POTW Candidates Jan 18 thru 22, 2010

Posted by azzore | Vote Here for POTW | Saturday 30 January 2010 8:59 am

Patient of the Week Candidates

for the week of Janna-uary 18th thru 22nd, 2010

 

 

I believe we had a record-setting race during the last vote.  After back and forth all week long with Buddy Wiser at 266 votes, Belle ended up winning with 402 votes!!  Who will win this week’s poll?

  

Sasha
PATIENT SUMMARY:
Sasha is a Domestic Medium Haired  (DMH) feline, 12.5# and 6.5 yrs old.  She was referred to us by Dr. Bob Mills of North Arkansas Veterinary Clinic.  Sasha had a soft tissue mass/cyst involving left caudal 2 mammary glands.
There were previous attempts at drainage, and the biopsy had yielded suggestion of carcinoma.  Dr. Dew discussed a resection of abnormal tissue and submission for histopathology under assumption the diagnosis will be a mammary carcinoma.
TREATMENT:
Dr. Dew used a ventral approach and performed a mass excision on Sasha’s left two mammary glands.  The mass size was 10 x 7 x 3 centimeters, and extended to her midline.  There was no deep or lateral extension noted.  Her prognosis is good for soft tissue healing. The use of the e-collar, confinement and restricted activity will be required to decrease the likelihood of complications. The long term prognosis will be discussed after the biopsy results are returned.
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POTM Dec 2009

Posted by azzore | Patient of the Month | Wednesday 27 January 2010 1:50 pm

Azzore’s First Patient of the Month

December 2009

 

POTM - Jan 2010 - "Bailey"

Congratulations to Bailey who, with 180 votes,
won our very first Patient of the Month contest!

 

PATIENT SUMMARY:

Our next patient, Bailey, hitched a ride with the transport van from Little Rock. Bailey is a 12 year old, 51 lb, English Bull Dog.  Bailey’s veterinarian, Dr. Bob Hale of Briarwood Animal Hospital identified a right cranial cruciate ligament (CCL) injury after Bailey was brought to him for chronic right rear lameness.  Bailey’s mom wants Dr. Dew to proceed with a tibial tuberosity advancement (TTA).

TREATMENT:

Dr. Dew used a medial with medial arthrotomy. He found that Bailey’s meniscus was torn, and required a partial meniscectomy.  Graft material was harvested from the distal femur and placed after the tibial tuberosity osteotomy had been advanced and stabilized with titanium implants. Bailey came through surgery with flying colors! Now comes the tough part — keeping this beautiful “bully” exercise restricted during the 12-week healing process. While this surgical technique and implants are designed to maximize the opportunity for successful bone healing and return to function, they are not as strong as normal bone or tissue until completely healed. So, Bailey will be restricted to leash activity for the next three months.

 

 

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POTW Jan 11 thru 15, 2010

Posted by azzore | Patient of the Week | Tuesday 26 January 2010 4:10 pm

Patient of the Week

January 11th thru 15th, 2010

 

BELLE WINS WITH 402 VOTES!!!

 

Congratulations Belle!

 

Belle
PATIENT SUMMARY:Belle was referred to us by Dr Dale Collier at North Arkansas Veterinary Services.  She has had progressive stridor and exercise intolerance for the past 2 years. Upon exam with Dr. Dew, there was marked stridor at rest, and intermittent tongue cyanosis was evident. He discussed laryngeal paralysis and tumor as possible differentials, suggest laryngeal exam and arytenoid tieback if indicated.  Belle’s owner wished to proceed with disease confirmation and tie-back procedure if indicated. 
TREATMENT:
Dr. Dew confirmed laryngeal paralysis, and used a lateral approach for Belle’s surgery.  He identified her muscular process, cricothyroid disarticulation, and proceded with Laryngeal Tieback procedure.  Belle  has a good prognosis for an uncomplicated recovery and improved quality of life. For the first 24 hours, the chance of airway edema would be present, therefore it is recommended that she be watched at a 24-hour facility
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POTW Candidates Jan 11 thru 15, 2010

Posted by azzore | Vote Here for POTW | Friday 22 January 2010 1:35 pm

Patient of the Week Candidates

for the week of January 11th thru 15th, 2010

 

Jaguar

PATIENT SUMARY:
Jaguar, a 2-1/2 year old German Shepherd was referred to us by Dr James Herring at Wedington Animal Hospital.  Jaguar had his Right Total Hip Replacement back in January of 2009.  His family and Dr. Herring decided that it was time for his Right Hip to be corrected.
TREATMENT:
Dr. Dew used the craniolateral approch for Jaguar’s Left Total Hip Replacement.  He used a Titanium 26mm cup, Small Femoral Stem, and 30mm Stem Screws from Kyon in the replacement.  After the procedure, we did an x-ray.  Dr. Dew observed good bone implant interface and good implant alignment.
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POTW Jan 4 thru 8, 2010

Posted by azzore | Patient of the Week | Thursday 21 January 2010 9:06 am

Patient of the Week

January 4th thru 8th, 2010

  

and the winner,
with 166 votes, is. . . .

 

Annie

PATIENT SUMMARY:
Annie is a 4 year old Brussels Griffon with Bilateral Medial Patellar Luxation.  She was sent to us by Dr. Brian Kohler of Bowman Road Animal Clinic in Little Rock.  Upon examination, Dr. Dew identified Grade III patellar luxation on the Left, and Grade IV patellar luxation on the Right.  Dr. Dew discussed correcting both knees with the TTT (Tibial Tuberosity Transposition), as well as recovery and prognosis with Annie’s mom, and it was decided to proceed.

TREATMENT: 
Both of Annie’s knees were corrected with the TTT with Trochleoplasty.  Her patellas are held in place, one with a .045 wire and the other with a .032 wire.  Due to having both legs corrected simultaneously, Annie would require some assistance rising and walking for the following 1-5 days. She could also be a bit awkward and fall to the side; this will not hurt her nor harm the surgery.

 

  

Congratulations Annie!

 

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POTW Candidates Jan 4 thru 8, 2010

Posted by azzore | Vote Here for POTW | Wednesday 20 January 2010 1:39 pm

Patient of the Week Candidates

For the week of January 4th thru 8th, 2010

 

Lola

PATIENT SUMMARY:
Lola is a 4yr old Pekapoo who came to us from Dr. Hollensworth at Springhill Animal Clinic in Bryant.  She had an acute onset of bilateral rear limb paresis (paralysis) three days prior.  She was
treated at an emergency facility with steroids; there was no improvement noted.  On the day of her surgery, she presented to Dr. Dew with grade IV rear limb paresis.  Dr. Dew discussed IVDD (invertebral disc disease), GME (Granulomatous Meningoencephalitis), and tumor.  He suggested cerebrospinal centesis, myelogram and hemilaminectomy if indicated.

TREATMENT:
Cerebrospinal centesis:  Dr. Dew was unable to collect CSF (cerebrospinal fluid) from cisterna magna.
Myelogram:  Dr. Dew injected 3ml iohexol (contract medium).  X-rays showed column thinning from T11-12 with aslight deviation of cord toward the left side at the T11-12 vertebrae.  Dr Dew then contacted Lola’s family and they gave consent to go ahead with the Hemilaminectomy.
Hemilaminectomy:  Dr Dew used a right dorsolateral approach to T11-12. He was able to remove a large amount of acute disc material.  He gave Lola a good prognosis for improved neurologic function over the next 6 months.

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POTW Dec 28 thru 31, 2009

Posted by azzore | Patient of the Week | Tuesday 19 January 2010 1:56 pm

Patient of the Week

December 28th thru 31st, 2010

 

The last Winner of 2009,

with 180 votes, is. . . .

 

 
PATIENT SUMMARY:
Our next patient, Bailey, hitched a ride with the transport van from Little Rock. Bailey is a 12 year old, 51 lb, English Bull Dog.  Bailey’s veterinarian, Dr. Bob Hale of Briarwood Animal Hospital identified a right cranial cruciate ligament (CCL) injury after Bailey was brought to him for chronic right rear lameness.  Bailey’s mom wants Dr. Dew to proceed with a tibial tuberosity advancement (TTA).
 
TREATMENT:
Dr. Dew used a medial with medial arthrotomy. He found that Bailey’s meniscus was torn, and required a partial meniscectomy.  Graft material was harvested from the distal femur and placed after the tibial tuberosity osteotomy had been advanced and stabilized with titanium implants. Bailey came through surgery with flying colors! Now comes the tough part — keeping this beautiful “bully” exercise restricted during the 12-week healing process. While this surgical technique and implants are designed to maximize the opportunity for successful bone healing and return to function, they are not as strong as normal bone or tissue until completely healed. So, Bailey will be restricted to leash activity for the next three months.
 
 

Congratulations Bailey!

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POTW Candidates Dec 28 thru 31, 2009

Posted by azzore | Vote Here for POTW | Sunday 10 January 2010 2:01 pm

Patient of the Week Candidates

for the week of December 28th thru 31st, 2010

 

PATIENT SUMMARY:

Maggie 11 year, 16 1/2 lb Dachshund was referred to us by her veterinarian, Dr. Rob Rucker of Waymack Animal Hospital. She suffered acute onset of rear limb paresis two days prior to her visit. 
Her owner had noticed that she had been reluctant to jump up for about 4 or 5 weeks. At her examination, she exhibited grade IV rear limb paresis.  It looks like the problem is around L1 in her spinal column. Dr. Dew discussed IVDD (invertebral disc disease), tumor and GME (Granulomatous Meningoencephalitis), and recommended cerebrospinal centesis, myelogram and surgery if indicated. 
TREATMENT:
Cerebrospinal centesis: 2ml of clear fluid was collected for lab analysis.
Myelogram: Dr. Dew injected 3ml iohexol (contract medium). X-rays showed a loss of contrast over T13-L1 with a slight deviation of cord to right at T13-L1. Also noted was an old but non compressive lesion at L2-3 on left.  Maggie’s owner gave the green light for going ahead with surgery.
Hemilaminectomy: Using a right dorsolateral approach to T13-L1, Dr. Dew removed a large amount of acute disc material. With time, medical management, and physical therapy, Maggie has an 85-90% chance of recovering her ability to walk over the next 6 months.
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POTW Dec 21 thru 25, 2009

Posted by azzore | Patient of the Week | Tuesday 5 January 2010 1:42 pm

Patient of the Week

December 21st thru 25th, 2009

 

We had a two way tie this week,
each patient receiving 8 votes,
so the winners are. . . .

 

PATIENT SUMMARY:


First up:  Amber a 14 year old, 12.9 lb, female spayed Shih Tzu.  Amber was brought to us after an acute onset of rear limb paresis.
She had been treated at the animal emergency clinic in North Little Rock over the weekend. Her veterinarian, Dr. Peck of Doubletree Veterinary Clinic, referred her to Azzore for further treatment. When she arrived, she was diagnosed with Grade IV rear limb paresis.

TREATMENT:
Cerebrospinal centesis: Spinal fluid to be sent to the lab was collected before injection of the contrast medium.
Myelogram: The picture above is a nice xray of Amber’s spine taken during the myelogram. Multiple sights of cord elevation and column thinning were identified due to what appears to be chronic disc disease.  Column is absent over T11-12 with suggestion of lesion on left side. Amber’s prognosis is guarded, but her family wants us to proceed with a hemilaminectomy.
Hemilaminectomy:  Chronic disc material was removed from T11-13.

So, how is Amber now? Mom reports that she’s up and walking and they will be here for a recheck appointment this Thursday!

 

PATIENT SUMMARY:
Next we have Hoot, a 2 year, 9 month old, 45 pound Blue Heeler.  Hoot suffered some sort of unknown trauma which resulted in, believe it or not, yet another humeral fracture — this time a comminuted distal diaphyseal fracture of the right humerus.

TREATMENT:
Dr. Dew’s used a mini lateral approach on this one for alignment purposes. Pins were placed and stabilized with a 1″ acrylic side bar. Hoot has an excellent chance of good recovery as long as exercise restrictions are carefully followed. That means no off-leash activity, and no running, jumping or playing for the next three months.  These implants are designed to maximize the opportunity for successful bone healing and return to function. BUT, they aren’t as strong as normal bone and tissue.  So, until the bone has healed, exercise restriction is mandatory to prevent catastrophic failure of the fixation hardware.

 

Congratulations Amber & Hoot!

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POTW Candidates Dec 21 thru 25, 2009

Posted by azzore | Vote Here for POTW | Friday 1 January 2010 2:03 pm

Patient of the Week Candidates

for the week of December 21st thru 25th, 2009

 

PATIENT SUMMARY:


First up:  Amber a 14 year old, 12.9 lb, female spayed Shih Tzu.  Amber was brought to us after an acute onset of rear limb paresis.
She had been treated at the animal emergency clinic in North Little Rock over the weekend. Her veterinarian, Dr. Peck of Doubletree Veterinary Clinic, referred her to Azzore for further treatment. When she arrived, she was diagnosed with Grade IV rear limb paresis.

TREATMENT:
Cerebrospinal centesis: Spinal fluid to be sent to the lab was collected before injection of the contrast medium.
Myelogram: The picture above is a nice xray of Amber’s spine taken during the myelogram. Multiple sights of cord elevation and column thinning were identified due to what appears to be chronic disc disease.  Column is absent over T11-12 with suggestion of lesion on left side. Amber’s prognosis is guarded, but her family wants us to proceed with a hemilaminectomy.
Hemilaminectomy:  Chronic disc material was removed from T11-13.

(more…)

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