Tuesday, January 7, 2020

4050. Hip dislocation in dogs, cats and rabbits

Hip dislocation videos from Toa Payoh Vets

1. Cavalier King Charles. Ehmer's Sling

https://www.youtube.com/watch?v=v-xklUmyu1Q

2.  One year after FHO. Maltese owner is happy with the outcome



https://www.youtube.com/watch?v=zzI-fB2hDm8

3.  A Border Collie has hip dislocation
https://www.youtube.com/watch?v=l9lwLW_TmBo

X-ray of hip of the Border Collie
https://www.youtube.com/watch?v=5ObIBanjOtg



*****Border Collie  - ILLUSTRATIONS OF CLOSED REDUCTION AND OPEN REDUCTION
Final Video: Closed reduction and surgery
https://www.youtube.com/watch?v=AgtdpokwKuI
(Reyna - to add footage of Border collie seen one year later. Not lame)

A Yorkshire Terrier has a mild hip dislocation
https://www.youtube.com/watch?v=LfappTeFyYY
Not serious. No need to treat. Confined 2-4 weeks.  Apr 20, 2014
A cat is limping on the hind leg
https://www.youtube.com/watch?v=130Ujsvqvbk


A Miniature Schnauzer dislocates his hip

https://www.youtube.com/watch?v=FLHTz-28YHs


2 rabbits have hip dislocation.  Ehmer's Sling
https://studio.youtube.com/video/lhy1tQrr0p0/edit


 Hip dislocation in a rabbit
https://www.youtube.com/watch?v=Z6QT1zpk-9s





-----------------------------------
Videos:

 Surgery: FHO
1.  A Border Collie has hip dislocation comes to Toa Payoh Vets.
Had successfully recovered after FHO but video is not shown here

A Border Collie after FHO one year later. The owner was happy with the outcome as the dog was not lame. 
3.  Video from a Maltese owner some weeks after FHO surgery. The dog is almost normal in movement of hind leg.




 Closed Reduction: Sling

 1.  A case of closed reduction in a Cavalier King Charles.
seen at Toa Payoh Vets





2. A Yorkshire Terrier has hip dislocation

3. A DETAILED EDUCATIONAL HIP DISLOCATION VIDEO

 A Shih Tzu has hip dislocation - rare case of caudoventral dislocation




A poodle has hip dislocation. Had sling bandage

A poodle X-ray subluxation


Cavalier King Charles lame
Cavalier King Charles owner want the Sling

A cat dislocates left hip. Sling

Discussion with an intern about hip dislocation - the owner wants closed reduction method
https://youtu.be/hkk9A-Jp_yQ               






https://www.youtube.com/watch?v=ENvOYmih08g

The Golden Retriever limped on his right hind limb.  Owner did not want X-rays. 
Subluxation of the right high joint. He recovered after pain killers 4 days later.  

https://www.youtube.com/watch?v=ENvOYmih08g


Physical examination in shoulder lameness of the dog. Pain on manipulation of the joint.
The Golden Retriever had moderate pain on the left shoulder joint.  X-rays do not show dislocation.

https://www.youtube.com/watch?v=480Dv7rxc5g


 Trot and walk the dog in lameness examination.
 https://www.youtube.com/watch?v=loCnyeYtNUA



12 Oct 2015.
Right hip is dislocated. X ray footage
 https://www.youtube.com/watch?v=5ObIBanjOtg



Subluxation of the right hip. Not serious.
  https://www.youtube.com/watch?v=sSyUgLV8kYU







https://www.youtube.com/watch?v=5ObIBanjOtg





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Monday, January 6, 2020

4049. Be Kind to Pets Story 1. Tartar after dental scaling by Vet 1

Jan 5, 2020


1. Owner's query about Vet 1's dental scaling
2. Why there is still tartar after dental scaling?
3. What is the solution?
4. Grab driver refers her to me. Worked in the Zoo before.
    No anaesthesia as dog nearly died under anaesthesia in another clinic.
    Poodle is very skinny.  risky anaesthesia.   eat more  home cooked food eaten by the other dog.
    Fatten her up  for 3 weeks first.  Gas only.
 

Why GrabPet?


Pet-handling certified drivers

All GrabPet driver-partners have undergone pet-handling training with a certified pet trainer to ensure that your pet is in safe hands.

Added insurance cover

Rest assured, your pets are insured. GrabPet rides include an added insurance cover for pets onboard.



Hi.

Would like to enquire.

Is it normal to still have so much tar left right after a dental cleaning session?

Attached are pictures snapped just awhile ago. Please advise soonest

Name & tel number of owner



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Friday, January 3, 2020

4048. BKTP Veterinary Stories*****. The old Jack Russell limps as she cannot put her right hind foot down - hip dislocation

BE KIND TO PETS Veterinary Stories No. 1
Dr Sing Kong Yuen, BVMS (Glasgow)
Jan 10, 2020


The old Jack Russell limps as she cannot put her right hind foot down - hip dislocation

On Jan 2, 2020, a 12-year-old, female Jack Russell became lame suddenly. The lady owner consulted Vet 1 who took X-rays and diagnosed right hip dislocation. 

 Vet 1 referred her to a practice saying: "The surgery would cost $4,000 - $5,000.". Her husband remarked: "Why pay $4,000? Just put your dog to sleep!"  

On Jan 3, 2020, the owner came to Toa Payoh Vets. "Now that Vet 1's clinic is near my house," she told me. "I usually consult him. I did consult Dr Daniel Sing recently."

In 2020, there are nearly 100 vet clinics in Singapore, I understand perfectly that many owners will prefer proximity to save time and transport expenses.

My physical examination showed right hip dislocation. I had two better quality X-rays taken as Vet 1's X-rays were not sharp enough to show any femoral fractures clearly.
"I work part-time and so I don't earn much," the owner was furious about her husband's suggestion of euthanasia of her beloved dog. "I will pay all my salary, but I will never put my dog to sleep! I want her to be able to walk normally, without limping in pain!"   

Dr Daniel Sing was her regular vet. He advised a non-surgical treatment using the Ehmer's Sling.  

The owner consented. Dr Daniel sedated the dog and put an Ehmer's sling which holds the femoral head into the socket as much as possible.

 He repeated the Ehmer's Sling again as X-rays showed there was still hip dislocation. The Ehmer's Sling positioned the femoral head inside the hip joint to allow healing. The sling would be kept on for around 2-4 weeks. 

 The Ehmer's Sling is a much less expensive treatment. It has around 50% chance of success. It is a safer approach since the 12-year-old dog may die under anaesthesia if she is operated. If it does not work, femoral head osteotomy (FHO), also known as femoral head excision can then be performed. 

 FHO involves cutting off the femoral head and removing it. A false joint will be created and the dog can walk and run without obvious signs of limping. 

 On Jan 9, 2020, the couple came to bring the dog home after 7 days of in-patient confinement. I keep my fingers crossed for the feisty Jack Russell and hope that she will walk and sprint normally in 2-4 weeks' time. 

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

SCRIPT FOR VIDEO PRODUCTION

This is a story from the




The old Jack Russell limps as she cannot put her right hind foot down - hip dislocation
(Narrate as if speaking to a friend, varying your tone. Do not be monotonous) 

PART 1
On Jan 2, 2020, a 12-year-old, female Jack Russell became lame suddenly. The lady owner consulted Vet 1 who took X-rays and confirmed right hip dislocation. 



Vet 1 referred her to a practice saying: "The surgery would cost $4,000 - $5,000", Vet 1 told her. Her husband remarked: "Why pay $4,000? Just put your dog to sleep!"  

On Jan 3, 2020, the owner came to Toa Payoh Vets. "Now that Vet 1's clinic is near my house," she told me. "I usually consult him. I do consult Dr Daniel Sing recently."

In 2020, there are nearly 100 vet clinics in Singapore, I understand perfectly that many owners will prefer proximity to save time and transport expenses.

   

 PART 2

My physical examination showed right hip dislocation.  (Edit and show physical examination video footage)  


"I need to take better quality X-rays," I said. "To see whether there are also femoral fractures." Vet 1's X-rays are as follows:




(Poor contrast. The femoral head area is not sharp. Also narrate the text in the 2 X-rays).

Toa Payoh Vet's X rays show no fractures in the surrounding right hip area.
(Narrate the text and "arrow" in the X-rays)     





Vet 1's diagnosis of right hip dislocation was confirmed.


"I work part-time and so I don't earn much," the owner was furious about her husband's remarks about euthanasia of her beloved dog. "I will never put my dog to sleep! I want her to be able to walk normally without limping in pain!"   

 Dr Daniel Sing was her regular vet. He advised a non-surgical treatment using the Ehmer Sling. Although it has around 50% chance of success, it is a safer approach since the dog may die under anaesthesia during surgery. If it does not work, femoral head excision surgery can then be performed. It is much less expensive.  

 The owner consented. Dr Daniel sedated the dog and put an Ehmer's sling which holds the femoral head into the socket as much as possible. (Narrate the X-ray text).   





He repeated the Ehmer's Sling again. It ensures that the femoral head is kept back into the hip joint to allow healing. The sling would be kept on for around 2-4 weeks. 


(Edit video shows the dog after treatment)

 


The Ehmer's Sling is a much less expensive treatment. It has around 50% chance of success. It is a safer approach since the 12-year-old dog may die under anaesthesia if she is operated. If it does not work, femoral head osteotomy (FHO) can then be performed. FHO involves cutting off the femoral head and removing it. A false joint will be created and the dog can walk and run without obvious signs of limping. 

PART 3

The common surgical treatment is femoral head osteotomy (FHO), also known as femoral head excision.









On Jan 9, 2020, I was on duty. The couple came to bring the dog home after 7 days of in-patient confinement. I keep my fingers crossed for the feisty Jack Russell and hope that she will walk and sprint normally in 2-4 weeks' time. 
CREDITS







This is a Be Kind To Pets Veterinary Educational Video sponsored by Toa Payoh Vets. (Show image below).








         
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Thursday, January 2, 2020

4047. Thick tartar in a 5-year-old X-bred dog. Dental scaling needed.

Jan 2, 2020. Thursday

"Can you prescribe some medication to dissolve the thick tartar in my dog's cheek teeth?" the man in glaring sunglasses asked me. He did not want his dog to undergo anaesthesia.

"The tartar is so thick and it must be cracked first. No drugs can dissolve it," I advised dental scaling. The dog was in a shelter as the owner could not accommodate him in his apartment. The dog also had itchy right thigh and rashes. So there were two medical conditions.

At 50% domitor and ketamine at 0.4 ml and 0.5 ml respectively IV, the dog was sufficiently sedated and dental scaling was done. Antisedan woke him up and he went home one hour later.







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4046. An abscessed paw in a red-eared slider

Treatment is by lancing and drainage. The slider recovers his appetite after treatment.



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