👂 Jax’s earache 👂
This is Jax. He came in a few days ago for a suspect ear infection after his owners saw him scratching at his ear and shaking his head. The problem quickly became apparent - Jax had an aural haematoma in his left ear!
An aural haematoma is a collection of blood and fluid between the cartilage of the ear and the skin. It can occur secondary to anything that can cause the blood vessels in the ear to rupture - for example, excessive head shaking and scratching (as happens in dogs with ear infections), mouthing/biting of ears by other dogs, etc. They can be painful as the build up of fluid stretches the skin and creates the sensation of pressure.
It is important to identify and treat the underlying cause. In Jax’s case, we removed a hard piece of foreign material from his right ear immediately prior to lancing the haematoma - proof that a thorough check is needed, as the ear with the haematoma isn’t always the one that has the underlying issue!
Jax’s owners elected to have the haematoma lanced under general anaesthesia at the same time his outer ear canals were explored. The ear was clipped and prepped for surgery, and then Dr Beth made an incision on the inside part of the ear to relieve the built up fluid and pressure. You can see in the video just how much was in there! Simple stents were then placed to keep the ear stable and hopefully prevent contracture of the cartilage during the healing process. It is also important to leave the lance site open to drain, as these haematomas are prone to relapse if not given adequate chance to discharge.
Hopefully Jax is feeling much better after his procedure! We wish him all the best for his healing journey!
Dr Libby is currently boring the Mevv nurses to death as they have assisted with many hours of cardiac 💕ultrasounds as she completes her training in #echocardiography 😴
With thanks to the team @soundiagnosisacademy for the mentoring and the many clients who have volunteered their cardiac patients for a training scan 🙏 We are so pleased to be able to offer this diagnostic and monitoring tool in house to assist our cardiac patients in their management and in providing a more accurate prognosis for cardiac disease.
This video demonstrates one of the most important views Libby has been obtaining of the #leftatrium and #aorta. In this case the left atrium is unfortunately enlarged and abnormal due to #mitralvalve disease. #vet #veterinarymedicine #canineechocardiogram #epicstudy #mtelizavet #mtelizavillagevet
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How to trim nails with Alex! 🐾 #mtelizapets #mtelizavillage #peninsulapets #dognails #dognailtrim
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