3126. INTERN. Unusual case of one uterine horn filled with dead pups, one with normal pups

VIDEO shows an emergency Caesarean section for a 2-year-old Corgi.

The Corgi's uterus consists of 2 uterine horns. The left and right uterine horns.
(Image). Normally both uterine horns will be filled with healthy pups in clear water sacs.


In this unusual case,
The entire left uterine horn was filled with black fluid and 3 dead pups and melted placentas.
The entire right uterine horn was filled with normal pups in clear water sacs and placenta.

E:\2017TPV_JUL_SEP\20170716Sun_C_section_mummified_L_horn


Videos
2011    Black vaginal discharge. Breeder phoned Toa Payoh Vets for an emergency Caesarean section.

2012 + 2013   Prepare for surgery. IV drip, isoflurane gas anaesthesia only. No sedatives like propofol IV.


*2014  Left uterine horn. Black fluid filled the inside of the uterus. All 4 pups dead, mummified with no placentas.


Image

Right uterine horn

2016. Right uterine horn is ready for incision
2017, 2018    normal pups pulled out.

Illustration of stitching showing 2 rows
*2019. Uterine horn stitched up in 2 rows of inverting stitches.
  lst row is  parallel to the incision
*2020  lst row completed. Footage shows 2nd row started.
*2021  end of stitching of 2nd row


2022  End of surgery. Dam cleaned up. Oxytocin, antibiotic and painkiller injections will be given.

2023 + 2024   Healthy pups from right uterine horn.
 2029, 2034    Goes back to breeder farm



FOLLOW UP AT BREEDER'S FARM    3   WEEKS LATER.
PUPS OK.

 E:\2017TPV_JUL_SEP\20170806Review_3_C_sections


2750     Edit  00:00 - 1:26
Footage shows one of 3 Corgis thriving
Footage shows the single pup (Dachshund) thriving under the poodle. Its mother has not sufficient milk. 
The poodle is the surrogate mother of this single pup syndrome Dachshund and one Corgi. The other 2 corgis are nursed by the Corgi dam.

2773     2 Corgi pups
2772  Dachsund single pup syndrome 

3126. Intern Images*****. Be Kind To Pets Veterinary Educational Images - dogs,cats, hamsters, people

Back to Main Page:
https://2010vets.blogspot.com/2018/09/3282-interns-be-kind-to-pets-images-sep.html


DOGS

CATS

HAMSTERS

LIZARDS

TURTLES

PEOPLE

Back to Main Page:
https://2010vets.blogspot.com/2018/09/3282-interns-be-kind-to-pets-images-sep.html

3125. INTERN VIDEO. Digital evidence of hamster's eye stye inspires confidence in the pet owner

HOOK

Eye problems - painful, blindness unless treated early.
Small creatures like hamsters, eyes too small to be seen by the owner unlilke canine eye problems.

E.g. Pimples in the eyelid known as stye.

 



BKTP

INTRODUCTION
Why, What, How
Why need vet treatment?  Painful, rubbing eye, lose appetite, infections, eyeball rupture
What is stye?  Define eye stye

How to convince the owner that her hamster has eye stye?
Digital photography  Day 1, Day 7




How is it treated?  Eye drops may work.  Surgery - incision and drainage under gas anaesthesia in the dwarf hamster.

Hook?

"Your hamster has an eye stye," Vet 2 who was referred to this case by Vet 1 in the branch clinic announced.

The owner of this half-closed, sometimes opened right eyed dwarf hamster applied Vet 2's eyedrops for the next 7 days. The cure was not there. So, the owner sought a 3rd opinion from me.

Nowadays, the young Singaporean pet owner is knowledgeable. Just stating "eye stye" or eyelid pimple in this case is insufficient. 

 



Digital evidence is needed but this takes a lot of time and some skill to develop the evidence to inspire confidence in the young ones. It takes over an hour of digital photoshopping to develop the evidence as shown below.

DAY 1. Gas anaesthesia is necessary to examine and produce sharp photographs the hamster's eye.

Anaesthesia to get proper closed eye examination. Fluorescein eye stain test showed no corneal ulcers. The corneal areas did not show green spots which would have been evidence of eye ulcerations.  

I showed the digital evidence of eye stye and advised surgery (incision and drainage) to resolve the problem as the eye pimple is large. The pimple is on the left upper eyelid as at Day 1.

 The owner wanted the hamster home on the same day and would apply eye drops and give medication. 





DAY 7. The owner returned for the surgery (incision and drainage) after self-treatment for the past 7 days.  

 The pimples are now on the left and right upper eyelid as at Day 7.



Conclusion

This case shows how digital evidence inspired the owner to return 7 days later for the surgery of incision and drainage to resolve the eye stye problem.  The hamster was operated and hospitalised for 3 days.





To acquire digital imaging skills, I practise during my travels and usually daily taking pictures of places and friends and use Photoshop to develop better images as shown below.

Lens for close up and zoom

--------------------------
Hamster hospitalised for 6 days. On Day 4 after operation, images are taken. They show the conjunctiva of the upper eyelid is inflamed due to the healing of the wound after incising the styes (see Day 7 - 2 styes).  Now Day 4 after surgery, no styes on close up image.  Show hamster video eye open more, even under operating light (video)

                                      

                                            Close up image.  Day 4 after incision of the stye.
The styes are not present. The conjunctiva is inflamed as it is early in the healing stage.

Digital photography provides evidence of the scar of the incision (arrows). The wound is healing well.

Conclusion.   Many younger Singaporean pet owners are knowledgeable as they research the internet for their pet's diseases.

Digital photography evidence inspire confidence in the owner in the vet. She knows that her pet is properly diagnosed (stye) and treated (post op.  Day 4 images).







Day 7 after consultation. The owner came to Toa Payoh Vets for surgery as advised.
This is Day 1 of surgery.


Day 4 of surgery, showing the incision scar (arrow) and the disappearance of the styes.


CREDITS

includes Dr Daniel Sing




FOR MORE INFORMATION

3124. INTERN ABEL. short videos to be subtitled and/or merged.

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1. How kittens are vaccinated and microchipped at Toa Payoh Vets, Singapore
FRAME with this text. This BKTP veterinary educational video shows how to restrain and microchip kittens in Singapore. Gentle restraint during vaccination is important. Ensure microchip does not pop out during removal of the microchip holder by pressing your thumb and forefinger onto the injection site. 

Merge the video footage into one video.  Subtitles if needed.
File     20170817guinea_pig_goes_home
MVI 3364, 3365, 3366 and 3367



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2.  Swollen eyes and not eating are common medical reasons seeking veterinary treatment. This video shows a stunted red-eared slider which is compared to a normal one of around the same age. Weight and length and width of carapace are markedly different.

 File     20170817guinea_pig_goes_home
MVI 3369

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3.  Generalised ringworm treatment requires a 2nd review one month later.  
 File     20170817guinea_pig_goes_home
MVI 3352

This video shows the importance of returning to Toa Payoh Vets for follow-up review in the case of generalised ringworm.
The owner had 3 visits to Vet 1 but the skin disease was not cured. She came to Toa Payoh Vets and was pleased that the he dog's thigh skin was less pigmented 4 weeks after treated. There were no scales. So she did not come for review despite receiving a reminder post card.

2 weeks ago, the dog started to itch and having dandruff.
Ultraviolet light and fungal culture are done. The dog is clipped bald and treated again.

Monthly reviews of the skin disease is necessary in many cases as generalised ringworm is hard to cure.
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4.  15 rotten loose teeth as the Chihuaha never had dental check up for the past 10 years.  Foul breath.
Consulted Toa Payoh Vets as the dog had difficulty eating his food as if he has oral pain.
A right facial wound discharged pus but now has closed. A right carnassial tooth abscess had been present but the tooth had dropped off when checked during dental scaling (video subtitle this footage part).


 File     20170816Funeral....

Yearly dental check up saves teeth. No check up - 15 rotten teeth extracted in a 10-year-old chihuahua.

MVI 3339 video to be before MVI  3355....etc. It is consultation. Subtitle to be done. Then merge with below footages and also subtitles. 


For dogs over 5 years, yearly dental check is especially important to prevent gum disease and tooth decay. In this case, the 15 teeth extracted could have been saved if there was yearly dental check up.
Oral tumours may form in the mouth of dogs with chronic gum diseases due to lack of dental hygiene. .


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File     20170817guinea_pig_goes_home

5.  Massive haematoma. A rare case of a massive haematoma in a guinea pig.

HOOK
Why the owner consulted the vet for the 4th time?
What is it?  A tumour inside the neck muscle area. A large blood vessel ruptured, leading to bleeding for many days after the 3rd visit. The vet incised and drained (VIDEO INSTAGRAM).
 
How to cure the guinea pig. Surgical excision. If not cancerous, The owner did not want laboratory examination of the mass removed during the 2nd visit (IMAGE INSTAGRAM). So it is not known whether the tumour is cancerous. If cancerous, it has recurred. Owner agreed to sending the tumour to the lab for histology. Video shows only Day 1-Day 3 of the GP's medical condition. Lab results are pending.

Histology is very important but some owners decline the test.  

MVI  3355, 3356, 58, 59, 61  Day 3 footages
File     20170816Funeral
MVI 3350   try not to edit as you have no time. Just merge and subtitle.

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6. Hair loss in the flanks of a spayed cat.

Cat came for annual vaccination. Complaint of balding left flank for past one year.  Right flank has slight hair loss.

Flank hair loss causes

1. Not due to old age. Causes include flea dermatitis, ear infections, skin infections and hormonal imbalance (endocrine alopecia) in spayed cats.

File: 20170816Funeral
MVI 3340

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7. An industrial park dog "Black beard" had swollen left elbow and limb.

 Much loved by funeral parlour owner. Now lethargic
Elbow abscess incised and drained.
Lower pad ulcerated
Blood test - low red cell count, haemoglobin, platelets (take image of haematology) for inclusion.

No Babesia. (take image of test kit. ask judy) Had ticks some years ago and had recovered from tick

fever.

File: 20170816Funeral
MVI 3351 on day 1


get dog out and take picture on day 3  (Aug 18, 2017) and follow up on medical