stones sent to the US for chemical analysis
Thursday, February 2, 2017
3026. A 6-year-old female Shiba Inu has 7 bladder stones
stones sent to the US for chemical analysis
Wednesday, February 1, 2017
3015. A 9-year-old female spayed Schnauzer X peed blood.
X rays no stones
blood test NAD
urine test pH 9, bacteria, protein and triple PO4 crystals.
Follow up
After antibiotics, no haematuria
Now on Urinary S/O
This case presents evidences via X rays, urine and blood test.
However, some owners have economic or time constraints and so x-ray or urine test is done.
urine test pH 9, bacteria, protein and triple PO4 crystals.
Follow up
After antibiotics, no haematuria
Now on Urinary S/O
This case presents evidences via X rays, urine and blood test.
However, some owners have economic or time constraints and so x-ray or urine test is done.
3014. A 13-year-old pekinese needs eyeball removal
Jan 31, 2017
Chinese New Year lst day is Jan 28, 2017. The young lady contacted me to get the enucleation done as she must have researched the internet for a vet to perform the surgery.
An old dog said to eat normally and booked for surgery on Jan 30, 2017. The first time I had seen this dog. It would be risky as the eyeball had popped out for some weeks and could have been infected. Surgery should only be done on healthy dog. I suggested a blood test.
Blood test showed bacterial infection of the blood. So, I gave IV baytril and drip with amino acids and glucose and vitamins for 24 hours (2 bottles). Dr Daniel operated on Jan 31, 2017.
This is important as immediate surgery may lead to death on the operating table.
Gas anaesthesia only. The dog was alive at the end of operation and that was all the owner wanted even though she had been warned of anaethestic death. The dog had a small scar but lately, the eyeball had popped out and looked terrible.
Early vet treatment of corneal ulcers by tarshorraphy would have saved the eyeball and vision but it depends on the vet who may just advise eyedrops. .
Chinese New Year lst day is Jan 28, 2017. The young lady contacted me to get the enucleation done as she must have researched the internet for a vet to perform the surgery.
An old dog said to eat normally and booked for surgery on Jan 30, 2017. The first time I had seen this dog. It would be risky as the eyeball had popped out for some weeks and could have been infected. Surgery should only be done on healthy dog. I suggested a blood test.
Blood test showed bacterial infection of the blood. So, I gave IV baytril and drip with amino acids and glucose and vitamins for 24 hours (2 bottles). Dr Daniel operated on Jan 31, 2017.
This is important as immediate surgery may lead to death on the operating table.
Gas anaesthesia only. The dog was alive at the end of operation and that was all the owner wanted even though she had been warned of anaethestic death. The dog had a small scar but lately, the eyeball had popped out and looked terrible.
Early vet treatment of corneal ulcers by tarshorraphy would have saved the eyeball and vision but it depends on the vet who may just advise eyedrops. .
Thursday, January 26, 2017
3013. An 11-year-old male red-eared slider has swollen right eye and eye ulcers
Jan 26, 2017
Came in on Jan 15, 2017 not eating, right eyelids swollen
Hospitalised. Medication. 2 injection.
Eats little. Spit out usual Marsuri globular when observed feeding.
Jan 25 and 26. Prefers prawns.
Opened mouth - whitish plaques on sides of tongue and mouth. Fungal infections?
X-ray Jan 26, 2017
----------------------------------------------------------------------------------------------------------
Jan 27, 2017 Chinese New Year's Eve. Going home at 12 noon.
Today
Nibbles shrimps
Swallows and spits out pellets
Active
X rays yesterday
Images taken today, 12th day of hospitalisation
Came in on Jan 15, 2017 not eating, right eyelids swollen
Hospitalised. Medication. 2 injection.
Eats little. Spit out usual Marsuri globular when observed feeding.
Jan 25 and 26. Prefers prawns.
Opened mouth - whitish plaques on sides of tongue and mouth. Fungal infections?
X-ray Jan 26, 2017
Jan 27, 2017 Chinese New Year's Eve. Going home at 12 noon.
Today
Nibbles shrimps
Swallows and spits out pellets
Active
X rays yesterday
Images taken today, 12th day of hospitalisation
3012. A 3-year-old female rabbit dislocates left hip X-rays
Jan 27, 2017 Rabbit goes home. Sling up left hind
Wednesday, January 25, 2017
Jan 25, 2017
A case study of the usefulness of Rimadyl in helping the old dog to walk
TP 45772
Jane, Golden Retriever, FS, 16 years (born 2001).
Lives in North Singapore
First consultation Jan 14, 2015 Dr Sing Kong Yuen
24kg anorexia 6days vomit once, PD/PU
Thick reddish brown vaginal discharge past 4 days
Uterine horn 4 cm across palpated.
Open pyometra at 13 years of age.
.
Jun 14, 2016
Jane. 14 years old
Hip pain but can walk to bathroom.
Blood in the urine. I advised giving me a urine sample as dog is large breed
and inconvenient to come
Jun 14, 2016 Rimadyl 75 mg x 15 tab/ 1.25 tab per day for 4 days on, 4 days off. To effect.
Sep 19, 2016 Rimadyl 75 mg x 10 tab
Dec 6, 2016 x 20 tab..
Jan 23, 2016. Complaint WhatsApp A lot of difficulties walking. More painkillers, what can we do to help her? she still has a good appetite.
Jan 24, 2017. Came to buy Rimadyl and a medium bag of C/D in case the dog cannot survive.
My advice: need to increase dosage and decrease weight. What is Jane's weight? 28 kg.
Rimadyl 28 x 4.4 mg = 1.5 tab/day for 4 days to effect. To review effect of drug first. .
---------------------------------------------------------------------------------------------------
Urine test
slightly turbid, pH 9 (alkaline), SG 1.045
Protein 4+, Ketone +, Blood 4+, Triple phosphate crystals occasional, bacteria 3+
Baytril x 2.5 tab x 4 days. Trimax x 1/2 bid x 10 days
I advised acidification of the urine using prescription diet Hills' C/D.
From Jun 22, 2016 to Jan 25, 2017 - strictly on this diet. No complaint of haematuria.
CONCLUSION
2 cases of lame senior big breed dogs over 16 years old much loved by the owners.
.
In this case and another case of a X-bred 17years old, the dog is still eating but has bad hips.
So the kind owner did not elect euthanasia and has a lot of care-giving of aged dogs to execute..
A case study of the usefulness of Rimadyl in helping the old dog to walk
TP 45772
Jane, Golden Retriever, FS, 16 years (born 2001).
Lives in North Singapore
First consultation Jan 14, 2015 Dr Sing Kong Yuen
24kg anorexia 6days vomit once, PD/PU
Thick reddish brown vaginal discharge past 4 days
Uterine horn 4 cm across palpated.
Open pyometra at 13 years of age.
.
Jun 14, 2016
Jane. 14 years old
Hip pain but can walk to bathroom.
Blood in the urine. I advised giving me a urine sample as dog is large breed
and inconvenient to come
Jun 14, 2016 Rimadyl 75 mg x 15 tab/ 1.25 tab per day for 4 days on, 4 days off. To effect.
Sep 19, 2016 Rimadyl 75 mg x 10 tab
Dec 6, 2016 x 20 tab..
Jan 23, 2016. Complaint WhatsApp A lot of difficulties walking. More painkillers, what can we do to help her? she still has a good appetite.
Jan 24, 2017. Came to buy Rimadyl and a medium bag of C/D in case the dog cannot survive.
My advice: need to increase dosage and decrease weight. What is Jane's weight? 28 kg.
Rimadyl 28 x 4.4 mg = 1.5 tab/day for 4 days to effect. To review effect of drug first. .
---------------------------------------------------------------------------------------------------
Urine test
slightly turbid, pH 9 (alkaline), SG 1.045
Protein 4+, Ketone +, Blood 4+, Triple phosphate crystals occasional, bacteria 3+
Baytril x 2.5 tab x 4 days. Trimax x 1/2 bid x 10 days
I advised acidification of the urine using prescription diet Hills' C/D.
From Jun 22, 2016 to Jan 25, 2017 - strictly on this diet. No complaint of haematuria.
CONCLUSION
2 cases of lame senior big breed dogs over 16 years old much loved by the owners.
.
In this case and another case of a X-bred 17years old, the dog is still eating but has bad hips.
So the kind owner did not elect euthanasia and has a lot of care-giving of aged dogs to execute..
3010. A 17-year-old X-bred has a right hip bed sore
Jan 24, 2017
The dog was adopted from a shelter on Jan 23, 2000 and so the lady owner declared that to be his birthday. He was probably 4 months old. 17 years flew by. He had greater difficulty getting up to go to the bathroom but the owner persevered in lifting him up to walk to the bathroom.
"Lately, his front toes curled inwards," the owner told me. "He barks at night and I had to calm him down."
The 4 cm x 3 cm oval left hip sore was weeping.
The treatment was to close the wound as it appeared fresh. The caudal edges were black and the pink muscles could be seen.
"Anaesthesia using gas is the safest," I said. "No injectables."
The owner signed the anaesthesia consent form with apprehension that the dog would die on the operating table.
.
The dog was weak and did not struggle when put on the nose cone to smell the gas.
"For very old dogs," I taught my assistant who had little experience in very old dog anaesthesia
and needed to be mentored.
Do not monitor his depth of anaesthesia as a young dog," I elaborated. "A young dog needs a longer time to be anaesthesized and is unlikely to die. For this oldie, the time taken is less than half. If you monitor as if he was a young dog, he might be dead.
A Z-plasty was done to close up the hole. All was OK and the dog went home.
The challenges of barking and needing to be carried or slung to go to the bathroom are stressful.
BLOOD TEST
Total white cell count *30.5 (6-17)
N *97.6% (60-70%) Absolute 29.8
L 1.6% Absolute 0.49
M 0.8% Absolute 0.24
E and B normal
Red cell count *4.7 (5.5-8.5)
Haemoglobin *10.3 (12 - 18)
Haematocrit PCV *0.30 (0.37 - 0.55)
Platelets 409 (200-500)
ALT 79 (less than 59)<59 br="">
AST 85 (less than 81)<81 p="">
Bacteraemia and anaemia. Advised antibiotics and anaemia treatment.
The dog was adopted from a shelter on Jan 23, 2000 and so the lady owner declared that to be his birthday. He was probably 4 months old. 17 years flew by. He had greater difficulty getting up to go to the bathroom but the owner persevered in lifting him up to walk to the bathroom.
"Lately, his front toes curled inwards," the owner told me. "He barks at night and I had to calm him down."
The 4 cm x 3 cm oval left hip sore was weeping.
The treatment was to close the wound as it appeared fresh. The caudal edges were black and the pink muscles could be seen.
"Anaesthesia using gas is the safest," I said. "No injectables."
The owner signed the anaesthesia consent form with apprehension that the dog would die on the operating table.
.
The dog was weak and did not struggle when put on the nose cone to smell the gas.
"For very old dogs," I taught my assistant who had little experience in very old dog anaesthesia
and needed to be mentored.
Do not monitor his depth of anaesthesia as a young dog," I elaborated. "A young dog needs a longer time to be anaesthesized and is unlikely to die. For this oldie, the time taken is less than half. If you monitor as if he was a young dog, he might be dead.
A Z-plasty was done to close up the hole. All was OK and the dog went home.
The challenges of barking and needing to be carried or slung to go to the bathroom are stressful.
BLOOD TEST
Total white cell count *30.5 (6-17)
N *97.6% (60-70%) Absolute 29.8
L 1.6% Absolute 0.49
M 0.8% Absolute 0.24
E and B normal
Red cell count *4.7 (5.5-8.5)
Haemoglobin *10.3 (12 - 18)
Haematocrit PCV *0.30 (0.37 - 0.55)
Platelets 409 (200-500)
ALT 79 (less than 59)<59 br="">
AST 85 (less than 81)<81 p="">
Bacteraemia and anaemia. Advised antibiotics and anaemia treatment.
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