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| Ventrodorsal radiography, by C. Topolski |
On a Sunday morning we receive a 12 y.o. yorkshire terrier who has been limping from his back left leg for several days. His owner is not giving him any painkiller and, apparently, there is no reason to suspect of any fracture, any accident or condition. However, not only the pain is not diminishing, but he is limping more and yelping when he is touched.
The pain is so much that we need to put a muzzle on to calm him down and do a general check. His teeth are in a very bad condition and has a chronic gingivitis that may explain why he is refusing some food eventually. Under auscultation we found a heart murmur grade II, what may be a issue, as we need to perform some radiographies under sedation. Fortunately, he is not showing symptoms of heart failure (read more).
Un domingo por la mañana recibimos un yorkshire terrier de 12 años que lleva varios días cojeando de su pata trasera izquierda. Su dueño no le está dando ningún analgésico y, al parecer, no hay razones para pensar en una fractura, un accidente, o un problema. Sin embargo, no sólo el dolor no está disminuyendo, sino que cada vez cojea más, y chilla cuando le tocan.
El dolor es tan intenso que hemos de ponerle bozal para calmarlo y hacerle un chequeo general. Sus dientes están an bastante mal estado y tiene una gingivigis crónica que explica porqué a veces no quiere comer. En la auscultación hallamos un murmullo cardíaco de grado II, lo que puede ser un problema, ya que necesitamos sedarlo para radiografiarlo. Por suerte, no muestra síntomas de fallo cardíaco.
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| Laterolateral radiography of his leg hip, by C. Topolski |
His owner accepts the risk of having him sedated, what is done under strict supervision changing our usual protocol to his condition.
Once sedated we discover the problem is in the hip joint. The femoral head is out of the acetabulum, and we can feel crackling when the joints are checked. Both stifles are unremarkable.
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| Radiography after relocation of femur in hip (acetabulum), CT |
Still under sedation we work on the joint to try put it back to its place. Fortunately we were able to do it, and the dog will be able to move his hip joint normally.
Su dueño acepta el riesgo de sedarlo, lo que se hace bajo estricta supervisión, cambiando nuestro protocolo normal. Una vez sedado descubrimos que el problema está en la cadera. La cabeza del fémur está fuera del acetábulo, y podemos sentir el crujir de la articulación al examinarla. Ambas rodillas están bien.
Aún con sedación intentamos recolocar el fémur en su lugar en la cadeera. Afortunadamente lo conseguimos, y el perro será capaz de mover la articulación con normalidad.
There is a risk that the luxation occurs within the next hours after being relocated. The little yorkshire will need painkiller and muscular relaxant tablets for several days, as well as moderate exercise, after which he has been booked to perform a dental cleaning and extraction.
A happy end for this little one.
Existe el riesgo de que la articulación se vuelva a luxar en las próximas horas, tras ser recolocada. El pequeño yorkshire va a necesitar analgésicos y relajantes musculares durante varios días, así como ejercicio moderado, tras los cuales, se le realizará una limpieza dental con extración de algunas piezas.
I have an old rescue dog which has problems with the heart irregular heart beat as well
ReplyDeleteshe cannot see as have cataracts in both eyes badly also bad teeth I have been told she can not have operation for cataracts because it is a general but she can have her teeth done ??
I so wish she could see in just one eye as she is deaf as well and also has a rifle pellet in her hip/leg can you suggest anything please thank you tina ford
Within the eye, humans and mammals have a lens that is transparent and allow us to focus images in the retina (back end of eye) and let us read, for instance. When this lens become opaque, images cannot reach the retina and we cannot see. Therefore, to be able to see again, the removal of that lens is needed, although nowadays, in humans, clearing back the lens is done with laser surgery.
ReplyDeleteAs you can guess, laser is too dear to afford for any practice, nor all vets are specialised in ocular surgery. Most commonly, in dogs, the removal of these lenses is the solution. In other words, you will need a referral to a veterinary centre that can perform this procedure. Meanwhile, your dog will be able to see "shadows" as long as his lenses are not totally opaque.
Regards.