Tuesday, November 29, 2016

2968. Christmas lighting images

Care to live the fullest life possible


Happiness is from the heart of these 2 strangers from the same country

Saturday, November 26, 2016

2966. 3-legged dwarf hamster, F, 20 months has 3 areas of warts on left body

Nov 24, 2016

Missing left front leg since young. Yet this hamster survives with one right front leg and is now 20 months old. 3 areas of big warts appear on the left side of the body. The hamster is thin.

The owner's male friend brought the hamster to me as I had treated her other hamster that had a huge inoperable hip tumour some time ago. I warded her overnight for observation as she looked haggard. She ate some sunflower seeds as evident from the cracked shells.

Today, I put her under gas anaesthesia and excised her 3 areas of skin warts. No need electro-surgery.The 3 large areas of ulcerated skin can be seen.

After clipping the body, I discovered that the right elbow skin was swollen and doubled up. There were 3 small sores on the elbow area.

I extracted the swollen cheek pouch on the right. Smelly mashed seed parts were stuck inside the cheek pouch, rotting.

The front teeth were well worn and so the hamster had eaten. But had not thrived. Weight around 41 g.

General clean up of body after removal of skin warts. Ear cleaning. Scent gland cleaning. It looked as if this hamster had an engine overhaul. I hope she will thrive. Depressed immune system may encourage viral wart growths on the skin.

Yet with one left front leg, the hamster is able to eat and grow to present 20 months of age.
However, the warts' irritations and itchiness have affected the left elbow as you can see the double-folded swollen elbow joint skin and 3 small sores. The hamster had bitten or licked the elbows which might have warts earlier, traumatising the skin.   

Friday, November 25, 2016

2965. Eyelid masses - Sebaceous (tarsal) adenomas or meibomian gland tumours

Nov 26, 2016 Sat

9-year-old, male, not neutered Shih Tzu rubs his left eye nowadays. Eye discharge, conjunctivitis and blepharitis. Corneal ulceration and keratitis are seen.

Since clinical signs are now present, surgery to remove this eyelid mass is done. Histopathology advised. Usually the eyelid mass is a benign sebaceous (tarsal) adenoma. 10-25% of eyelid masses are malignant and include squamous cell carcinoma, melanoma, adenocarcinoma, basal cell carcinoma, haemangiosarcoma and fibrosarcoma. The average age of dogs showing eyelid neoplasia is 8 years. 

Histopathology to differentiate inflammatory from neoplastic lesions and should be performed for definitive diagnosis. . 

He bites if anybody touches his left ear, the vertical canal was much swollen with a tumour. Hence, the cotton bud could not pass into the canal unlike the right ear. Advised vertical ear canal resection.

Painful enlarged prostate when palpated. Advised castration.

2964. Perineal hernias in the older male dogs seen at Toa Payoh Vets - videos

Perineal hernia repair at Toa Payoh Vets - case studies - videos

1. Jan 29, 2014. Final Video: Perineal hernia in a male Jack Russell  - Surgery - simple herniorraphy, hernioplasty.

2. May 21, 2014. A male Maltese has bilateral perineal hernias.  https://www.youtube.com/watch?v=DWtfcT2KliI
3.  Dec 18, 2014. A male Shih Tzu has a large painful right perineal hernia - consultation -
4. Jan 19, 2015. Perineal hernia in a male Maltese -  https://www.youtube.com/watch?v=yl8pKhYM3fI

5. Jan 23, 2015. Perineal hernia in 2 dogs - Jan 23, 2015.
Surgery - 3 methods - simple herniorraphy, hernioplasty, double muscle transposition. https://www.youtube.com/watch?v=fhNs6LBjjz8

6. Feb 8, 2015.  Final Video: A male Pomerian has a large left perineal hernia with enlarged prostate. https://www.youtube.com/watch?v=uMUZ_cvUVdw

6.1. Nov 25, 2016.   Recurrence seen as the original hernia was extremely large.
7.  Sep 27, 2016. A male Silkie Terrier has perineal hernia. https://www.youtube.com/watch?v=xSfnJ2Zlfd0


1.  Early detection and repair when the hernia is small. Perineal hernias are present almost exclusively in the older male, not neutered dogs as shown in the case studies - videos here.

2. Neuter the dog early to prevent recurrence after repair. ..
3.  Neuter the dog at the same time or after 4 weeks post surgery,  if the dog is old and weak.
4.  Neuter the dog when he is young to prevent perineal hernias.
1. Rectal palpation
2. X-rays (with or without contrast media) to assess the involvement of abdominal and pelvic contents inside the hernia.

Surgery - hernia repair:
At least 3 methods depending on hernia size. simple herniorraphy, hernioplasty, double muscle transposition. https://www.youtube.com/watch?v=fhNs6LBjjz8

Wednesday, November 23, 2016

2963. Fresh blood droplets in solid stools in a 2-year-old male poodle

Nov 23, 2016

Owner showed her smartphone video clip of fresh blood droplets in solid stools. Had blood past 2 days.

Phy exam
slightly painful abdomen
no enlarged prostate
very painful anus.

Anal sac expression - pus and dirty blood.  Anal sacculitis.

x rays   no bones or foreign bodies seen. no bones fed.

No blood in stools
Not eating much.
Stools soft.

Tuesday, November 22, 2016

2962. A 14-year-old Chihuahua coughs continuously for 3 min every half an hour

Nov 19, 2016  - continuous coughing of 2-3 min every half an hour on Saturday 9 pm and rushed to emergency clinic.


Monday, November 21, 2016

2961. 17-year-old eye extenteration follow up since May 2016 surgery

Nov 22, 2016

I got WhatsApp image of April from owner. Dog is fine and already 17 years old.

MAY 2016
This is a veterinary educational video for pet owners and vet students.  As the dog is very old at 16 years of age, no injectable anaesthetic sedation was was given. Just isoflurane gas. Dog has survived 30 minutes of surgery and anaesthesia and will go home today. No death on the op table. That is what the owner want and this is not possible in very old dogs in many cases.


For better survival rate, the vet stablised the dog using IV drip for the past 24 hours. This strengthen the dog for anaesthesia. Also, the IV drips given were to flush out the depressive effects of narcotics given by the first vet before surgery and anaesthesia.  Electro-surgery is faster than traditional cutting, reducing anaesthetic time and promoting survival rate. .

The dog survived the anaesthesia and is OK as at 14 days post-op. The owner is very happy. Some Singapore owners will put the dog to sleep rather than taking the risk of anaesthesia and paying for the surgery. This mother and adult daughter took turns nursing the dog to good health after removal of the eyeball and the dog thrives.  16 years is considered a very long life for any small breed of dog.