1311. Lyme Disease in a Golden Retriever with shifting leg lameness

Jan 21, 2014

I phoned the owner today. The left hind limb is back to normal but the right hind limb is swollen.
Shifting leg lameness is a characteristic of Lyme Disease in the dog.

UPDATE ON FEB 16, 2014

The owner phoned to say that the dog has recovered and is no longer having back limb swellings since 2 weeks ago. She asked if the medicaion of vibravet and anti-inflammatory and k/d diet need to be continued. I advised a blood test as soon as possible and to maintain on the k/d diet for around 3 months. Without a blood test, it is hard to advise properly.  

Owner did not return for a check up as the dog was back to normal self.

Note: Blood test for Lyme Disease - Chole to include this info in new video.

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Lyme Disease.
July 10, 2020. 

Chole. To do research. Edit the 10 videos below. Add more info. Create a Final Video worth viewing (more info abt signs symptoms diagnosis treatment prevention).


https://youtu.be/2gAoYA1yQh0               

https://youtu.be/gK_J4aWM9mc               

https://youtu.be/vYjYze5Qvfc

https://youtu.be/cVpNa8030QA               

https://youtu.be/-8L3GLh5Jt0               

https://youtu.be/da64ZSHNzY8               

https://youtu.be/7tq84vC9f8Q               

https://youtu.be/Vonz9hkopX4               

https://youtu.be/bxcOtbxtRRA               

https://youtu.be/_btqDE4SkSo               

1310. How your old dog can live longer? Bradycardia and mouth pawing (2 cases)

Jan 21, 2014

Case 1. 17-year-old Jack Russel goes home today. He could stand up and had eaten most of the canned food for the past 2 days. I advised going home as very old dogs are better with family at home so as to spend time with family. This is an unusual case of bradycardia. Financial considerations mean no ECG or any tests to be done to practise evidence-based medicine.

Jan 17, 2014. Emergency clinic. 8.30pm. Can't stand, fainting, drooling. Vet said glucose at 3.4 ml was normal. Owner did not want blood test at all. Heart rate was very "slow" at 40/minute.

Jan 18, 2014. Toa Payoh Vets. Dog was recumbent, 4.8 kg, 38.2C. Owner said blood test was done 1.5 years ago and was OK. Did not want blood test. "Has he any fits recently?" I asked. "Yes, a few days ago."

Treated with IV drips, heart disease medication and antibiotics. Dog able to stand, eat and went home. I strongly advised dental extraction of the rotten canine with exposed roots and other rotten teeth. "The bacteria inside the rotten teeth will return and the toxins damage the heart and lower the immune system."

Such advices may fall on death ears as the dog was 17 years old and the baby-boomer generation owner probably does not to incur more medical costs. This old dog was really old and had the decayed teeth been extracted, would have been in a better health. Fits could be caused by an extremely painful mouth and the dog would not eat if he was toxic. No blood test was permitted and so the health status of the blood, kidneys and liver cannot be known.

Case 2. At least 10 years old. The complaint was lameness in front paws. Swelling of lower paws and dampness due to paw licking.

The Doberman Pinscher strongly objected to me opening his mouth for examination. Few teeth remains. Once I managed to open, he pawed his mouth so vigorously and bad breath filled the room. My intern videoed this behaviour.

"It is not a lameness problem although it appears to be so," I said to the owners. The dog has terrible tooth ache and uses his front paws to try to relieve his pain by rubbing and rubbing. Dental extraction will cure this problem."

The old dog was not particularly lame and was limping now and then. His back paw pads were dry and scaly but the front were wet and swollen due to licking or mouthing. Dental clean up will enable him to live a much better quality of life.

"No more bad breath after your dental work ?" the two senior citizens ask me.
"No more," I guaranteed.
"Any discount?" the senior citizen asked. "The package of $300 is low," I explained. "There is general anaesthesia and dental extraction to be done and the cost is usually more."

I gave an antibiotic injection 24 hours before dental work. At 20th hour, I examined the dog. Her mouth was not so painful as she permitted me to open the mouth without getting worried as you compare the video below with the one above (before baytril antibiotic injection).

Audit - TP 17053. Bladder stone surgery outcome

TP 17053. Old client of Dr Sing Kong Yuen since 2005. From Woodlands, Singapore.

White Miniature Schnauzer, F, 6 years. 10kg, 39.3C.
Abandoned but adopted by kind lady in Woodlands.
Appetite good, no vomiting or diarrhoea, incontinent.
Dr Daniel palpated bladder stones on Jan 7, 2014.  Dental scaling done. Bladder stone removal 7 days later.

Blood test  Jan 7, 2014
Total cholesterol  8.03  (3.0 - 6.6)
Triglycerides  0.97 (0.3 - 3.3)

SGPT/ALT 285 (<186 p="">Total white cell count  23.9 (4-15.5)
Neutrophils 97% (60-70%)
Neutrophils Absolute 23.18 (3-11.5)



Urine test  Jan 8, 2014
pH 7, SG 1.008, Protein 2+, Blood 4+, Bacteria +, Crystals Nil


X-rays  2 large brownish yellow bladder stones. Looks very much like struvites in shape and colour

Jan 16, 2014.
Cystotomy. Dr Daniel Sing. Stone analysis being done.
 
Videoed by Intern Clara. Too gory as bladder was extremely red. .
Domitor 0.28 ml + Ketamine 0.35 ml IV & top up with isoflurane
Isoflurane gas+O2 (C-B)  39 minutes
Trimaxazole & rimadyrl oral

Educational video to be produced by intern.


FOLLOW UP
Jan 21, 2014
The lady owner returned my call at 6.30 pm.
"Everything is OK," she said. "Eat, drink, pee and poop". No more urinary incontinence!"
I advised cleaning of the wound as she had not done so.

Raw footage of my videos.  Intern to edit

1308. Chinatown in 2014

 

1307. The dwarf hamster has two itchy warty ears

http://youtu.be/7SneupKcX-4

1306. Was the Schnauzer abandoned because of blood in the urine?

http://youtu.be/a46ln542mhI

Part 2 shows the dog recovering very well 2 hours after surgery by Dr Daniel
http://youtu.be/LnAQ4dNZpyY

 

 

 

 

 

 

 

 

 

 

 

 

1305. A young terrapin has 2 ear abscesses.

http://youtu.be/fj_eBwMGtns

A young terrapin had two ear abscesses. Anaesthesia is required to lance the abscesses and drain away the pus. Without anaesthesia, the terrapin will just withdraw his head inside his shell and nothing can be done. Some do bite in self defence. Clean water is important to prevent ear infections.
As at 14 days after surgery, no news from the owner mean no problem after surgery.
.