Thursday, May 2, 2019

3314. Nature stories: May 2, 2019. 2 pink-necked pigeons posed for me today during my morning walk

Thur May 2, 2019

I set out at 7.30 am to walk in a new area -  the strip alongside the long drainage canal. Many small swifts were seen. Usual mynahs. A couple of pink-necked pigeons fluttered above me. One stayed on the tree for me to take photos (Image 1).




 Later, as I drove back, another one landed on a tree outside a house. I snapped a picture through the windscreen (Image 2). A few of such pigeons have been seen by me. It is difficult to differentiate one from another.


3313. Urine Scalding. A 7-year-old female rabbit is lethargic and kept licking herself

May 2, 2019 Thur

The lady was worried as this rabbit became lethargic, with her coat "untidy".  She still has appetite. Examination showed urine-stained back area and below the hind limbs.

"Urine scalding" of the yellowed areas," I said. "The urine burns the skin, making it more itchy."

"What's the cause of this urine scalding?" the owner asked.
"It would be urinary tract infection, with the rabbit being unable to control her urination. So the urine stained her back area and the back legs!"


Treatment
Bathing and grooming by brushing and clipping off the urine-stained hairs.


BEFORE TREATMENT






AFTER TREATMENT





Prompt veterinary treatment by the owner prevents extensive urine scalding, sore hocks and lower limbs and pain in this rabbit.


VIDEOS





 
24 HOURS AFTER TREATMENT - FOLLOW UP PHONE CALL

The owner was happy that the rabbit is active and eating a lot. The only complaint is that she is still shedding hairs.



 

3312. A 15-year-old parrot is not eating for 3 days

May 2, 2019  Thursday  10 am

Parrot, M, 15 yrs. Anorexic 3 days. Not drinking.
Soft stools with no solids unlike normal solid ones.
Fed sunflower seeds, nuts and various vegetables. Almonds added 6 days ago.

Other 3 parrots of similar ages are OK.



Diagnosis:
     Gastroenteritis due to new food. Other parrots not affected do not mean that almonds are of uniform quality. Do not feed almonds. Feed washed vegetables to get rid of insecticide.
Tube syringe feed antibiotics and multivit. Too old to be injected with antibiotics. In case, the parrot has a heart attack on injection. Therefore oral medication.

3311. A 12-year-old Schnauzer is anorexic for 3 days and coughs

May 1, 2019   10am appt.

Slightly underweight. No fever. 
Heart sounds muffled
Had change of chicken diet
X rays


Wednesday, May 1, 2019

3311. Westie with metastatic squamous cell carcinoma


Mar 1, 2019
Region of right prescapular lymph node: Metastatic, squamous cell carcinoma. 
No normal lymph node tissue architecture is recognised. Metastasis to regional lymph node is most likely. Neoplastic cells extend ot some of the margins of the tissue evaluated. Prognosis is guarded/poor with evaluation for evidence of recurrence and additonal metastatic disease advised.






May 1, 2019
Image above. Recurrence 

3310. Onychocryptosis - Ingrown toenail - Chemical Ablation Matrixectomy

May 1, 2019


The side of the toenail grows into the soft skin nearby - ingrown toe nail or onychocryptosis

This case occurred over a year. No infection in this case. Painful when the toe is stepped upon. Recently, more painful after tour in Morrocco.

Specialist says that the ingrown toe nail will recur when he cuts it away. Not permitted to use chemical ablation in Singapore SGH.

Chemical Ablation Matrixectomy

Local anaesthesia
Tourniquet rubber tubing clamped by forceps.

Size 61 scalpel cuts strip 
Strip removed
Clear debri.
Cotton bud - phenol onto nail bed
Clear debris
Irrigate
Cotton bud - isopropyl alcohol to neutralise phenol.
Clean up
Strip of cotton cover up. Padding. Dressing up.












Chemical ablation without surgery
Chemical ablation with surgery


Consent for Surgery Form. 3 risks explained.
Risks
1. Local anaesthetic - allergies
2. Phenol chemical ablation
3. 95 to 97% success. 3-5% recur. Cannot repeat surgery. Just cut softer nail.


Day 2 &3. Change bandage yourself. Pannadol for pain relief if present
Day 4. Goes to podiatrist. She used curette to scrap for pus. Very painful. Applied iodine.

6-8 wks to recover


CONSERVATIVE TREATMENT
Clip toe nail yourself. Painful.
Worried about being stepped on.


------------------------------

 Day 2. Post op

Sunday, April 28, 2019

3309. Lameness problems in dog. 4 cases. X-rays.

TP 46178  Milo

JR M 13yr   Limping  RH   Pain back



TP 46045  Cookie
Mini Schnauzer, M, 12yr
RH lame 2 days



TP 42793  Jewel

JR F 13yr
Limping LH



TP 22258 Ace
GR M 14 yr
Difficulty standing and walking