Saturday, November 27, 2021
Norwegian Forest Cat, 7 years, FS, 4.4 kg. Normal except thrombocytopaenia (low blood platelets)*.
Big black nodular skin tumour 2 cm x 1.5 cm x 1 cm seen.
Anaesthetic risks - xylazine+ketamine IM + isoflurane gas
Surgical risks - dangerous internal bleeding can occur post-op
Bandage on head after surgery to prevent bleeding and haematoma
If this is a malignant tumour - resection margin of skin from tumour to be 1 cm ideally, in case malignant cells have had migrated to skin.
Wound stitched after tumour removal to be circular of 1.0 cm diameter. Large wound. Z-plasty needed to release tension instead of just stitching up the circular wound which will break down due to high tension in this area below the ear.
Clipped bald - no other skin tumours seen
OUTCOME. The owner is happy with the cat surviving the anaesthesia and surgery. He nurses the cat at home. Cat is eating normally now. Photo of cat on Day 3 from owner.
MORE INFORMATION AND UPDATES AT:
*Low blood platelets 156. Normal is 300 - 800 x 10^9/L
1. Active, normal appetite and drinking normal. Urine and stool normal.
2. Not short of breath
3. No skin bruises
4. No anaemia, kidney or liver disease
5. Total white cell and red cell count normal.
Tuesday, November 23, 2021
2 Dec 2021.
draft for video production. 3 videos.
Very active despite being 14 years old
E-collar on for past months.
How to help this 14-year-old Shih Tzu who has an itchy neck AND painful dew claws of the back legs for over 4 months?
This 14-year-old Shih Tzu, Male, wears an E-collar for over 4 months to prevent him scratching his neck. The owner had the dog treated for ear infections in Jun 2021. The ears were seen to be clean and free from debris in 15 Nov 2021, but the neck on left side was extremely inflamed. A fungal culture is in progress.
It is not normal for a dog to wear E-collar for over 4 months to prevent neck scratching. More than one review with the vet in this case, must be done, as there is a cure for his type of skin disease.
Dew claw inflammation and infection in both hind legs caused a lot of stress and pain to this dog. The owner agreed to the treatment which involved intra-lesion injection of a steroid and bandaging of the right hind paw for 2 weeks. The dog's ulcerated RH paw is much improved now as at 1 Dec 2021.
UPDATES and images are AT BLOG:
INSTAGRAM IMAGES - RH, LH, Neck problems.
1. Right hind foot - ulcerated wound. licking more than 2 months
not normal lifestyle for an old dog - keeps scratching on floor etc.
No fungal growth
due to long-standing bacterial and probably yeast infections.
Anti-fungal and yeast wash given
Which of the 3 problems have been resolved as at 2 Dec 2021?
TO FOLLOW UP WITH OWNER AND GET 3 IMAGES/PROBLEM
TIPS FOR OWNERS
1. Some skin diseases need more than 1 veterinary visit.
2. Financials of more visits
3. blood test important
4. Quality of life for the old companion - free from Elizabethan collar and itchiness or tolerate such skin diseases ?
5. Immune system depressed by chronic skin diseases - smelly skin - smelly dog. Hard to recover. Euthanasia.
VIDEO FROM BRIDGET - PROBLEM OF BOTH BACK PAWS DISCUSSED IN THIS VIDEO.
FIVE VIDEOS BEFORE 24 NOV 2021, STARTING FROM DAY 1 AT 14 NOV 2021.
THE VIDEO OF ITCHY NECKED SHIH TZU AS AT 24 NOV 2021 IS AT:
https://youtu.be/neAxvEF-wq0 (Video5/5). Owner asked to come
for review as the neck is still itchy.
The owner is advised to have a review.