Tuesday, January 27, 2015
Monday, January 26, 2015
1180. A Schnauzer has high cholesterol
This kind couple from Woodlands adopted an abandoned overweight 7-year-old male Miniature Schnauzer and got her operated to remove the large rounded bladder stones, each around 6 cm x 6 cm in diameter. X-rays and stone analysis were done after Dr Daniel operated on Jan 16, 2014. Stones were magnesium, ammonium, phosphate with calcium.
On Feb 23, 2014, he had 3 loose incisors extracted.
On Jan 19, 2015, the dog came with the head down for the past 2 days. He weighed 11.5 kg and was panting. Ear canals swollen and has hairs. Ears painful.
Abdominal swelling? Ascites. Heart sounds not clear. Liver enlarged?
His blood test showed high triglycerides at 4.79. Total cholesterol was 8.65 HDL cholesterol was 5.55. LDL cholesterol cannot be estimated due to interference from elevated triglycerides level. Specimen is grossly lipemic. This may interfere with the test results.
ST was high at 144
On Feb 23, 2014, he had 3 loose incisors extracted.
On Jan 19, 2015, the dog came with the head down for the past 2 days. He weighed 11.5 kg and was panting. Ear canals swollen and has hairs. Ears painful.
Abdominal swelling? Ascites. Heart sounds not clear. Liver enlarged?
His blood test showed high triglycerides at 4.79. Total cholesterol was 8.65 HDL cholesterol was 5.55. LDL cholesterol cannot be estimated due to interference from elevated triglycerides level. Specimen is grossly lipemic. This may interfere with the test results.
ST was high at 144
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<81 br="" nbsp="">DIAGNOSIS
Painful ears. A groomer had cleaned the ears 7 days ago.
Possibly ascites. Advised weight reduction owing to high cholesterol.
FOLLOW UP ON JAN 26, 2015
"My dog is OK, " the wife said. "Normal 2 days after treatment. Active." Most likely painful and swollen ears caused the head to be downwards.
Painful ears. A groomer had cleaned the ears 7 days ago.
Possibly ascites. Advised weight reduction owing to high cholesterol.
FOLLOW UP ON JAN 26, 2015
"My dog is OK, " the wife said. "Normal 2 days after treatment. Active." Most likely painful and swollen ears caused the head to be downwards.
An 8-year-old Pom vomits phlegm and swallows it for the last 1 week.
Female spayed, 8-year-old Pom
"Vomits phlegm for the last 1 week," my regular client said. "Especially when she sleeps in the air conditioned room. If we stopped her from going in, she would scratch the door to be let in."
"Does she vomit after eating food?" I asked.
"No," he replied. "She had lost appetite and has soft stools for the past one week."
Sounds like a case of gastroenteritis? This seems to be a case of heart disease. The symptom was a nocturnal cough.
HEART EXAMINATION.
Surprisingly I could not hear the heart sounds on the right chest. I spent some time auscultating but no sounds. All the dogs do have heart sounds on the right chest.
On the left chest, I could hear a machinery murmur.
"Your dog has heart disease," I advised chest X-rays. "The abdomen is empty of intestinal sounds, no internal tumours of the liver or spleen. There is some gas and the dog did react very mildly in pain to abdominal palpation. This is not a case of gastroenteritis or gastritis."
"She vomits phlegm overnight and being a clean dog, she swallows it. So the bedroom floor is clean."
X RAYS
Abnormally large left side of the heart on the ventro-dorsal view. Very rarely do I see such a large left heart. See x-rays.
Lower 2 X-rays show a young Pom with heart disease. With heart drugs, diet and close monitoring, the Pom lived for around one year.
DIAGNOSIS
Cardiomegaly - Left heart enlargement. Heart drugs must be given daily to extend the life of this Pom. Dosage is given to effect and at proper timing. Some owners forget to give the drugs leading to severe coughing.
"Vomits phlegm for the last 1 week," my regular client said. "Especially when she sleeps in the air conditioned room. If we stopped her from going in, she would scratch the door to be let in."
"Does she vomit after eating food?" I asked.
"No," he replied. "She had lost appetite and has soft stools for the past one week."
Sounds like a case of gastroenteritis? This seems to be a case of heart disease. The symptom was a nocturnal cough.
HEART EXAMINATION.
Surprisingly I could not hear the heart sounds on the right chest. I spent some time auscultating but no sounds. All the dogs do have heart sounds on the right chest.
On the left chest, I could hear a machinery murmur.
"Your dog has heart disease," I advised chest X-rays. "The abdomen is empty of intestinal sounds, no internal tumours of the liver or spleen. There is some gas and the dog did react very mildly in pain to abdominal palpation. This is not a case of gastroenteritis or gastritis."
"She vomits phlegm overnight and being a clean dog, she swallows it. So the bedroom floor is clean."
X RAYS
Abnormally large left side of the heart on the ventro-dorsal view. Very rarely do I see such a large left heart. See x-rays.
Lower 2 X-rays show a young Pom with heart disease. With heart drugs, diet and close monitoring, the Pom lived for around one year.
DIAGNOSIS
Cardiomegaly - Left heart enlargement. Heart drugs must be given daily to extend the life of this Pom. Dosage is given to effect and at proper timing. Some owners forget to give the drugs leading to severe coughing.
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