Wednesday, September 19, 2012

1108. AUDIT. Open pyometra blood test results before and after spay

Today I got a text message: "Hi Dr Sing, will I be able to obtain a sterilsation cert for my dog? I need it for renewal of dog licence."

I checked the medical records of the 8-year-old Jack Russell. Yes, she had open pyometra and was spayed in Nov 8, 2010 by my associate vet. She was 6 years old then and was presented on Nov 6, 2010. Complaint was "vomiting". Diagnosis was "Suspect pyometra."  Blood test and IV drips.

I sms her to come to collect the certificate: "Come to clinic to get the cert which is inside case file TP Ref XXXX. Refer to this Reference".
She sms me: "Thanks Dr Sing". We never spoke. Such is the situation with the younger generation!
They prefer the thumb to the tongue.

INTERESTING BLOOD TEST RESULTS FOR THIS DOG FOR VET STUDENTS


Admitted on Nov 6, 2010. Jack Russell, F, Born 2004. Wt 7 kg. Temp = 35.2C (38.5-39.5)
Nov 6, 2010 BEFORE PYOMETRA SURGERY ON NOV 7, 2010


Total WCC  53.8 (6-17)
Red cell count  4.9  (5.5-8.5)
Hb  10.9  (12-18)

N 79% Absolute 43
L 12% Absolute 6.5
M 11% Absolute 6
E  0
B  0
Atypical lympho  2%  Absolute 1.08

Platelets 7  (200-500)
Large platelets present

COMPARE WITH SITUATION OF DOG BEING BACK TO NORMAL
Dec 11, 2010, FIVE WEEKS AFTER PYOMETRA SURGERY ON NOV 7, 2010

Dog came for vaccination and blood test taken.


Present Dec 11, 2010. Jack Russell, F, Born 2004. Wt 7.4 kg. Temp = 38.8C (38.5-39.5)
Total WCC 12.4 (6-17)
Red cell count    6.1  (5.5.8.5)
Hb 13.7  (12-18)
N 78% Absolute 9.7
L 18% Absolute 2.2
M 3.3% Absolute 0.41
E 0
B 0
Atypical lympho 0%

Platelets 230 (200-500)
NO large platelets present

CONCLUSION
The dog has fully recovered as the owner did not turn up till she sms today for the sterilisation certificate which is important for lower licensing fee. It is surprisingly that the dog did not die by bleeding to death during surgery as her platelet count was 7 when the normal should be 200-500! She was anaemic too. Her rectal temp on day of surgery (Nov 7, 2012 was 36.5 C).
 It is incredible that she survived..

Blood tests are important to screen the dog's health prior to surgery. An IV drip with antibiotics is essential 24 hrs prior to surgery. NaCl + cipro, Hartman's Solutions, amino acid drips were given by my associate vet.

Rimadyrl

Anaesthesia was diazepam 0.3 ml, ketamine 0.3 ml for 7 kg BW with isoflurane maintenance.






No comments:

Post a Comment