) of Royal Asia Veterinary Surgery, Yangon

Dr Sing Kong Yuen (2nd from left) of Toa Payoh Vets, Singapore
Consultant Vet to Royal Asia Veterinary Surgery


Wednesday, September 14, 2016

2926. Arthritis of left hip

Sep 15, 2016

Dog can put some weight on left hind. "No sensation in the left paw," the owner said.
Pinching reflex 2+ on left paw compared to 4+ on right paw
No placing reflex on left paw
very painful left hip when extended
X-ray  - left hip arthritis.

Topples over when pooping today
Less appetite may be due to the owner not giving meat with kibbles for last 4 weeks

Tuesday, September 13, 2016

2925. Review of an Asiatic Bear 3 months after bilateral sublingual mucocoele marsupialisation by a wildlife vet

Sep 14, 2016
Room 304   Hotel Royal Golden View, North Dagon, Yangon
Last day of visit of tour of Myanmar from Yangon to Myitkyina and in between. Hectic.

Playful. put on weight.
Will run away when he sees Dr T T Aung who assisted a wildlife vet from the UK to operate on this bear for bilateral ranulas.
The wildlife vet was operating. An English Vet nurse assisted in anaesthesia. I was an observer.

 Fed dry dog food. Puts on weight.
Problem with one hind paw and limb edema and prolapsed penis which were present before the operation.

The sibling bear was normal in tongue and body and very playful too. Both bears appear to have reddish skin rashes or generalised pustular dermatitis