1409. Intern to produce Video for Myanmar Vet Univ: Spaying a cat - 3-haemostat method by Dr Sing Kong Yuen

Saturday Jul 11, 2014

A Malay family from Chua Chu Kang brought in the 3rd female cat for spay. A beautiful white and grey cat, 1.5 years old. They don't want any vaccination.

I got an educational video made by my assistant Naing for vet students, showing how I spay this cat using the 3-haemostat method. The cat was on heat as you can see enlarged ovarian blood vessels. Incision is around 2 cm from the umbilical scar.

3.8 kg cat. Xylazine + Ketamine 0.2 + 0.8 ml IM.
First skin incision to skin stitched was 25 minutes.
Injection of induction drugs to skin stitched  49 minutes.

Spaying a caterwauling cat requires extra care and takes a  longer time.


Intern
Produce a "How to" spay a cat teaching video for a proposed Myanmar Vet University lecture

GUIDELINES
PROCESSES by Dr Sing Kong Yuen

1. History. EDUS (Eat, Drink,Urine, Stools). Vaccination or not. Caterwauling? 
2. Physical examination. Body weight, Rectal Temperature, Pulse Rate, Respiratory Rate.
3. Injectable anaesthetic. Xylazine + Ketamine IM
4. Clip abdominal hairs
5. Prepare clipped area for surgery

Each vet has his or her own way. 
6. Incise 1.5 cm from umbilical scar
7. Skin incision 1.5 cm
8. Cut away fatty tissue
9. Cut linea alba
10. Spay hook to the right
11. Hook out left ovary
12. Place ligature under lowest forceps
12. Remove lowesst forceps and tighten ligature in the grooved tissues.


ILLUSTRATION 3-FORCEP METHOD.
co-related to actual video clip.

STUMP PYOMETRA IN A YANGON CAT
GIVEN CONTRACEPTIVE DEPO-M OR CONTRACEP

CAT'S STUMP PYOMETRA REMOVED BY DR AUNG OF ROYAL ASIA VETERINARY SURGERY

YANGON CAT DEVELOPS PYOMETRA AFTER DOSES OF MEDO-M OR CONTRACEP FOR SOME WEEKS.  THE CULTURE IN THE PAST IS THAT OWNERS DO NOT WANT TO SPAY THEIR CATS BUT PREFER CONTRACEPTIVE INJECTIONS EVERY 3 MONTHS.

THE CAT GIVEN DEPO-M DEVELOPS PYOMETRA AS IN THIS YANGON CAT



ACCURACY AND COMPLETENESS IN A SPAY SURGERY MEANS COMPLETE REMOVAL OF THE OVARIAN TISSUES.  NOT LEAVING AN OVARY INSIDE THE ABDOMEN OR OVARIAN REMNANTS INSIDE AFTER SPAY.  



 

 

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1408. Myanmar Travel: 13 monks crossing the river

From July 3 to July 7, 2014, I was in Yangon presenting two talks to the Myanmar Veterinary Association members. I stayed 3 nights in the Royal Golden View Hotel, North Dagon. This hotel has a beautiful view of the Ngamoeyeik Creek from the roof top.

Around 8 am, I saw monks crossing the river on a Sunday and Monday. I took images of one such scene.

The 3rd image reminds me of "Eight Immortals Crossing The River" in Chinese mythology. Are there 13 monks crossing the creek?

Construction workers come early at around 8 am to start work on building a retaining wall to prevent overflow of water from the Ngamoeyeik Creek into the grounds of the Royal Golden View Hotel.

For video: Maltese haematuria, Poodle has left hip and medial patellar luxation

July 10, 2014


CASE 1.

A young female spayed Maltese passed blood in the urine. The owner was worried about bladder stones.
What is the cause of haematuria?


Vulval examination. No vaginal discharge but the vulval lips were red and slightly swollen.

Urinalysis and Survey Radiography are done. X-rays did not show radio-dense urinary stones in the kidneys or bladder. However, the dog did not poop and so the faeces hide any stones to be seen in the bladder. The dog had peed before X-ray at around 9.30 am and so the bladder is empty. There appears to be a "radio-dense" stone in the bladder area but it could be a small radio-dense bladder stone.

On urinalysis, triple phosphate crystals 2+ were present and probably the one seen on the X-ray (arrow). The owner is advised to use an acidifying diet to dissolve the crystals. Urinalysis after one month. and X-ray on 3rd month is advised. 

CASE 2.
A 7-year-old male poodle had been having a stiff straightened left hind leg since adoption 3 years ago. "It is medial patellar luxation," I explained that this condition sometimes resolve after the dog is able to bend his left knee after some time. But yesterday, the dog whined in pain. "Left hip subluxation," I showed the X-ray to the owner. "Has he been jumping up and down the sofa?"
"No more jumping nowadays," the owner said.
"How about running up and down steps?" I presumed he lived in a maisonette where there are steps up and down the rooms.
"Yes," the gentlemen said.
"So he must have had slipped on his weak left hind and dislocated his left hip. That is why it is so painful!"

You can compare, in the X-rays,  the normal non-luxated patellas of the Maltese in Case 1. In the Maltese, both normal patellas are in front of the knee. In this poodle, only the right knee has a normal positioned right patella. 

1406. What You Need to Know About CPV (Canine Parvovirus)

Case study: The Singapore home-breeder does not believe in vaccinating her puppies.This female puppy was 8 months old but had not been vaccinated. She was lethargic around 7 days after being boarded in a pet shop before transfer to the new owners. Two days later, she passed blood in her stools. Abdominal palpation showed a lot of gas inside the intestines.||

The owner did not want a blood test. X-rays were done to check for any foreign bodies such as bones or pebbles inside her stomach and intestines. X-rays showed generalised ileus (gas all over the intestines). A parvoviral antigen test showed positive infection for canine parvovirus.

IMAGES OF X-RAY
Check for foreign bodies but there were none. Gneralised ileus.  Gas forms from the stomach to the large intestines. I could feel the gas inside the intestines.

Supportive I/V drip was given. The couple was given a frank opinion that the unvaccinated dog has very low chance of survival. After 2 days of supportive treatment, the dog vomited all water and passed more bloody stools.

The couple sadly decided to stop further suffering by requesting euthanasia.  This dog could have lived if the home-breeder bothered to vaccinate her. The couple informed her and she said she had not boarded the dog in the pet shop. She seemed to know about the possibility of parvoviral infection when the couple told her earlier that the dog had become ill. She denied the dog was ever boarded in a pet shop which is one of the places where parvoviruses are present. Grooming shops, dog runs and veterinary clinics are other places where such viruses may be present. 

Always vaccinate your puppy. Vaccination saves lives.

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The following images are NOT to be used for video production.

OTHER IMAGES

1405. A guinea pig has pus in his left nostril

Jul 10, 2014


The guinea pig was not eating for a few days and was not active.
"Your guinea pig has thick yellow pus in his nose," I showed the lady owner. "He would be having a Upper Respiratory Tract Infection. So, he does not want to eat as he is not feeling well."

I hospitalized him for 3 days and gave him injections of Baytril and dextrose saline SC for 3 days.  On the 2nd day, his left nasal discharge changed to blackish in colour. Then today, on the 3rd day, the discharge was light yellow and he was more active.

He had been syringe fed Fiberplex and electrolytes for the last 2 days and he passed out some stools. He needs nursing at home and be given antibiotics and food 3 X/day in small amounts.

Dirty ears, infected eyelids, long toe nails and smegma in prepuce means that he had never been groomed. Sometimes rabbits get such respiratory infections too. Maybe the cage hygiene or the food quality is poor.

It is hard to say what is the cause of the infection. The pellets and hay look great.  One of my friends went to Yangon and stayed in a 5-star hotel. All 8 Singaporeans got vomiting and diarrhea eating good food of lamb, fish, chicken and vegetables. So, it is much the hygiene even in 5-star hotels.  

"I better get the other guinea pig groomed," the lady had the impression that no groomers in Singapore groom guinea pigs. I introduced Agnes of Pet Gantry to her.

VIDEO.    

1404. Video script. Poodle has left hip subluxation

July 10, 2014

Case TP 43889

HOOK
7-year-old male poodle whines and can't stand on the left hind leg since last night. What's the problem?

BE KIND TO PETS


On Thursday, July 10, 2014, two young men brought in the poodle with a painful left hip area. He would not eat or drink.

1.  SYSTEMATIC EXAMINATION OF LEFT LEG started from the toe. This involves Extension, Flexion, Abduction and Adduction of the joints. (VIDEO)



1.1. Joint manipulation.  Very painful hip area (Dog cries - video).   See X-rays

1.2 Hips extension and comparison.   The dog's hips were extended to see whether the left limb is shorter or longer than the normal right limb. (VIDEO)

2.  Check for anterior cruciate ligament rupture. Nil as the lower tibia did not slide backwards. No pain on manipulation.

3.  Check for patellar luxation. Left hind has medial patellar luxation by feeling patellar medially when the left knee is extended.  See X-ray of Left knee too.

2. IMAGING.
Radiography
                     Subluxation of the left hip joint. Right hip (R) is normal.
                      VIDEO OF X-RAY ROOM and POSITIONING OF DOG FOR DEMONSTRATION ONLY. DOG HAD BEEN X-RAYED.



DIAGNOSIS
Left hip subluxation.



TREATMENT
1. I manipulated the femoral head into the hip joint.
2. Confined rest for 3 months. No more walking down steps of the staircase of the maisonette.
2. Surgery - femoral head excision if still painful. Very good results. Costs from $600.

A guinea pig has left nostril discharge of pus

July 8, 2014

First day at work after presentation at Myanmar Veterinary Association Seminar on July 5, 2014 in Yangon. First case of Fluffy, Male, 3 years. He was caged alone as Muffin (now castrated) had bitten his nose in Sep 2011 when crated together. 

"Fluffy is not eating and moving," the lady owner said.
"Did he stop eating suddenly?" I checked the front teeth and put my finger into the mouth to feel for molar spurs. The teeth were normal.
"There is pus coming out from the left nostril," I showed the lady by pressing the nostril. "In addition, the eyes are crusted with tears."

The guinea pig was given antibiotics and dextrose saline and warded for daily treatment.
(VIDEO).