E.V. Dog & Cat Clinic

23/08/2024

A senior, intact male ShihTzu, around 11 years old was referred and presented yesterday to our clinic due to instability of the lower jaw. Despite his age and the injury, he was alert and showing no signs of illness. His serum chemistry and hematology parameters were within normal limits except SGPT which could be attributed to some pain medications given to him.

Anesthesia was allowed to this patient for thorough mouth examinations, dental cleaning, teeth extraction, fracture assessment and xrays. An appropriate size silicone tube was also placed via percutaneous esophagostomy for nutrition and medications.

A plan to fix the fractured bilateral mandible was recommended the soonest possible time.

14/08/2024

What keeps us awake last night was an emergency surgery, called Perineal Urethrostomy (PU) performed in a senior cat due to obstructive Feline Lower Urinary Tract Disease (FLUTD). This condition is common in male cats. There’s a life-threatening complications if not given immediate medical attention due to build up of toxic chemical in the blood, bleeding and severe inflammatory reaction in the urinary tract and in the bladder. The kidneys may suffer post renal failure which can be reversible if proper and immediate treatment is provided without delay, but complication and recurrence rate is still high among male cats presented with straining in urination, anuria or hematuria.

In most patients, we recommended surgery (after stabilization) with good outcome and minimal complication compared to those treated medically. Our years of experience performing surgical procedures like PU gives us the skill and confidence treating cats with obstructive FLUTD in an emergency situation. However, PU is not without risk. It’s not an easy procedure, the reason why most Veterinarians don’t perform it without the practical experience or training. Complications associated with PU include intra-operative and post operative bleeding, stricture and infection. Our years of solid experience, meticulous application and use of aseptic procedure, cauterization/ligation and proper surgical technique, complications were seemingly impossible, but avoidable.

12/08/2024

We are happy to share this photos of one of our succesful bone fracture fixation in a young cat who just came in today for follow up examination and xrays two months after a traumatic fracture of her right humerus.

07/08/2024

We have a patient today referred from other nearby Vet Clinic. The patient is a young, toy poodle presented with NWB lameness and toe-touching most of the time due to pain in left rear leg. The symptom of pain and lameness started around three months ago without possible trauma. Our physical examinations and assessment revealed high grade LPL in the left stifle and grade II MPL in contralateral knee.

Radiographs below were taken from left stifle showed with the patella overlapping with the lateral condyle of the femur in this medio-lateral projection. The patella can be seen on top of the sulcus in an extended knee.

Further assessment need to be done to measure rotation and valgus in the proximal tibia and distal femur, respectively. Possible procedures will include close wedge DFO, sulcoplasty, tibial tuberosity transposition and imbrication of the medial retinaculum once the owner agree for the surgery.

03/08/2024

4-year old, intact, shihtzu who was presented around two weeks ago due to persistent vaginal prolapse. The condition was first noticed and has been treated with medications, but refractory since a year ago. A surgical procedure was then offered and performed in our clinic to remove the excessive amount of edematous, hyperplastic vaginal tissue. Spay surgery was also performed prior to excession.

03/08/2024

9-year old, neutered, domestic SH presented with inappetence and salivation due to some form of periodontitis.

10/07/2024

We almost forgot.
We just wanted to congratulate our very own Doc Marcel, our surgeon.

Your EVDCC family is very proud of you. Cheers! to your achievement. And Congratulations! on your well-deserved success. 👏🥰❤️.

To God be all the glory. 🙏❤️

09/07/2024

https://youtube.com/live/jgMwBTkuMiA?feature=share

Femoral Head Ostectomy in a Dog. This is the second FHO in his left hip joint 5 months ago after the contralateral hip.

09/07/2024

Our 10-year old patient named Aw-aw, who was presented with severe, traumatic fracture of the left rostral mandible and symphyseal separation due to motor vehicle accident 5 days ago. At presentation, Aw-aw was restless, bleeding from his unstable jaw, salivation and in severe pain. Because Aw-aw has a good and friendly temperament, we were able to manage the emergency. Luckily, there’s no any concurrent trauma in the head and in any part of the body. However, Aw-aw was detected positive with E. canis infection and heartworm dieases (subclinical). Our attending Vet was able to clean the wound and sutures the avulsed lips on same day of presentation. Surgery was delayed due to his condition. Yesterday, we were able and successfully fixed tye fracture in his left mandible with plate and screws. While the separated mandibular symphysis was stabilized with cerclage wire. Open wounds were sutured after thorough soft tissue debridement. A synthetic bone graft was also utilized to fill up the open alveolar socket of the left lower canine while some incisors were extracted to faciliate closure of avulsed lowerr lips and gingiva.

We wish aw-aw a faster recovery. And to Aw-aw’s caring and responsible owner, thank you for bringing Aw-aw to EVDCC.

03/07/2024

We have 10-year old patient, Mongrel, male referred to us by other practice due to car accident. This patient is positive to Ehrlichiosis and heartworm. We just perform partial repair to avoid some jaw complications. We gave necessary treatment for his condition before we proceed to Mandibular fracture repair after a couple of days.

20/06/2024

What keep us awake at night.

Multiple pelvic fracture due to traumatic vehicular accident in a 2.6kgs, 1-yr old, IF, Toy Poodle + Sh*tzu mix from Bicol.

Both ilium are fractured and displaced. The right ischium is broken with butterfly fragment. The p***s is also shattered.

First surgery was done today to fix the right ilial fracture with two 0.9 k-wires, titanium plate, 2.0 locking/cortical screws and a single plug.

Second surgery will be scheduled the soonest possible for the contralateral ilial wing.

10/06/2024

Another ortho case in a 3kgs, 10-month old, IF, Siamese from Rizal. The farcture was a close, long spiral, mid-diaphyseal oblique fracture of the right humerus due to blunt trauma two days ago.

The fracture was stabilized and fixed with bone binders, a 6-hole titanium plate and 2.0 screws.

10/06/2024

5 kgs, 4y9m old, IF, Shihtzu from Cavite was presented 2days ago with non-weight bearing lameness due to multiple pelvic fracture (ischial fracture, p***c fracture) and sacro-iliac (SI) luxation after a vehicular trauma.

04/06/2024

3.2 kgs, 8-year old, IF, Pom presented with non-weight bearing lameness in both hind legs due to right ilial fracture and left sacro-iliac luxation after a traumatic road accident around three weeks ago.

The patient was being treated with pain medications and conservative treatment in the past two weeks until they decided for the surgery today.

The first surgery was done today to fix the right ilial fracture with titanium plate and 2.0mm titanium locking screws. The second surgery is scheduled in two to three days to fix the SI luxation.

26/05/2024

Our recent mandibular fracture repair in a senior dog. An 11-year old, intact male, maltese presented with unstable lower jaw due to pathologic/traumatic mandibular fracture. It is an open fracture located in the left caudal mandible. There’s also an old rostral fracture between the right lower canine region. The patient was primarily stabilized and dental cleaning and teeth extraction were carried out two days prior to fixation. An esophagostomy tube was also placed for enteral nutrition.

The caudal mandibular fracture was fixed with mini titanium recon plate and 1.2mm locking titanium screws. Rostral fracture was stabilized with wires. A synthetic bone graft was instituted to aid faster bone healing.

11/05/2024

Our recent orthopedic case this week in a 5-month old, IM, Siberian Husky mix presented with non-weight bearing lameness in both forelegs due to traumatic fractures of all Metacarpals except MC I.

Considering the age and financial constraints, we choosed the simplest fixation using k-wires on MC III, MC IV and MC V. One of the pins didn’t get through the proximal segment of one of the metacarpals in the right (which necessitates removal) while the rest of the pins were properly placed to stabilized the fractures.

“Fracture reduction is always the most challenging part in any fracture repair even in shorter bones like the metacarpals”. The right MC II was not completely reduce, but expected to heal together with the rest of the bones by callus.

Considering the minimum amount of soft tissue in the manus makes fracture scores low in this region regardless of the mechanical and clinical factors. However, robust blood supply in the region and young age of the patient, favors rapid healing; provided post op wound management and activity restriction are religiously followed.

Cast was applied on both manus to prevent seroma and post op swelling. The cast may remain for a week to help support and allow the initial process of bone healing.

10/05/2024

The longest skin incision I’ve done in a dog patient after a succesful multiple orthopedic procedures involving the hip joint, the distal femur, the stiple joint and the proximal tibia.

Although, smaller incision is desirable, longer skin incision allows better approach and avoid excessive tension and pressure when retracting muscles and other connective tissue which may also impairs blood circulaion.

08/05/2024

Grade III MPL in a 4-yr old, IM, TP presented with pain and occasional limping in left pelvic leg. Contributing factors are distal femoral varus, proximal tibial torsion and possible shallow trochlear sulcus. Surgical method includes DFO, TTT and TWR.

07/05/2024

Our recent ortho case this week:
5-year old, intact male, toy poodle with chronic bilateral canine hip displasia and bilateral medial patellar luxation. This patient develops osteoarthritis due to chronicity of the condition in the hip which lead to non-weight bearing lameness and muscle atrophy. Low grade bilateral medial patellar luxation was also detected.

Pre operative radiographs showed increased radiodensity around hip joints, some varus deformity in right femur with minimal external tibial torsion.

FHO, DFO and wedge recession sulcoplasty were performed on same leg to treat pain and to prevent further complications.

04/05/2024

Four-year old, intact male, Shihtzu presented with non-weight bearing lameness in the right rear leg due to traumatic fracture of distal femur after a fall. Pain, swelling and bruising around thigh region were noted during initial physical examination. A close, simple transverse supfracondylar fracture in right femur was detected in the radiographs. An open reduction and internal fixation with 2.0 titanium 7-holes condylar plate, locking screws and cortical screws were used to fix the fracture.

03/05/2024

Ortho patient today.

02/05/2024

Full mouth extraction in a senior cat due to recurrent gengivitis.

01/05/2024

Case of the week: 11-month old, intact male, Toy Poodle presented with chronic non-weight bearing in right rear leg and loss of muscle mass in thigh region of same leg.

Dx: Bilateral Lateral Patellar Luxation.
Right is much severe with torsional deformity of the distal femur and proximal tibia (valgus). Grade II Lateral Patellar Luxation in the contralateral stiple (knee) and internal tibial torsion.

Sx:
1. Distal Femoral Osteotomy to correct valgus deformity with titanium bone plate and screws.
2. Wedge recession trocheoplasty
3. Tibial Tuberosity Transpostion stabilized with pins and wire.
4. Medial retinacular imbrication.

27/04/2024

I’m glad to introduce our new receptionist Ms. Jem Bernardino. 🥰❤️
Looking forward to working with you. Welcome to our team. ❤️

16/04/2024

This rescued cat need this enteral feeding due to some unknown oral lesions.

Nutrition is vital for the immune system and wound healing specially in cats.

16/04/2024

At last! In six months without seeing this patient from Baguio City for post op exams xrays and stage-disassembly of the external fixator, they came here yesterday with his caring owner for final exfix removal. We were worried and we keep on reminding the owner for the follow ups but distance is the major reason for the extended and overdue exfix removal. Despite some complications, soft tissue injury (not related to the fixators), minor pin tract infection
and pin loosening, the entire fixation method was a huge success for us for this friendly patient.

12/04/2024

Succcesful TECA-LBO yesterday in 4-year old, IM, poodle.

09/04/2024

Allowing gap healing isn’t bad as long as you have the strongest possible fixator, preserving blood supply and robust soft tissue envelop.

08/04/2024

We have the pre op plan for todays new ortho case.

Will a single plate can be able to resist and withstand against so much amount of force in the humerus? Well, lets see and watch.