Idiopathic Head Tremors in a 2-Year-Old Boxer:
This is probably a syndrome that's been called idiopathic head tremor. Dobermans, English Bulldogs, Boxers, and Labradors are most commonly affected. These dogs are fully alert during these episodes, which start and stop spontaneously. The dog can often be momentarily distracted during an episode, for example by feeding. These patients don't develop any other neurologic deficits. The etiology is not known but affected dogs typically do not respond to antiseizure medication, suggesting that this may be a movement disorder, not focal epilepsy. It is inherited in Boxers and Dobermans.
Diagnostic evaluations, including MRI and CSF, are typically normal. Nevertheless, if the dog develops any persistent neurological deficits, then a thorough workup would be in order. There is no effective treatment, but clients are usually reassured to know that this does not progress to more serious problems.
Sokar 4y old male DLH cat came with emergency dyspnea, cyanosis and collapse.
CBC mild normocytic normochromic anemia.
Blood work was WNR just slight hypocalcemia and hyperglobulinemia.
We stabilized him first by intubating him and giving him 100% pure oxygen.
Then we take xray:
- severe interstitial to alveolar pattern in middle and ventral lung.
After stabilization we took a complete history the owner said sokar has vomited then the respiratory signs appeared after 10 min from vomiting 🤮.
During physical ex we noticed severe abdominal pain we did fPL SNAP test and was positive.
Diagnosis: pancreatitis that lead to vomit 🤢 and this vomit wa aspirited into lung leading to aspiration pneumonia.
A 3y old Male castrated DLC came with signs of urethral obstruction that repeated two times in only one month.
My protocol is as follows:
-place IV catheter and collect sample for chemistry
-collect Urine sample for UA.
-give morphine as premed.
-do cystocentesis do decrease bladder stretch.
-pre oxy for 5mins.
- induction with keta/mida
-intubate and ventilation to keep CO2 low as possible.
-sacrococcygeal block with 0.5ml lidocaine.
-use 0.5ml lidocaine into the urethra.
-unblock by passing catheter.
- fluid therapy.
And wait for results.
But we decided to perform perineal urethrostomy.
As a rule of thumb we decide to perform perineal urethrostomy if the block occurs more than one time in 6 months or less.
Thankfully he is doing really Great ☺️☺️
Basbosa a 4y old cat came with high rise syndrome.😿
Physical ex: alert, tachycardia, tachypnea, 40 Celsius temp, and non-weight bearing lameness in right hind limb.
Ultrasound: TFast and AFast was normal.
CBC: mild anemia.
Blood work: mild increase in ALT otherwise was WNR.
Xray: Severe metatarsal fracture in four metatarsal bones.🥺
Treatment: first option to insert four plates one for each metatarsal bone. But this was so expensive and the owners' fund isn't the best one.💸
So we chose the second option which was to insert intramedullary bone pinning for each metatarsal bone after making a slot in the distal portion of the bone to save the joint movement that option was much cheaper than the first one.
Thankfully after 1.5 months the cat brings back almost normal movement and zero lameness.🙏🤩
Video of recovery found at the end!!😍😍
A 4y golden retriever male intact has been hit by a car and has multiple bruises and scratches all over his body and a radial and ulnar fracture with an open wound. 😥
Physical Exam: BAR, mild dehydration, sinus arrhythmia (normal in dogs and not in cats).
CBC: mild anemia
Blood Chemistry: 3-fold increase in ALT suggestive liver damage
mostly due to trauma that makes the anesthesia plan challenging
.
Gave him Rimdyl and a low dose of Gabapentin for one to two days before surgery.
Acepromazine and α2-agonists are generally avoided because of their negative cardiovascular effects. Acepromazine, which has a long duration of action, depends exclusively on the liver for clearance (not reversible) and causes vasodilation and secondary hypotension. While α2-agonists (eg, xylazine or dexmedetomidine) are reversible, they cause a marked decrease in cardiac output and hepatic blood flow.
Anesthesia plan I used:
-PRE:
Pre-oxygenation for 5 min
a low dose of midazolam (be cautious because of liver disease)
CRI lidocaine: loading dose (1-2 mg/kg IV), CRI (1.5 - 4.5 mg/kg/hr)
-INDUCTION:
Propofol (4 mg/kg IV titrated to effect) + Fentanyl CRI (10 µg/kg).
-MAINTENANCE:
Isoflurane
The patient was so stable from the beginning till 30min before finishing, at this moment HR became 65, and sinus paused, and AV block 2 Moritz 1 appeared 😯 , so I gave him Atropin iv HR began to increase reached 130, and the arrhythmia gone 😊
.
Surgery Repair:
-Interlocking plate Briding plate ☠
Removing huge bone from thorax esophagus 😔🥺
Xray in comments
A 2 years old Bernese mountain dog suffered from 1 month of lameness.
We did joint aspiration to rule in or out the septic cause.
The fluid is very viscous ,normal volume.
Xray:
Soft tissue swelling in the left carpus. On the DP view, there is mineralization in the soft tissues on the lateral aspect of the middle carpal joint.
The mineralized site may be either dystrophic calcification of a collateral ligament or an avulsion fracture. I would think that if this is an avulsion fracture there should be considerable medial-lateral instability to the carpus.
Note: video of aspiration and xray in comments.
What's your differential list?!? 🤔🤔
X-ray in the comments.
Prenrieal urothroestomy in male cat.🔥🔥🔥🥰🤩
Making a slot in bone 🤩🤩 🦴🦴🔥
Mammary gland tumors lecture
Mammary gland tumors lecture Surgery lecture
Synovial fluid aspiration from carpal joint in Bernese mountain dog suffer from 1month lameness
WAIT for full case🤩🤩
AKI CONT...
Acute kidney injury (AKI) with clinical cases part 2
Acute kidney injury (AKI)
Acute kidney injury (AKI) with clinical cases part1
