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Saturday, March 23, 2013
1338. The old Sheltie has a red oral lump
TOA
PAYOH VETS
1337. An 18-gram leg tumour in a dwarf hamster
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Friday, March 22, 2013
1336. The young Sheltie is very thin
The 1-year-old Sheltie came in for diarrhoea for more then 3 days..
She was bought as she was the runt of the litter. A very thin dog who would just eat the bare minimum. Previously I had her puppy canine teeth extracted but now I noted that the left upper premolar 4 had a puppy premolar 4 lodged inside.This was a surprising finding since most retained puppy teeth are canine teeth. The others just dropped off in time.
I put the dog on the IV drip for 2 days. The dog went home on Day 3. She was on I/D canned food + rice which was fine for the past 4 weeks till the diarrhoea came in. As to the cause, it is hard to say. Stool analysis revealed no parasitic ova but red blood cell +.
The dog went back on I/D canned and dry for the next 8 weeks to stabilise the intestines.
She was bought as she was the runt of the litter. A very thin dog who would just eat the bare minimum. Previously I had her puppy canine teeth extracted but now I noted that the left upper premolar 4 had a puppy premolar 4 lodged inside.This was a surprising finding since most retained puppy teeth are canine teeth. The others just dropped off in time.
I put the dog on the IV drip for 2 days. The dog went home on Day 3. She was on I/D canned food + rice which was fine for the past 4 weeks till the diarrhoea came in. As to the cause, it is hard to say. Stool analysis revealed no parasitic ova but red blood cell +.
The dog went back on I/D canned and dry for the next 8 weeks to stabilise the intestines.
1335. The majestic looking 14-year-old Sheltie
The 14-year-old Sheltie has a full luxurious bloom of hair and a thick white collar He looked much younger and would be mistaken for a younger dog. No hair loss. No skin disease. No tick infestations. The Bishan owners vaccinated him every year and he would have his physical examination. Very few Singaporean dog owners bother with this annual examination after puppyhood.
Dr Daniel vaccinated him. I said hello to the family as I was the puppyhood vet. "It is best to check his urine for any urinary crystals," I said and gave them a urine collection bottle. The dog went out of the surgery and the owner returned with a bottle of yellow slightly turbid urine.
Significant urine test reslts
pH 7.0 (5-8), SG 1.036 (1.005-1.030)., Nitrite +v, Bacteria 2+, Crystals Nil. No red or white blood cells in the urine.
"There seems to be some Urinary Tract Infection," I phoned the owner. "Does the dog lick his private parts?"
"No," the owner said. "He licked his paws only." Sometimes, the owner may not be aware of the other aspects of licking.
Advices
1. Antibiotics for 10 days.
2. Drink more water or add water to dry food as the SG is high. This would lead to urine staying inside the bladder for a long time and bacteria infection of the bladder. Maybe the dog did not go out to urinate often. .
3.Urine test 3 months later.
Health screening annually should include the blood and urine test. But many vets don't advise any health screening but just give the vaccination.
Dr Daniel vaccinated him. I said hello to the family as I was the puppyhood vet. "It is best to check his urine for any urinary crystals," I said and gave them a urine collection bottle. The dog went out of the surgery and the owner returned with a bottle of yellow slightly turbid urine.
Significant urine test reslts
pH 7.0 (5-8), SG 1.036 (1.005-1.030)., Nitrite +v, Bacteria 2+, Crystals Nil. No red or white blood cells in the urine.
"There seems to be some Urinary Tract Infection," I phoned the owner. "Does the dog lick his private parts?"
"No," the owner said. "He licked his paws only." Sometimes, the owner may not be aware of the other aspects of licking.
Advices
1. Antibiotics for 10 days.
2. Drink more water or add water to dry food as the SG is high. This would lead to urine staying inside the bladder for a long time and bacteria infection of the bladder. Maybe the dog did not go out to urinate often. .
3.Urine test 3 months later.
Health screening annually should include the blood and urine test. But many vets don't advise any health screening but just give the vaccination.
Thursday, March 21, 2013
1334. Neutering a 9-year-old male Chihuahua X
"He is still a virgin," the fair lady tutor of English, Maths and Science full-time said. "All these years, he was not naughty. Then yesterday, he started mounting the neighbour's female dog."
"He didn't do it before," I said. "The other neighbours would have female dogs but they would be spayed and therefore do not produce a pheromone that attracted him. Is the female dog he is interested spayed?"
"No," she said.
"The other female dogs had been spayed and so didn't attract him!"
"Will he still mount now he is neutered?" she asked. "He is a virgin and in the pas 7 years, he never did this."
"Yes, for a while as his testosterone hormones are still present. After a few weeks, he will not be susceptible to female dogs on heat."
I reviewed the medical record. The dog came in Oct 30, 2012 as he had a right malar abscess. He was a healthy normal dog. Dr Daniel neutered him and the owner came at 6 pm to take him home. She is a private tutor. "I enjoy my job very much," she said. "The free lancers give up as the syllabus is too difficult for them. . I have job security!"
"The Maths is so advanced that even well educated parents cannot tutor their own children," I said. So there is a great demand for full-time and passionate professional private tutors like her. Private tutors coaching small groups can earn more than an average employee if she puts in the hours and perform since there are fewer of such experienced tutors nowadays.
"He didn't do it before," I said. "The other neighbours would have female dogs but they would be spayed and therefore do not produce a pheromone that attracted him. Is the female dog he is interested spayed?"
"No," she said.
"The other female dogs had been spayed and so didn't attract him!"
"Will he still mount now he is neutered?" she asked. "He is a virgin and in the pas 7 years, he never did this."
"Yes, for a while as his testosterone hormones are still present. After a few weeks, he will not be susceptible to female dogs on heat."
I reviewed the medical record. The dog came in Oct 30, 2012 as he had a right malar abscess. He was a healthy normal dog. Dr Daniel neutered him and the owner came at 6 pm to take him home. She is a private tutor. "I enjoy my job very much," she said. "The free lancers give up as the syllabus is too difficult for them. . I have job security!"
"The Maths is so advanced that even well educated parents cannot tutor their own children," I said. So there is a great demand for full-time and passionate professional private tutors like her. Private tutors coaching small groups can earn more than an average employee if she puts in the hours and perform since there are fewer of such experienced tutors nowadays.
1333. A rabbit grows a "horn" above the left eye
"The rabbit grows a horn," I said to Julia.
"Why would a rabbit grow a horn?"
"Because he is horny."
Seriously, I had a case of an 8-year-old rabbit growing a prominent "horn" in around 2 weeks.
Dr Daniel was thinking it could be a sarcoma. My advice would be to excise it. X-rays showed a growth. Dr Daniel and I operated. Histology indicated a sarcoma.
"It grows big very fast," the neurology nurse said to me. "One week ago, it was a small lump."
"It is likely to recur," I said. "It was too big to completely excise all tissues. The bony skull would have remnants of the cells.
"Why would a rabbit grow a horn?"
"Because he is horny."
Seriously, I had a case of an 8-year-old rabbit growing a prominent "horn" in around 2 weeks.
Dr Daniel was thinking it could be a sarcoma. My advice would be to excise it. X-rays showed a growth. Dr Daniel and I operated. Histology indicated a sarcoma.
"It grows big very fast," the neurology nurse said to me. "One week ago, it was a small lump."
"It is likely to recur," I said. "It was too big to completely excise all tissues. The bony skull would have remnants of the cells.
1332. Follow up on Sharpei with oily skin & blood in the urine
March 21, 2013 12.45pm
Phoned the mother but she could talk very briefly that the dog was not passing blood in the urine and that the skin was less "waxy". The dog vomited food + tablets 2 days ago but is now OK. Will call me back later.
REVIEW OF THE HISTORY
This is probably a Chow Chow X Sharpei, F, not spayed, 4 years old.
Mar 13, 2013
Presented for oily skin disease and 6-month haematuria (blood in the urine). Vet 1 had taken X-ray and found no bladder stones. After antibiotics, blood is seen during urination. This occurred for at least 6 months.
I had taken bladder and kidney X-rays and found no radio-dense urinary stones. However I saw bright red blood peed out in the midst of urination and also bloody vaginal discharge.
Bladder palpation was a solid firm bladder (thickened wall). Little pain. No crepitus. I thought there was a large stone and told the owner on the first visit and palpation.
Skin scraping +ve demodex, fungi, yeast
Blood test - elevated total white cell count
Urine test - pH 9.0, bacteria +, struvite crystals +, blood +
X-rays - no obvious stones in urinary tract
S/D to dissolve struvites + antibiotics. 2 weeks to review.
Phoned the mother but she could talk very briefly that the dog was not passing blood in the urine and that the skin was less "waxy". The dog vomited food + tablets 2 days ago but is now OK. Will call me back later.
REVIEW OF THE HISTORY
This is probably a Chow Chow X Sharpei, F, not spayed, 4 years old.
Mar 13, 2013
Presented for oily skin disease and 6-month haematuria (blood in the urine). Vet 1 had taken X-ray and found no bladder stones. After antibiotics, blood is seen during urination. This occurred for at least 6 months.
I had taken bladder and kidney X-rays and found no radio-dense urinary stones. However I saw bright red blood peed out in the midst of urination and also bloody vaginal discharge.
Bladder palpation was a solid firm bladder (thickened wall). Little pain. No crepitus. I thought there was a large stone and told the owner on the first visit and palpation.
Skin scraping +ve demodex, fungi, yeast
Blood test - elevated total white cell count
Urine test - pH 9.0, bacteria +, struvite crystals +, blood +
X-rays - no obvious stones in urinary tract
S/D to dissolve struvites + antibiotics. 2 weeks to review.
1329. How to write a copy that sells
March 21, 2013
All sales pages should have the following 5 points.
1. Headline
2. Problem description. Why it is important to solve the problem or alleviate it.
3. How your product or service will solve the problem - accurate & descriptive content.
4. Proof that it works.
5. A way to take immediate action - online or phone
---------------------------------------------------------------------------------------
Reference: Web Marketing All-in-one For Dummies 2012 Edition - Pg 111
Writing a copy that sells, using the C.O.N.V.E.R.T. M.E Formula
1. Captivate visitors - Headline with a hook
2. Offer just one testimonial - under the headline
3. Now address your visitors
4. Validate some facts - show industry % to reinforce the problem
5. Expose your solution - describe how it works
6. Recapture attention - don't let visitors leave now that you unveil your secret
7. Test for action - determine whether they are ready to buy now
8. Motivate with value and urgency.
9. Energise visitors to buy - Give assurance it is a good deal.
All sales pages should have the following 5 points.
1. Headline
2. Problem description. Why it is important to solve the problem or alleviate it.
3. How your product or service will solve the problem - accurate & descriptive content.
4. Proof that it works.
5. A way to take immediate action - online or phone
---------------------------------------------------------------------------------------
Reference: Web Marketing All-in-one For Dummies 2012 Edition - Pg 111
Writing a copy that sells, using the C.O.N.V.E.R.T. M.E Formula
1. Captivate visitors - Headline with a hook
2. Offer just one testimonial - under the headline
3. Now address your visitors
4. Validate some facts - show industry % to reinforce the problem
5. Expose your solution - describe how it works
6. Recapture attention - don't let visitors leave now that you unveil your secret
7. Test for action - determine whether they are ready to buy now
8. Motivate with value and urgency.
9. Energise visitors to buy - Give assurance it is a good deal.
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