10 NOV 2021 START OF VETERINARY STORY by Dr Sing Kong Yuen
10 Nov 2021Owner WhatsApp Dr Sing Kong Yuen: “My father is asking if the clinic sells this powder? He finds it quite useful for my pet Richard’s skin.”
Dr Sing WhatsApp: “Is there skin disease?”“There are some itchy/redness at the neck area and my dad uses the powder for his leg wound.”
IMAGE: Left side of neck is itchy
IMAGE: E-collar & antibiotic powder will not resolve the ingrown toe nail problem (arrow)
MORE INFORMATION AT:
https://2010vets.blogspot.com/2022/05/4053-14-year-old-shih-tzu-has-rh-dew.html
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MAY 2022 CONTINUATION OF LONG STORY:
"Your old dog's blood test showed normal liver and kidneys," I told the owner. "But he has a serious left-sided heart murmur. His heart has not functioned normally. Hence water accumulates inside his lungs. That is why he coughs and his nose drips watery drops. A dog with a bad heart is at high risk of dying under anaesthesia." "If he dies on the operating table, so be it!" the father wanted the swollen and large right hind leg dew claw to be surgically removed. "I can get a Pomeranian puppy for my daughter!". His young adult daughter stared at him with wide eyes behind her big rimmed spectacles. His slim wife arched her eyebrows and wrinkled her nose. They were used to his morbid sense of humour and did not tell him off.
The daughter had graduated from the University some 3 years ago. It seemed only yesterday when she was a teenager in Secondary One school. She would WhatsApp images of her dog's foot conditions to me. That was how I kept in contact. The slightly heavy weighted father had no hypertension or diabetes unlike his peers. He ought to retire, but he was a part-time Grab driver. He would send or pick up the Shih Tzu to and from North West Singapore to Toa Payoh Vets. The trip took 30 minutes. The mother who worked in a clinic was as slim as a fashion model, so unlike the typical married Chinese woman in her 60s. She had radiating pain down on both sides of her neck one day and was diagnosed to be hypertensive. So the early diagnosis and treatment prevented a stroke and she was ok.
"Take the heart medication and antibiotics for one week before operation," I said. "No more cream, antiseptic washes and tight bandaging of the right hind leg. I will use the minimal gas anaesthetic and electrosurgery to remove this dew claw tumour or granuloma!"
CONSULTATION - 12 MAY 2022
Video 7/7. 14-year-old Shih Tzu had mouth ulcers. Dental scaling
The 14-year-old Shih Tzu was "choosy" about eating food for the past 2 weeks. Examination showed inflamed gums and inner lips with an ulcer seen. "With an infected ulcerated mouth, the dog will be painful. Hence he could not eat hard food like his favourite beef cubes," I explained to the owner.
As to what caused his mouth ulcerations, the owner said the dog licked
the floor despite being restrained by an Elizabeth collar. Gum and mouth ulcerations 3 days ago. Dental scaling under general anaesthetic now. Toilet floor to be wiped with clean cloth after washing away the detergent.
I gave an injection of antibitoic and anti-inflammatory.
“No more oral antibiotics,” I told the owner as he said that the dog would avoid the food or bite him when he tried to give oral medication.
On follow-up 3 days later, the owner said the dog was back to his naughty active self, barking loudly at family members and could eat beef chunks. As at 4 Jun 2022, the dog is as normal as can be. The
Grab private-hire car owner is most happy.
MORE INFO AND UPDATES AT:
https://2010vets.blogspot.com/2022/05/405Video 3/7. 14-year-old Shih Tzu had swollen Right Hind dew claw excised by electrosurgery by me 7 days ago. Review today. No infection.
26 May 2022: Right Hind dew claw was removed by me 7 days ago. Now I review the operation site. It is OK. No infection but there is still bleeding as the owner had bandaged tightly. MORE INFO AND UPDATES AT:https://2010vets.blogspot.com/2022/05/4053-14-year-old-shih-tzu-has-rh-dew.html3-14-year-old-shih-tzu-has-rh-dew.html
Video 6/7. 14-year-old Shih Tzu had no recurring perineal hernias after operation 7 years ago. 26 MAY 2022: Bilateral perineal hernias operated by me around 7 years ago did not recur The video shows the scars on the right and left perineum of the 14-year-old Shih Tzu. I repaired the bilateral hernias some 7 years ago and did advise neuter as this surgical condition of bulging back sides beside the tail --- both left and right perineal hernias occur in NON-neutered males in 99% of the cases. Female dogs seldom get perineal hernias. The owner did not return for neuter. The dog has never got perineal hernias again and now he is 14 years old. He does urine spray but not inside the apartment. MORE INFO AND UPDATES AT: https://2010vets.blogspot.com/2022/05/4053-14-year-old-shih-tzu-has-rh-dew.html
-----------------------------------------------Video 5/7. 14-year-old Shih Tzu had swollen Right Hind dew claw excised by
electrosurgery by me 7 days ago. Review today. No infection. 26 May 2022: RH Dew claw removed 7 days ago. Now I review the operation site. It is OK. No infection but there is still bleeding as the owner had bandaged tightly. MORE INFO AND UPDATES AT: https://2010vets.blogspot.com/2022/05/4053-14-year-old-shih-tzu-has-rh-dew.html
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Video 4/7. 14-year-old Shih Tzu had RH dew claw removed electro-surgically 7 days ago. Review of operation site. No infections. 26 MAY 2022: Review of right hind dew claw wound 7 days after operation to remove the large swollen dew claw. No infections. On phone call follow-up on 2 Jun 2022, the owner said the dog was back to his naughty active self, barking loudly at family members and could eat beef chunks. As at 4 Jun 2022, the dog is as normal as can be. The stitches are self-dissolving and some parts had fallen off. The Grab private-hire car owner, his wife and young adult daughter are most happy. MORE INFO AND UPDATES AT: https://2010vets.blogspot.com/2022/05/4053-14-year-old-shih-tzu-has-rh-dew.html
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Video 3/7. 14-year-old Shih Tzu had swollen Right Hind dew claw excised by electrosurgery by me 7 days ago. Review today. No infection. 26 May 2022: Right Hind dew claw was removed by me 7 days ago. Now I review the operation site. It is OK. No infection but there is still bleeding as the owner had bandaged tightly. MORE INFO AND UPDATES AT: https://2010vets.blogspot.com/2022/05/4053-14-year-old-shih-tzu-has-rh-dew.html
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Video 2/7. 14-year-old Shih Tzu had swollen Right Hind dew claw excised by electrosurgery by me 7 days ago. Review today. No infection. 26 May 2022: Right Hind dew claw was removed by me 7 days ago. Now I review the operation site. It is OK. No infection but there is still bleeding as the owner had bandaged tightly. MORE INFO AND UPDATES AT: https://2010vets.blogspot.com/2022/05/4053-14-year-old-shih-tzu-has-rh-dew.html
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Video 1A/7. 14-year-old Shih Tzu had large swollen right hind dew claw. Surgery today. 19 MAY 2022: The dog had a swollen right hind dew claw for several weeks. Around 4 weeks ago, I injected steroid into the claw. The swelling subsided for some days. The dog must have had licked it as it swelled again. The owner wanted surgical removal and was willing to take the anaesthetic risk of death on the operating table as the dog was old and had heart disease. I operated using a low dose of IV domitor and ketamine and isoflurane gas. I ligated the blood vessels above the dew claw after excision of the claw using electro-surgery. It is important to ligate this blood vessel above the dew claw which had a rubber band tourniquet. After removal of the claw, I stitched up using 3/0 dissolvable sutures and bandaged the foot. The dog recovered well when reviewed on 22 MAY 2022. As at 4 Jun 2022, the dog is as normal as can be. The Grab private-hire car owner is most happy. MORE INFO AND UPDATES AT:
https://2010vets.blogspot.com/2022/05/4053-14-year-old-shih-tzu-has-rh-dew.html
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Video 1/7. 14-year-old Shih Tzu had large swollen right hind dew claw. Surgery today.
19 MAY 2022: The dog had a swollen right hind dew claw for several
weeks. Around 4 weeks ago, I injected steroid into the claw. The
swelling subsided for some days. The dog must have had licked it as
it swelled again. The owner wanted surgical removal and was willing
to take the anaesthetic risk of death on the operating table as the
dog was old and had heart disease. I operated using a low dose of IV
domitor and ketamine and isoflurane gas. I ligated the blood vessels
above the dew claw after excision of the claw using electro-surgery.
It is important to ligate this blood vessel above the dew claw which
had a rubber band tourniquet.
After removal of the claw, I
stitched up using 3/0 dissolvable sutures and bandaged the foot. The
dog recovered well when reviewed on 22 MAY 2022.
As at 4 Jun 2022, the dog is as normal as can be. The Grab private-hire
car owner is most happy.
MORE INFO AND UPDATES AT:
https://2010vets.blogspot.com/2022/05/4053-14-year-old-shih-tzu-has-rh-dew.html
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