Wednesday, August 11, 2010

160. What to do after surgery to remove testicular tumour?

Lab Retriever, Male, 6 years. Right undescended testicular tumour and atrophied right testicle removed 5 days ago. Greyish-white, large sized and multi-nodular suggested Sertoli cell tumour. To wait for histopathology on malignancy or no malignancy of cells.

The owner asked about post-op management.

This depended on blood test results. Significant findings are:
1. No disorders of liver and kidney function. Glucose is normal.
2. Haematology: Low haemoglobin and red cell count. Low PCV. Very low platelets count. Platelet clumping noted.

Urine results
1. pH=7.0, SG 1.027.
2. Abnormal findings: Protein 2+, Glucose 1+, Blood 4+, WCC >2250/uL, RBC 900/uL, epithelial cells 1053/uL. Bacteria 3+
Bad infection of bladder, prostate (painful and enlarged during rectal palpation), kidney localised as total blood WCC OK. Had been given IV Vit K1 in drip earlier.

Advice:
1. Had been fed meat, rice 1X/day in the past. Very thin. Increase to 2x/day
2. Good quality premium dog food dry to be added. 1 egg/day for 14 days.
3. Antibiotics for next 14 - 20 days. UTI + prostatitis + bone marrow depression.
4. Review in 14 days.

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