Sunday, January 17, 2016

2920. Saving an old Silkie Terrier's eyeball

Jan 17, 2016

After one month of intense eye pain and rubbing, the first vet advised enucleation (removal of the eyeball) to resolve the problem. This was a deep corneal ulcer. The owner asked me for a second opinion. He was an old client but had gone to the other vet.

It was already one month and the tarsorrhaphy works very well with injuries sustained within 24 hours. He was agreeable to the surgery. Outcome was excellent. The dog did not need enucleation and has his eyeball and eyesight back. Images are shown below but not in order. There is a video at:
https://www.youtube.com/watch?v=aUEC5WmmJ-s












  

2919. Top 10 most common bird blogs

1.  10000birds.com
2. blog.aba.org
3. leesbird.com
4. birdingblogs.com

5. birdchick.com/blog.htm
6. nemesisbird.com

7. billofthebirds.blogspot.com
8. birdingisfun.com

9. urbanhawks.blogs.com
10. besgroup.org    Bird Ecology Study Group

2918. X-ray interpretation website - ear x-rays

http://www.acvr.org/node/335 used to provide case interpretations of x-rays  in 2015 but now no more.



Cat

Saturday, January 16, 2016

2917. Fat deposit behind the rabbit eye's cornea? Images





Jan 16, 2016

Fatty deposit behind the cornea of a rabbit's eye?






Friday, January 15, 2016

2916. Farm Visit with intern - Caesarean section of 3-day-old Maltese pups healthy










Jan 14, 2016

I find time to visit the breeder after Caesarean section to do a follow up. For home breeders, I phone them to enquire about the dam and puppies. Much can be learned by going to the grass root level instead of being in the ivory tower all the time.

In this visit, Breeder William Goh wanted subcutaneous sutures as the ends of the sutures will not prick the suckling puppies. I did use subcuticular sutures and two horizontal mattress sutures on the Dachshund and he had no complaint. He was not happy with the simple interrupted sutures done by Dr Daniel and said it was old school and outdated as the ends pricked the puppies trying to suckle.

He has a point. I use only horizontal mattress sutures in over 100 caesarean sections in dogs and had no complaint. He did not complain about my sutures being stiff and high risk to his puppies because I use Polysorb which is a braided absorbable while Dr Daniel used Monosyn which is monofilament absorbable closer to the "nylon" in composition. What he wanted was subcuticular sutures for all his Caesarean sections. This is not necessary and I seldom use this subcuticular sutures as they may break down. I used horizontal mattress sutures with the ends on one side of the incision, unlike monofilament simple interrupted sutures with ends on both sides..    

Horizontal mattress sutures may not look good but they are not crossing the incision line and may be stronger in holding the ends of the skin together. This is my experience in over 100 C-sections.

I hope the intern Su-en going to 3rd year of Melbourne University Vet School in 2016 learnt more on this farm visit than from textbooks and lectures.

Wednesday, January 13, 2016

2915. INTERN Rectal Prolapse in Turtles: 2 Cases - a Chinese Soft-Shelled Turtle and Terrapin

Case 1.  Jan 12, 2016

"I surfed the internet. My Chinese soft-shelled turtle has rectal prolapse," the young man's turtle had bloody tissues present in the tank and an "arrow-head" appendage hanging out from the backside of the turtle.  From afar, it looks like rectal prolapse with injury. Yet it is not the typical rectal prolapse as in the second case.

HOOK
Consultation Video part as hook.
Anaesthesia and slides first to explain.
Then go to video (merge all videos).



















Chinese soft-shelled turtles are rarely kept as pets in Singapore. This is a case of penile traumatic injury and not rectal prolapse. As this turtle is not used to handling, the vet has to be careful not to stress it and cause it to die of stress.

Terrapins or red-eared sliders are most popoular and the second case is a true case of rectal prolapse.



Case 2. Mar 14, 2013

RECTAL PROLAPSE IN A TERRAPIN
Narrate from slides and make a video out of the slides. No actual video footage in 2013.







Tuesday, January 12, 2016

2914. A 13-year-old male, not neutered Silkie has a gigantic circum-anal tumours

Jan 12, 2016.

Male dogs not neutered do develop circum-anal tumours sometimes.
This 13-year-old Silkie, male, not neutered has a gigantic tumour above and left of his rectum.







The dog wanted to bite me when I palpated the abdomen. X-rays show lots of chicken bone fragments fed by the father.

As regards the circum-anal tumour, the dog is very thin and old. So Tardak injections 2 weekly are advised to shrink the tumour a bit as it is uclerated. E-collar and antibiotics and to review in 2 weeks.







There is a group of dog owners who are against neutering the male dog. However, when circum-anal tumours develop and are small, get them removed by your vet. In such situations, the dog is old and so the owner may worry about death from anaethesia. In this case, the tumour is gigantic and bleeding. There is a stench from the dog's body as the tumour had ulcerated.