Saturday, February 18, 2017

A 13-year-old female Schnauzer pees blood in the urine.

2 years ago, operated to remove large bladder stones. Owner did not believe in prevention using prescription diet. Now leaking bloody urine. Stabilised with IV dextrose saline + baytril 4 hours pre op. Operated at 2.30 pm Sat Feb 18, 2017 by Dr Daniel.  







A 13-year-old tortoise vomited blood

Feb 17, 2017

Vomited fresh streaks of blood from the mouth.
Had bought a liquid medicine from pet shop to "increase appetite" when this 13-year-old tortoise stopped
eating. Syringe medicine into mouth.  Vomited lots of fresh blood for last 2 days.


X-ray. No hook or sharp metallic objects inside throat.  Died after vomiting more blood streaks.

Thursday, February 9, 2017

A 6-year-old male neutered pug passes blood in the urine this month, twice.





Nervous pug
Sedated for x-ray  xyla 0.3 ml ketamine 0.2 ml IM    effective, last 30 minutes
To review blood and urine test.


A 19-year-old red eared slider lays eggs every year for the last 10 years has smelly diarrhoea

New food
Milk bread causes irritation of gut --- diarrhea --- cloacal prolapse yesterday -- cloaca prolapse traumatic injury  -- profuse bleeding and blood clots.

Today, no prolapse but foul smelling stools

Baytril 0.2 ml IM (1.4 kg), Oxytocin 0.1 ml IM and trimeth PO for gastroenteritis.


FOLLOW UP
Jan 14, 2017
Still has bleeding from cloaca but less. Active.
Eats salmon with medicine, otherwise hard to medicate. Eats vegetables but not pellets. 
No eggs passed.

Thursday, February 2, 2017

3026. A 6-year-old female Shiba Inu has 7 bladder stones

dysuria, haematuria, pollakiuria



stones sent to the US for chemical analysis


Wednesday, February 1, 2017

3015. A 9-year-old female spayed Schnauzer X peed blood.

X rays no stones

blood test NAD
urine test pH 9, bacteria, protein and triple PO4 crystals.

Follow up
After antibiotics, no haematuria
Now on Urinary S/O







This case presents evidences via X rays, urine and blood test.
However, some owners have economic or time constraints and so x-ray or urine test is done. 


3014. A 13-year-old pekinese needs eyeball removal

Jan 31, 2017

Chinese New Year lst day is Jan 28, 2017. The young lady contacted me to get the enucleation done as she must have researched the internet for a vet to perform the surgery.

An old dog said to eat normally and booked for surgery on Jan 30, 2017. The first time I had seen this dog.  It would be risky as the eyeball had popped out for some weeks and could have been infected. Surgery should only be done on healthy dog. I suggested a blood test.


Blood test showed bacterial infection of the blood. So, I gave IV baytril and drip with amino acids and glucose and vitamins for 24 hours (2 bottles). Dr Daniel operated on Jan 31, 2017.
This is important as immediate surgery may lead to death on the operating table.

Gas anaesthesia only. The dog was alive at the end of operation and that was all the owner wanted even though she had been warned of anaethestic death. The dog had a small scar but lately, the eyeball had popped out and looked terrible.

Early vet treatment of corneal ulcers by tarshorraphy would have saved the eyeball and vision but it depends on the vet who may just advise eyedrops.  .

Thursday, January 26, 2017

3013. An 11-year-old male red-eared slider has swollen right eye and eye ulcers

Jan 26, 2017

Came in on Jan 15, 2017   not eating, right eyelids swollen



Hospitalised. Medication. 2 injection.

Eats little. Spit out usual Marsuri globular when observed feeding.
Jan 25 and 26. Prefers prawns.
Opened mouth - whitish plaques on sides of tongue and mouth. Fungal infections?

X-ray Jan 26, 2017

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Jan 27, 2017  Chinese New Year's Eve. Going home at 12 noon.
Today
Nibbles shrimps
Swallows and spits out pellets
Active

X rays yesterday
Images taken today, 12th day of hospitalisation



















3012. A 3-year-old female rabbit dislocates left hip X-rays




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Jan 27, 2017  Rabbit goes home. Sling up left hind




Wednesday, January 25, 2017

Jan 25, 2017

A case study of the usefulness of Rimadyl in helping the old dog to walk


TP 45772
Jane, Golden Retriever, FS, 16 years (born 2001).
Lives in North Singapore

First consultation  Jan 14, 2015   Dr Sing Kong Yuen
24kg  anorexia 6days  vomit once, PD/PU
Thick reddish brown vaginal discharge past 4 days
Uterine horn 4 cm across palpated.
Open pyometra at 13 years of age.
 .

Jun 14, 2016
Jane.  14 years old
Hip pain but can walk to bathroom.
Blood in the urine. I advised giving me a urine sample as dog is large breed
and inconvenient to come


Jun 14, 2016   Rimadyl 75 mg x 15 tab/   1.25 tab per day for 4 days on, 4 days off. To effect.
Sep 19, 2016    Rimadyl 75 mg x 10 tab
Dec 6, 2016         x 20 tab..
Jan 23, 2016.  Complaint WhatsApp   A lot of difficulties walking. More painkillers, what can we do to help her? she still has a good appetite.

Jan 24, 2017. Came to buy Rimadyl and a medium bag of C/D in case the dog cannot survive.
My advice: need to increase dosage and decrease weight. What is Jane's weight?  28 kg.
Rimadyl 28 x 4.4 mg = 1.5 tab/day for 4 days to effect. To review effect of drug first. .


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Urine test
slightly turbid, pH 9 (alkaline), SG 1.045
Protein 4+, Ketone +, Blood 4+, Triple phosphate crystals occasional, bacteria 3+

Baytril x 2.5 tab x 4 days.   Trimax x 1/2 bid x 10 days
I advised acidification of the urine using prescription diet Hills' C/D.
From Jun 22, 2016 to Jan 25, 2017 - strictly on this diet. No complaint of haematuria.


CONCLUSION
2 cases of lame senior big breed dogs over 16 years old much loved by the owners.
.
In this case and another case of a X-bred 17years old, the dog is still eating but has bad hips.
So the kind owner did not elect euthanasia and has a lot of care-giving of aged dogs to execute..