tpvets_logo.jpg (2726 bytes)TOA PAYOH VETS
 toapayohvets.com
Date:   13 May, 2008     
Focus: Small animals - dogs, cats, hamsters & rabbits
 
Chronic severe otitis externa. Old 11-year-old dog. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1283. Chronic ear infection. Calcified vertical canal with grape-like clusters of cells and blood.  
SURGERY HOURS: 
*10 a.m - 5 p.m (Mon - Sun, except Sat). Dr Sing Kong Yuen. By Appointment Only.

*6 p.m - 10 p.m (Mon - Fri). 10am - 5pm (Sat). Dr Jason Teo. House-calls available.

Appointment preferred.
Tel: 6254-3326, 9668-6469
judy@toapayohvets.com
Fax: +65 6256 0501

Interesting case studies/pictures

2 female dogs spayed at the same time. Wound licking each other. Toa Payoh Vets. 2 female dogs spayed at the same time. Wound licking each other. Toa Payoh Vets.
tpvets_logo.jpg (2726 bytes)1299. tpvets_logo.jpg (2726 bytes)1298.
Best not to use subcuticular sutures for dog spay. Toa Payoh Vets Spay hook to get left ovary and uterine horn out. Dog Jack Russell. Toa Payoh Vets.
tpvets_logo.jpg (2726 bytes)1297. Dr Sing's dog spay procedures tpvets_logo.jpg (2726 bytes)1296. A spay hook enables the vet to make spay incision small in the dog and cat.
Scabies mite of Flemish Giant Rabbit, microscopic exam. Toa Payoh Vets Flemish Giant rabbit, Singapore. Crusty nose has scabies mites living in. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1295. Dr Sing's dawing of one adult scabies mite seen under the microscope. tpvets_logo.jpg (2726 bytes)1294. Rabbit puts his paws deep inside his ears as part of his grooming but all paws are unaffected. Is it possible that the paw temperature of the Flemish Giant is too high for the scabies mite to live?
Flemish Giant Rabbit. Crusts only inside ears & nose. Scabies mites seen. Toa Payoh Vets. Ingrown dew claw, ear mites. Street Cat, Singapore. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1293. Crusts seen only inside ears and nose. None in ear edges or paws unlike smaller breeds. Why? tpvets_logo.jpg (2726 bytes)1292. The devil is in the details.
Adult male Jack Russell managed to bruise its surgical area despite e-collar. Toa Payoh Vets Silkie Terrier 11 years old. Calcified vertical ear canal hard as a rock removed. Toa Payoh Vets.
tpvets_logo.jpg (2726 bytes)1291. Inexplicable and mysterious tpvets_logo.jpg (2726 bytes)1290. Day 9. Vet to supervise nursing daily, antibiotics 2 weeks before and after surgery and non-steroidal drugs are secrets to success.
Old Dog. Singapore. Calcified ear. Vertical canal ablation. Toa Payoh Vets Old Dog. Singapore. Calcified ear. Vertical canal ablation. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1289. Day 2. Viscous salivation. Salivary gland had been nicked during undermining to get the VC exposed at HC level. tpvets_logo.jpg (2726 bytes)1288. Paresis of left lower lip is seen. Parts of facial nerve had been inevitably affected during this surgery.
Dr Sing's illustration after completing vertical canal ablation. Toa Payoh Vets Old Dog. Singapore. Calcified ear. Vertical canal ablation. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1287. Drawing of steps used by Dr Sing. Need to get very large needle to penetrate VC next time?  tpvets_logo.jpg (2726 bytes)1286. Only 2 stitches penetrated the lower half of VC. Remove grape-like cells from the HC. 
Old Dog. Singapore. Calcified ear. Vertical canal ablation. Toa Payoh Vets Old Dog. Singapore. Calcified ear. Vertical canal ablation. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1285. Bottom half of VC seen after removal of top half. It will be split into 2 halves and sutured to the skin. Rock-hard. Needles bent.   tpvets_logo.jpg (2726 bytes)1284. Undermine very close to the VC to minimise bleeding. Facial nerve not seen. Salivary gland can be seen.
Old Dog. Singapore. Calcified ear. Vertical canal ablation. Toa Payoh Vets Old Dog. Singapore. Calcified ear. Vertical canal ablation. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1283. Tissue close to the VC undermined to isolate the VC. Surprisingly, little bleeding. Lots of grey grape-like cells and blood inside the VC.  tpvets_logo.jpg (2726 bytes)1282. A gentle dog treated with antibiotics for > 10 days prior to surgery. Fresh blood appears in the ear. Why?
  Chronic severe otitis externa. Old 11-year-old dog. Toa Payoh Vets
  tpvets_logo.jpg (2726 bytes)1281. Chronic ear infection. Calcified vertical canal with grape-like clusters of cells and blood. Put to sleep?  
Beagle 10 months, spayed. Hooked ovary at first try saves time. Toa Payoh Vets Spay fatter female dogs can be very challenging and time consuming. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1280. Corpus luteum (yellow body) in the ovary. False pregnancy in this Beagle. tpvets_logo.jpg (2726 bytes)1279. Spaying a fatter female dog can be very challenging if you can't hook out the ovary at first try.
Stray Dog had been spayed. Toa Payoh Vets Stray Dog had been spayed. Toa Payoh Vets
tpvets_logo.jpg (2726 bytes)1277. Dog could have been spayed by animal activists at a young age as she is a stray. tpvets_logo.jpg (2726 bytes)1276. Incision more than 4 cm long to look for the the uterine horns!
Singaporean stray cat
tpvets_logo.jpg (2726 bytes)1275.

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