Friday, September 27, 2013

1164. Update on old Maltese. Abdomino-centesis shows bleeding inside the abdomen - old Maltese

Maltese, M, 14 years
Large abdominal mass 50% size of orange
Breathing difficulty around last 4 days
Abdominocentesis drew out 20 ml of blood which clotted soon, indicating fresh blood from abdominal mass.





Probably a splenic tumour starting to bleed. The kidney and liver enzymes were normal. IV drip
with amino acids and vitamins given. Dog went home and was active pacing the next day. Surgery is too risky. Owner does not want surgery anyway. Prognosis poor if bleeding continues.



 Dog does eat but is emaciated.

Sep 28, 2013  Saturday 10.15 am
Spoke to husband

Dog has much less breathing difficulty. Active. Gums pinker.
"Any abdominal swelling?" I asked.
"No," he said. That means the bleeding of the tumour has stopped.

Will not want to eat the egg yolk or chicken liver. Husband asked whether he can get repeat medication in 7 days' time.

Advised hand-feeding of egg yolk and liver to build up red blood cells. Feeding 6x/day in small amounts and electrolytes. Heart medication given as well.

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