Dr.Indu Bhushan

12/11/2023

🧿Midnight emergency🧿
📌Successful management of dystocia in a buffalo
📌Per va**nal examination revealed breech presentation
📌Results: Delivered twin live calves.

09/10/2023

📌𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐫𝐞𝐩𝐚𝐢𝐫 𝐨𝐟 𝐋𝐚𝐜𝐞𝐫𝐚𝐭𝐞𝐝 𝐓𝐞𝐚𝐭 𝐢𝐧 𝐉𝐞𝐫𝐬𝐞𝐲 𝐂𝐨𝐰🐂
📍Case: A Jersey cow recently parturited was presented with history of injury by neighbouring cow leading to laceration of teat.
📍Clinical finding:
✔Full thickness vertical laceration leading to formation of teat fistula with leakage of milk.
📍Surgical procedure:
1.Ring block was given at the base of teat with Lignocaine 2%
2.Wound freshened n copiously washed with antiseptic solution.
3.Insertion of baby feeding tube no 8 to keep patency of the teat canal.
4.The wound closed in 3 layers (mucosa - submucosa, muscles, skin) using Vicryl 3-0.
5.ASD done with bandaging of the wound keeping the baby feeding tube in situ.
📌Follow up
✔Broad spectrum antibiotic
✔NSAIDs
✔Multivitamins

02/10/2023

📌“𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐓𝐞𝐚𝐭 𝐄𝐧𝐝 𝐈𝐧𝐣𝐮𝐫𝐲 𝐜𝐮𝐦 𝐓𝐞𝐚𝐭 𝐎𝐛𝐬𝐭𝐫𝐮𝐜𝐭𝐢𝐨𝐧 𝐢𝐧 𝐇𝐅𝐂𝐁 𝐜𝐨𝐰”
📌A recently parturited cow injured her teat while lying down and getting up leading to teat end injury and obstruction.
📌Management:
📍Surgical debridement of the wound
📍Removal of granulomatous mass from teat canal using teat tumour extractor.
📍Fixation of baby feeding tube
📍Broad spectrum antibiotic, NSAIDS, local application of povidone iodine.
📌Complications:
📍Mastitis ( Encountered by use of antibiotics)
📍Failure of retention of baby feeding tube ( Replaced the baby feeding tube by foley’s catheter)
📌Result: Teat end wound healed at day 30.

13/09/2023

“Management of teat obstruction in HFCB Cow due to teat end injury”
✅This cow had history of teat end injury due to self trauma which lead to the obstruction at its teat end.
✅After proper restraining and under aseptic conditions the growth was removed using teat tumour extractor followed by insertion and fixing of baby feeding tube to keep teat canal patent.
✅Follow up treatment continued with broad spectrum antibiotic and NSAIDS.

16/05/2022

𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐦𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐦𝐚𝐦𝐦𝐚𝐫𝐲 𝐭𝐮𝐦𝐨𝐮𝐫 𝐢𝐧 𝐚 𝐝𝐨𝐠
➡️Surgical technique: Mammectomy was performed under GA.
📌Mammectomy is a removal of a single mammary gland, including the ni**le and skin overlying the gland.
📌It is a good choice when the mammary mass is directly under the ni**le or is fixed to the overlying skin.
📌It should not be used for masses fixed to the underlying re**us fascia.
📌In this case the mammary tissue was superficial to the ventral fascia of the re**us muscle and typically has a layer of fat directly under the glands.
➡️Post op : Fluid therapy, broad spectrum antibiotics, Nsaids and multivitamins.
➡️Surgical pearl : During caudal dissection, ligate the caudal superficial epigastric artery and vein to prevent excessive bleeding.

18/04/2022

🐶𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐇𝐞𝐦𝐚𝐭𝐨𝐦𝐚 𝐨𝐧 𝐂𝐡𝐞𝐬𝐭 𝐰𝐚𝐥𝐥 𝐨𝐟 𝐃𝐨𝐠🐶
📌A non descript dog was presented with history of automobile accident since 4 days with development of swelling around left side of the chest.
📌Clinical examination revealed that the swelling was non painful, soft and fluctuating with presence of fluid thrill.
📌Needle aspiration revealed blood tinged fluid , thus found to be a Hematoma.
📌Management: The swelling was lenced at the dependent part with removal of approx. 4 to 5 lts of blood tinged fluid and fibrin clots. The cavity was thoroughly flushed with antiseptic solution followed by pressure bandage.
📌The patient was stabilised with fluid therapy, broad spectrum antibiotic,NSAIDS and multivitamins.
📌The patient recovered uneventfully and relocated on 5th day.

16/03/2022

“𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐂𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐔𝐭𝐞𝐫𝐢𝐧𝐞 𝐏𝐫𝐨𝐥𝐚𝐩𝐬𝐞 𝐢𝐧 𝐚 𝐝𝐨𝐠”
➡️Case : A stray dog was presented with a pr*****ed mass since long.
Clinical examination revealed that the mass was soiled, edematous, lacerated and necrotic.
➡️Treatment :
Hysterectomy was performed under GA after stabilisation of the patient.
➡️Result: Patient recovered uneventfully and relocated at her place🐶.

24/02/2022

𝐑𝐞𝐜𝐞𝐢𝐯𝐞𝐝 “𝐁𝐞𝐬𝐭 𝐅𝐢𝐞𝐥𝐝 𝐕𝐞𝐭𝐞𝐫𝐢𝐧𝐚𝐫𝐢𝐚𝐧 𝐀𝐰𝐚𝐫𝐝” 𝐢𝐧 𝟒𝟒𝐭𝐡 𝐀𝐧𝐧𝐮𝐚𝐥 𝐂𝐨𝐧𝐠𝐫𝐞𝐬𝐬 𝐨𝐟 𝐈𝐧𝐝𝐢𝐚𝐧 𝐒𝐨𝐜𝐢𝐞𝐭𝐲 𝐟𝐨𝐫 𝐕𝐞𝐭𝐞𝐫𝐢𝐧𝐚𝐫𝐲 𝐒𝐮𝐫𝐠𝐞𝐫𝐲 (𝐈𝐒𝐕𝐒) 𝐚𝐧𝐝 𝐍𝐚𝐭𝐢𝐨𝐧𝐚𝐥 𝐒𝐲𝐦𝐩𝐨𝐬𝐢𝐮𝐦 𝐡𝐞𝐥𝐝 𝐚𝐭 𝐆.𝐁. 𝐏𝐚𝐧𝐭 𝐔𝐧𝐢𝐯𝐞𝐫𝐬𝐢𝐭𝐲 𝐨𝐟 𝐀𝐠𝐫𝐢𝐜𝐮𝐥𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐓𝐞𝐜𝐡𝐧𝐨𝐥𝐨𝐠𝐲, 𝐏𝐚𝐧𝐭𝐧𝐚𝐠𝐚𝐫 (𝐔𝐭𝐭𝐚𝐫𝐚𝐤𝐡𝐚𝐧𝐝) 𝐈𝐧𝐝𝐢𝐚 𝐨𝐧 𝐅𝐞𝐛𝐫𝐮𝐚𝐫𝐲 𝟐𝟒, 𝟐𝟎𝟐𝟐.

𝐈 𝐚𝐦 𝐭𝐡𝐚𝐧𝐤𝐟𝐮𝐥 𝐭𝐨 𝐚𝐥𝐥 𝐦𝐲 𝐭𝐞𝐚𝐜𝐡𝐞𝐫𝐬

18/02/2022

07/01/2022

𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐥𝐨𝐧𝐠 𝐛𝐨𝐧𝐞 𝐟𝐫𝐚𝐜𝐭𝐮𝐫𝐞 (𝐌𝐞𝐭𝐚𝐜𝐚𝐫𝐩𝐚𝐥) 𝐢𝐧 𝐇𝐨𝐫𝐬𝐞 𝐮𝐧𝐝𝐞𝐫 𝐟𝐢𝐞𝐥𝐝 𝐜𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧𝐬
🎗Case : Fracture of left metacarpal (complete, closed ,midshaft & transverse fracture) in a Horse.
🎗Manegement: Full limb PVC splint POP cast was applied under sedation.
🎗Important steps:
✔ Sedation with Xylazine
✔ Traction and counter traction for proper alignment of the proximal and distal frature ends
✔ Cotton padding followed by bandaging
✔ Application of PVC splints
✔Application of POP cast.
✔NSAIDs and multivitamins for 3 to 5 days.

19/12/2021

🎗🎗𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐃𝐞𝐞𝐩 𝐂𝐨𝐫𝐧𝐞𝐚𝐥 𝐔𝐥𝐜𝐞𝐫 𝐚𝐬 𝐒𝐞𝐪𝐮𝐞𝐥 𝐭𝐨 𝐈𝐧𝐟𝐞𝐜𝐭𝐢𝐨𝐮𝐬 𝐁𝐨𝐯𝐢𝐧𝐞
𝐊𝐞𝐫𝐚𝐭𝐨𝐜𝐨𝐧𝐣𝐮𝐜𝐭𝐢𝐯𝐢𝐭𝐢𝐬 𝐢𝐧 𝐂𝐚𝐭𝐭𝐥𝐞🎗🎗
✔Case: This case was presented with history of sudden redness, painful left eye. The owner has applied sugar solution to it for 3 days as remedy but the eye became bad to worse. There was no history of any trauma or injury to it.
✔Clinical examination revealed
➡️Normal body parameters
➡️Epiphora
➡️Blephrospasm
➡️Hypopyon cm hypemia
➡️Deep corneal / stromal defect
➡️Corneal edema
✔Treatment
💉Third eye lid flap was performed under AP nerve block and local anesthesia of the third eyelid.
💉Systemic Broad spectrum antibiotic every 72 hours for three ocassions
💉Mydriatic eye drops
💉Autologous serum eye drops
💉Introcular broad spectrum antibiotic
✔Result
💕The flap was removed on 15th day and
Eventually the eye appears clear with a white scar on day 60💕

12/12/2021

🐶🐶🐶🐶𝐅𝐨𝐥𝐥𝐨𝐰 𝐮𝐩🐶🐶🐶🐶🐶
𝐔𝐧𝐞𝐯𝐞𝐧𝐭𝐟𝐮𝐥 𝐑𝐞𝐜𝐨𝐯𝐞𝐫𝐲 𝐨𝐟 𝐟𝐞𝐦𝐚𝐥𝐞 𝐝𝐨𝐠 𝐰𝐡𝐨 𝐡𝐚𝐬 𝐮𝐧𝐝𝐞𝐫𝐠𝐨𝐧𝐞 𝐜𝐞𝐬𝐚𝐫𝐞𝐚𝐧 𝐬𝐞𝐜𝐭𝐢𝐨𝐧 𝐚𝐧𝐝 𝐬𝐩𝐚𝐲 𝐯𝐢𝐚 𝐥𝐚𝐭𝐞𝐫𝐚𝐥 𝐟𝐥𝐚𝐧𝐤 𝐚𝐩𝐩𝐫𝐨𝐚𝐜𝐡

04/12/2021

🎗🎗𝐓𝐫𝐞𝐚𝐭𝐦𝐞𝐧𝐭 𝐨𝐟 𝐚𝐮𝐫𝐢𝐜𝐮𝐥𝐚𝐫 𝐡𝐞𝐦𝐚𝐭𝐨𝐦𝐚 𝐮𝐬𝐢𝐧𝐠 𝐛𝐮𝐭𝐭𝐨𝐧 𝐭𝐞𝐜𝐡𝐧𝐢𝐪𝐮𝐞🎗🎗

30/11/2021

🎗🎗𝐂𝐞𝐬𝐚𝐫𝐞𝐚𝐧 𝐒𝐞𝐜𝐭𝐢𝐨𝐧 𝐚𝐧𝐝 𝐒𝐩𝐚𝐲 𝐢𝐧 𝐅𝐞𝐦𝐚𝐥𝐞 𝐃𝐨𝐠 𝐛𝐲 𝐋𝐚𝐭𝐞𝐫𝐚𝐥 𝐅𝐥𝐚𝐧𝐤 𝐀𝐩𝐩𝐫𝐨𝐚𝐜𝐡🎗🎗
✔A case of stray female dog was presented with history of difficult whelping since few hours.
✔After unsuccessfullconservative treatment it was decided to go for CS and spay under GA via right lateral flank approach.
✔Out of six puppies five were delivered alive
✔Post op
➡️Broad spectrum antibiotic
➡️NSAIDs
➡️Multivitamin
➡️Fluids therapy
➡️Wound dressing
✔Why this site?
➡️Excessive mammary development
➡️Decreased likelihood of evisceration if ➡️wound dehisence occurs
➡️Ability to monitor the incision from a distance
➡️Easy wound management

27/11/2021

🎗🎗𝐌𝐚𝐧𝐞𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐆𝐫𝐚𝐝𝐞 𝟑 𝐂𝐡𝐫𝐨𝐧𝐢𝐜 𝐂𝐞𝐫𝐯𝐢𝐜𝐨𝐯𝐚𝐠𝐢𝐧𝐚𝐥 𝐏𝐫𝐨𝐥𝐚𝐩𝐬𝐞 𝐢𝐧 𝐍𝐨𝐧 𝐩𝐫𝐞𝐠𝐧𝐚𝐧𝐭 𝐇𝐅𝐂𝐁 𝐜𝐨𝐰 𝐛𝐲 𝐌𝐨𝐝𝐢𝐟𝐢𝐞𝐝 𝐌𝐢𝐧𝐜𝐡𝐞𝐯'𝐬 𝐕𝐚𝐠𝐢𝐧𝐨𝐩𝐞𝐱𝐲 𝐔𝐧𝐝𝐞𝐫 𝐂𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧𝐬🎗🎗
❎A case was presented with history of chronic Cervicova**nal prolapse since 6 months.
❎The prolapse was corrected manually earlier 4 to 5 times by the conservative methods like by using rope truss, buhner sutures, medicinal treatment etc etc but it recurred.
❎Thus the treatment was done by applying button suture using Modified Minchev's Vaginopexy technique.
❎Procedure
1. Epidural local anesthesia
2. Plastic buttons, nylon/ cotton thread, long cutting needle.
3. Cleaning and disinfecting the pr*****ed mass, emptying of urinary bladder followed by reduction and repositing of it.
4. The threaded needle with placed button is passed from the va**nal cavity to outside through the gluteal region, posterior to sacrosciatic ligament.
5. Then 2nd button is fixed outside at the point from where the needle comes out.
6. Both the buttons are fixed tightly by tying the knot out side the va**na.
7. Same is done on other side.

23/11/2021

𝐓𝐡𝐞 𝐬𝐨𝐥𝐮𝐭𝐢𝐨𝐧 𝐭𝐨 𝐩𝐨𝐥𝐥𝐮𝐭𝐢𝐨𝐧 𝐢𝐬 𝐝𝐢𝐥𝐮𝐭𝐢𝐨𝐧- 𝐃𝐫. 𝐒𝐡𝐞𝐫𝐫𝐲 𝐑𝐨𝐠𝐞𝐫𝐬

23/11/2021

🎗𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭/𝐅𝐚𝐬𝐜𝐢𝐨𝐭𝐨𝐦𝐲 𝐨𝐟 𝐈𝐧𝐣𝐞𝐜𝐭𝐢𝐨𝐧 𝐒𝐢𝐭𝐞 𝐀𝐛𝐬𝐜𝐞𝐬𝐬 𝐚𝐭 𝐥𝐚𝐭𝐞𝐫𝐚𝐥 𝐚𝐬𝐩𝐞𝐜𝐭 𝐨𝐟 𝐧𝐞𝐜𝐤 𝐢𝐧 𝐡𝐨𝐫𝐬𝐞🎗
➡️A case was presented with history of swelling at the lateral aspect of neck in horse since one month ,after it got some IM injections.
➡️Clinical examination finding were
✔Temperature 101*f.
✔The swelling was warm, painful and hard (++) but soft at few spots.
✔Needle aspiration revealed only a small amount (0.5ml) of thick serosanguinous contents.
✔Based on history and physical examination, it was diagnosed as injection site abscess
➡️Treatment
✔Standing sedation was given followed by local infiltration of lignocaine 2% at the incision site was given.
✔Firstly subcutaneous stab incision was given but nothing came out and thus on further exploration it was found that the abscess was deep inside the muscles which has led to the myonecrosis cm myositis.
✔Then it was decided to perform the Fasciotomy.
✔After which thick insippated pus along with necrotic muscles were removed.
✔The cavity was thorougly flushed with jet of fresh water followed by flushing the cavity with Povidine iodine solution.
✔Later the cavity was packed with antiseptic gauze.
➡️Post op
✔Broad spectrum antibiotic
✔NSAIDs
✔Tetanus toxoid
✔The gauze was changed on alternate days
➡️Result: The would completely closed on 21st day.
𝐅𝐚𝐬𝐜𝐢𝐨𝐭𝐨𝐦𝐲
It is a surgical procedure in which the skin, sub-cutaneous tissue, and fascia are incised for the purposes of drainage and/or decompression of deeper tissues.
Procedure
• Clip hair and prepare skin with aseptic technique.
• Inject local anesthetic into the subcutaneous tissues.
• Incise the skin over the area to be drained or decompressed. Incisions should be at least 1 cm in length. If the affected area is extensive, lengthen the incision(s) parallel to the lines of maximal resting skin tension (if possible) to afford the necessary drainage or decompression.
• If treating infection, copiously lavage the incised tissues.
• Cover fasciotomy sites with bandage material to absorb drainage and minimize gross contamination.
• Allow the incision(s) to heal by second intention.

08/11/2021

𝑯𝒆𝒂𝒍𝒊𝒏𝒈 𝒊𝒔 𝒂 𝒎𝒂𝒕𝒕𝒆𝒓 𝒐𝒇 𝒕𝒊𝒎𝒆, 𝒃𝒖𝒕 𝒊𝒕 𝒊𝒔 𝒔𝒐𝒎𝒆𝒕𝒊𝒎𝒆𝒔 𝒂𝒍𝒔𝒐 𝒂 𝒎𝒂𝒕𝒕𝒆𝒓 𝒐𝒇 𝒐𝒑𝒑𝒐𝒓𝒕𝒖𝒏𝒊𝒕𝒚 --- 𝑯𝒊𝒑𝒑𝒐𝒄𝒓𝒂𝒕𝒆𝒔
❎This is case 2 in continuation to the previous post❎

08/11/2021

''𝐅𝐢𝐞𝐥𝐝 𝐦𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐄𝐱𝐮𝐛𝐞𝐫𝐚𝐧𝐭 𝐠𝐫𝐚𝐧𝐮𝐥𝐚𝐭𝐢𝐨𝐧 𝐭𝐢𝐬𝐬𝐮𝐞/ 𝐩𝐫𝐨𝐮𝐝 𝐟𝐥𝐞𝐬𝐡 𝐢𝐧 𝐭𝐰𝐨 𝐇𝐅𝐂𝐁 𝐡𝐞𝐢𝐟𝐞𝐫𝐬''
✔The term proud flesh is most commonly used in Equines
✔Case 1 This heifer had a chronic non healing wound at the distal end of the forelimb since many day
✔The wound was thorougly cleaned and lavaged with antiseptic solution
✔Chemical debridement using CuSo4 dressing was done on alternate days for 3 times followed by routine dressing with corticosteroids
✔The wound healed successfully on 40th day
❎The main reason for formation of EGT is weak, delayed and protracted inflammatory response of the body towards wound, which is most commonly found in equines
❎So, when treating wounds by second intention, inflammation should be stimulated until wound has filled with granulation tissue and there after it should inhibited
🔆Case 2 is shared in next post🔅

19/09/2021

🍁🍁🍁𝐅𝐎𝐋𝐋𝐎𝐖 𝐔𝐏🍁🍁🍁
𝐒𝐮𝐜𝐜𝐞𝐬𝐬𝐟𝐮𝐥 𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐑𝐞𝐩𝐚𝐢𝐫 𝐨𝐟 𝐓𝐞𝐚𝐭 𝐋𝐚𝐜𝐞𝐫𝐚𝐭𝐢𝐨𝐧 𝐢𝐧 𝐉𝐞𝐫𝐬𝐞𝐲 𝐂𝐨𝐰
🎗🎗In continuation to the previous post, the surgical wound healed uneventfully on 21st day with normal milking from the affected teat🎗🎗

11/09/2021

🎗🎗𝑯𝒆𝒂𝒍𝒊𝒏𝒈 𝒃𝒚 𝑺𝒆𝒄𝒐𝒏𝒅 𝑰𝒏𝒕𝒆𝒏𝒕𝒊𝒐𝒏🎗🎗
✔This type of closure occurs when a wound heals on its own by forming granulation tissue, epithelializing, and contracting.
There are three primary phases of secondary intention healing:
➡️Filling the wound – New tissue, known as granulation tissue, will fill the base of the sore and create new blood vessels.
➡️Contraction – As the body creates new layers of skin, the outer edges of the wound pull towards the center of the exposed area, slowly closing it up.
➡️Re-epithelization – Epithelial cells emerge from the margins of the wound to cover the area with a new layer of healthy skin. At first, the skin will be soft, thin, and more delicate, but will thicken and strengthen over time.
🐶🐶This case showed all phases of wound healing by second intention🐶🐶

23/08/2021

🎗𝑯𝒂𝒏𝒈𝒊𝒏𝒈 𝑫𝒓𝒐𝒑 𝑴𝒆𝒕𝒉𝒐𝒅 𝒕𝒐 𝑪𝒉𝒆𝒄𝒌 𝑷𝒓𝒐𝒑𝒆𝒓 𝑨𝒅𝒎𝒊𝒏𝒊𝒔𝒕𝒓𝒂𝒕𝒊𝒐𝒏 𝒐𝒇 𝑬𝒑𝒊𝒅𝒖𝒓𝒂𝒍 𝑨𝒏𝒆𝒔𝒕𝒉𝒆𝒔𝒊𝒂 𝒊𝒏 𝑩𝒖𝒇𝒇𝒂𝒍𝒐🎗
The hanging drop method is a technique used to identify the accurate position of the spinal needle tip within the epidural space, and is characterized by the movement of fluid from the hub into the shaft of the needle as a result of the needle tip entering the epidural space, where the pressure is sub-ambient

16/08/2021

🎗🎗𝐒𝐮𝐫𝐠𝐢𝐜𝐚𝐥 𝐫𝐞𝐩𝐚𝐢𝐫 𝐨𝐟 𝐋𝐚𝐜𝐞𝐫𝐚𝐭𝐞𝐝 𝐓𝐞𝐚𝐭 (𝐁𝐚𝐫𝐛𝐞𝐝 𝐰𝐢𝐫𝐞 𝐢𝐧𝐣𝐮𝐫𝐲) 𝐢𝐧 𝐉𝐞𝐫𝐬𝐞𝐲 𝐂𝐨𝐰🎗🎗
❎Case: A Jersey cow was presented with history of barbed wire injury leading to laceration of teat.
❎Clinical finding:
✔Full thickness vertical laceration leading to formation of teat fistula with leakage of milk.
❎Surgical procedure:
1.Ring block was given at the base of teat with Lignocaine 2%
2.Wound freshened n copiously washed with antiseptic solution.
3.Insertion of baby feeding tube no 8 to keep patency of the teat canal.
4.The wound closed in 3 layers (mucosa - submucosa, muscles, skin) using Vicryl 3-0.
5.ASD done with bandaging of the wound keeping the baby feeding tube in situ.
❎Follow up
✔Broad spectrum antibiotic
✔NSAIDs
✔Multivitamins

13/08/2021

🎗🎗𝐅𝐞𝐭𝐚𝐥 𝐌𝐮𝐦𝐦𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐢𝐧 𝐇𝐅𝐂𝐁 𝐂𝐨𝐰🎗🎗
❎History:
✔The owner of this cow was not known about her pregnancy status, however she came to heat and got naturally inseminated.
✔On 2nd day he found serosanguinous va**nal discharge.
❎Physical examination and management:
✔On PR examination a hard mass was felt at the base of horn.
✔Then PV was done and a mummified fetus was removed manually.
✔The gestational age of the fetus (approx 100 days) was assessed by measuring its crown-rump length.
✔Broad broad spectrum, oral and intra uterine ecbolic was given.
✔Thank you very much for candid discussion of the case 😊

09/08/2021

𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐔𝐦𝐛𝐢𝐥𝐢𝐜𝐚𝐥 𝐀𝐛𝐬𝐜𝐞𝐬𝐬 𝐢𝐧 𝐚 𝐀𝐝𝐮𝐥𝐭 𝐂𝐨𝐰
❎Differentials :
✔Umblical abscess
✔Umblical hernia
✔Hematoma
✔Post parturient udder edema
✔Tumour
❎The umblical abscess was confirmed based on physical examination a d needle aspiration.
❎Treatment
✔A stab incision was given on the most dependent part followed by evacuation of the pus.
✔The cavity was explored thoroughly for any foreign body.
✔Later, the cavity was tightly packed with Tincture iodine soaked gauze.
❎Follow up
✔Broad spectrum antibiotic
✔NSAIDs
✔Change of gauze for 2 to 3 days.

08/08/2021

🎗🎗𝐀 𝐒𝐮𝐧𝐝𝐚𝐲 𝐖𝐞𝐥𝐥 𝐒𝐩𝐞𝐧𝐭 𝐁𝐫𝐢𝐧𝐠𝐬 𝐚 𝐖𝐞𝐞𝐤 𝐨𝐟 𝐂𝐨𝐧𝐭𝐞𝐧𝐭🎗🎗
A visit to a dairy farm. The cases attended were
1. Umblical abscess in adult cow
2. Acute Mastitis
3. Pregnancy diagnosis

05/08/2021

𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐃𝐞𝐞𝐩 𝐋𝐚𝐜𝐞𝐫𝐚𝐭𝐞𝐝 𝐖𝐨𝐮𝐧𝐝 𝐢𝐧 𝐚 𝐃𝐨𝐠 𝐝𝐮𝐞 𝐭𝐨 𝐚𝐧 𝐚𝐮𝐭𝐨𝐦𝐨𝐛𝐢𝐥𝐞 𝐚𝐜𝐜𝐢𝐝𝐞𝐧𝐭
Step 1 : Stabilization of Patient with antibiotic, painkiller and fluid therapy
Step 2: Debridement of the wound, copiously lavaging with normal saline and antiseptic solution
Step 3: Resection of dead skin, blood clots, control of hemorrhage
Step 4 :Obliteration of dead space by surgically repair of the defect in different layers followed by RJ bandage, under GA

29/07/2021

𝐀𝐦𝐩𝐮𝐭𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐓𝐚𝐢𝐥 (𝐂𝐚𝐮𝐝𝐞𝐜𝐭𝐨𝐦𝐲) 𝐢𝐧 𝐋𝐞𝐨𝐩𝐚𝐫𝐝 𝐮𝐧𝐝𝐞𝐫 𝐟𝐢𝐞𝐥𝐝 𝐜𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧𝐬
🎗Case : This Leopard had chronic / non - healing infected wound on tail probably due to self mutilation since three months.
🎗Surgical procedure: Amputation of the tail
🎗Technique:
✔Anesthesia: G.A & epidural local anesthesia
✔Application of tourniquet
Making two V-shaped skin incisions that meet to make a dorsal and ventral skin flap
✔Dissection of subcut tissue and muscles
✔Ligation of the lateral and median vascular bundles
✔Transection of the tail via disarticulation between vertebral segments
✔Closure of soft tissue and skin over the exposed and remaining caudal vertebra
🎗Post op :
Antibiotic, NSAIDs, ASD, Gastorprotectant, Multivitamins.
𝐖𝐈𝐒𝐇 𝐇𝐈𝐌 𝐀 𝐒𝐏𝐄𝐄𝐃𝐘 𝐑𝐄𝐂𝐎𝐕𝐄𝐑𝐘

24/07/2021

🎗🎗𝐀𝐩𝐩𝐥𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐨𝐟 𝐅𝐮𝐥𝐥 𝐥𝐢𝐦𝐛 𝐏𝐎𝐏 𝐂𝐚𝐬𝐭 𝐮𝐬𝐢𝐧𝐠 𝐏𝐕𝐂 𝐒𝐩𝐥𝐢𝐧𝐭𝐬 𝐟𝐨𝐫 𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐋𝐨𝐧𝐠 𝐁𝐨𝐧𝐞 𝐅𝐫𝐚𝐜𝐭𝐮𝐫𝐞 𝐢𝐧 𝐂𝐚𝐭𝐭𝐥𝐞🎗🎗

24/07/2021

𝐌𝐚𝐧𝐚𝐠𝐞𝐦𝐞𝐧𝐭 𝐨𝐟 𝐥𝐨𝐧𝐠 𝐛𝐨𝐧𝐞 𝐟𝐫𝐚𝐜𝐭𝐮𝐫𝐞 𝐢𝐧 𝐜𝐚𝐭𝐭𝐥𝐞 𝐮𝐧𝐝𝐞𝐫 𝐟𝐢𝐞𝐥𝐝 𝐜𝐨𝐧𝐝𝐢𝐭𝐢𝐨𝐧𝐬
🎗Case : Fracture of left metacarpal (complete, closed ,proximal & transverse fracture) in HFCB bull.
🎗Manegement: Full limb PVC splint POP cast was applied under mild sedation.
🎗Important steps:
✔Mild sedation with Xylazine
✔ Traction and counter traction for proper alignment of the proximal and distal frature ends
✔ Cotton padding followed by bandaging
✔ Application of PVC splints
✔Application of POP cast.
✔NSAIDs and multivitamins for 3 to 5 days.