Monday, February 3, 2020

4069. REYNA. A 9-month-old guinea pig stops eating and whines in pain - gastric distension - X rays


A 9-month-old g p has swollen abdomen. Gastric distension. 






The guinea pig passed away the next day owing to
chronic infections and ileus (gas in the intestines). 




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COMPARISON TO THE OUTCOME IN THE FOLLOWING CASE
4-year-old g p with severe gastric distension






bloody urine initially - the vet gave baytril and pain killers for the past 10 days. Urine
changed to brownish colour. The g p stops eating. Why?


















Saturday, February 1, 2020

4068. A good dental care enables the dog to live a healthy life.



"Remember, You neutered my dog when he was very young," the man with his head shaved bad said. "Now, I have come for his annual vaccination".

"Has your dog any dental scaling?" I asked.
"No", the clean-shaven happy bald gentleman said.
My assistant tried to open the mouth for me to examine. The dog shook his head and clamp his jaws. "Your dog does not want his mouth opened," I tried to open his mouth, but without success. "There are hard brown tartar on the back teeth. He has some oral pain due to decaying teeth.

"We will do a blood test first," I told the owner who agreed to dental work.


The dog's front teeth looked much cleaner. Most likely, the groomer had provided dental scaling.




"Normally, old dogs can take isoflurane gas anaesthesia safely," I had done many cases. "Provided the heart, liver and lungs are normal."


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VIDEO




Old dog with premolar 4 tartars (show some images of cases)
and carnassial tooth abscesses

blood test showed bacterial infections

gum tumours


4067. Reyna: A rabbit grinds her teeth and has body odour. - likely pyometra. Pt 1/2. .

Jan 30, 2020

The 82-year-old grandpa brought this rabbit for consultation. "The rabbit has lost appetite and grinds her teeth," the teenaged grand-daughter said. "She has a strong body odour."

"I hope the fees will not be a few hundreds," the grandpa told me. His generation has lived through the horrors and deprivations of World War 2 and he wanted the least cost to get his rabbit diagnosed and treated. I noted sticky yellow-white pus on the inflamed private parts. "The rabbit could be suffering from a urinary tract infection or pyometra which is an infection of the womb,"

DIFFERENTIAL DIAGNOSIS:
1. Dental malocclusion. Molar spurs. X-rays of molars.  Drooling - body odour. salvia stains.  No X-ray consent given.
2. Female - pyometra - yellowish-white vaginal discharge seen
3. Female - uterine tumours.
4. Urinary tract infection or urolithiasis. No x-ray consent given. Uine test.
5. Gastrointestinal stasis (Ileus). Rabbit is eating. No X-ray consent given









A urine test was need. 




Older rabbits do develop uterine tumours. This could result in pus leaking out from the uterus to the outside. The rabbit groomed herself and the smell of pus and blood soiled her coat. Hence, the bad body odour.

As the owner wanted the least cost treatment, no ultrasound or X-ray was done to confirm the uterine tumour or bladder and kidney stones.


UPDATE:






Kay Dudman
Kay Dudman, Caring for guinea pigs for over twenty years




4066. Reyna. A Silkie Terrier has a hard firm backside lump - left anal sac abscess. Pt 1/2














Abscess "ripened" after prednisolone injection. Ruptured overnight inside kennel.

Friday, January 31, 2020

4065. Reyna. A vomiting Cairnhill Terrier has a swollen abdomen. Why?






"Vomited yesterday!" the guy said. "His stomach is bloated. What is the problem"
"How many times did he vomit?" I asked.
The guy phoned his domestic helper.
"3 times."
"What did he vomit out?" I asked.
"Food".
"Any other vomitus like gastric acid?"
"No, that's all."

I did an abdominal palpation. A firm large orange-sized swelling in the anterior part of the abdomen. Slight discomfort but no pain. Some gas, not so smelly, shot out from his rectum.

"Best to have an X-ray to check for gastric distension," I advised. "The diagnosis is likely to be gastric distension". X-rays were approved by the owner. The X-rays showed a stomach much distended 10 times with food.



Thursday, January 30, 2020

4064. REYNA. Dog allergy tests - make a video on the blood test and show case studies









The scratching of various body parts as shown in the images above indicated a systemic allergy.
I advised a blood test for allergens (Reyna to discuss this test).

Reyna: Define anaphylaxis
allergy






Tuesday, January 28, 2020

4063. PHOTOS FOR SALE. LIZARDS IN SINGAPORE

PHOTOS FOR SALE


Oriental Garden Lizard survives in urbanised Singapore









                 Oriental Garden Lizard hiding in a tree