Sunday, July 22, 2018

3210. A 12-year-old Shih Tzu stopped eating for 3 days. Why?

Jul 21, 2018

"You have seen him as a puppy," the owner. "He has not eaten for 3 days."
Examination showed no fever or abnormal heart, lungs and abdomen, except for a thickened wall bladder with some 20 ml of urine. The urine was collected by catheterisation while the dog was sedated (Zoletil 100 at 0.2 ml IM and atropine 0.3 ml IM to reduce neck rigidity upwards and backwards).

Saturday, July 21, 2018

3209. Photography. Ode to Monet. Timothy Wolcott

1.  Outdoor Photographer. Sep 2017
Once you find a great composition, watch it in all kinds of different light.

Friday, July 20, 2018

3208. The cat has a hip swelling 17 days after femoral shaft fracture repair

17 days after surgery, a painless swelling. Cat is normal and eating. Aspiration showed 7 ml of clean blood. So it is a haematoma.

Day 2 photo after aspiration

Thursday, July 19, 2018

3207. The 7-year-old Maltese has loose teeth dropping out and painful mouth

Gum bleeding, loose teeth
Gums swollen
Bad breath
Does not allow the owner to touch his mouth
Eats less

3206. Clinical Research: Rabbits - Page 2

Jul 20, 2018

This webpage lists cases for Clinical Research: Rabbits - Page 2.
 1. The rabbit has a pointed nose, the pet shop owner speculated that there is a new viral disease in Singapoe

Page 1 is at:

Wednesday, July 18, 2018

**3205. A one-year-old rabbit has a "pointed" nose - rabbit scabies cases 2013 - 2018

July 19, 2018

"Several rabbits are suffering from a new rabbit disease nowadays" the pet shop owner told me that a vet could not diagnose and treat these sick rabbits. "A couple had died after 2 months! Could it be viral diseases?"

 The owner had returned one such rabbit to her for disposal. She showed me the rabbit's nose which resembled a minaiture rhinocercos horn. "This is a case of rabbit scabies," I said. "The crusts accumulated to form a thick pointed nose. Look at the ear edges, paws and around the eyelids. There are crusts too. Can you see them?"

"Are you sure it is scabies?"
"Yes, I am 90% sure," I replied. "A skin scraping of the crusted skin will show the mites under the microscope."

She gave me the rabbit to be treated for free, saying,  "Don't return to me!"
The rabbit is confirmed scabies by skin scraping being positive for mites.

Toa Payoh Vets videos of rabbit scabies

Scabies in a Giant Flemish rabbit

3 rabbit scabies cases in Toa Payoh Vets

Final Video: The Lemon Law and rabbit scabies
Final Video: The Lemon Law and rabbit scabies

A 3-year-old Sheltie has crusty ears

A 2-month-old rabbit has scabies - insecticide wash

A 3-month-old rabbit has crusty ears - lst ivomectin injection

A 3-month-old rabbit has less crusty ears - 2nd ivomectin injection

2018. (this webpage)
Chronic rabbit scabies. Ivomectin injection SC 0.2 ml given
"There is a new rabbit disease. The rabbit has pointed nose!" the pet shop owner said.

Monday, July 16, 2018

3204. A 1-year-old caramel pink albino red-eared slider has ultraviolet light burns

 Ultraviolet light is too close to the red-eared sliders, positioned about one-foot away and switched on for the whole day for some weeks when the owner was working.  The caramel pink red-eared sliders had stopped eating for a week. The owner googled and came to Toa Payoh Vets.

One female had passed away yesterday. This male does not eat. Passed away the next day.

Video on Jul 16, 2018. More active but did not eat. Passed away the next day.


Too weak to turn upright unlike normal sliders

Sunday, July 15, 2018

3203. Temporary crown takes 2.5 hours to fix

Jul 16, 2018  Monday 8am to 9.30 am  National  Dental Centre, Singapore

Local anaesthetic
Lots of drilling. Can smell smoke.
Two thumbs to hold up mold on upper teeth.
Temporary plastic crown fixed. Chew and bite to seal it.
No flossing downwards or crown will be dislodged. Use floss brush from private dentist.
If crown is dislodaged
3 weeks on Aug 6 will get permanent crown.

Thursday, July 12, 2018

3203. A rare case of vulval tumour in a dwarf hamster

oJuly 13, 2018

Toa Payoh Vets treat at least one hamster a week for the past 2 years. Tumours are the No. 1 surgical condition. This is the first case of a vulval tumour in a dwarf hamster. Images are shown.

The tumour irritates the hamster. She became lethargic.  The tumour is excised and the hamster is OK.


Day 4.  Pus still oozes out. Pus also seen in vaginal discharge for this female Syrian hamster.

3202. New mushrooms on Jul 11, 2018 in the plantar box

Jul 10, 2018. 12 Thai boys, coach rescued from flooded cave.

Wednesday, July 11, 2018

3201. An 8-year-old Shih Tzu screams on standing up and shivers for the past 7 evenings.Why?

July 11, 2018

7 evenings of screaming on standing up followed by shivering body for some time. Why?
"Does it happen in the morning?" I asked the owner who said no.

Palpation of lumbar spinal area showed slight pain with a hunched back (video). Nothing serious like slipped disc. X-rays

Sunday, July 8, 2018

3199. A 1-year-old Shiba Inu keeps coughing despite 2 weeks of antibiotics from Vet 1

Jun 26, 2018. 
"Day and night, keeps coughing!" the young caregiver who is a medical undergraduate told me. "Vet 1 had given a course of antibiotics for the past 2 weeks. Now there is some drooling too."

A very painful trachea. No abnormal lung sounds.
Is this a case of chronic kennel cough or infestation of parasite inside he trachea?

X-rays show lung congestion but there are no lung sounds ausculated.
A very painful trachea from pharynx to sternal area. A swelling could be seen but not obvious in the X-ray.  A persistent cough could be due to kennel cough as breeder does not vaccinate.

As at Jul 7, 2018, the dog has fully recovered.

For the past months, many dogs in various breeding and boarding kennels cough. The AVA had investigated and there is a virus. A vaccine is reported to be available for the dogs.  This dog might be one of the dogs from the affected herd.

3198. Injured cats and birds

2 cases of cats with wounds
Stitching is needed to close the big wounds

Syringe feeding a rescued bird with food and water is important for its survival. The owner may not know how to do it properly.