Sep 4, 2015
I expect good news after removal of bladder stones and urethral stones in this male cat 2 months ago. I did a follow up phone call on Sep 2. The owner said that the cat started having dysuria (difficulty in urination) again.
"Why?" she had given the cat the feline C/D diet only.
"I need to do a urine test and possibly X-rays again," I replied. She was not free to bring the cat till Sep 4, 2015. This cat had kidney disease evidenced by blood test. He had a badly obstructed bladder and had needed catheterisation of the bladder as the urethra was obstructed by 3 stones. The urethral stones were flushed back into the bladder which also had stones. All stones were removed by surgery and the cat was OK for the past 2 months.
"Has the male cat been separated from the other two female cats?" I asked. "In case, he eats the different type of dry food given to the female cats."
"He is fed in his crate and does not share the food as the female cats are crated on their own."
X-rays will be necessary to ensure there are no new bladder or urethral stones.
Wednesday, September 2, 2015
2982. A Napolean X kitten has ringworm infecting the owner
Sep 1, 2015
This grey 3-month-old male Napolean kitten had a thick grey coat, wide-open yellow curious eyes and short legs came today as the owner had requested removal of the claws.
"There is a black spot on the back," I said. "That looks like an ex-ringworm area with new hairs grown. New hairs are usually darker and in this case black."
"Can ringworm affect people?" the lady showed me her right forearm. The skin had a dark red ring of 1 cm across, in the right side of a broad band of brownish skin around 12 cm X 10 cm across the forearm.
The lady had consulted her general practitioner who prescribed a cream.
"The cream had caused a big band of rash. The dark red spot is the ringworm."
"My doctor did not know it was ringworm," she would show me the cream later.
"Ringworm from the infected cat can spread to the skin of people. It is rare in people in Singapore," I replied. "Therefore, some doctors do not diagnose it."
With appropriate anti-ringworm cream directly onto the red spot, the cure will be effective within 10 days. In this case, the cream would probably be an antiseptic cream causing allergy as well.
"I can feel some lumps under the coat," the lady showed me a small crusty skin area. The cat had as thick a coat as a lamb and no hair loss. There were no bald spots as in other cats or dogs with generalised ringworm. So, I was undecided as to whether to get this kitten clipped bald to expose the ringworm spots.
"Since you have contacted ringworm," I said. "It is best to clip off all the contaminated hairs of the kitten. It will be much easier to treat. Clipping also remove most of the infected hairs."
The lady agreed. Surprisingly, under the lush coat, multiple rings of ringworm were present. This kitten had the early stages of ringworm and the circles were red, circled by white skin flakes.
Medication, oral and onto the skin were prescribed. The kitten's brushes, towels and bedding must be cleaned. The kitten had roamed the whole house and so there will be fungal spores al lover the house.
Never judge a ringworm kitten by its coat. The thick coat and no obvious hair loss or bald spots fooled the owner in thinking that the kitten had minor skin abrasions or injury supreficially. A misdiagnosis will be done if the kitten is sent home without anti-ringworm treatment. In this case, the lady owner provided the clue in her forearm.
VIDEO
This grey 3-month-old male Napolean kitten had a thick grey coat, wide-open yellow curious eyes and short legs came today as the owner had requested removal of the claws.
"There is a black spot on the back," I said. "That looks like an ex-ringworm area with new hairs grown. New hairs are usually darker and in this case black."
"Can ringworm affect people?" the lady showed me her right forearm. The skin had a dark red ring of 1 cm across, in the right side of a broad band of brownish skin around 12 cm X 10 cm across the forearm.
The lady had consulted her general practitioner who prescribed a cream.
"The cream had caused a big band of rash. The dark red spot is the ringworm."
"My doctor did not know it was ringworm," she would show me the cream later.
"Ringworm from the infected cat can spread to the skin of people. It is rare in people in Singapore," I replied. "Therefore, some doctors do not diagnose it."
With appropriate anti-ringworm cream directly onto the red spot, the cure will be effective within 10 days. In this case, the cream would probably be an antiseptic cream causing allergy as well.
"I can feel some lumps under the coat," the lady showed me a small crusty skin area. The cat had as thick a coat as a lamb and no hair loss. There were no bald spots as in other cats or dogs with generalised ringworm. So, I was undecided as to whether to get this kitten clipped bald to expose the ringworm spots.
"Since you have contacted ringworm," I said. "It is best to clip off all the contaminated hairs of the kitten. It will be much easier to treat. Clipping also remove most of the infected hairs."
The lady agreed. Surprisingly, under the lush coat, multiple rings of ringworm were present. This kitten had the early stages of ringworm and the circles were red, circled by white skin flakes.
Medication, oral and onto the skin were prescribed. The kitten's brushes, towels and bedding must be cleaned. The kitten had roamed the whole house and so there will be fungal spores al lover the house.
Never judge a ringworm kitten by its coat. The thick coat and no obvious hair loss or bald spots fooled the owner in thinking that the kitten had minor skin abrasions or injury supreficially. A misdiagnosis will be done if the kitten is sent home without anti-ringworm treatment. In this case, the lady owner provided the clue in her forearm.
VIDEO
Tuesday, September 1, 2015
2981. An 8-year-old Silkie has sterile struvite urolithiasis
Aug 29, 2015
SilkieXYorkshire, Female, 8 years
Consulted Toa Payoh Vets for right hindlimb lameness. Patellar bones luxate easily medially in both hind limbs. X-rays for sprained knees showed lots of bladder stones.
No complaint of blood in the urine or peeing problems.
URINE TEST
pH 8
SG 1.024
A trace of blood.
Crystals amorphous phosphate 3+
Little white cells 3
No red cells. 0
No bacteria
Advised S/D to dissolve the stones.
X RAYS
A rare case of sterile struvite in a dog. Almost 99% are infection-induced struvites with microbial urease involved. Hence, the owners did not know about the bladder stones till X-rays for lameness. These stones can be dissolved by S/D diet and change to C/D diet later.
Sometimes, a rare case appears. Urine must be collected to test for crystals.
SilkieXYorkshire, Female, 8 years
Consulted Toa Payoh Vets for right hindlimb lameness. Patellar bones luxate easily medially in both hind limbs. X-rays for sprained knees showed lots of bladder stones.
No complaint of blood in the urine or peeing problems.
URINE TEST
pH 8
SG 1.024
A trace of blood.
Crystals amorphous phosphate 3+
Little white cells 3
No red cells. 0
No bacteria
Advised S/D to dissolve the stones.
X RAYS
A rare case of sterile struvite in a dog. Almost 99% are infection-induced struvites with microbial urease involved. Hence, the owners did not know about the bladder stones till X-rays for lameness. These stones can be dissolved by S/D diet and change to C/D diet later.
Sometimes, a rare case appears. Urine must be collected to test for crystals.
Monday, August 31, 2015
2980. Doing charity work in Vietnam
Sep 1, 2015
The Straits Times report headlined "ICA explains why some Viet woman turned away at airport".
The Immigration and Checkpoins Authority (ICA) had sent back several Vietnamese women at Changi Airport as they could not explain to officers why they wanted to enter Singapore. The Vietnamese Civil Aviation Authority wanted to know why. The Vietnam Embassy's second secretary Nguyen Cong Huan met the ICA officials and was satisfied with the explanations on entry procedures which applied to visitors of all nationalities and that ICAhas interpreters to help those who cannot communicate in English.
"The ICA does not have interpreters. They don't care. No explanations are given. They just end the woman back," the Singaporean who married a Vietnamese wife said. Before he married her, the ICA had prohibited her from entering Singapore on two occasions. She was detained in a room and put on the plane home. She could not speak Mandarin or English. There was no interpreters."
"The ICA says they have interpreters," I referred to the Straits Times clipping he showed me. "Are you able to gather evidence like an investigative reporter? What do you want to get blacklisted now that your wife had been given a long-term pass to stay in Singapore?"
This man had to accompany his wife every month for 4 years to travel out of Singapore as she was given a monthly visitor stay. Four years. "According to the law, it should be 3 years," he said. "The ICA does not bother to check on whether mine was a sham marriage. They just give my MP the standard rejection letter."
"The ICA officers are overworked," I said. "It is up to the individual to persevere." He did and now his wife is on a long term pass. After 4 years and many petitions.
CHARITY WORK IN VIETNAM
The man wanted to build 10 houses and repair leaking roofs and tile the flooring of houses in the villages. The village headman told him to get approval from the District Officer. He wanted to do the charity work by himself. The District Officer wanted him to deliver the cash and goods.
"Unless you have a trusted respected person in the District," I advised. "You will not be permitted to do charity work all by yourself. This is the reality. The other way is to stay in the country for many years and get the connections and respect or partner with a local of good standing as some Japanese donors have had done in building schools in Myanmar villages. No do-it-yourself. It is not the way."
"The District Officer even checked whether I was living in the villages without permission," he said.
Doing charity work in Vietnam, as in all developing countries, is not so straight forward. You need the locals of good standing and influence.
The Straits Times report headlined "ICA explains why some Viet woman turned away at airport".
The Immigration and Checkpoins Authority (ICA) had sent back several Vietnamese women at Changi Airport as they could not explain to officers why they wanted to enter Singapore. The Vietnamese Civil Aviation Authority wanted to know why. The Vietnam Embassy's second secretary Nguyen Cong Huan met the ICA officials and was satisfied with the explanations on entry procedures which applied to visitors of all nationalities and that ICAhas interpreters to help those who cannot communicate in English.
"The ICA does not have interpreters. They don't care. No explanations are given. They just end the woman back," the Singaporean who married a Vietnamese wife said. Before he married her, the ICA had prohibited her from entering Singapore on two occasions. She was detained in a room and put on the plane home. She could not speak Mandarin or English. There was no interpreters."
"The ICA says they have interpreters," I referred to the Straits Times clipping he showed me. "Are you able to gather evidence like an investigative reporter? What do you want to get blacklisted now that your wife had been given a long-term pass to stay in Singapore?"
This man had to accompany his wife every month for 4 years to travel out of Singapore as she was given a monthly visitor stay. Four years. "According to the law, it should be 3 years," he said. "The ICA does not bother to check on whether mine was a sham marriage. They just give my MP the standard rejection letter."
"The ICA officers are overworked," I said. "It is up to the individual to persevere." He did and now his wife is on a long term pass. After 4 years and many petitions.
CHARITY WORK IN VIETNAM
The man wanted to build 10 houses and repair leaking roofs and tile the flooring of houses in the villages. The village headman told him to get approval from the District Officer. He wanted to do the charity work by himself. The District Officer wanted him to deliver the cash and goods.
"Unless you have a trusted respected person in the District," I advised. "You will not be permitted to do charity work all by yourself. This is the reality. The other way is to stay in the country for many years and get the connections and respect or partner with a local of good standing as some Japanese donors have had done in building schools in Myanmar villages. No do-it-yourself. It is not the way."
"The District Officer even checked whether I was living in the villages without permission," he said.
Doing charity work in Vietnam, as in all developing countries, is not so straight forward. You need the locals of good standing and influence.
Sunday, August 30, 2015
2979. A spayed female cat had recurrent breast tumour and died.
Sunday, Aug 30, 2015
Female spayed cat, 10 years old passed away at home. In the last 2 weeks, the breast tumour recurred and grew fast, the owner said.
HISTORY
Feb 16, 2015.
Mastectomy, Left mammary gland 1 enlargement, 8cm x 6 cm x 0.5cm excised. Invasive ductal carcinoma. Lymphvascular invasion is seen.
Mar 7, 2015
Thin, vomiting. Painful kidney (left). Total white cell count very low. Neutrophil % 24%, 0.55 absolute numbers low. Platelet very low. Had used tiger balm ointment on cat or surroundings.
TODAY
Aug 30, 2015
Left mammary gland 1 and another nearby.
Spayed cats may develop breast cancer but rarely.
Female spayed cat, 10 years old passed away at home. In the last 2 weeks, the breast tumour recurred and grew fast, the owner said.
HISTORY
Feb 16, 2015.
Mastectomy, Left mammary gland 1 enlargement, 8cm x 6 cm x 0.5cm excised. Invasive ductal carcinoma. Lymphvascular invasion is seen.
Mar 7, 2015
Thin, vomiting. Painful kidney (left). Total white cell count very low. Neutrophil % 24%, 0.55 absolute numbers low. Platelet very low. Had used tiger balm ointment on cat or surroundings.
TODAY
Aug 30, 2015
Left mammary gland 1 and another nearby.
Spayed cats may develop breast cancer but rarely.
Friday, August 28, 2015
2978. A cat has dislocated left hip
Aug 28, 2015. Yesterday, one 3-month-old rabbit dislocated his right hip. The owner wanted closed reduction rather than doing nothing as Vet 1 suggested. Vet 1 had said he could not reduce the hip joint and suggested doing nothing. The rabbit has a right hip sling after putting the femoral head into the hip joint. The owner did not want any surgery as the rabbit is only 3 months old.
Then another case of dislocation of the hip in a cat abused by somebody. He was missing and found to be lame.
The left hind leg was shorter than the right on extension. X-rays to confirm and taken today.
Sedation is necessary for proper X-rays as the hind legs must be extended.
In this cat, 4.4 kg bodyweight:
xyla 0.5+Ket 0.3 IM
Reverzin 0.05 ml IV (or IM) given to reverse xylazine.
The owner wanted closed reduction and a sling was applied. The cat stained his bandage after peeing. I asked the owner to wash it off. For other "looseness" of bandage or hairs stuck, I asked the owner to bring the cat down as it is impossible to "diagnose" and "advise" over the phone. So far, the Cavalier King Charles and the rabbit, both given slings, had no complaints.
X-rays for this cat are as follows:
Thursday, August 27, 2015
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