Passing blood in the stools for more than 2 months is the main complaint. How to resolve this problem?
CAUSES
1. Colitis - inflammation of large intestines, allergy to dog food, dog treats, worms, bacteria
2. Neoplasia - tumours in large intestines and colon.
3. Nervous temperament - stress. Cars
4. Foreign bodies in the colon and/or rectum
BLOOD TEST. Liver and kidneys OK? Check blood test report.
STOOL TEST. No worms. Blood present.
TREATMENT
Based on the history of response to the feeding of therapeutic diet (Hill's I/D), deworming and antibiotics previously, the dog is given the same treatment.
The diagnosis is likely to be colitis due to irritation from the commercial diet and dog treats. No other food or dog treats will be given when the dog is fed the therapeutic diet for around 3 months. Dental scaling is advised. .
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If the dog does not respond to this treatment, more detailed investigation will be done. .
OUTCOME AS AT DEC 5, 2019
Dr Sing phoned the owner. No more blood in the stools. Flatulence is less. It is still early to conclude that the dog's colitis is no more.
HOOK
Video of dog now able to pee. Get from owner. Frequent urinary catheterisation means coming to Toa Payoh Vets every few days as the dog could not pee again and again after catheterisation.
X RAYS SHOW STONE SURGERY - Urethrostomy
FINAL VIDEO
Dog is very old and hence all owners are very worried about death on the operating table.
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OTHER IMAGES
The urethra behind the os penis has been cut open. The sutures stitch skin to the mucosa of the urethra.
This surgery of making a hole in the urethra is called urethrostomy
The stitches are removed 14 days later. The dog will pee out from this opening
Nov 26, 2019. The following is the guideline to produce a script. The script is in 2 columns. Left column is for the narrative. Right column is to indicate where to insert the footage, image or illustrations. Use the following movie structure to produce your video. Refer to:
HOOK - video footage around 60 - 120 seconds preferred to images but can have both. - must attract attention to continue viewing. BE KIND TO PETS TITLE - The young cat has multiple circular wounds. Is it ringworm? INTRODUCTION Setting - Singapore apartments. Show some scenes of the township. What is the problem? How is the problem diagnosed? Laboratory tests to aid diagnosis. MIDDLE How to resolve the problem? Treatment depends on the cause or causes. ENDING Outcome - Good or bad response to treatment. Tips and advices to cat owners.
CREDITS ---------------------------------------------------------------
HOOK Video shows left, right, back, front, upper and lower body of cat with or without circular lesions BE KIND TO PETS Use this image, not any others esp. not dog images
TITLE - The young cat has multiple circular wounds. Is it ringworm?
INTRODUCTION Setting - Singapore apartments What is the problem? - Skin lesions - many circular ones from ... cm to ... cm across in all 4 limbs.
Infected wounds do not heal as the cat keeps licking them. Need pain killers and anti-inflammatory medication
Circular pattern indicates incisor and canine teeth bite marks from another cat
How is the problem diagnosed? The wounds look very much like ringworm. (INTERN - to define ringworm and show some images of ringworm) One example of ringworm in a kitten
Feline ringworm
Ringworm also infects dogs
Laboratory tests to aid diagnosis MIDDLE How to resolve the problem? Treatment depends on the cause or causes. 1. Traumatic injuries from bites likely as there are two other cats in the home. What gender and age are they? Litter box sharing? Food bowl sharing? Any other significant issues like bullying? Is this the youngest cat? 2. Ringworm cannot be ruled out. Lab test 3. Chemical burns. History of use of chemicals on the flooring 4. Allergies to food, environment. Lab test
Show an image of the left side of the body, the lower belly view and upper top backbone view
left elbow sores and wounds
Show the right elbow image. The following images are wounds in the hind limbs - check and narrate
Clipping bald is essential in skin infection treatment. Decontaminate and easy to cleanse skin
Images of the hind limbs? Before clipping. After clipping. Narrate. Pus expressed....... ENDING After clipping bald the areas with skin lesions, treatment involves the following: The pus in wounds are expressed.
Pus - bacterial infection under the skin and in the ulcer. Intern to define "pus"
Every day, the owner will clean the wounds thoroughly with antiseptics. Anti-fungal and antibiotic cream is applied onto the wound. Antibiotics and anti-inflammatory injection are given.
Outcome - The wounds should heal well with time. Tips and advices to cat owners. Caterwauling is the reason that the owner sends in the cat for spaying. She is on heat and is a noise nuisance. No spaying till the wound recovers in around 2 weeks. Anti-caterwauling medication like Ovarid. What is Ovarid? Intern to elaborate. CREDITS see:
NOTE. The intern still has to draft her script as the above is not 100% written.
Recent completed video needs to be edited to remove the dog image and to narrate according to the appearance of the footage and images. Intern should not use irrelevant footage of the video to narrate the case study (see the ending part)
Singaporeans research the internet. This young lady owner in her mid 20s correctly diagnosed the red piece of tissue hanging out from the right side of her hamster's mouth as everted cheek pouch as she had watched a Youtube video from Toa Payoh Vets.
The right cheek pouch was inflamed and gangrenous in some areas. Under isoflurane gas anaesthesia, the vet cut away the cheek pouch with a scalpel. Then he stitch up the remaining part with two 3/0 absorbable stitches. The hamster woke up in less than 3 minutes after the end of anaesthesia.
If you scrutinise, the right eyelid of the hamster was bald and wet. It had tears as the hamster was crying in pain trying to pull out the pouch.
She was very happy to get her beloved hamster home on the same day, in the evening, after surgery.