4 dead mummified foetuses bathed in blackish green fluid were in the left uterine horn, but 3 normal Corgi pups were found in the right horn. They were rescued just in time.
Friday, July 28, 2017
3111. Unusual case of 4 dead foetuses in one uterine horn - Caesarean Section
The breeder requested an emergency Caesarean section as there was some blackish green vaginal discharge.
4 dead mummified foetuses bathed in blackish green fluid were in the left uterine horn, but 3 normal Corgi pups were found in the right horn. They were rescued just in time.
4 dead mummified foetuses bathed in blackish green fluid were in the left uterine horn, but 3 normal Corgi pups were found in the right horn. They were rescued just in time.
Thursday, July 27, 2017
3110. Urinary stone prevention diet. Does it work? 3 case studies
HISTORY
Shih Tzu, MN, born 2006
In Sep 2014, the dog had difficulty passing urine. Vet 1 palpated a "bladder stone" and advised surgery, saying X-rays were not necessary.
The owner consulted me at Toa Payoh Vets. X-rays showed one bladder and 2 kidney stones.
After bladder stone removal at Toa Payoh Vets in Oct 2014, the owner did not feed the prescription diet to prevent bladder stones regularly.
In April 2016, the Shih Tzu passed blood at the end of urination. Soft bladder swelling palpated
Urine analysis. pH 6.5, SG 1.02, Protein 4+, Blood 4+, White blood cells 900. No urinary crystals.
suggestive of bladder stone or tumour with cystitis.
X-ray showed more than 2 kidney stones and a soft bladder mass was palpated.
The owner fed prescription diet regularly and there is only occasional turbid urine but no more blood in the urine or difficulty in urination.
FEEDING PRESCRIPTION DIET RECORD FROM TOA PAYOH VETS
Oct 7, 2014 bladder stone removal surgery
Sep 11, 2015 Urinary S/0 7kg
Dec 12, 2015 Urinary S/0 7kg
Mar 26, 2016 Urinary S/O 7 kg
April 20, 2016. blood in turbid urine. No large stones palpated in bladder. Cystitis? Bladder tumour or non-opaque stone in X-ray. Switched to Hills' C/D/
April 27, 2016 C/D 17.6 lbs
Owner did not come to Toa Payoh Vets for C/D.
Jan 31, 2017 C/D 17.6lbs
April 30, 207 C/D 17.6 lbs
Jul 27, 2017 C/D 17.6 lbs.
Owner says that the Shih Tzu, MN, now 11 years old, has no urination problems and is fed C/D. The other dog, a younger Schnauzer eats commercial food and has no urinary problem. The Shih Tzu consumes the 17.6 lb bag every 3 monthly.
Conclusion. Difficult to get the owner to do further tests like urine analysis or X-rays as the dog had no problem in 2017. He had been feeding the Shih Tzu solely on the Multicare C/D which is said to reduce oxalate and struvite reccurrence. No other dog food or treats.
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CASE 2 Miniature Schnauzer, M, N, 12 years. FEEDING OF PRESCRIPTION DIETS
The dog's urine pH is acidified by the feeding of Royal Canin Urinary S/0 as shown in the urine test on July 2017. In Oct 2016, the pH was 8.0 (alkaline) and it had amorphous phosphate crystals. However, the dog had dysuria in July 23, 2017 attributed to cystitis.
There was some urethral obstruction at the bend of the urethra during catheterisation, but no big stones are seen on X-rays. The dog has recovered. X rays are shown below.
CASE 3.
Shih Tzu, M, 11 years. ATTEMPTED DIETARY DISSOLUTION OF URINARY STONES
The owner attempted to dissolve the urinary stones diagnosed by Vet 1 some one year ago, by feeding Royal Canin Urinary SO. However in July 2017, the dog had great difficulty peeing. X-rays show 2 large urethral stones in the os penis. These 2 stones were flushed back into the bladder which was opened to take out the stones. The dog is OK now. Stones are sent to the lab for analysis. X-rays are shown below.
Dietary dissolution of urinary stones can be done for struvite stones but these stones must be struvites and must be small.
Wednesday, July 26, 2017
3109. A difference of veterinary opinion. A hamster has hairless backside and ear area
My opinion may differ from another vet. This hamster had a right ear wart of 4 mm across and kept scratching his ear. His left backside is bald. So, I advised ear wart removal and lateral ear canal resection.
The other vet was the opinion that ear irrigation would do and it would be cheaper. However, the owner consulted me one month after the other vet's treatment as the itchy ear had not resolved. The left ear also had hairless bump and left ear itchiness.
Treatment:
Anaesthesia. Both lateral ear canal resected. The right ear wart at the entrance to the ear's vertical canal was excise3d.
A follow up 8 weeks later will be good. If the backside and ear area hairs re-grow fully, the outcome is a success.
The other vet was the opinion that ear irrigation would do and it would be cheaper. However, the owner consulted me one month after the other vet's treatment as the itchy ear had not resolved. The left ear also had hairless bump and left ear itchiness.
Treatment:
Anaesthesia. Both lateral ear canal resected. The right ear wart at the entrance to the ear's vertical canal was excise3d.
A follow up 8 weeks later will be good. If the backside and ear area hairs re-grow fully, the outcome is a success.
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Monday, July 24, 2017
3108. A 10-year-old Beagle passes blood in the urine and has seizures.
Jul 23, 2017
X rays show "sand" in the bladder.
The Beagle has seizures when brought downstairs for exercise recently.
X rays show "sand" in the bladder.
The Beagle has seizures when brought downstairs for exercise recently.
3107. A 12-year-old male Miniature Schnauzer has difficulty peeing
Air contrast bladder X-rays show no stones and no inflamed bladder wall.
Dog likely to have urinary tract infection.
Miniature Schnauzers are very prone to urinary stones, but in this case, there was none.
The owner had been feeding Royal Canin Urinary S/O, hence preventing struvite stone formation.
Follow up 7 days later, on the diagnosis of cystitis.
The dog lis back to normal now.
Dog likely to have urinary tract infection.
Miniature Schnauzers are very prone to urinary stones, but in this case, there was none.
The owner had been feeding Royal Canin Urinary S/O, hence preventing struvite stone formation.
Follow up 7 days later, on the diagnosis of cystitis.
The dog lis back to normal now.
Sunday, July 23, 2017
Thursday, July 20, 2017
3104. Can the large urethral stones be removed via the bladder?
"Stones are large and inside the os penile urethra," I said to the senior vet. "Can they be flushed back into the bladder and removed via the bladder?"
A few hundred surgeries had been performed by the senior vet.
"Yes," he said confidently. "It can be done."
Urinary cathether + 20 ml syringe =
general anaesthesia
The syringe of water pushed the 2 stones into the bladder. They were removed.
Stones were about 5 mm x 5 mm and rough.
To be sent for analysis.
Shih Tzu is Ok and will go home on Day 3.
A few hundred surgeries had been performed by the senior vet.
"Yes," he said confidently. "It can be done."
Urinary cathether + 20 ml syringe =
general anaesthesia
The syringe of water pushed the 2 stones into the bladder. They were removed.
Stones were about 5 mm x 5 mm and rough.
To be sent for analysis.
Shih Tzu is Ok and will go home on Day 3.
3103 A Maltese has closed pyometra for one year
Dog in distress, panting. Vaginal discharge over one year.
Stabilised with furesemide and IV drip for 1 day before spay.
One uterine horn
is bursting with pus. Unusual case.
The other one had partial pus swelling.
Stabilised with furesemide and IV drip for 1 day before spay.
One uterine horn
is bursting with pus. Unusual case.
The other one had partial pus swelling.
The dog had heart disease which gave rise to coughing without phlegm. Heart medication was given 24 hours before surgery. Furesemide IV was given. The dog was spayed the next day and survived. She went home on Day 3 and is OK.
Advice:
Do not delay spaying your female dog if she has slight vaginal discharge over the past year. This would be closed pyometra, with the cervix closed. So pus cannot discharge out normally and after one year, as in this case, the dog's right terine horn was about to rupture from overdistension with pus..
Advice:
Do not delay spaying your female dog if she has slight vaginal discharge over the past year. This would be closed pyometra, with the cervix closed. So pus cannot discharge out normally and after one year, as in this case, the dog's right terine horn was about to rupture from overdistension with pus..
3102. An 18-month-old male hamster has swollen abdomen - Abdominocentesis
Within 7 days, abdominal distension. Active and was eating till yesterday. Consulted 2 vets. I advised abdominocentesis under gas anaesthesia, which is risky.
Body Weight 64 g
Body weight after aspirating >4 ml pinkish fluid from abdomen 54 g.
Lots of serosanguinous fluid flowed out. Palpated a solid mass or cyst 8mm x 8m
Hamster is much loved. Prognosis poor. May live for few more days unless the mass is not cancerous.
Body Weight 64 g
Body weight after aspirating >4 ml pinkish fluid from abdomen 54 g.
Lots of serosanguinous fluid flowed out. Palpated a solid mass or cyst 8mm x 8m
Hamster is much loved. Prognosis poor. May live for few more days unless the mass is not cancerous.
Wednesday, July 19, 2017
3101. Fashion designs
July 19, 2017
Reference: 50 Women's Fashion Icons that changed the world
Lauren Cochrane,
The Design Museum's mission is to celebrate, entertain and inform.
Helps you to wear something different
1. Debbie Harry (1945 - )queen of downtown. Face of punk-pop band Blondie.
Her stage wear uses colour and texture to pack a punch.
Collaborate with designer Stephen Sprouse who was responsible for her asymmetric dresses.
Play with colour including the signature hot pink. Red thigh-high boots and matching red tunic. Peroxide hair and black kohl always present. Still performing. A key reference for young women who want to be a girl in a band and look the part.
2. Tina Chow. Jap mother X American father. Died of AIDS in 1992, aged 41. Lagerfield credited her with minimalism. Concentrate on designing jewellery, furniture and sculpture towards the end of her life. Her cult appeal continues. Photo shows her design - her own bracelets (transparent plastic?),
3. Rei Kawakubo (1942 - ). Her label, Comme des Garcons established in 1969 now at vanguard of fashion. Annual turnover 164 poungs. Dover Street Market dept stores in Tokyo, London and New York. She believes in creating a brand. Cult of her style continues apace.
Reference: 50 Women's Fashion Icons that changed the world
Lauren Cochrane,
The Design Museum's mission is to celebrate, entertain and inform.
Helps you to wear something different
1. Debbie Harry (1945 - )queen of downtown. Face of punk-pop band Blondie.
Her stage wear uses colour and texture to pack a punch.
Collaborate with designer Stephen Sprouse who was responsible for her asymmetric dresses.
Play with colour including the signature hot pink. Red thigh-high boots and matching red tunic. Peroxide hair and black kohl always present. Still performing. A key reference for young women who want to be a girl in a band and look the part.
2. Tina Chow. Jap mother X American father. Died of AIDS in 1992, aged 41. Lagerfield credited her with minimalism. Concentrate on designing jewellery, furniture and sculpture towards the end of her life. Her cult appeal continues. Photo shows her design - her own bracelets (transparent plastic?),
3. Rei Kawakubo (1942 - ). Her label, Comme des Garcons established in 1969 now at vanguard of fashion. Annual turnover 164 poungs. Dover Street Market dept stores in Tokyo, London and New York. She believes in creating a brand. Cult of her style continues apace.
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