Friday, June 29, 2018

3189. Passing clouds create a face in the moon


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Another photoshopped image



3187. Z-plasty for a big facial wound

Jun 28, 2018

The Chihuahua X had two ears filled with tumours. Big swellings esp. below the right ear.  They obstruct the ear canal, leading to pus formation and causing pain.



Details are at:
https://2010vets.blogspot.com/2018/06/3182-rare-case-of-bilateral-ear.html




It will take 2 months to close by granulation and there is a possibility of infection of the muscles and nerves inside this large wound. The dog keeps scratching this area to relieve her itch. She has pyometra and another similar ear abscess with tumours on the left facial area. 

The owner opted for Z-plasty. The images are as follows:

















15 days after surgery, the ear is still wet and needs daily cleaning and medication.




30 days after surgery. Wound has healed well. The owner did not return for post-op checks and operation of the other ear that was oozing pus and was filled with ear canal tumours or spay.

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Post op photo from a busy owner









Owner did not want to have surgery done on the right ear that was filled with tumours and had discharging pus



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1-cm margin for suspected cancerous skin tumour is important
Large incision needs Z-plasty.  Skin heals well generally. One case is shown


Z-plasty for suspected cancerous skin growth post-op

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Very large wound. Z-plasty is needed

https://2010vets.blogspot.com/2015/09/2989-z-plasty-in-very-large-wound.html\


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large breast tumours in dogs. Z-plasty is needed.
  https://2010vets.blogspot.com/2017/12/3224-gigantic-breast-tumour-with-stalk.html





Wednesday, June 27, 2018

3186. Mushrooms white to black wilted

Jun 25, 2018   11 pm at night









Jun 26, 2018  8 am morning



3185. PHOTOGRAPHY - Pink sunset in Serangoon NEX shopping mall area on Jun 26, 2018












Photoshopped image










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Evening at Kim Keat




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3184. A 30-month-old dwarf hamster is operated for a tumour

June 27, 2018

This Myanmar man has several dwarf hamsters.

He decided to get the dwarf hamster operated despite the high anaesthetic risk and the very old age. The dwarf hamster lives up to 2.5 to 3 years and this one was 26 months old. Some pet owners will save on financial costs as the life span is near the end.

But he is not a calculating man.
"I get the operation done to make his life less painful," he told me.



"Doc," my assistant informed me during pre-operation preparation. "This is an abscess!"
"There is a big pimple seen," I said. "You could be correct. But it could be an encapsulated abscess or an infected tumour."

Surgery and gas anaesthesia revealed an infected tumour. Never judge a book by its cover.



Tuesday, June 26, 2018

3183. A Maltese was not operated when the tumour was small as the vet did not want to do it







This is a case where the dog could have been operated early as the tumour probably was not growing rapidly at the early stage. As the dog is old, some vets prefer not to risk their reputation on anaesthesia leading to death on the operating table. Some owners prefer not to get the operation done.





Blood test showed leucocytosis and neutrophilia --- bacterial infection of the blood. I advised antibiotics 1 week on, 2 weeks off.