Skin tumours may be present when we age. Facial tumours can cause a loss of self esteem in a career lady. After all, first impressions count. One of my clients used to be very particular about her appearance and would have regular beautician appointments when she climbed the corporate ladder and managed 200 staff.
When I met her in 2020, she had retired for some years, I noted that she had a small skin lump below the left eye canthus.
Can you see the small facial lump below the left eye canthus?
Early removal by a plastic surgeon as it may become a bigger hard "cholesterol" lump.
In real life, first impressions do count.
NARRATE THE IMAGE TEXT
This retiree reminded me of a Golden Retriever with a facial tumour further below her
left eye canthus.
This is a
BE KIND TO PETS VETERINARY EDUCATIONAL VIDEO.........(see image below)
(NARRATE THE TITLE)
(INTRODUCTION)
In 2005, I was a dog breeder veterinarian for the major dog breeding farms in Pasir Ris and Seletar in Singapore. (SHOW FOOTAGE OF THE BOARDING KENNEL) AT:
Show footage of one breeding kennel in Singapore
0:29 - 1:07 and 2:04 – 2:36
I saw this female 4-year-old Golden Retriever with a large facial tumour lying quietly in her kennel.
The dog's facial tumour was large. It was 6 cm across.
1. The face had little skin for me to stitch up after excision of the tumour.
2. Complete excision was best as this tumour could be cancerous or pre-cancerous. I would have to cut a large area. I need to have a margin of 5 mm to 10 mm around the tumour to exclude any 'cancerous cells' present in the margins.
(ILLUSTRATION by hand).
3. The cranial nerves must not be severed, otherwise the dog's eyelids and face will be paralysed.
(ILLUSTRATION by hand --- ANATOMY OF FACIAL NERVES).
The surgical procedure is known as plastic surgery. The skin from a nearby area is used to close the big facial wound. It is known as Y-plasty in this case as the stitched up wound looks like a "Y".
I put the dog under general isoflurane anaesthesia. I used an ink marker to map out the areas where I would take the surrounding skin to cover the large defect after complete excision of the tumour.
See the "Y" stitching pattern?
Y-PLASTY
.
OUTCOME
A histopathology of the tumour was not performed to reduce medical costs for the breeder.
The Golden Retriever recovered and did not have any recurrence of the tumour. She eyed me suspiciously whenever I passed her by kennel several weeks later. She has an elephant memory and considered me as her nemesis!
As for the retiree lady, her small facial tumour had grown a bit more, but being "old", she couldn't care two hoots about first impressions!
In March 2009, a fair lady in her early 30s consulted Dr Sing of Toa Payoh Vets. Her hamster's warts had enlarged and fused warts. 7 months ago, Vet 1 prescribed medication which was ineffective.
An alternative treatment is Cryosurgery
Hamster goes home. The owner was warned that
the wart would recur as she did not want surgery---paw amputation
CONCLUSION.
1. Three treatment options.
Surgical Excision, Cryosurgery and Carbon Dioxide Laser Therapy are three treatment options.
2. Cryosurgery. Recurrence soon. Less than 2 months. Not recommended.
3. Laser Therapy burns off the whole tumour but affected the paw blood supply. Pain too.
4. Surgical Excision in this case will be amputation of the paw. In other locations on the skin on the body, a wide excision with a 5 mm margin is best. Electro-excision may be used inside of scalpel incision.
Orchithemis pulcherrima – various color forms of the female.
Family: Libellulidae Scientific Name: Orchithemis pulcherrima Common Name: Variable Sentinel
Orchithemis pulcherrima are small narrow-winged dragonfly species which are common and occurs in many sites within the Central Catchment Nature Reserve.
These species prefer dark forests undergrowth and some times it can be found along forest streams and pools.
Immature females are yellowish brown, while matured females are normally blueish dark, and some have color in-between yellow and dark form. Females with red abdomen are rare.
e have color in-between yellow and dark form. Females with red abdomen are rare.
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Supplement your turtle’s diet with vitamin A. What causes turtle ear abscesses is not fully understood.[21] Commonly, though, the abscesses are related to a vitamin A deficiency.[22] Vitamin A plays an important role in the proper development of cells lining a turtle’s ears and respiratory tract.[23]
Without enough vitamin A, these cells will develop abnormally and eventually allow for the accumulation of debris. This debris then causes an inflammatory reaction, during which inflammatory cells accumulate in the ears and lead to pus production and abscess formation.
Your veterinarian can prescribe oral or injectable vitamin A for your turtle. Injectable vitamin A is usually reserved for more serious cases of vitamin A deficiency.[24]
It is important that you follow your veterinarian’s instruction for supplementation to prevent a condition called hypervitaminosis A (too much vitamin A).[25]
You can also add more vitamin A to your turtle’s diet by feeding him such vitamin A-rich foods as carrots and squash.[26] Sweet potatoes, greens (collard, mustard, turnip), and papaya are also high in vitamin A.[27]
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Improve the water quality in your turtle’s tank. Poor water quality is another common culprit of turtle ear abscesses. For example, a weak or malfunctioning water filter can cause an accumulation of urine, feces, leftover food, and microorganisms that can irritate your turtle’s skin. This skin irritation can eventually lead to infection and abscess development.[28]
Replace the tank’s filtration system if you suspect that it is too weak or no longer functions properly. There are several available filtration types (biological, chemical, mechanical). The website http://redearslider.com/index_water_quality.html has a comprehensive overview of each filtration type.
Water that is not at the proper temperature can also contribute to ear abscess development by weakening your turtle’s immune system.[29] For adult red ear slider turtles, the optimal water temperature is 75 to 78 degrees Fahrenheit (24 to 26 degrees Celsius).[30] Use a thermometer to monitor the water temperature.
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Provide your turtle with adequate lighting. Inadequate lighting can also affect your turtle’s health and leave him more susceptible to ear abscess development. To provide him with more lighting, place several fluorescent light bulbs about 18 to 24 inches (46 to 61 cm) above his tank.[31] These bulbs are a good source of ultraviolet light (UVA and UVB) that will allow your turtle to produce vitamin D3.[32]
Minimize your turtle’s level of environment stress. Aspects of your turtle’s environment can be stressful to him. This stress can lead to a weakened immune system and subsequent illness. For example, your turtle may be stressed if his tank is too small.[34]
In general, your turtle’s tank size should be 10 gallons (37.9 L) per inch of shell length.[35]
Other stressors include overcrowding, not enough dry docking areas, and excessive handling.[36]
Talk with your veterinarian if you are unsure how to identify and/or address environmental stressors.