Saturday, November 27, 2021

4048. Pangolin spotted in Yio Chu Kang Lentor Estate storm water canal early in the morning in Oct 2021

 






4047. Skin tumour in a Persian cat

Persian Cat, 7 years, FS, 4.4 kg.  Normal except thrombocytopaenia (low blood platelets)*.
Big black nodular skin tumour 2 cm x 1.5 cm x 1 cm seen.

Anaesthetic risks - xylazine+ketamine IM + isoflurane gas
Surgical risks - dangerous internal bleeding can occur post-op
Electro-surgery used.
Bandage on head after surgery to prevent bleeding and haematoma

If this is a malignant tumour - resection margin of skin from tumour to be 1 cm ideally, in case  malignant cells have had migrated to skin.

Wound stitched after tumour removal to be circular of 1.0 cm diameter. Large wound. Z-plasty needed to release tension instead of just stitching up the circular wound which will break down due to high tension in this area below the ear.

Clipped bald - no other skin tumours seen 

OUTCOME. The owner is happy with the cat surviving the anaesthesia and surgery. He nurses the cat at home. Cat is eating normally now. Photo of cat on Day 3 from owner. 


MORE INFORMATION AND UPDATES AT:

  https://2010vets.blogspot.com/2021/11/4047-skin-tumour-in-persian-cat.html


*Low blood platelets   156.  Normal is 300 - 800 x 10^9/L
1. Active, normal appetite and drinking normal. Urine and stool normal. 
2. Not short of breath
3. No skin bruises
4. No anaemia, kidney or liver disease
5. Total white cell and red cell count normal.










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Tuesday, November 23, 2021

4046. An itchy old Shih Tzu

 






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How to help this 14-year-old Shih Tzu who has an itchy neck for over 4 months? Video 5/5

  


This 14-year-old Shih Tzu, Male, wears an E-collar for over 4 months to prevent him  scratching his neck. The owner had the dog treated for ear infections in Jun 2021. The ears were seen to be clean and free from debris in 15 Nov 2021, but the neck on left side was extremely inflamed. A fungal culture is in progress.


It is not normal for a dog to wear E-collar for over 4 months to prevent neck scratching. More than one review with the vet in this case, must be done, as there is a cure for his type of skin disease. 


UPDATES AT BLOG:




FIVE VIDEOS BEFORE 24 NOV 2021, STARTING FROM DAY 1 AT 14 NOV 2021. 



Video 1




Video 2/5


Video 3/5

Video 4/5


Video 5/5

THE VIDEO OF ITCHY NECKED SHIH TZU AS AT 24 NOV 2021 IS AT: 

https://youtu.be/neAxvEF-wq0  (Video5/5). Owner asked to come
for review as the neck is still itchy.
























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Ask for another bottle of Banocin. "Good stuff for the right hind dew claw bleeding!"




























Fungal culture



much less itchy neck after Day 7, but the itchiness persist. 
The owner is advised to have a review.



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Monday, November 22, 2021

4045. 14-year-old male shih tzu feels very itchy














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Day 7 after anti-inflam inj of RH dew claw







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14 NOV 2021. Bandage removed. Big ulcer. Bacterial infection 
under the skin, swell, painful, itchy --- licking  - lick granuloma --- owner 
puts E-collar, 24 hours 7 days a week --- Banocin powder --- not the cure. 
Itchiness --- "rub paw on floor....often....





General anaesthesia gas - i/lesion injection of pred 4 spots. Bandaged. 








DAY 7 AFTER INTRA-LESION INJECTION
23 NOV 2021






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14 Nov 2021. The dog was just groomed. The groomer should have asked the owner to
get the vet to treat the ingrown toe nail but did not do so. I discovered the ingrown toe nail from physical examination. 








23 Nov 2021. No more swollen and red lower paw now.


Young lady 26 now. WhatsApp photo caption: "Left hind paw ingrown nail - no longer and issue. Caught him at the right moment when he is sleepy haha ..  laughing emoji " 






HUMAN INGROWN TOE NAIL NOTES:

Sometimes, an ingrown toenail occurs when the edge or the corner of a toenail snags and cuts into the soft, vulnerable flesh surrounding it. Other times, it is just how your nail grows.

Ingrown toenails can be extremely painful, and the skin may appear swollen and red. If they aren’t treated promptly, ingrown toenails can become infected. If you have diabetes, neuropathy, or poor circulation, the risk of infection is higher.


What happens if you leave an ingrown toenail alone?
When left untreated, an ingrown toenail can lead to infection. This can lead to worsening pain and even fever. In some cases, an untreated ingrown toenail can spread the infection to the bone beneath the nail.
Can you walk after ingrown toenail surgery?
So, can you walk after nail surgery? The short answer is YES! You can walk straight after nail surgery. Nail surgery is a great, curative option for an ingrowing toenail that recurs time and time again.


 




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10 NOV 2021


BANOCIN POWDER - RE-FILL - 10 NOV 2021.


DAY 1 - BANDAGED RH FOOT, 10 NOV 2021 




DAY 1 - 10 NOV 2021. Neck itchy suppressed by E-collar


14 NOV 2021


DAY 4 - 14 NOV 2021. NECK INFLAMED, ITCHY









DAY 4 - 14 NOV 2021. RH PAW WITHOUT BANDAGE

DAY 4 - 14 NOV 2021. RH PAW WITHOUT BANDAGE


DAY 4 - 14 NOV 2021. RH PAW WITHOUT BANDAGE




DAY 4 --- 14 NOV 2021.  LEFT HIND PAW



23 NOV 2021

DAY 13 --- 23 NOV 2021


DAY 13 --- 23 Nov 2021




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Financial costs

HUMAN INGROWN TOE NAIL

Ingrown toe nail treatment typically costs less than $50 for at-home treatment, but can reach $200-$1,000 or more if a doctor visit and a procedure to remove all or part of the toenail is required.