1100. HOW YOU OLD DOG CAN LIVE LONGER? Bladder rupture

Case study

TP 44384. Maltese, Female, Not Spayed, 12 years. Vet: Dr Daniel
The old dog was still active but had lost appetite yesterday. No vomiting or diarrhoea. Rotten teeth. First consultation on May 7, 2013. Complaint of stranguria and haematuria. Given antibiotics. Advised urine test, dental, spay and X-rays but the owner did not accept these advices.

Then on May 14, 2013, dog came in and the following tests were done.

URINE TEST
Amber, turbid, pH 7.0, SG 1.026, Nitrite +ve, Protein 2+, Blood 4+, White blood cells >2250, RBC >2250. Bacteria 3+, Crystals Amorphous phosphate 2+

BLOOD TEST
Urea  62.6 (4.2-6.3)
Creatinine 882  (89-177)
Total white cell count  44.3  (6-17)
N=98.7%, Absolute = 43.7   --- very high

X-rays not done


52 minutes of isoflurane gas anesthesia after sedation
Ruptured bladder repaired.
Dog was vomiting post-op on 2nd day.
Owner decided on euthanasia

RETROSPECTIVE REVIEW
Relevant medical advices were given as regards urination problems.


HOW YOUR OLD DOG CAN LIVE LONGER?
1. Dogs over 7 years old - yearly health screening (blood & urine test) and dental work.
2. Urine test and blood tests & X-rays to be done when there is urination problem rather than wait and see.