Sep 5, 2015
I followed up the case seen on Aug 30, 2015. The lady from Ponggol kept several dwarf hamsters, each in a separate housing.
She said that her mother had given baytril antibiotic for the past 6 days but the hamster keeps losing weight. So, she consulted me.
If only dwarf hamsters can talk. The weight was now 46 g. (Video).
Compared toa white dwarf hamster with excellent appetite like the one with 6 areas of skin warts (Video) weighs 69 g. This hamster can be considered chubby.
The hamster was very active and scacthes her left ear occasionally. A hyperactive dwarf hamster. So I needed to give her a bit of the isoflurane gas to immobilise her to do a proper examination of the skin. I noticed that the scent gland at the belly area was full of brownish yellow secretion.
Surprisingly, after clearing the scent gland, there was a big yellow abscess around 8 mm across under the skin, in front of the gland. Lots of thick yellow pus. I drained it. Then, I checked the front teeth. The lower front teeth were longer than normal and I clipped it.
Today, Saturday 11. 30 am, I phoned the lady. She did not answer her mobile. I phoned the house. A man answered and happily announced that the hamster was eating more but would take time to recover her weight. He thanked me for calling.
Scent gland abscess is not common and if the vet does not clear the scent gland, he would have missed this abscess as it was hidden by the scent gland waxy excretions.
There is never a dull moment with dwarf hamsters' medical and surgical conditions.
Saturday, September 5, 2015
Friday, September 4, 2015
2984. A lady who cares for terrapins
Thursday Sep 3, 2015
Many of the younger generation of Singaporeans cared very much for their terrapins. Yesterday, a young man brought in a terrapin with two ear abscesses and today, a lady in red dress came in with one of her 2 terrapins with a right ear abscess. (Video). One sibling was bigger than the other. The bigger one eats around 30 pellets a day while the smaller one eats 15.
"Usually he will eat around 15 pellets but the last two days, he hides under water and is not eating much," the lady noticed a right ear swelling and surfed the internet. "The other sibling terrapin is 25% bigger in size as he eats around 30 pellets a day. Both are fed 3-4 times a day. They eat only freshly sprinkled green pellets and no red pellets."
"Feeding the commercial pellets 4 times a day is not commonly practised by Singaporeans," I said. The terrapins were also given direct sunlight. The shells are green, hard and of good colour compared to another terrapin with ear abscess.
"He used to have white spots on his shell, but now no more," the lady in red dress said. "I change water twice a day.".
With such good feeding, this lady's terrapin had grown to the expected size of 4 months. The length of the upper shell from neck to the back of the shell measured around 15 cm at 4 months of age. A poorly fed one as shown in the video measured around 7 cm.
What is the cause of this right ear abscess in the lady's terrapins. The possible causes are:
1. Dirty water inside the small tank with two bigger terrapins. Urine, faeces, left-over food inside the water for the past 3 months. The lady had just purchased a bigger tank with filters and she showed me the image in her smart phone. Appropriate filters must be used.
2. Insufficient Vitamin A inside the formulated pellets? There were red pellets which the two terrapins disliked. Were they the ones with more Vitamin A? Feeding dark green vegetables and carrots will supply Vit A but the terrapins had never liked vegetables.
3. A variety of food. Healthy live feeder fish, shrimps, fish and prawn food.
4. UVB light bulb for the young terrapins if no time to give access to direct sunlight. UVA light is for warming. UVB light is to help the terrapin to absorb calcium from the food to form strong shells.
5. I advised feeding separately from the aquarium tanks and feeding twice a day. This may not be practical as the new tanks have filters and the lady is very busy in her property job. Despite changing water twice a day, the smaller terrapin still get ear abscess. This was surprising.
Many of the younger generation of Singaporeans cared very much for their terrapins. Yesterday, a young man brought in a terrapin with two ear abscesses and today, a lady in red dress came in with one of her 2 terrapins with a right ear abscess. (Video). One sibling was bigger than the other. The bigger one eats around 30 pellets a day while the smaller one eats 15.
"Usually he will eat around 15 pellets but the last two days, he hides under water and is not eating much," the lady noticed a right ear swelling and surfed the internet. "The other sibling terrapin is 25% bigger in size as he eats around 30 pellets a day. Both are fed 3-4 times a day. They eat only freshly sprinkled green pellets and no red pellets."
"Feeding the commercial pellets 4 times a day is not commonly practised by Singaporeans," I said. The terrapins were also given direct sunlight. The shells are green, hard and of good colour compared to another terrapin with ear abscess.
"He used to have white spots on his shell, but now no more," the lady in red dress said. "I change water twice a day.".
With such good feeding, this lady's terrapin had grown to the expected size of 4 months. The length of the upper shell from neck to the back of the shell measured around 15 cm at 4 months of age. A poorly fed one as shown in the video measured around 7 cm.
What is the cause of this right ear abscess in the lady's terrapins. The possible causes are:
1. Dirty water inside the small tank with two bigger terrapins. Urine, faeces, left-over food inside the water for the past 3 months. The lady had just purchased a bigger tank with filters and she showed me the image in her smart phone. Appropriate filters must be used.
2. Insufficient Vitamin A inside the formulated pellets? There were red pellets which the two terrapins disliked. Were they the ones with more Vitamin A? Feeding dark green vegetables and carrots will supply Vit A but the terrapins had never liked vegetables.
3. A variety of food. Healthy live feeder fish, shrimps, fish and prawn food.
4. UVB light bulb for the young terrapins if no time to give access to direct sunlight. UVA light is for warming. UVB light is to help the terrapin to absorb calcium from the food to form strong shells.
5. I advised feeding separately from the aquarium tanks and feeding twice a day. This may not be practical as the new tanks have filters and the lady is very busy in her property job. Despite changing water twice a day, the smaller terrapin still get ear abscess. This was surprising.
Wednesday, September 2, 2015
The male cat has dysuria again - urethral obstruction in Jul 2, 2015
Sep 4, 2015
I expect good news after removal of bladder stones and urethral stones in this male cat 2 months ago. I did a follow up phone call on Sep 2. The owner said that the cat started having dysuria (difficulty in urination) again.
"Why?" she had given the cat the feline C/D diet only.
"I need to do a urine test and possibly X-rays again," I replied. She was not free to bring the cat till Sep 4, 2015. This cat had kidney disease evidenced by blood test. He had a badly obstructed bladder and had needed catheterisation of the bladder as the urethra was obstructed by 3 stones. The urethral stones were flushed back into the bladder which also had stones. All stones were removed by surgery and the cat was OK for the past 2 months.
"Has the male cat been separated from the other two female cats?" I asked. "In case, he eats the different type of dry food given to the female cats."
"He is fed in his crate and does not share the food as the female cats are crated on their own."
X-rays will be necessary to ensure there are no new bladder or urethral stones.
I expect good news after removal of bladder stones and urethral stones in this male cat 2 months ago. I did a follow up phone call on Sep 2. The owner said that the cat started having dysuria (difficulty in urination) again.
"Why?" she had given the cat the feline C/D diet only.
"I need to do a urine test and possibly X-rays again," I replied. She was not free to bring the cat till Sep 4, 2015. This cat had kidney disease evidenced by blood test. He had a badly obstructed bladder and had needed catheterisation of the bladder as the urethra was obstructed by 3 stones. The urethral stones were flushed back into the bladder which also had stones. All stones were removed by surgery and the cat was OK for the past 2 months.
"Has the male cat been separated from the other two female cats?" I asked. "In case, he eats the different type of dry food given to the female cats."
"He is fed in his crate and does not share the food as the female cats are crated on their own."
X-rays will be necessary to ensure there are no new bladder or urethral stones.
2982. A Napolean X kitten has ringworm infecting the owner
Sep 1, 2015
This grey 3-month-old male Napolean kitten had a thick grey coat, wide-open yellow curious eyes and short legs came today as the owner had requested removal of the claws.
"There is a black spot on the back," I said. "That looks like an ex-ringworm area with new hairs grown. New hairs are usually darker and in this case black."
"Can ringworm affect people?" the lady showed me her right forearm. The skin had a dark red ring of 1 cm across, in the right side of a broad band of brownish skin around 12 cm X 10 cm across the forearm.
The lady had consulted her general practitioner who prescribed a cream.
"The cream had caused a big band of rash. The dark red spot is the ringworm."
"My doctor did not know it was ringworm," she would show me the cream later.
"Ringworm from the infected cat can spread to the skin of people. It is rare in people in Singapore," I replied. "Therefore, some doctors do not diagnose it."
With appropriate anti-ringworm cream directly onto the red spot, the cure will be effective within 10 days. In this case, the cream would probably be an antiseptic cream causing allergy as well.
"I can feel some lumps under the coat," the lady showed me a small crusty skin area. The cat had as thick a coat as a lamb and no hair loss. There were no bald spots as in other cats or dogs with generalised ringworm. So, I was undecided as to whether to get this kitten clipped bald to expose the ringworm spots.
"Since you have contacted ringworm," I said. "It is best to clip off all the contaminated hairs of the kitten. It will be much easier to treat. Clipping also remove most of the infected hairs."
The lady agreed. Surprisingly, under the lush coat, multiple rings of ringworm were present. This kitten had the early stages of ringworm and the circles were red, circled by white skin flakes.
Medication, oral and onto the skin were prescribed. The kitten's brushes, towels and bedding must be cleaned. The kitten had roamed the whole house and so there will be fungal spores al lover the house.
Never judge a ringworm kitten by its coat. The thick coat and no obvious hair loss or bald spots fooled the owner in thinking that the kitten had minor skin abrasions or injury supreficially. A misdiagnosis will be done if the kitten is sent home without anti-ringworm treatment. In this case, the lady owner provided the clue in her forearm.
VIDEO
This grey 3-month-old male Napolean kitten had a thick grey coat, wide-open yellow curious eyes and short legs came today as the owner had requested removal of the claws.
"There is a black spot on the back," I said. "That looks like an ex-ringworm area with new hairs grown. New hairs are usually darker and in this case black."
"Can ringworm affect people?" the lady showed me her right forearm. The skin had a dark red ring of 1 cm across, in the right side of a broad band of brownish skin around 12 cm X 10 cm across the forearm.
The lady had consulted her general practitioner who prescribed a cream.
"The cream had caused a big band of rash. The dark red spot is the ringworm."
"My doctor did not know it was ringworm," she would show me the cream later.
"Ringworm from the infected cat can spread to the skin of people. It is rare in people in Singapore," I replied. "Therefore, some doctors do not diagnose it."
With appropriate anti-ringworm cream directly onto the red spot, the cure will be effective within 10 days. In this case, the cream would probably be an antiseptic cream causing allergy as well.
"I can feel some lumps under the coat," the lady showed me a small crusty skin area. The cat had as thick a coat as a lamb and no hair loss. There were no bald spots as in other cats or dogs with generalised ringworm. So, I was undecided as to whether to get this kitten clipped bald to expose the ringworm spots.
"Since you have contacted ringworm," I said. "It is best to clip off all the contaminated hairs of the kitten. It will be much easier to treat. Clipping also remove most of the infected hairs."
The lady agreed. Surprisingly, under the lush coat, multiple rings of ringworm were present. This kitten had the early stages of ringworm and the circles were red, circled by white skin flakes.
Medication, oral and onto the skin were prescribed. The kitten's brushes, towels and bedding must be cleaned. The kitten had roamed the whole house and so there will be fungal spores al lover the house.
Never judge a ringworm kitten by its coat. The thick coat and no obvious hair loss or bald spots fooled the owner in thinking that the kitten had minor skin abrasions or injury supreficially. A misdiagnosis will be done if the kitten is sent home without anti-ringworm treatment. In this case, the lady owner provided the clue in her forearm.
VIDEO
Tuesday, September 1, 2015
2981. An 8-year-old Silkie has sterile struvite urolithiasis
Aug 29, 2015
SilkieXYorkshire, Female, 8 years
Consulted Toa Payoh Vets for right hindlimb lameness. Patellar bones luxate easily medially in both hind limbs. X-rays for sprained knees showed lots of bladder stones.
No complaint of blood in the urine or peeing problems.
URINE TEST
pH 8
SG 1.024
A trace of blood.
Crystals amorphous phosphate 3+
Little white cells 3
No red cells. 0
No bacteria
Advised S/D to dissolve the stones.
X RAYS
A rare case of sterile struvite in a dog. Almost 99% are infection-induced struvites with microbial urease involved. Hence, the owners did not know about the bladder stones till X-rays for lameness. These stones can be dissolved by S/D diet and change to C/D diet later.
Sometimes, a rare case appears. Urine must be collected to test for crystals.
SilkieXYorkshire, Female, 8 years
Consulted Toa Payoh Vets for right hindlimb lameness. Patellar bones luxate easily medially in both hind limbs. X-rays for sprained knees showed lots of bladder stones.
No complaint of blood in the urine or peeing problems.
URINE TEST
pH 8
SG 1.024
A trace of blood.
Crystals amorphous phosphate 3+
Little white cells 3
No red cells. 0
No bacteria
Advised S/D to dissolve the stones.
X RAYS
A rare case of sterile struvite in a dog. Almost 99% are infection-induced struvites with microbial urease involved. Hence, the owners did not know about the bladder stones till X-rays for lameness. These stones can be dissolved by S/D diet and change to C/D diet later.
Sometimes, a rare case appears. Urine must be collected to test for crystals.
Monday, August 31, 2015
2980. Doing charity work in Vietnam
Sep 1, 2015
The Straits Times report headlined "ICA explains why some Viet woman turned away at airport".
The Immigration and Checkpoins Authority (ICA) had sent back several Vietnamese women at Changi Airport as they could not explain to officers why they wanted to enter Singapore. The Vietnamese Civil Aviation Authority wanted to know why. The Vietnam Embassy's second secretary Nguyen Cong Huan met the ICA officials and was satisfied with the explanations on entry procedures which applied to visitors of all nationalities and that ICAhas interpreters to help those who cannot communicate in English.
"The ICA does not have interpreters. They don't care. No explanations are given. They just end the woman back," the Singaporean who married a Vietnamese wife said. Before he married her, the ICA had prohibited her from entering Singapore on two occasions. She was detained in a room and put on the plane home. She could not speak Mandarin or English. There was no interpreters."
"The ICA says they have interpreters," I referred to the Straits Times clipping he showed me. "Are you able to gather evidence like an investigative reporter? What do you want to get blacklisted now that your wife had been given a long-term pass to stay in Singapore?"
This man had to accompany his wife every month for 4 years to travel out of Singapore as she was given a monthly visitor stay. Four years. "According to the law, it should be 3 years," he said. "The ICA does not bother to check on whether mine was a sham marriage. They just give my MP the standard rejection letter."
"The ICA officers are overworked," I said. "It is up to the individual to persevere." He did and now his wife is on a long term pass. After 4 years and many petitions.
CHARITY WORK IN VIETNAM
The man wanted to build 10 houses and repair leaking roofs and tile the flooring of houses in the villages. The village headman told him to get approval from the District Officer. He wanted to do the charity work by himself. The District Officer wanted him to deliver the cash and goods.
"Unless you have a trusted respected person in the District," I advised. "You will not be permitted to do charity work all by yourself. This is the reality. The other way is to stay in the country for many years and get the connections and respect or partner with a local of good standing as some Japanese donors have had done in building schools in Myanmar villages. No do-it-yourself. It is not the way."
"The District Officer even checked whether I was living in the villages without permission," he said.
Doing charity work in Vietnam, as in all developing countries, is not so straight forward. You need the locals of good standing and influence.
The Straits Times report headlined "ICA explains why some Viet woman turned away at airport".
The Immigration and Checkpoins Authority (ICA) had sent back several Vietnamese women at Changi Airport as they could not explain to officers why they wanted to enter Singapore. The Vietnamese Civil Aviation Authority wanted to know why. The Vietnam Embassy's second secretary Nguyen Cong Huan met the ICA officials and was satisfied with the explanations on entry procedures which applied to visitors of all nationalities and that ICAhas interpreters to help those who cannot communicate in English.
"The ICA does not have interpreters. They don't care. No explanations are given. They just end the woman back," the Singaporean who married a Vietnamese wife said. Before he married her, the ICA had prohibited her from entering Singapore on two occasions. She was detained in a room and put on the plane home. She could not speak Mandarin or English. There was no interpreters."
"The ICA says they have interpreters," I referred to the Straits Times clipping he showed me. "Are you able to gather evidence like an investigative reporter? What do you want to get blacklisted now that your wife had been given a long-term pass to stay in Singapore?"
This man had to accompany his wife every month for 4 years to travel out of Singapore as she was given a monthly visitor stay. Four years. "According to the law, it should be 3 years," he said. "The ICA does not bother to check on whether mine was a sham marriage. They just give my MP the standard rejection letter."
"The ICA officers are overworked," I said. "It is up to the individual to persevere." He did and now his wife is on a long term pass. After 4 years and many petitions.
CHARITY WORK IN VIETNAM
The man wanted to build 10 houses and repair leaking roofs and tile the flooring of houses in the villages. The village headman told him to get approval from the District Officer. He wanted to do the charity work by himself. The District Officer wanted him to deliver the cash and goods.
"Unless you have a trusted respected person in the District," I advised. "You will not be permitted to do charity work all by yourself. This is the reality. The other way is to stay in the country for many years and get the connections and respect or partner with a local of good standing as some Japanese donors have had done in building schools in Myanmar villages. No do-it-yourself. It is not the way."
"The District Officer even checked whether I was living in the villages without permission," he said.
Doing charity work in Vietnam, as in all developing countries, is not so straight forward. You need the locals of good standing and influence.
Sunday, August 30, 2015
2979. A spayed female cat had recurrent breast tumour and died.
Sunday, Aug 30, 2015
Female spayed cat, 10 years old passed away at home. In the last 2 weeks, the breast tumour recurred and grew fast, the owner said.
HISTORY
Feb 16, 2015.
Mastectomy, Left mammary gland 1 enlargement, 8cm x 6 cm x 0.5cm excised. Invasive ductal carcinoma. Lymphvascular invasion is seen.
Mar 7, 2015
Thin, vomiting. Painful kidney (left). Total white cell count very low. Neutrophil % 24%, 0.55 absolute numbers low. Platelet very low. Had used tiger balm ointment on cat or surroundings.
TODAY
Aug 30, 2015
Left mammary gland 1 and another nearby.
Spayed cats may develop breast cancer but rarely.
Female spayed cat, 10 years old passed away at home. In the last 2 weeks, the breast tumour recurred and grew fast, the owner said.
HISTORY
Feb 16, 2015.
Mastectomy, Left mammary gland 1 enlargement, 8cm x 6 cm x 0.5cm excised. Invasive ductal carcinoma. Lymphvascular invasion is seen.
Mar 7, 2015
Thin, vomiting. Painful kidney (left). Total white cell count very low. Neutrophil % 24%, 0.55 absolute numbers low. Platelet very low. Had used tiger balm ointment on cat or surroundings.
TODAY
Aug 30, 2015
Left mammary gland 1 and another nearby.
Spayed cats may develop breast cancer but rarely.
Friday, August 28, 2015
2978. A cat has dislocated left hip
Aug 28, 2015. Yesterday, one 3-month-old rabbit dislocated his right hip. The owner wanted closed reduction rather than doing nothing as Vet 1 suggested. Vet 1 had said he could not reduce the hip joint and suggested doing nothing. The rabbit has a right hip sling after putting the femoral head into the hip joint. The owner did not want any surgery as the rabbit is only 3 months old.
Then another case of dislocation of the hip in a cat abused by somebody. He was missing and found to be lame.
The left hind leg was shorter than the right on extension. X-rays to confirm and taken today.
Sedation is necessary for proper X-rays as the hind legs must be extended.
In this cat, 4.4 kg bodyweight:
xyla 0.5+Ket 0.3 IM
Reverzin 0.05 ml IV (or IM) given to reverse xylazine.
The owner wanted closed reduction and a sling was applied. The cat stained his bandage after peeing. I asked the owner to wash it off. For other "looseness" of bandage or hairs stuck, I asked the owner to bring the cat down as it is impossible to "diagnose" and "advise" over the phone. So far, the Cavalier King Charles and the rabbit, both given slings, had no complaints.
X-rays for this cat are as follows:
Thursday, August 27, 2015
Wednesday, August 26, 2015
Follow up: A 9-month-old Miniature Schnauzer cannot pee
Aug 26, 2015.
This case illustrates the typical challenges many Singaporean dog owners face.
Most vets have no time to follow up as it is time-consuming. Today, I followed up to find out whether this brown male Schnauzer stlll has difficulty in peeing. (Video done July 2015) since he was given dry Canine C/D, no dog treats and other food after 4 days of in-patient and catheterisation for urethral obstruction (small bladder stones around 4 mm across was flushed out). The owner did not want blood test or X-rays, but the clinic did a blood test free of charge.
"He pees a lot now," the mother of 2 boys, 10 and 11 years old was happy. "Neighbours said he has put on weight." That was good news. The stools are "nice" in a continuous roll when the dog was fed C/D.
FINDINGS
1. Jan 2015. Dog was purchased at 3 months of age. Fed dry food from pet shop.
2. May 2015. Changed to a different brand of dry food called Osbourne as pet shop operator said it is better, more protein. Dog vomited often after eating this dry food and the earlier brand. So added canned food. Owner thought the dog ate too fast, so vomiting occurred.
3. Jul 2015. Dysuria. Blocked bladder. Catheterised. Small bladder stones sucked out.
4 days of inpatient. Did not want x-rays or blood test.
4. Aug 26 2015. Follow up on dysuria and C/D diet. No more problems. He peed a lot for the last 2-3 weeks. Stools are well formed and in a roll
5. Urine test
pH 7, SG 1.020. Nitre +, Protein 4+, Ketones +, Blood 4+. White blood cells 576/uL. Bacteria +. No crystals. Yet around 3 small crystals were sucked out during catheterisation.
6. Blood test
Liver enzymes ALT/AST 159/102 (<59 br="">Urea 49.5 (4.2-6.5)
Creatinine 691 (89-177)
Total WCC 37.3 (6-17)
N 83% (60-70)
N absolute 90.96 (6-11)
Platelets 78 (200-500). The dog has sepsis and kidney failure.
DOG PYSCHOLOGY
1. The mother is the disciplinarian of the dog. Would crate him for most of the do. He will bite things in the apartment including the crate playpen and the younger son.
2. The younger son, 10 years old is bullied by this dog. He complained to his mum that his leg is painful from the dog's bite. There are bruises. The son would run when the dog is let out. The dog would chase him as a prey and bite him. The boy is encouraging this attack bite behaviour.
I advise:
1. grip the dog's muzzle and say "no biting" when he chases the younger boy.
2. place him into the play pen when he starts "bullying" the boy in Primary 4 class. .
3. Now the dog is nearly 11 months old. Not neutered as the owner did not want to do it.
He pees many x a day, every 20 minutes. The mother will estimate the 20-minute interval and placed him inside the playpen bought 2nd hand from the pet shop. It has a pee tray which she lined with pee pad. This routine is still present as other family members feel that the mother is too strict on this young dog.
CONCLUSION
No recurrence on C/D diet. Strictly no other food or dog treasts. Schnauzers are prone to urinary stone formation.
Early neuter will have prevented this need of the dog to urine mark. The owner has to place him into the play pen to pee every 20 minutes. She did not realise that he is urine marking.
This case illustrates the typical challenges many Singaporean dog owners face.
Most vets have no time to follow up as it is time-consuming. Today, I followed up to find out whether this brown male Schnauzer stlll has difficulty in peeing. (Video done July 2015) since he was given dry Canine C/D, no dog treats and other food after 4 days of in-patient and catheterisation for urethral obstruction (small bladder stones around 4 mm across was flushed out). The owner did not want blood test or X-rays, but the clinic did a blood test free of charge.
"He pees a lot now," the mother of 2 boys, 10 and 11 years old was happy. "Neighbours said he has put on weight." That was good news. The stools are "nice" in a continuous roll when the dog was fed C/D.
FINDINGS
1. Jan 2015. Dog was purchased at 3 months of age. Fed dry food from pet shop.
2. May 2015. Changed to a different brand of dry food called Osbourne as pet shop operator said it is better, more protein. Dog vomited often after eating this dry food and the earlier brand. So added canned food. Owner thought the dog ate too fast, so vomiting occurred.
3. Jul 2015. Dysuria. Blocked bladder. Catheterised. Small bladder stones sucked out.
4 days of inpatient. Did not want x-rays or blood test.
4. Aug 26 2015. Follow up on dysuria and C/D diet. No more problems. He peed a lot for the last 2-3 weeks. Stools are well formed and in a roll
5. Urine test
pH 7, SG 1.020. Nitre +, Protein 4+, Ketones +, Blood 4+. White blood cells 576/uL. Bacteria +. No crystals. Yet around 3 small crystals were sucked out during catheterisation.
6. Blood test
Liver enzymes ALT/AST 159/102 (<59 br="">Urea 49.5 (4.2-6.5)
Creatinine 691 (89-177)
Total WCC 37.3 (6-17)
N 83% (60-70)
N absolute 90.96 (6-11)
Platelets 78 (200-500). The dog has sepsis and kidney failure.
DOG PYSCHOLOGY
1. The mother is the disciplinarian of the dog. Would crate him for most of the do. He will bite things in the apartment including the crate playpen and the younger son.
2. The younger son, 10 years old is bullied by this dog. He complained to his mum that his leg is painful from the dog's bite. There are bruises. The son would run when the dog is let out. The dog would chase him as a prey and bite him. The boy is encouraging this attack bite behaviour.
I advise:
1. grip the dog's muzzle and say "no biting" when he chases the younger boy.
2. place him into the play pen when he starts "bullying" the boy in Primary 4 class. .
3. Now the dog is nearly 11 months old. Not neutered as the owner did not want to do it.
He pees many x a day, every 20 minutes. The mother will estimate the 20-minute interval and placed him inside the playpen bought 2nd hand from the pet shop. It has a pee tray which she lined with pee pad. This routine is still present as other family members feel that the mother is too strict on this young dog.
CONCLUSION
No recurrence on C/D diet. Strictly no other food or dog treasts. Schnauzers are prone to urinary stone formation.
Early neuter will have prevented this need of the dog to urine mark. The owner has to place him into the play pen to pee every 20 minutes. She did not realise that he is urine marking.
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