Monday, January 29, 2018

3346. A 16-year-old Jack Russell salivates profusely - nerve disease?





Jan 13, 2018

Jack Russell, FS, 15 years
hypersalivating only on right side of mouth. Why?

MUSCLE ATROPHY ON RIGHT SIDE MUSCLES BELOW ZYGOMATIC ARCH


EYE PUPILS
Pupillary reflex. R pupil constricts. L pupil dilates when bright light is shone.

Ulcer of 2 cm on R side of tongue, caudal edge.  R buccal mucosa ulcerations 

HISTORY
April 2018. Dental by Vet 1 .
Nov 2018. Not able to lap water from bowl. Water bottle OK
Drinks little

BLOOD TEST ON JAN 13, 2018
Urea  9.1  (4.2-6.3)
Creatinine 49  (89-177)
Platelets 595  (200-500)




Jan 13, 2018


No salivating only on right side of mouth. Some bubbles seen in right tonsillar area on GA examination.

MUSCLE ATROPHY ON RIGHT SIDE MUSCLES BELOW ZYGOMATIC ARCH


EYE PUPILS
Normal

Ulcer of 2 cm on R side of tongue, caudal edge.  R buccal mucosa ulcerations 

HISTORY
April 2018. Dental by Vet 1 .
Nov 2018. Not able to lap water from bowl. Water bottle OK
Drinks little
Treated at Toa Payoh Vets on Jan 13, 2018. Antibiotics and anti-inflam, neurobion.

BLOOD TEST ON JAN 27, 2018
Urea  13.5  (4.2-6.3)
Creatinine 87  (89-177)
Platelets  316  (200-500)


Was dental scaling done by Vet 1 the cause of the muscle atrophy?

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