Thursday, August 29, 2013

Script for intern - Kidney disease

Date: Aug 30, 2013  

TP 43996
Miniature Schnauzer
Black, F, spayed, 9 years


A vomiting and diarrhoeic dog.
8.8 kg, 38.4C.

Recent History
2 weeks no appetite
2 days of vomiting and diarrhoea
No abdominal pain


A simple case of gastro-enteritis?
Some injection and medication.

Not so fast. Review the previous history.
"Bladder stones removed 3 times", the owner said. "The first two times were in October 2010 and October 2011."
"How do you remember the dates so well?" I asked this groomer.
"October is her birthday and she missed the celebrations. I was happy to celebrate her October 2012 birthday. But she had the 3rd bladder stone surgery in January 2013!"
"Miniature Schnauzers are a breed prone to bladder stone formation," I said. "Struvite stones were analysed in Oct 2010. Did you still continue feeding the dry dog food after surgery?"
"Yes, but now I feed home cooked food, vegetables, rice and sometimes canned food"

Almost all Singapore dog owners do not follow up after bladder stone surgery as regards urine testing, X-rays and special diet for prevention of the struvite stones. So, the stones return and in this case, the dog had 3 bladder stone surgeries!

Blood test, urine test and X-ray advised.

Blood test was done in Jan 2013 and Aug 2013

INTERN TO HAVE  DISCUSSION WITH DR DANIEL SING ON KIDNEY DISEASE.

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