Monday, January 26, 2015

1181. website of toa payoh vets Jan 26, 2015

Singapore Case Studies - Dogs
7787 - 7798.
In 2013
   
In 2014. Recurrent struvite stones
 
Video: A Border Collie has an itchy backside - ringworm Video: Generalised ringworm in a Border Collie X
Video: Perineal hernia and benign prostatic enlargement 1/3 Video: Perineal hernia 2/3
 
Video: Perineal hernia 3/3 Video: Benign prostatic hypertrophy seen during hernia repair Video: Itchy front paws and groin in this overweight Jack Russell Video: Silkie has black and red circular skin spots - ringworm
Video: An old maltipoo cannot breathe Part 1
 
Video: Submandibular infections swelling Part 2 Video: Medical evidence Part 3 Video: 6 days later, no swelling Part 4 Video: A 3-year-old Schnauzer has itchy back and groins Video: The Silkie terrier is aggressive due to false pregnancy
Video: 6 days later, no swelling Part 5 Video: 6 days later, no swelling Part 6 Video: A 14-year-old dog can't breathe Pt 1 Video: A 14-year-old dog can't breathe Pt 2 Video: 4 weeks after treatment Pt 3
 
Video: 4 weeks after treatment Pt 4 Video: A 3-year-old Schnauzer has very itchy back and chest areas Final Video: A Golden Retriever has squamous cell carcinoma
Blog: A gigantic right submandibular abscess Final Video: Threshold of death for a 14-year-old Maltipoo Video: A tail-biting young Chihuahua Video: Toa Payoh Vets anaesthesia & surgery record Video: A successful 3rd eyelid flap & tarsorrhaphy in a pug
Blog: Bladder neoplasia or chronic infection? Video: Blood in the urine, eye conjunctival growths Video: Follow up 5 days later: Dry eyes & haematuria Video: Circum-anal tumours in a 16-year-old Shih Tzu Video: A 4-month-old Chihuahua has itchy skin
Video: A female Miniature Pinscher has circum-anal tumour Video: A female Miniature Pinscher panted and was not eating Part 1 Video: A 17-year-old Miniature Pinscher panted suddenly Part 2 Video: Review 1 month later. Generalised ringworm in a poodle Pt 1 Video: The poodle is clipped again Pt 2 Video: Myanmar language. Ringworm review in poodle Video: A Shih Tzu has a right itchy backside Video: An old Silkie has ear haematoma (swelling)
Video: A 13-year-old Golden Retriever had vaginal discharge Pt 1 Video: An old Golden Retriever had open pyometra Pt 2 Video: The dog looks more alert and active 12 hours after IV drip Pt 3 Perineal hernia cases at Toa Payoh Vets Video: A Mini-maltese has perineal hernia -Antisedan Video: 3 days after perineal hernia surgery
Video: Before surgery. Able to stand now Pt 4 Video: Overview of open pyometra Pt 5 Blog: A 13-year-old Golden Retriever has pyometra Video: Prostate and bladder in perineal hernias in 2 dogs Video: 5-year-old female Pom has bladder stones Video: A papillon rubs his eye many days Pt 1 Video: A papillon has corneal ulcers Pt 2
Video: Bad breath 9 months after dental scaling Pt 1 Video: Dental scaling at Toa Payoh Vets Pt 2 Video: After dental scaling Pt 3 Video: A 14-year-old Schnauzer vomits for 3 days 1/2 Video: The Schnauzer has lung tumours 2/2 A 4-year-old Shih Tzu keeps scratching 1/2 Video: A Shih Tzu has ringworm 2/2
Singapore Case Studies - Cats
Video: A cat  has nasal wound Pt 1 Video: A cat has nasal wound Pt 2
 
Video: A 16-year-old cat is dehydrated Pt 1
 
Video: A 16-year-old cat has left-sided mouth bleeding Pt 2 Video: Gas anaesthesia inside the carrier for nervous cat Video: An old cat has 5 large mammary tumours Video: A stray cat did not meow or eat for 4 days
Video: A stray cat has right facial swelling Pt 1 Video: A stray cat has right facial swelling Pt 2 Video: A stray cat is warded Pt 3      
Blog: Stray cat & other cases      
Singapore Case Studies - Guinea pigs
Final Video: A guinea pig has an encapsulated abscess      
Singapore Case Studies - Hamsters
Final Video: A hamster has an elbow wart Blog: Elbow Wart Script -comments on production Video: Elbow wart - shaving. 1/4   Video: Fell and had internal injury hamster Video: Multi-tiered cages for dwarf hamsters Video: A 4-month-old hamster has a stained backside
Video: Elbow wart - anaesthesia 2/4 Video: Elbow wart - anaesthesized 3/4 Video: Elbow wart excised 4/4       Web: Updated Hamster anaesthesia at Toa Payoh Vets Video: The dwarf hamster has impacted cheek pouch again
Singapore Case Studies - Rabbits
Video: A 7-year-old rabbit is lame Pt 1 Video: A rabbit's hip joints are X-rayed Pt 2 Video: A rabbit has beautiful teeth Pt 3          
Singapore Case Studies - Turtles
Video: A purse-string suture for penile injury Pt 1 Terrapin has recovered from injury Pt 2
 
Terrapin has recovered from attack Pt 3
 
Video: Day 3 of inpatient treatment Video: How to tell whether the red-eared glider is male or not? Final video: Penile injury and rectal prolapse in 2 terrapins
  Video: Swollen elbow in a 10-year-old terrapin Pt 1 Video: X-rays advised Pt 2 Video: Steroid injection IM Pt 3 Video: Inpatient observation Pt 4  
Singapore Pictures
             
 

Sunday, January 25, 2015

1180. A Schnauzer has high cholesterol

This kind couple from Woodlands adopted an abandoned overweight 7-year-old male Miniature Schnauzer and got her operated to remove the large rounded bladder stones, each around 6 cm x 6 cm in diameter. X-rays and stone analysis were done after Dr Daniel operated on Jan 16, 2014. Stones were magnesium, ammonium, phosphate with calcium.   

On Feb 23, 2014, he had 3 loose incisors extracted. 

On Jan 19, 2015, the dog came with the head down for the past 2 days. He weighed 11.5 kg and was panting. Ear canals swollen and has hairs. Ears painful.
Abdominal swelling? Ascites. Heart sounds not clear. Liver enlarged?

His blood test showed high triglycerides at 4.79. Total cholesterol was 8.65  HDL cholesterol was 5.55. LDL cholesterol cannot be estimated due to interference from elevated triglycerides level. Specimen is grossly lipemic. This may interfere with the test results.

SGOT/AST was high at 144 (<81 br="" nbsp="">
DIAGNOSIS
Painful ears. A groomer had cleaned the ears 7 days ago.
Possibly ascites. Advised weight reduction owing to high cholesterol.

FOLLOW UP ON JAN 26, 2015

"My dog is OK, " the wife said. "Normal 2 days after treatment. Active."  Most likely painful and swollen ears caused the head to be downwards.

An 8-year-old Pom vomits phlegm and swallows it for the last 1 week.

Female spayed, 8-year-old Pom

"Vomits phlegm for the last 1 week," my regular client said. "Especially when she sleeps in the air conditioned room. If we stopped her from going in, she would scratch the door to be let in."
"Does she vomit after eating food?" I asked.
"No," he replied. "She had lost appetite and has soft stools for the past one week."



Sounds like a case of gastroenteritis? This seems to be a case of heart disease. The symptom was a nocturnal cough.

HEART EXAMINATION.
Surprisingly I could not hear the heart sounds on the right chest. I spent some time auscultating but no sounds. All the dogs do have heart sounds on the right chest.

On the left chest, I could hear a machinery murmur.
"Your dog has heart disease," I advised chest X-rays. "The abdomen is empty of intestinal sounds, no internal tumours of the liver or spleen. There is some gas and the dog did react very mildly in pain to abdominal palpation.  This is not a case of gastroenteritis or gastritis."

"She vomits phlegm overnight and being a clean dog, she swallows it. So the bedroom floor is clean."   





X RAYS
Abnormally large left side of the heart on the ventro-dorsal view. Very rarely do I see such a large left heart. See x-rays.



Lower 2 X-rays show a young Pom with heart disease. With heart drugs, diet and close monitoring, the Pom lived for around one year.  






DIAGNOSIS
Cardiomegaly - Left heart enlargement.  Heart drugs must be given daily to extend the life of this Pom. Dosage is given to effect and at proper timing. Some owners forget to give the drugs leading to severe coughing.