Stray cat, Male, Neutered, ginger, around 4 years old, 3.5 kg, very thin
HISTORY
Jul 18, 2010
Stray cat was picked up from the street and sent for treatment
Can't eat normally. Salivation, bad breath and mouth ulcers.
Jul 19, 2010
Blood test - Liver SGOT/AST high, Kidney Urea high, Total White Cell Count high
Neutrophils 80%, lymphocytes 10%, monocytes 4%, eosionphils 6%, basophils 0.2%
Full grooming, deflea, ear irrigation, treatment
Jul 20, 2010
1. FIV and FLV blood test - negative
Jul 21, 2010
Blood test - Liver SGOT/AST high, Kidney Urea normal, Total White Cell Count normal
Neutrophils 77%, lymphocytes 13%, monocytes 5%, eosionphils 5%, basophils 0.5%
Jul 23, 2010
Anaesthesia - xyalzine 0.1 + ketamine 0.4 ml IM + dental extraction of all loose teeth
Jul 28, 2010.
Goes home.
Aug 3, 2010.
Salivation and not eating normally Back to Toa Payoh Vets. Faucitis (ulcers at back of throat on left and right side).
Aug 4, 2010.
Pred 0.4 ml SC and antibiotics
Eats normally.
Aug 13, 2010
Mouth and tongue ulcers return
Pred 0.5 ml SC and antibiotics, omega 3 and 6 oil oral
Eats normally.
Aug 17, 2010
Eats normally. Puts on weight to 4 kg. Canned food only.
Blood test done.
Canned food only
Tuesday, August 17, 2010
Monday, August 16, 2010
166. Shih Tzu with urinary tract infection
"How he gets this UTI?" the mum asked. "Yesterday, I thought he was going to die." The dog just was lethargic for the past 3 days. He ate a lot after going home from neuter 7 days ago. The 8-year-old Shih Tzu had a right perineal hernia repaired by me just around 4 weeks ago.
I palpated a full bladder. There was no pain in his pre-scrotal lump which was the site of the neuter. Got a urine and blood sample taken and sent to the lab this morning.
The mum and daughter came to visit him at 5 pm. I explained to them that the dog had a severe UTI. Blood results - Total WCC was above normal, neutrophils was 97%, lymphocytes 3%. Abs neutrophils were 17 x10^9/L while lymphocytes were 0.5 x 10^9/L. "The results indicated a bacterial infection of the blood," I explained to the mum and daughter. "Luckily it is not a viral infection."
Urine results were very interesting:
pH 6.5, SG 1.039 considered normal
Abnormal:
Nitrite +, Protein 3+, Glucose +, Bilirubin +, Blood 4+, White blood cells >2250/uL and Red blood cells >2250/uL. Bacteria 3+. No crystals or cats or epithelial cells.
"How did the dog get UTI?" the mum asked.
"One reason could be the stress of surgery for perineal hernia and the neuter soon after" I said. "Is he the type of alpha dog who would urine mark every spot even when he has no urine?"
"Yes," the mum said. "I thought all male dogs do that."
"Not all male dogs," I said. "Usually only the dominant ones wanting to mark his territory."
"When a friend's female dog comes to the apartment, he will urinate over her peed area," the daughter commented.
"So, he might be withholding urine for the past 8 years to urine-mark. Urine that is kept for a long time inside the bladder would get bacterial growth," I said. The dog had an alkaline pH and this would encourage bacterial growth and possibly struvite stone formation in the theory of struvite stone formation in the dog. However, this dog ate mainly chicken, rice and carrots and therefore should not be getting struvite urinary stone formation.
After 500 ml 5% glucose saline, baytril antibiotics and spasmogesic, the dog looked active in the evening when the mum and daughter came. He would be given another treatment tomorrow and go home.
"For the past 7 years, he had never seen a vet," the mum said that the dog's veterinary cost was high.
"If you had neutered this dog at one year of age," I advised belatedly. "He would unlikely to develop perineal hernia which occurs mostly in non-neutered male dogs and therefore you need not spend money to cure him.
"In your case, it was lucky he developed only the right sided perineal hernia and so far, with all this jumping up to the daughter's bed and running around so soon after perineal repair, he had no swelling. Otherwise, he would need another repair job. The dog is to confine at home in one place for at least 4 weeks, not jumping about like a Jack Russell."
"My sister's Shih Tzu are so laid back," the mum said. "This dog even bites me." My assistant Mr Saw also warned me about his biting habit.
"After neutering, there will be less aggression and urine-marking over time," I said.
"Will his personality change?" the daughter asked.
"Yes, he will be quieter and not so obsessed with urine-marking like some men who are thinking of making money all day long. Much depends on whether your daughter will spend time playing with him.
"Let him eat more so that he would have the resistance to fight against diseases"
I said as this dog lost 1 kg after perineal hernia, neuter surgery. I could feel the spinal processes. He was now 6.5 kg.
Aug 17, 2010 4 pm
Dog reviewed for going home. No fever. Had a good appetite. Tongue was pink.
Took him out. First thing was to urine-mark a vertical surface.
I palpated a full bladder. There was no pain in his pre-scrotal lump which was the site of the neuter. Got a urine and blood sample taken and sent to the lab this morning.
The mum and daughter came to visit him at 5 pm. I explained to them that the dog had a severe UTI. Blood results - Total WCC was above normal, neutrophils was 97%, lymphocytes 3%. Abs neutrophils were 17 x10^9/L while lymphocytes were 0.5 x 10^9/L. "The results indicated a bacterial infection of the blood," I explained to the mum and daughter. "Luckily it is not a viral infection."
Urine results were very interesting:
pH 6.5, SG 1.039 considered normal
Abnormal:
Nitrite +, Protein 3+, Glucose +, Bilirubin +, Blood 4+, White blood cells >2250/uL and Red blood cells >2250/uL. Bacteria 3+. No crystals or cats or epithelial cells.
"How did the dog get UTI?" the mum asked.
"One reason could be the stress of surgery for perineal hernia and the neuter soon after" I said. "Is he the type of alpha dog who would urine mark every spot even when he has no urine?"
"Yes," the mum said. "I thought all male dogs do that."
"Not all male dogs," I said. "Usually only the dominant ones wanting to mark his territory."
"When a friend's female dog comes to the apartment, he will urinate over her peed area," the daughter commented.
"So, he might be withholding urine for the past 8 years to urine-mark. Urine that is kept for a long time inside the bladder would get bacterial growth," I said. The dog had an alkaline pH and this would encourage bacterial growth and possibly struvite stone formation in the theory of struvite stone formation in the dog. However, this dog ate mainly chicken, rice and carrots and therefore should not be getting struvite urinary stone formation.
After 500 ml 5% glucose saline, baytril antibiotics and spasmogesic, the dog looked active in the evening when the mum and daughter came. He would be given another treatment tomorrow and go home.
"For the past 7 years, he had never seen a vet," the mum said that the dog's veterinary cost was high.
"If you had neutered this dog at one year of age," I advised belatedly. "He would unlikely to develop perineal hernia which occurs mostly in non-neutered male dogs and therefore you need not spend money to cure him.
"In your case, it was lucky he developed only the right sided perineal hernia and so far, with all this jumping up to the daughter's bed and running around so soon after perineal repair, he had no swelling. Otherwise, he would need another repair job. The dog is to confine at home in one place for at least 4 weeks, not jumping about like a Jack Russell."
"My sister's Shih Tzu are so laid back," the mum said. "This dog even bites me." My assistant Mr Saw also warned me about his biting habit.
"After neutering, there will be less aggression and urine-marking over time," I said.
"Will his personality change?" the daughter asked.
"Yes, he will be quieter and not so obsessed with urine-marking like some men who are thinking of making money all day long. Much depends on whether your daughter will spend time playing with him.
"Let him eat more so that he would have the resistance to fight against diseases"
I said as this dog lost 1 kg after perineal hernia, neuter surgery. I could feel the spinal processes. He was now 6.5 kg.
Aug 17, 2010 4 pm
Dog reviewed for going home. No fever. Had a good appetite. Tongue was pink.
Took him out. First thing was to urine-mark a vertical surface.
Cheek tumour regrows in the old male dog
As the tumour recurs, the 11-year-old male dog did not eat again. He would not permit anyone to open his mouth. The lady owner had seen the tumour when the dog yawned and so was concerned. "Some white tissues," she said to me.
I used electro-surgery to cut as much of the tumour from the cheek as possible. It was 1.5 cm x 1.5 cm X 0.5 cm. Like a Singapore 10-cent coin with white plaques. Is it malignant or not?
The dog had to be under general anaesthesia to excise the lump and to get the right lower back teeth extracted too. The reason for extraction of this lower back teeth is to prevent any more irritation. I presumed it was due to the irritation of the lower tooth that caused the recurrence but this was a hypothesis. If this was correct, then the dog would not have another growth two months later and this procedure would save the young lady a lot of veterinary expenses.
"I feel the base for roughness to see if any tumour is left behind" I explained to my assistant Mr Saw. Complete excision of the lesion was done but I can't guarantee that it would be 100% as there was the cheek tissue
I sent the pieces for histopathology.
Pathology results:
Diagnosis:
Spindle and epithelioid cell proliferation.
Comments: The cells may be myofibroblastic/fibroblastic in origin. The differential diagnoses include nodular fasciitis, inflammatory myofibroblastic tumour or a low grade sarcoma, amongst others.
CONCLUSION
Dogs and people with poor oral hygiene (gum diseases,decayed teeth, bad breath) do develop oral tumours when they are old as many years of irritation leads to tumour formation. In this case, the lab report suggests a tumour which may not be malignant.
I used electro-surgery to cut as much of the tumour from the cheek as possible. It was 1.5 cm x 1.5 cm X 0.5 cm. Like a Singapore 10-cent coin with white plaques. Is it malignant or not?
The dog had to be under general anaesthesia to excise the lump and to get the right lower back teeth extracted too. The reason for extraction of this lower back teeth is to prevent any more irritation. I presumed it was due to the irritation of the lower tooth that caused the recurrence but this was a hypothesis. If this was correct, then the dog would not have another growth two months later and this procedure would save the young lady a lot of veterinary expenses.
"I feel the base for roughness to see if any tumour is left behind" I explained to my assistant Mr Saw. Complete excision of the lesion was done but I can't guarantee that it would be 100% as there was the cheek tissue
I sent the pieces for histopathology.
Pathology results:
Diagnosis:
Spindle and epithelioid cell proliferation.
Comments: The cells may be myofibroblastic/fibroblastic in origin. The differential diagnoses include nodular fasciitis, inflammatory myofibroblastic tumour or a low grade sarcoma, amongst others.
CONCLUSION
Dogs and people with poor oral hygiene (gum diseases,decayed teeth, bad breath) do develop oral tumours when they are old as many years of irritation leads to tumour formation. In this case, the lab report suggests a tumour which may not be malignant.
164. Using social networking to help rescue cats
Article: Breed Rescue 2.0 by Janiss Garza
Cats USA 2101 Annual Volume 17
Today, I met a National Library Board officer at the Toa Payoh Public Library. She does not like cats personally. However she spoke to me about her friend who pays money to caregivers to feed the stray cats and had adopted 4 strays. "She is a stray cat militant!" the single lady in her late 30s who loves to read Newsweek and Times magazine told me. "Actually, she is a stray cat activist who cares very much about the welfare and treatment of the stray cats in Singapore" I said. I asked whether this friend is using social networking to help find homes for stray cats. She would find out.
How does social networking help rescue cats? According to the writer Janiss Garza, these are the ways:
1. Facebook, Blogs, Twitter and You-tube reach more people than an ordinary website to raise awareness, do fundraising for medical treatment and food etc and find homes for the rescued cats.
2. Must update content and give follow-up of what has happened to the cats.
3. Facebook.com. Use "fan" pages and groups as an additional help to the main website. It has many applications to enhance experience of current andpotential supporters and volunteers. E.g. of a facebook group is http://co.siameserescue.org
E.g greatlakesbengalrescue.com received donations and one adoption because one of the volunteers has a blog and twitter account
4. www.blackcatrescue.com marketer, S. McDuffee has the following suggestions:
4.1. Your blog is part of a subdomain of your own website e.g. blog.blackcatrescue.com instead of using blogger.com or wordpress. Search engines love blogs and blogs may drive more traffic to your website
4.2 Connect with blogs for other rescues and interact.
4.3 "Create a page" link in facebook to set up a page on Facebook for your breed rescue that has no website.
4.4 Facebook fan pages are better than groups as they inspire dialogue between the rescue and its fans. The page's status updates will appear on the Facebook newsfeed of any befriender.
4.5 Integrate all together the blog posts, twitter blasts nto your facebook page. For your blog, do a search on facebook for "Blog RSS Feed Reader" to find the application to enable this for your blog and either the "Twitter" application or "selective Twitter" application to add Tweets to your rescue page. Add YouTube account for videos.Photos on Flickr.com.
Use a flip video camera. cheap and easy to use.
5. All these aim to get more cats adopted.
Terms
1. facebook.com
2. The wall: Known as "newsfeed". Where updates are posted.
3. Status update: Known as "What's on your mind".
4. Fan page: A regular facebook profile set up by you.
5. Twitter: micro-blog
6. Tweet: a twitter post
7. Application or app.: software to add to your facebook profile or page to make it more interactive.
8. RSS feed: automatic syndication posting to you blog or twitter, facebook or facebook fan page.
9. URL shorteners for long URL or link. e.g. it.ly and tinyurl
Cats USA 2101 Annual Volume 17
Today, I met a National Library Board officer at the Toa Payoh Public Library. She does not like cats personally. However she spoke to me about her friend who pays money to caregivers to feed the stray cats and had adopted 4 strays. "She is a stray cat militant!" the single lady in her late 30s who loves to read Newsweek and Times magazine told me. "Actually, she is a stray cat activist who cares very much about the welfare and treatment of the stray cats in Singapore" I said. I asked whether this friend is using social networking to help find homes for stray cats. She would find out.
How does social networking help rescue cats? According to the writer Janiss Garza, these are the ways:
1. Facebook, Blogs, Twitter and You-tube reach more people than an ordinary website to raise awareness, do fundraising for medical treatment and food etc and find homes for the rescued cats.
2. Must update content and give follow-up of what has happened to the cats.
3. Facebook.com. Use "fan" pages and groups as an additional help to the main website. It has many applications to enhance experience of current andpotential supporters and volunteers. E.g. of a facebook group is http://co.siameserescue.org
E.g greatlakesbengalrescue.com received donations and one adoption because one of the volunteers has a blog and twitter account
4. www.blackcatrescue.com marketer, S. McDuffee has the following suggestions:
4.1. Your blog is part of a subdomain of your own website e.g. blog.blackcatrescue.com instead of using blogger.com or wordpress. Search engines love blogs and blogs may drive more traffic to your website
4.2 Connect with blogs for other rescues and interact.
4.3 "Create a page" link in facebook to set up a page on Facebook for your breed rescue that has no website.
4.4 Facebook fan pages are better than groups as they inspire dialogue between the rescue and its fans. The page's status updates will appear on the Facebook newsfeed of any befriender.
4.5 Integrate all together the blog posts, twitter blasts nto your facebook page. For your blog, do a search on facebook for "Blog RSS Feed Reader" to find the application to enable this for your blog and either the "Twitter" application or "selective Twitter" application to add Tweets to your rescue page. Add YouTube account for videos.Photos on Flickr.com.
Use a flip video camera. cheap and easy to use.
5. All these aim to get more cats adopted.
Terms
1. facebook.com
2. The wall: Known as "newsfeed". Where updates are posted.
3. Status update: Known as "What's on your mind".
4. Fan page: A regular facebook profile set up by you.
5. Twitter: micro-blog
6. Tweet: a twitter post
7. Application or app.: software to add to your facebook profile or page to make it more interactive.
8. RSS feed: automatic syndication posting to you blog or twitter, facebook or facebook fan page.
9. URL shorteners for long URL or link. e.g. it.ly and tinyurl
Sunday, August 15, 2010
Generalised ringworm - thin husky
Sometimes a thin dog takes a longer time to recover.
"My Husky has been itchy >2 months. He scratches. He bites his tail. Have you got an e-collar for him?"
"E-collar is no use if you don't solve his skin problem."
"Groomer had clipped him bald. I believe the groomer's equipment is dirty. My vet said ringworm and gave me one big white tablet a day for my dog for 3 weeks."
"What's the name of the tablet?"
"I don't know," the marketing man was as slim as his Huskie.
"Did you follow up with your vet?"
"No, he did not ask me to come back after one month."
Microscopic exam of hairs. - ringworm
Anal sac full of thick grey oil when Mr Saw expressed the gland. "What is anal gland?" I explained to him that the infected gland caused his dog to bite his tail and rub backside on the floor. "Sometimes I see blood on the floor," the man in his 40s said to m.
1. Clipped bald including the head.
2. Irrigate ears.
3. Review in 1 month's time unless he is happy with skin.
"My Husky has been itchy >2 months. He scratches. He bites his tail. Have you got an e-collar for him?"
"E-collar is no use if you don't solve his skin problem."
"Groomer had clipped him bald. I believe the groomer's equipment is dirty. My vet said ringworm and gave me one big white tablet a day for my dog for 3 weeks."
"What's the name of the tablet?"
"I don't know," the marketing man was as slim as his Huskie.
"Did you follow up with your vet?"
"No, he did not ask me to come back after one month."
Microscopic exam of hairs. - ringworm
Anal sac full of thick grey oil when Mr Saw expressed the gland. "What is anal gland?" I explained to him that the infected gland caused his dog to bite his tail and rub backside on the floor. "Sometimes I see blood on the floor," the man in his 40s said to m.
1. Clipped bald including the head.
2. Irrigate ears.
3. Review in 1 month's time unless he is happy with skin.
eyeball prolapse 10-year-old shih tzu
Sunday:
Shih Tzu, Female, 10 years, 7 kg
27.7.10 eyeball prolapse with extensive corneal ulcerations
Lateral canthotomy, eyelids stitched. Eyeball was pushed back.
Owner wanted to take home immediately despite advice.
At home, the dog could rub eye against cushion corners etc even though she wore an e-collar. Came back on Day 3 with all stitches loose. Re-stitch on 4.8.10.
Came back on 13.8.10. Eye all red. Dog bites. Warded 2 days til 15.8.10 (Sunday).
Corneal vascularisation seen at edge. Photo taken on 15.8.10. Eyeball no longer prolapsed but corneal ulcerations still not fully healed as this is an old dog. Need to explain to the young lady that old dogs, like old people, takes a very long time to recover from wounds. More than 4 weeks in many cases.
Owner advised that healing will take >4 weeks as the dog is old. In young dogs, healing will take <2 weeks normally. Owner will clip ear hairs as they irritate the eyeball (when enclosed inside the e-collar) in my observations. Since dog bites, it will be better if the gentle lady owner does her own clipping. She has a grooming set.
Continue treatment at home. Meloxicalm 0.5 ml/day oral as pain-killer. It will be difficult to review due to economic reasons.
Shih Tzu, Female, 10 years, 7 kg
27.7.10 eyeball prolapse with extensive corneal ulcerations
Lateral canthotomy, eyelids stitched. Eyeball was pushed back.
Owner wanted to take home immediately despite advice.
At home, the dog could rub eye against cushion corners etc even though she wore an e-collar. Came back on Day 3 with all stitches loose. Re-stitch on 4.8.10.
Came back on 13.8.10. Eye all red. Dog bites. Warded 2 days til 15.8.10 (Sunday).
Corneal vascularisation seen at edge. Photo taken on 15.8.10. Eyeball no longer prolapsed but corneal ulcerations still not fully healed as this is an old dog. Need to explain to the young lady that old dogs, like old people, takes a very long time to recover from wounds. More than 4 weeks in many cases.
Owner advised that healing will take >4 weeks as the dog is old. In young dogs, healing will take <2 weeks normally. Owner will clip ear hairs as they irritate the eyeball (when enclosed inside the e-collar) in my observations. Since dog bites, it will be better if the gentle lady owner does her own clipping. She has a grooming set.
Continue treatment at home. Meloxicalm 0.5 ml/day oral as pain-killer. It will be difficult to review due to economic reasons.
16l. Sunday Case: Male dog with testicular tumour - seminoma.
14 days after neuter, the dog came for stitch removal. Lab report: Malignant tumour comptaible with a seminoma. W
Subscribe to:
Posts (Atom)