On Fri, Nov 4, 2011 at 12:43 AM, ...@gmail.com> wrote:
hi there, i've come across your website as i've been searching on google for an answer to my question:
my dog is currently being treated for parasites/mites, and now my daughter has strange bites and itches all over her arms and legs, could it be that the dog has passed her the parasites as well? what can i do for my daughter to help her as our family doctor's itching cream has not been working to relieve her itches at all.
thank you,
Name
E-MAIL REPLY FROM DR SING DATED NOV 4, 2011
You need to know what parasites/mites are involved in your dog by asking your vet to give you a vet report. Let the doctor know the diagnosis or seek a skin specialist/2nd opinion from another doctor.
Friday, November 4, 2011
Thursday, November 3, 2011
723. House-call for Golden Retriever with ear area snipped
Nov 2, 2011.
"It sounds like a surgical case," I said to the lady who googled "house-call vets singapore" and phoned me as to whether I would do a house-call in East Singapore. She volunteered to bathe this dog. Her maid and the neighbour's were cleaning the neighbour's Golden Retriever. There was a big clump of matted hair behind the ear. So, the scissors cut off the matted lump. 50% of the skin depth was cut off too. Size of 4 cm x 5 cm. So, the kind lady phoned for a house call.
I got the transport man to bring the dog down to the Surgery at 12 noon.
A bit overweight.
SEDATION
28 kg. Unknown health status.
Domitor 0.4 + Ketamine 0.5 ml IV (1/3 calculated dose for 30kg, young healthy dog).
GR sedated within 1 minute but woke up
"It sounds like a surgical case," I said to the lady who googled "house-call vets singapore" and phoned me as to whether I would do a house-call in East Singapore. She volunteered to bathe this dog. Her maid and the neighbour's were cleaning the neighbour's Golden Retriever. There was a big clump of matted hair behind the ear. So, the scissors cut off the matted lump. 50% of the skin depth was cut off too. Size of 4 cm x 5 cm. So, the kind lady phoned for a house call.
I got the transport man to bring the dog down to the Surgery at 12 noon.
A bit overweight.
SEDATION
28 kg. Unknown health status.
Domitor 0.4 + Ketamine 0.5 ml IV (1/3 calculated dose for 30kg, young healthy dog).
GR sedated within 1 minute but woke up
722. Cracked RU PM4 in golden retriever
A young couple saw me today for a second opinion as the dog was chewing on the left side for the past 2 weeks. He was fed lamb shanks and raw diet for some years but recently cracked his RU Premolar.
A red hole 1 mm in diameter was obvious and so I thought it was the cause of the tooth ache. The owner had palpated the tooth and there was a sliding of the upper front part of the tooth and told me. Indeed, there was movement. I shone a torch.
Still it took nearly 30 minutes of review and palpation before I finally concluded that the dog actually had a V-shaped fracture sideways from the upper anterior end! At one review, red blood oozed out from the crack. A v-shaped side fracture!
That was why it was moving. The owner gave treats many times to prevent the dog biting the vet and so there was some distractions. But at least, it was not the gum.
A red hole 1 mm in diameter was obvious and so I thought it was the cause of the tooth ache. The owner had palpated the tooth and there was a sliding of the upper front part of the tooth and told me. Indeed, there was movement. I shone a torch.
Still it took nearly 30 minutes of review and palpation before I finally concluded that the dog actually had a V-shaped fracture sideways from the upper anterior end! At one review, red blood oozed out from the crack. A v-shaped side fracture!
That was why it was moving. The owner gave treats many times to prevent the dog biting the vet and so there was some distractions. But at least, it was not the gum.
721. Expert questions autopsy findings: liposuction death
Dr Stephen Leadbeatter, foerensic pathologist, Cardiff University, Wales Institute of Forensic Medicine told a coroner's enquiry into the liposuction death. He said that based on the available info, he could not ascertain which aspect of the operation caused the death of Mr Franklin Heng. He was the expert witness for Dr Jim Wong, a GP who carried out the procedure.
Health Sciences Authority (HSA) said the death was caused by mulltiple punctures in the intestines due to the liposuction. HSA consultant forensic pathologist said the holow steel tube used could have caused the patient to go into shock and died.
Dr leadbeatter's points for the defence are:
1. He saw images from the autopsy, but said it was unclear whether the puncture wounds had gone fully into the intestines.
2. He saw no signs of peritonitis, the thin lining of the peritoneal cavity. If there was full puncture, the intestinal contents would have spilled out of the intestines into the peritoneum.
3. Lack of info about the description of any intestinal contents in the peritoneal cavity
4. Lack of microscopy to determine peritonitis
5. Another possible cause of death could be fat emboism - fat entering the blood stream into the lungs and brain. He had seen only slides of the b rain, not other organs.
6. Mr Heng could have difficulty breathing from an allergic reaction. This issue was not addressed in the blood taken.
7. Propofol used as a sedative could have contributed to the death according to the autopsy report.
But Dr Leadbeatter said the concentration of drug in the blood after death might not correctly be the same amount at the time of death.
In my reading of the report, there was no info as to whether peritonitis was present or not present and it seemed that the intestinal punctures did not go into the full thickness of the intestines. Will follow up.
Health Sciences Authority (HSA) said the death was caused by mulltiple punctures in the intestines due to the liposuction. HSA consultant forensic pathologist said the holow steel tube used could have caused the patient to go into shock and died.
Dr leadbeatter's points for the defence are:
1. He saw images from the autopsy, but said it was unclear whether the puncture wounds had gone fully into the intestines.
2. He saw no signs of peritonitis, the thin lining of the peritoneal cavity. If there was full puncture, the intestinal contents would have spilled out of the intestines into the peritoneum.
3. Lack of info about the description of any intestinal contents in the peritoneal cavity
4. Lack of microscopy to determine peritonitis
5. Another possible cause of death could be fat emboism - fat entering the blood stream into the lungs and brain. He had seen only slides of the b rain, not other organs.
6. Mr Heng could have difficulty breathing from an allergic reaction. This issue was not addressed in the blood taken.
7. Propofol used as a sedative could have contributed to the death according to the autopsy report.
But Dr Leadbeatter said the concentration of drug in the blood after death might not correctly be the same amount at the time of death.
In my reading of the report, there was no info as to whether peritonitis was present or not present and it seemed that the intestinal punctures did not go into the full thickness of the intestines. Will follow up.
720. Tray-training a Golden Retriever puppy
On Tue, Nov 1, 2011 at 11:14 PM, ...@hotmail.com> wrote:
Hello there, came across a site where you've provided information of toilet training dogs. I current have some enquiries and I would be glad if you could help me with it. I've gotten a golden retriever pup 4 days ago and he is 2 month old. We've been crating him with a tray inside and some space left for him to lie down. So far while in the crate, when he needs to do his business he would do it on the tray and not on the empty space. However during the day, we will let him out to play and only let him in during his nap time. This has caused several accidents. However, after observing, we noticed some consistency in his pee and poo time so we bring him out when we feel he needs to release and hence the no of accident has decreased. We have another tray placed outside where I hope I can train him to do his business there. However every time we place him on the tray, he will start sniffing and will without fail walk out of the tray and do his business outside the tray. I have placed tissue soaked in his urine and poo with new newspaper on top of it and metal grill to prevent him from stepping on his pee or chewing the paper. I was wondering what should be done to train him to use the tray instead of the floor. Should I lease him so he cannot wonder off the tray or should I 'fence up' his toilet area and only let him out after he do his business. My friend recommended me to leave him in his crate for a month and not let him out at all even to play so he will get toilet trained . But I don't think it's a good idea to crate him up without letting him out as I'm afraid of complications such as too much energy not release and becoming destructive or excited once let out etc. I hope you can give me some advice on what to do. Your help will be greatly appreciated.
E-MAIL REPLY FROM DR SING DATED NOV 3, 2011
I am Dr Sing from Toa Payoh Vets. I assume you want the puppy to pee and poop on a "tray". Is the tray of sufficient size as this is a big breed? What are the dimensions?
Pl send at least 3 images of housing and layout plan as what I visualise about the tools you are using for toilet-training, based on your text description, may be incorrect. A "tray" to you can be a floor grate + pee tray below to another dog owner.
Hello there, came across a site where you've provided information of toilet training dogs. I current have some enquiries and I would be glad if you could help me with it. I've gotten a golden retriever pup 4 days ago and he is 2 month old. We've been crating him with a tray inside and some space left for him to lie down. So far while in the crate, when he needs to do his business he would do it on the tray and not on the empty space. However during the day, we will let him out to play and only let him in during his nap time. This has caused several accidents. However, after observing, we noticed some consistency in his pee and poo time so we bring him out when we feel he needs to release and hence the no of accident has decreased. We have another tray placed outside where I hope I can train him to do his business there. However every time we place him on the tray, he will start sniffing and will without fail walk out of the tray and do his business outside the tray. I have placed tissue soaked in his urine and poo with new newspaper on top of it and metal grill to prevent him from stepping on his pee or chewing the paper. I was wondering what should be done to train him to use the tray instead of the floor. Should I lease him so he cannot wonder off the tray or should I 'fence up' his toilet area and only let him out after he do his business. My friend recommended me to leave him in his crate for a month and not let him out at all even to play so he will get toilet trained . But I don't think it's a good idea to crate him up without letting him out as I'm afraid of complications such as too much energy not release and becoming destructive or excited once let out etc. I hope you can give me some advice on what to do. Your help will be greatly appreciated.
E-MAIL REPLY FROM DR SING DATED NOV 3, 2011
I am Dr Sing from Toa Payoh Vets. I assume you want the puppy to pee and poop on a "tray". Is the tray of sufficient size as this is a big breed? What are the dimensions?
Pl send at least 3 images of housing and layout plan as what I visualise about the tools you are using for toilet-training, based on your text description, may be incorrect. A "tray" to you can be a floor grate + pee tray below to another dog owner.
719. Update on animal activist's help of a tick fever rescue dog
Update on animal activist's help of a tick fever rescue dog
The Rescue Group's vet had said that imizole would not be effective against Babesia gibsoni and advised a triple-drug combination costing $1,000. The rescue group wanted this activist to pay $600 to top up the $600 budget from the rescue group. The activist sought my advice by text and there was some delays as the Rescue Group's vet said that Berenil would be available as a cheap alternative in a few days' time. So the activist waited. But no Berenil. The activist was pro-active and posted online for help. A donor responded and would pay for treatment by the donor's vet. It seems that this rescue dog will survive the tick fever and that is good news for her and for anyone.
The following is her reply to my follow-up on her rescue dog's status
E-MAIL TO DR SING DATED NOV 2, 2011
...@hotmail.com>
Hi,
Its been a busy few days.
The Berenil is discontinued in Singapore already, and the rescue people told me I have to pay myself or let her die. We brought her home on Saturday and on Sunday she was having difficulty breathing and could not stand up. I posted her pictures online and a very kind stranger offered to pay for her treatment on the condition that we go to her vet. ... is being treated at (Name of vet practice given) as requested by the donor.
Her red count had dropped even further, and her platelets dropped to only 12. She stayed there for 2 nights and they gave her lots of supportive fluid therapy, erythropoietin and used steroids to stop the hemolysis. She perked up very well and is now resting at home. We will repeat her blood count on Friday and give her Imizole on Saturday if all goes well. For now she is on pred, metronidazole, doxycyclin and some other supplements. I was also forcefeeding her Hill's a/d several times a day. As of this morning she was willingly eating herself! I think things are looking up and Dr ... thinks she will survive. I hope the Imizole works to cure the infection.
I'm sorry we were not able to take her to you. I have great faith in your clinic, but unfortunately the money is not mine! :(
Thank you so much for your concern, you are very kind..
Btw, she's not my dog! We are just fostering her and hopefully will find her a home.
Smile,
Name
E-MAIL REPLY FROM DR SING DATED NOV 3, 2011
I thank you for being proactive in helping the stray dog. The vet is doing a great job and I am quite sure imizole will be effective. Best wishes.
The Rescue Group's vet had said that imizole would not be effective against Babesia gibsoni and advised a triple-drug combination costing $1,000. The rescue group wanted this activist to pay $600 to top up the $600 budget from the rescue group. The activist sought my advice by text and there was some delays as the Rescue Group's vet said that Berenil would be available as a cheap alternative in a few days' time. So the activist waited. But no Berenil. The activist was pro-active and posted online for help. A donor responded and would pay for treatment by the donor's vet. It seems that this rescue dog will survive the tick fever and that is good news for her and for anyone.
The following is her reply to my follow-up on her rescue dog's status
E-MAIL TO DR SING DATED NOV 2, 2011
...@hotmail.com>
Hi,
Its been a busy few days.
The Berenil is discontinued in Singapore already, and the rescue people told me I have to pay myself or let her die. We brought her home on Saturday and on Sunday she was having difficulty breathing and could not stand up. I posted her pictures online and a very kind stranger offered to pay for her treatment on the condition that we go to her vet. ... is being treated at (Name of vet practice given) as requested by the donor.
Her red count had dropped even further, and her platelets dropped to only 12. She stayed there for 2 nights and they gave her lots of supportive fluid therapy, erythropoietin and used steroids to stop the hemolysis. She perked up very well and is now resting at home. We will repeat her blood count on Friday and give her Imizole on Saturday if all goes well. For now she is on pred, metronidazole, doxycyclin and some other supplements. I was also forcefeeding her Hill's a/d several times a day. As of this morning she was willingly eating herself! I think things are looking up and Dr ... thinks she will survive. I hope the Imizole works to cure the infection.
I'm sorry we were not able to take her to you. I have great faith in your clinic, but unfortunately the money is not mine! :(
Thank you so much for your concern, you are very kind..
Btw, she's not my dog! We are just fostering her and hopefully will find her a home.
Smile,
Name
E-MAIL REPLY FROM DR SING DATED NOV 3, 2011
I thank you for being proactive in helping the stray dog. The vet is doing a great job and I am quite sure imizole will be effective. Best wishes.
718. Follow up on Cocker Spaniel with tick fever - 14 days later
SUNDAY'S INTERESTING CASES
Oct 30, 2011
On Friday, Oct 28, 2011, I got a text message from a young lady caring for a Singapore Rescue Group's stray dog with tick fever diagnosed by Vet 1 consulted by the Group. According to her, Vet 1 said that the imizole commonly used for treatment of tick fever would be ineffective as this dog had Babesia gibsoni.
As imizole is "ineffective" against Babesia gibsoni, Vet 1 wanted to use the "3 effective" drugs atovaquone, clindamycine and azithromycin. However, it would cost the Rescue Group $1,000. Berenil was cheaper but might cause anaphylaxic shock and in any case there was no stock at that time.
The Rescue Group asked her to top up the bill but she did not have the means to do so. So, she texted me for advice and alternative options.
Below are my replies to her.
It is kind of you to do dog rescue work. There are many financial considerations.
Combination of atovaquone, clindamycine and azithromycin by (required by Vet 1) as said by you, is claimed by Vet 1 to be effective against Babesia gibsoni infections in this dog. Vet 1 had said that imizole is ineffective against Babesia gibsoni.
I will not comment further as I don't use these expensive drugs. Success rate depends on follow up, not just one injection. Blood transfusion 1.5 bags at $500/bag and hospitalisation will be more than $600 budget from the Rescue group.
Berenil is cheap but anaphylaxis according to your text. Hb at 5 is low for your affected dog, but you also need to know total RBC.
In conclusion, anti-tick fever treatment is not cheap due to prolonged treatment and follow ups.
E-MAIL TO DR SING DATED Oct 29 (2 days ago)
Thank you very much Dr Sing. I am heading out to check on the dog this morning. If the rescue doesn't want to pay for treatment, I think I will bring the dog home to die as she doesn't like the cage...
Thanks again. Will email u soon.
Name given
COMMENTS
The dog was sent home without the expensive treatment or imizole. The lady activist thought that the dog was "alone" at the vet clinic and she would take the dog home to die. Berenil would be available possibly 2 days later.
Coincidentally, I was following up on an English cocker spaniel, 11.5 kg with Babesia gibsoni and Ehrlichia tick fever 10 days ago. A Cocker Spaniel has tick fever in 2011 is the case report.
Day 1 to Day 5 of tick fever
She came today (Sunday Oct 30, 2011) for her 2nd imizole injection (0.6 ml SC today) 10 days after the first injection (0.5 ml SC). Based on her active normal behaviour and much pinker gums, the first imizole injection had worked. Otherwise she should be dead by now.
So, should Vet 1 have given imizole to that stray dog rather than wait for the cheaper Berenil to be available later? Is imizole totally ineffective against Babesia gibsoni? I related the story of the stray dog with tick fever to the cocker spaniel and she was worried that I had not given the correct treatment.
Day 1 --->
Day 4 & 5 --->
Day 4 & 5 --->
Day 4 & 5 --->
Day 10 --->
"Will you dog be active and rushing out to play and have pink gums 10 days after the first injection if imizole was ineffective?" I asked her as I gave the 2nd injection today. As the dog still had ticks attached to her head and spinal area, I asked: "Does your dog go under the bed?". She said "Yes, my dog likes to sleep under the bed." I said: "Ticks may be present on the under part of the bed and attaches to the dog. Advantix should work as this spot-on was given 10 days ago when the dog came in. Give another dose in 4 days." I wanted to prescribe the anti-tick wash but did not as I asked her to use the Advantix and the dog had not many ticks.
My thoughts on this fine Sunday morning were for that stray dog and the caregiver who was a student. The young Singaporeans prefer to text and on Saturday, Oct 29, 2011, 2.53 pm, I got the following:
"Dr Sing, I brought the dog home as they could not do anything for her. Rescue opted to try Berenil but can't get for a few days so we are waiting. She is very weak. I think she may be dying. How much is one shot of imizole? Do u think it is worth a try? If not too expensive, I don't mind trying myself. What else can we do for her in the meantime?
I phoned her on Saturday and told her to bring the dog for the imizole injection on Saturday at 9.30 am. But she said that the transport was not available. In any case, the Berenil may be available on Monday and the dog was still alive. So I hope that this dog had the Berenil treatment soon.
As for the English Cocker Spaniel, as at Nov 3, 2011, the dog is normal. "Except that she tires easily," the owner said to me. She submitted a urine sample for testing. The values were normal. The urine SG was high, at 1.041 (range should be 1.005 -1.030), pH was 7.0 and struvite crystals were present. "Could it be the high liver I am feeding?" the lady asked me. "Should I stop feeding the liver?" She was also feeding iron supplements and all the good home-cooked food. "Since your dog tires easily, she has not fully recovered her normal red cell amount," I said. "The high urine SG is unusual. It shows that the kidneys can concentrate the urine well but what causes it is hard to say." I may need to have another urine test 2 weeks later.
Nov 3, 2011, as I update this report, I had been thinking about the high urine SG. My hypothesis is that the destruction of so many red and white blood cells damaged by the Babesia and Ehrlichia organisms during the past 14 days would have contributed to a large amount of protein damage for the past few days. The kidneys are normal and have to work hard to excrete the urea. This resulted in a high urine SG. There may be a high blood urea but I did not take a blood sample when the urine sample was sent.
Since the kidneys and bladder were normal, there was no proteinuria during urinalysis. Is this hypothesis sound? These are the types of questions the professor may ask in a case study during the final exam of the 5th year vet student. I remembered my "viva" or "oral exam" on a case study during my final year by my Professor of Vet Medicine and an external examiner and I presume Murdoch vet students still get this oral test.
A reply or hypothesis may not be possible for a vet student so much burdened with 5 years of vet knowledge memorised to pass the Final examination in November 2011 if the Professor of Vet Medicine asked about the high SG during the oral test!
Earlier report: A Cocker Spaniel has tick fever in 2011 or
http://www.sinpets.com/dogs/20111039tick-fever-cocker-spaniel-singapore-toapayohvets.htm
IT IS NOT POSSIBLE FOR ME TO POST THE VARIOUS EDUCATIONAL IMAGES ON BLOGGER.COM
UPDATES AND MORE IMAGES WILL BE AT TOA PAYOH VETS
http://www.sinpets.com/dogs/20111036babesia-gibsoni-treatment-drug-imizole-success-singapore-toapayohvets.htm
Oct 30, 2011
On Friday, Oct 28, 2011, I got a text message from a young lady caring for a Singapore Rescue Group's stray dog with tick fever diagnosed by Vet 1 consulted by the Group. According to her, Vet 1 said that the imizole commonly used for treatment of tick fever would be ineffective as this dog had Babesia gibsoni.
As imizole is "ineffective" against Babesia gibsoni, Vet 1 wanted to use the "3 effective" drugs atovaquone, clindamycine and azithromycin. However, it would cost the Rescue Group $1,000. Berenil was cheaper but might cause anaphylaxic shock and in any case there was no stock at that time.
The Rescue Group asked her to top up the bill but she did not have the means to do so. So, she texted me for advice and alternative options.
Below are my replies to her.
It is kind of you to do dog rescue work. There are many financial considerations.
Combination of atovaquone, clindamycine and azithromycin by (required by Vet 1) as said by you, is claimed by Vet 1 to be effective against Babesia gibsoni infections in this dog. Vet 1 had said that imizole is ineffective against Babesia gibsoni.
I will not comment further as I don't use these expensive drugs. Success rate depends on follow up, not just one injection. Blood transfusion 1.5 bags at $500/bag and hospitalisation will be more than $600 budget from the Rescue group.
Berenil is cheap but anaphylaxis according to your text. Hb at 5 is low for your affected dog, but you also need to know total RBC.
In conclusion, anti-tick fever treatment is not cheap due to prolonged treatment and follow ups.
E-MAIL TO DR SING DATED Oct 29 (2 days ago)
Thank you very much Dr Sing. I am heading out to check on the dog this morning. If the rescue doesn't want to pay for treatment, I think I will bring the dog home to die as she doesn't like the cage...
Thanks again. Will email u soon.
Name given
COMMENTS
The dog was sent home without the expensive treatment or imizole. The lady activist thought that the dog was "alone" at the vet clinic and she would take the dog home to die. Berenil would be available possibly 2 days later.
Coincidentally, I was following up on an English cocker spaniel, 11.5 kg with Babesia gibsoni and Ehrlichia tick fever 10 days ago. A Cocker Spaniel has tick fever in 2011 is the case report.
Day 1 to Day 5 of tick fever
She came today (Sunday Oct 30, 2011) for her 2nd imizole injection (0.6 ml SC today) 10 days after the first injection (0.5 ml SC). Based on her active normal behaviour and much pinker gums, the first imizole injection had worked. Otherwise she should be dead by now.
So, should Vet 1 have given imizole to that stray dog rather than wait for the cheaper Berenil to be available later? Is imizole totally ineffective against Babesia gibsoni? I related the story of the stray dog with tick fever to the cocker spaniel and she was worried that I had not given the correct treatment.
Day 1 --->
Day 4 & 5 --->
Day 4 & 5 --->
Day 4 & 5 --->
Day 10 --->
"Will you dog be active and rushing out to play and have pink gums 10 days after the first injection if imizole was ineffective?" I asked her as I gave the 2nd injection today. As the dog still had ticks attached to her head and spinal area, I asked: "Does your dog go under the bed?". She said "Yes, my dog likes to sleep under the bed." I said: "Ticks may be present on the under part of the bed and attaches to the dog. Advantix should work as this spot-on was given 10 days ago when the dog came in. Give another dose in 4 days." I wanted to prescribe the anti-tick wash but did not as I asked her to use the Advantix and the dog had not many ticks.
My thoughts on this fine Sunday morning were for that stray dog and the caregiver who was a student. The young Singaporeans prefer to text and on Saturday, Oct 29, 2011, 2.53 pm, I got the following:
"Dr Sing, I brought the dog home as they could not do anything for her. Rescue opted to try Berenil but can't get for a few days so we are waiting. She is very weak. I think she may be dying. How much is one shot of imizole? Do u think it is worth a try? If not too expensive, I don't mind trying myself. What else can we do for her in the meantime?
I phoned her on Saturday and told her to bring the dog for the imizole injection on Saturday at 9.30 am. But she said that the transport was not available. In any case, the Berenil may be available on Monday and the dog was still alive. So I hope that this dog had the Berenil treatment soon.
As for the English Cocker Spaniel, as at Nov 3, 2011, the dog is normal. "Except that she tires easily," the owner said to me. She submitted a urine sample for testing. The values were normal. The urine SG was high, at 1.041 (range should be 1.005 -1.030), pH was 7.0 and struvite crystals were present. "Could it be the high liver I am feeding?" the lady asked me. "Should I stop feeding the liver?" She was also feeding iron supplements and all the good home-cooked food. "Since your dog tires easily, she has not fully recovered her normal red cell amount," I said. "The high urine SG is unusual. It shows that the kidneys can concentrate the urine well but what causes it is hard to say." I may need to have another urine test 2 weeks later.
Nov 3, 2011, as I update this report, I had been thinking about the high urine SG. My hypothesis is that the destruction of so many red and white blood cells damaged by the Babesia and Ehrlichia organisms during the past 14 days would have contributed to a large amount of protein damage for the past few days. The kidneys are normal and have to work hard to excrete the urea. This resulted in a high urine SG. There may be a high blood urea but I did not take a blood sample when the urine sample was sent.
Since the kidneys and bladder were normal, there was no proteinuria during urinalysis. Is this hypothesis sound? These are the types of questions the professor may ask in a case study during the final exam of the 5th year vet student. I remembered my "viva" or "oral exam" on a case study during my final year by my Professor of Vet Medicine and an external examiner and I presume Murdoch vet students still get this oral test.
A reply or hypothesis may not be possible for a vet student so much burdened with 5 years of vet knowledge memorised to pass the Final examination in November 2011 if the Professor of Vet Medicine asked about the high SG during the oral test!
Earlier report: A Cocker Spaniel has tick fever in 2011 or
http://www.sinpets.com/dogs/20111039tick-fever-cocker-spaniel-singapore-toapayohvets.htm
IT IS NOT POSSIBLE FOR ME TO POST THE VARIOUS EDUCATIONAL IMAGES ON BLOGGER.COM
UPDATES AND MORE IMAGES WILL BE AT TOA PAYOH VETS
http://www.sinpets.com/dogs/20111036babesia-gibsoni-treatment-drug-imizole-success-singapore-toapayohvets.htm
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