Pet health and care advices for pet owners and vet students, photography tips, travel stories, advices for young people
Wednesday, June 26, 2013
1481. Cancerous ear tumour spreading to the face - facial nerve injury
In this surgery, the facial nerve may be cut as the tumour from the ear canal or a separate tumour had spread to the face, near the right eye (see lowermost arrow). The dog cannot close his right eye when he sleeps and the owner has to apply eye drops 3x/day to prevent eye drying. There is no way to avoid the facial nerve as the facial tumour is on top of this nerve.
No histopathology was done to lower medical costs but I believe the tumours to be cancerous as they exploded in size and grew very fast in the last 2 months.
IMAGE OF POST-OPERATION EAR
The facial tumour had been excised. Its size was more than a 50-cent coin, more than 4 cm x 6 cm. The skin had been closed over the big hole. The ear canal had been opened up on the side, showing the horizontal canal opening. The whole ear tumour could not be removed 100% but at least, there is ventilation for the horizontal canal which had trapped pus and blood for many months as the ear canal tumour expanded and hardened to obliterate the space and stop ventilation.
As at Jan 26, 2013, 3rd day after the surgery, the owner reported that the dog started eating on her own and the operation area was "smelly." and bleeding. I advised her to use syringe + warm water + antiseptic to irrigate the ear wound rather than swabbing it.
I hope this op gives the dog relief from intense pain.
1480. Update on 14-year-old Maltese X dog with ear tumours
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1479. Update on Ascites dog - Abdominal exudate report from the lab
Jun 1, 2013
Jack Russell, M, 6 years
1. Abdominal distension 1-2 weeks. Active, no blood in urine, no dyspnoea, pulse weak. 38.5 C, cyanotic mucous membranes. Losing weight in last 1-2 months.
Appearance: Red & turbid
White blood cells 0.16 10 power of 9/L(<0 .15="" br="">Red blood cells present
Glucose 112 (glucose 10mg/dL lower then blood level
Protein 4.3 (g/dL (1-3)
Crystals Nil
Reference ranges applicable to synovial fluid only
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Microbiological exam - No bacterial growth0>
Cytology - Atypical epithelias cells
Few small round clusters of atypical epithelial cells. Hyperchromatic ovoid nuclei and abundant cytoplasm. Background has abundant blood, scattered lymphoplasmcytic infiltrate and reactive mesothelial cells.
Features are worrisome for an adenocarcinoma. To correlate with clinical features.
2. Blood test
Total protein 62 (62-85)
SGPT/ALT 90 (<59 p="">SGOT/AST 71 (<81 br="">)81>59>
Kidney Profile
Sodium 140 (141-152)
Potassium 5.5 (4.4 - 5.7)
Urea 4.7 (4.2-6.3)
Creatinine 41 (89-177)
Haematology normal except
Platelets 605 (200-500)
URINE TEST
pH 6.5 SG 1.032 Protein +, Blood 4+
White blood cells 25, Red blood cells 513, Epithelial cells 45, Bacteria 2+. No crystals.
X ray and ultrasound not done at this time.
UPDATE on Jun 19, 2013
No abdominal distension.
Eating and drinking. Bone protruding out, now skinny, can see ribs and backbones. But stomach not bloated. Running about. Superactive. Jumps onto owner when he is home.
Is this a case of abdominal neoplasia? For economic reasons, no further consultation or tests are done but the owner will give the following:
Azathioprine 50mgx 10 tab (1/4 sid) for 40 days and review
Pred 5 mg x 5 (1/4 sid)
h/d dry food.
Azathioprine impairs lymphocyte proliferation and rapidly dividing cells. As to the actual cause of ascites, it is hard to confirm without more tests.
Jack Russell, M, 6 years
1. Abdominal distension 1-2 weeks. Active, no blood in urine, no dyspnoea, pulse weak. 38.5 C, cyanotic mucous membranes. Losing weight in last 1-2 months.
Appearance: Red & turbid
White blood cells 0.16 10 power of 9/L(<0 .15="" br="">Red blood cells present
Glucose 112 (glucose 10mg/dL lower then blood level
Protein 4.3 (g/dL (1-3)
Crystals Nil
Reference ranges applicable to synovial fluid only
------------------------------------------------------------------------
Microbiological exam - No bacterial growth0>
Cytology - Atypical epithelias cells
Few small round clusters of atypical epithelial cells. Hyperchromatic ovoid nuclei and abundant cytoplasm. Background has abundant blood, scattered lymphoplasmcytic infiltrate and reactive mesothelial cells.
Features are worrisome for an adenocarcinoma. To correlate with clinical features.
2. Blood test
Total protein 62 (62-85)
SGPT/ALT 90 (<59 p="">SGOT/AST 71 (<81 br="">)81>59>
Kidney Profile
Sodium 140 (141-152)
Potassium 5.5 (4.4 - 5.7)
Urea 4.7 (4.2-6.3)
Creatinine 41 (89-177)
Haematology normal except
Platelets 605 (200-500)
URINE TEST
pH 6.5 SG 1.032 Protein +, Blood 4+
White blood cells 25, Red blood cells 513, Epithelial cells 45, Bacteria 2+. No crystals.
X ray and ultrasound not done at this time.
UPDATE on Jun 19, 2013
No abdominal distension.
Eating and drinking. Bone protruding out, now skinny, can see ribs and backbones. But stomach not bloated. Running about. Superactive. Jumps onto owner when he is home.
Is this a case of abdominal neoplasia? For economic reasons, no further consultation or tests are done but the owner will give the following:
Azathioprine 50mgx 10 tab (1/4 sid) for 40 days and review
Pred 5 mg x 5 (1/4 sid)
h/d dry food.
Azathioprine impairs lymphocyte proliferation and rapidly dividing cells. As to the actual cause of ascites, it is hard to confirm without more tests.
1478. Judgment Day for a Jack Rusell X
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1481. Haze in Singapore
The last week of June 2013 had serious air pollutant problems. A mad rush to buy masks resulted in out of stock pharmacies for some time 2 days ago. Now, there is plenty of N95 masks for sale.
In very rare occasions, a picture at a traffic light junction produce interesting images of the life-style of people. I happen to have a camera and the image appears to be interesting in contrasts, in my opinion. The "Lone Ranger" movie will be coming soon. But this is a masked young lady in Singapore
In very rare occasions, a picture at a traffic light junction produce interesting images of the life-style of people. I happen to have a camera and the image appears to be interesting in contrasts, in my opinion. The "Lone Ranger" movie will be coming soon. But this is a masked young lady in Singapore
1480. De-ticking a dog at Toa Payoh Vets
De-ticking several thousands of ticks in a dog at Toa Payoh Vets takes a long time as it involves:
1. Clipping of the coat
2. Bathing the dog with an anti-tick bath
3. After the coat is dry, each tick is manually pulled out and this process takes over 2 hours or more in this Border Collie with several thousands of ticks embedded in his body.
Sedation was needed in this gentle Border Collie as we could not clip his face which was painful and flooded with ticks.
Total cost could range from $150 - $250 depending on severity of tick infestations.
It is best to advise that the dog should be checked for tick fever and other infections and that the home environment including towels, beds and rooms be rid of ticks.
Dengue fever has caused 3 deaths in Singapore recently. The hazy days are due to the burning of forests in Riau, Sumatra. Yesterday, Jun 25, 2013, there were hailstones - a freak occurrence in the tropics. However, today Wednesday, 10 am, the skies are grey and hazy again. Yet very few Singaporeans bother to wear the N95 face masks recently since there was blue skies on last Saturday and Sunday.
1. Clipping of the coat
2. Bathing the dog with an anti-tick bath
3. After the coat is dry, each tick is manually pulled out and this process takes over 2 hours or more in this Border Collie with several thousands of ticks embedded in his body.
Sedation was needed in this gentle Border Collie as we could not clip his face which was painful and flooded with ticks.
Total cost could range from $150 - $250 depending on severity of tick infestations.
It is best to advise that the dog should be checked for tick fever and other infections and that the home environment including towels, beds and rooms be rid of ticks.
Dengue fever has caused 3 deaths in Singapore recently. The hazy days are due to the burning of forests in Riau, Sumatra. Yesterday, Jun 25, 2013, there were hailstones - a freak occurrence in the tropics. However, today Wednesday, 10 am, the skies are grey and hazy again. Yet very few Singaporeans bother to wear the N95 face masks recently since there was blue skies on last Saturday and Sunday.
1479. Rental of Singapore apartments and number of dogs permitted
On Thu, Jun 20, 2013 at 9:26 AM, Brigit Polanec
> Hi Judy, I'm wondering if you can give me a little guidance. I am from Sydney and am looking for work in Singapore. I'd like to come over (as a single) and bring my two miniature dachshunds. Do you think this would be possible? If so, how much can I expect to pay for a rental with my dogs? I'm not in the luxury market.
>
> Regards
>
> Brigit P
> 0408 2XXXX
> ...@bigpond.com
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If the Landlord permits, the Singapore government regulation is a maximum of 3 dogs/private condo or house and 1 dog/HDB apartment. Therefore rental payment is NOT an additional cost of rental provided the Landlord permits dogs. Pl let me know if you need the rental apartment and Realtor Elson of www.asiahomes.com will show you the places to rent.
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