Blocked ear cause of cold,what is reactive tinnitus zumbido,ear pressure then ringing bell - PDF Review

Author: admin, 29.09.2014. Category: Ring In The Ears

It is very rare that we need to remove tonsils as most cases respond to antibiotics and rest. One of our clients was driving by, and picked her up and brought her straight to the surgery. We packed the wound with a special cream for burn victims (Flamazine) and bandaged it for 3 days. We placed Bully on an IV drip and anesthetised him with IV Alfaxan, and then placed him on Isoflurane gas.
The bandage was changed every 4-5 days, and it did not take long for some nice healthy granulation tissue to fill in the gaps to give us a smooth surface for the surrounding skin to run along and close the gap.
Granulation tissue is the cherry ripe looking tissue in the middle of the wound that you can see in the post op photos. Once it is laid down, the skin edges naturally creep along the top of it and new skin is formed. By 30 days, the wound had completely closed over with fresh skin and Bully was a much happier dog.
On examination, her vitals were all normal- good gum colour, heart and lungs ok, temperature normal and she was reasonably bright and alert.
We suspected a nasty tumour in the abdomen and offered exploratory surgery just in case it was benign. Some cephalexin antibiotic powder was placed in the abdomen and we closed the wound using normal sutures. On cutting the mass in half, we found large chunks of food in the middle mixed with lots of inflammatory scar tissue. Over the weekend, she had to be force fed and given anti vomiting injections (Cerenia) and continued pain relief and antibiotic cover. We thought she may have developed fatty liver necrosis (damage to the liver) as a result of the major surgery. On Sunday morning, she looked a bit stronger and she even ate a tiny amount of cooked chicken brought in by her Mum. She was given a nice low voltage heat mat to sleep on and her Mum kept up the nutrition, antibiotics and pain relief. This was one of our trickiest cases and just goes to show that even though I have been in practice since 1981, I still have not seen all the different possible medical and surgical cases that present themselves to vets. In early December, late in the afternoon, we were presented with a 6 year old female kelpie, Molly who was slightly off colour and had a mild left head tilt and a throaty gag. All the symptoms suggest an issue with the nerves that supplied the left head and neck area. Well, after several extensive tick searches and an after hours clip, we had not found a tick or crater. We immediately setup two IV drips with a bottle of snake anti-venom in one and fluids in the other. While the fluids and anti venom were running in, we drew up some bloods and ran them on our in-house laboratory. At 11.00pm, I came in to check on Molly, and lo and behold, she was sitting up and wagging her tail.
On examination, his gums were nice and pink and filled up with blood quickly when pressed by a finger (capillary refill time).
Mac was very uncomfortable when palpating his abdomen, even with a heavy pain killer sedation. X-rays showed a lot of gas building up in his intestines but no real evidence of a solid foreign body.
The fact that he had severe vomiting and marked pain in his abdomen and gas building up in his intestines was enough to warrant us having a look inside straight away. Mac was placed on an IV drip and anaesthetised with IV Alfaxan before being placed on Isoflurane gas. We removed the dead piece of small intestine and then joined (anastomosed) the 2 fresh edges together. The whole area was flushed several tines with saline and then Cephalexin antibiotic was sprayed over the operating site.
Chloe was placed on an IV fluid drip and anaesthetised with IV Alfaxan followed by Isoflurane gas. The tumour was sent for pathology testing and came back as a soft tissue sarcoma which was more likely to regrow in the same area rather than spread to other parts of the body.
The plan is to monitor the area regularly and give Chloe regular health checks to pick up any signs of regrowth or spread of the tumour. Victor, a 14 year old cat, was having a nice sleep on the front verandah when 2 stray dogs came along and tried to kill him. After 72 hours, we were not getting much fluid or air from the chest drain so it was removed. On palpating his middle abdomen, a thick firm irreglaur shaped swelling approx the size of a plum, could be felt. Xrays showed a lot of gas building up in his small intestines and some faeces in his colon and an indistinct swelling in the mid-abdomen. The fact he was in sudden discomfort from being a healthy happy cat, it was suspected he may have an acute intestinal blockage, intestinal thrombus or a tumour causing an acute abdomen. Chester was placed on a IV drip and anaesthetised with IV Alfaxan followed by Isoflurane gas. Surgery was scheduled using a new technique to deepen the groove in which the patella slides up and down.
The patella is attached to the big group of muscles at the top front of the leg- the quadriceps.
In Hazmat's case, he had been born with a tibial crest that was off centre and was positioned too far medial (inside) which gave an unnatural "pull" on the patella tendon attached to it above.
Using a small bone saw, 2 parallel cuts were made in this groove running form top to bottom. The next part of the operation was to move the tibial crest to a more outward (lateral) position in order to straighten up the pull of the quadriceps muscles on the patella. The final part of the operation was to overlap the tissues (lateral fascia lata) on the outside of the stifle thereby pulling the patella laterally and away from its tendency to want to dislocate medially.
The stifle was irrigated with sterile saline and a soluble antibiotic was placed in the joint. If your pet is unfortunate enough to have an encounter with a snake you can help by being aware of the signs and symptoms of snake bite, and getting the affected animal to the hospital as quickly as possible. The first clue that a pet has been bitten may just be a small amount of blood on the coat, face or limb with a some soft tissue swelling around a small puncture wound(s).
Most snake bites in humans occur when people try to kill snakes, often after seeing them bite a pet. Calling ahead gives us critical extra time to make necessary preparations to ensure prompt and effective treatment. When you call, listen very carefully to the announcements, and then call the emergency mobile number on the message (Mark sometimes has a night off with the after hours phone going to another vet). If your pet has stopped breathing, attempt mouth to nose resuscitation and if possible continue this during transport of your pet to the hospital. These days the treatment of snake bite has a good success rate, and with appropriate and timely medical therapy many patients recover completely. The unfortunate animal will require constant monitoring, day and night, every one or two hours for the first 24 hours then every three hours for the next two days, with high rate intravenous infusions, blood clotting products and regular blood tests.
If a snake needs removal from the property, contact WIRES to ask for theie recommended local snake handler. Hyperthyroidism in Cats: Great News!This is a very interesting disease of cats which we see in nearly any age group.
Hyper-active thyroids (hyperthyroidism) make cats act like a car all revved up- ravenous appetite, hyper-active (just like my kids), under weight, often difficult to handle (again like my kids!) and may suffer from heart failure- rapid heart rate, shortness of breath, panting. By performing a simple blood test, we can diagnose affected cats and institute therapy to knock-out the thyroid hormones causing all the problems. Left un-treated, hyperthyroid cats run the major risk of high blood pressure and heart failure. The ventricles become smaller and smaller and as a result, can’t fill up with the same volume of blood. Treated cases usually see an improvement in heart function and the removal of heart drugs from the treatment regime at this stage i.e. Blood test are performed before and 24-36 hours after starting therapy to ensure the kidneys can handle having the blood pressure dropped. Kidney DiseaseDogs and cats can suffer from either acute or chronic renal failure caused by many different types of illnesses. Kidneys have powerful protective mechanisms in place which kick into action if problems arise. Kidneys are also responsible for sending messages to the bone marrow telling it to make more red blood cells (RBC's) to replace the old ones which are "gobbled up" by the spleen and liver when they are worn out. As with most diseases, early detection and treatment is much more preferable especially for a vitally important organ like the kidneys.
For all our renal failure cases, we use a Doppler machine to record elevations in blood pressure and measure response to blood pressure lowering medications. Force feeding using a stomach tube through which fluids and liquidised renal support diets can be administered. For cases with elevated Phosphorous in their body, we can use drugs called phosphate binders.
For young cats in Australia with kidney failure, there is the possibility of kidney transplantation in Brisbane, but it is quite involved and the donor cat has to be taken on as a new family pet.
Parvovirus- the Ebola equivalentWe all know about Ebola- one of the nastiest and most contagious viral diseases for man. Parvovirus has to be one of the nastiest and most infectious diseases of dogs causing severe suffering with a very high fatality rate despite all the best intensive care. Surprisingly, because Parvovirus has been around for so long, some pet owners have either forgotten what it does to dogs, or they were not yet born when it first arrived on the scene in a world wide epidmiec in the 1980's.
Parvovirus is a virus that attacks the lining of a dog’s stomach and intestines and literally strips it out.
If pet owners are struggling financially, vets often have to euthanise infected dogs before starting any therapy.
Camden vets had 10 Parvovirus cases in just one day, not to mention how many cases they had for a whole year! In a recent national study, there were 1,200 cases reported - and that was from only a small number of vet practices taking part in the survey.
When Parvovirus first occurred in the 1980’s, people were not aware of just how tough and contagious it was.
Well, the very fact that Parvovirus managed to spread across the world in just 2 years puts a few holes in this statement. A dog either brewing or in the recovery stage of a Parvovirus infection, sheds millions of the viruses into the environment.
It does not take long for an epidemic of Parvovirus to occur if the general dog population has a low vaccination percentage.
Parvovirus can affect dogs of all ages; however dogs less than one year of age are particularly susceptible. Treatment is difficult because there is no way to kill the virus once it has infected the dog. Treatment is intensive and involves hospitalisation in an isolation ward (sometimes for many days), aggressive fluid therapy, antibiotics, pain relief and anti-vomiting drugs. Despite all of these treatments, a high percentage of dogs die a few days later leaving the owner with no dog and a very large vet bill.
Malignant tumour of the adrenal glands- tumours made up of the cortisone producing cells of the adrenal glands make excessive cortisone. Dogs with pituitary gland tumours can go on to live comfortably for some time until the tumour gets too big and starts to place pressure on adjacent parts of the brain.At this stage, we might see symptoms such as blindness and other hormone imbalances.
Unfortunately, adrenal gland tumours are often malignant and can spread to other parts of the body. Suspected cases have blood tests done to try and find out where the excess cortisone is coming from. Until recently, most cases were treated with a drug called Lysodren which destroys the parts of the adrenal glands that make cortisone. Many cases on Trilostane can have the dose lowered after a few months, which helps with the budget. Diabetes is commonly seen in Cushing's cases, probably as a result of cortisone interfering with the action of insulin. Before embarking on treatment, owners need to be very aware of the expensive nature of treament. In human medicine, pituitary gland tumous can be removed by specialist surgeons operating through the nose or roof of the mouth.
Increased Thirst (Polydypsia)There are a large number of causes of increased thirst (polydypsia) in pets. Blood tests (biochemistry and full blood count) give an overall picture of a pet's health.
Pets and humans can donate a kidney (and therefore be down to 50% total kidney function) and still lead a healthy life with no elevation of kidney blood tests or polydypsia. If their remaining kidney becomes diseased, and loses over half of its ability to function, kidney blood test start to rise i.e. When there is 25-50% of healthy kidney function, kidney blood tests are often normal, but the urine may be dilute (low specific gravity). Between 50-100%, the urine will still be concentrated (high specific gravity), and bloods normal.
It is important to check a urine sample as it can detect kidney failure long before a blood test. These chemicals travel down a special tube from the pancreas into the first part of the small intestines (the Duodenum). Sometimes as pets get older and fatter, the pancreas gets inflamed or worn out from too much of a workload e.g. Traveling through the pancreas is the bile duct- a tube connecting the gall bladder in the liver to the duodenum. We normally see pancreatitis in older overweight dogs or dogs being fed too many fatty meals e.g. From the history, breed, sex, age, symptoms and clinical examination, a vet usually has a pretty good idea the pet is suffering from pancreatitis. A special in-house blood test ( Idexx SNAP CPL) gives an accurate positive result in pancreatitis cases (blue dot on the right is the same or darker than the dot on the left- see picture). Other blood tests may show elevated white blood cells combating inflammation and infection and elevated liver enzymes if the bile duct becomes blocked. As mentioned above, the inflamed pancreas can block the bile duct, so jaundice is a common symptom, sometimes seen 1-2 days after the start of the condition.
Cases failing to respond to therapy may require surgery to rule out pancreatic cancer or to gently flush the affected area to try and settle the inflammation. Repeated episodes of pancreatitis can destroy the ability of the pancreas to produce food digesting acids and alkalis, resulting in chronic diarrhoea.
In humans, there is an overall 20% fatality rate, usually due to a secondary infection developing in the affected areas of the abdomen. Dogs with pancreatitis and diabetic keto-acidosis have a poor prognosis and despite the best of efforts, may die from complications. Treatment can be very costly due to the length of stay in hospital with intensive care, drugs, repeat blood tests and fluid therapy. Boxer CardiomyopathyThis condition is characterised by feinting (syncope) and sudden death in Boxer dogs.
The problem is due to a run of extra heartbeats interrupting the normal flow of oxygen rich blood to the brain. These extra heartbeats originate in damaged heart muscle in the right ventricle (ventricular premature contractions -VPC's).
A run of several or more VPC's can cause sudden death which is a common consequence of the condition. By listening to the heart for several minutes with a stethoscope, a vet may detect a skip in the normal heart rhythm although this is not a sure fire way of detecting a problem as affected dogs can go for several hours without as much as one skipped VPC. Similarly, connecting a dog to an ECG machine to record the heartbeat for a few minutes may miss a run of VPC's. Listening to the heart or recording an ECG while the dog has a syncopal episode would be ideal way to diagnose the problem, but these events tend to happen away for vet surgeries and owners can be too stressed to  think about recording the heartbeat while their unconscious dog lies at their feet. Specialist cardiologists can loan out 24hr ECG recording machines (Halters) which attach to the trunk of the body in special leather harnesses.
Quite often it is astounding to see how many runs of VPC's occur while the dog is asleep.


Atrial FibrillationSome dogs with dilated cardiomyopathy and left A-V valve disease get a life threatening arrhythmia called atrial fibrillation. Each time the damaged atrium contracts, it tries to sends an electrical signal to the ventricles below telling it to contract as "its their turn now". The refractory period may only be a split part of a second, and follows a normal ventricle contraction.
In effect, the atria are doing their own rapid irregular heart beat and 8 times out of 10 their extra contractions cause the ventricles to contract.
As a result, we see the ventricles pumping at a much faster and irregular rate than in a dog with no atrial fibrillation. If a dog has either A-V valve disease or dilated cardiomyopathy, the ventricles are already having a hard time.
Cardiac output is reduced in A-V valve disease and dilated cardiomyopathy, so oxygen rich blood does not reach vital organs e.g. But don't forget the heart which is the most dynamic oxygen hungry organ (next to the brain).
The last thing the diseased ventricles want is atrial fibrillation causing them to contract even faster. Atrial fibrillation can very quickly cause the ventricles to fail and lead to sudden heart failure and death. On exmination, the heart rate is very rapid and irregular- often over 200 beats a minute (nearly 3-4 beats a second).
A normal ECG has one P wave (atrial contraction) followed by one QRS wave (ventricle contraction) and a normal heart rate of approx 100-140. Atrial fibrillation shows rapid irregular spaced ventricle heartbeats (QRS waves) and no regular P waves.
Digoxin blood levels need to be monitored as overdosage is common and can cause serious problems. If the ventricles are still beating at a much too high a rate and the heart failure is under control with medications, vets may add in a second drug (Beta blocker) to slow the ventricles down. The common name for otitis media, this is an infection involving the middle ear (that cavity between the eardrum and the inner ear). Ear infections are most common in children because of the shortness of their eustachian tubes (the passage that connects the back of the nose to the middle ear), which makes it easier for bacteria to enter from the back of the throat. Some children (especially babies with ear infections within two months of birth) have recurrent ear infections. During a cold, the eustachian tube can swell and become blocked, allowing fluid to accumulate in the middle ear.
The usual cause of a middle ear infection is bacteria that are normally present in a child’s throat, including Streptococcus pneumoniae, Haemophilus influenzae, and Moraxella catarrhalis. Risk factors for the developing of an ear infection include being male, bottle-fed, Native American or Hispanic, and younger than two. Acute middle ear infection causes sudden, severe earache, deafness, ringing of the ear (tinnitus), sense of fullness in the ear, and fever. Chronic middle ear infection is usually caused by repeated attacks of acute otitis media, with pus seeping from a perforation in the eardrum together with some degree of deafness.
Middle ear infection can be detected by examining the ear with an instrument called an otoscope.
Acute middle ear infection usually clears up completely with antibiotic drugs, although sometimes there may be continual production of a sticky fluid in the middle ear known as “persistent middle ear infection.” A doctor may also remove pus and skin debris and prescribe antibiotic ear drops. Since the mid-1980s, some strains of bacteria have developed resistance to amoxicillin and other antibiotics. Rarely, a middle ear infection can lead to bacterial MENINGITIS and MASTOIDITIS (a serious infection of the air cells behind the middle ear).
High intensity interval training (HIIT) has been growing in popularity in the past few years.
It contains a tetracycline which is renowned for its effectiveness in respiratory tract infections. X-rays showed she had fractured 5 ribs on the right side, and her right lungs had filled up with blood (pulmonary contusion). A needle biopsy of the lump failed to show any malignant cells so we decided to have a go at removing the tumour from the toes.
At the first bandage change, the wound was a bit messy so we cleaned it up with sterile saline and repacked it with Flamazine.
It been slowly growing for 2-3 years, but had reached the point where it was uncomfortable. We made a 1cm margin cut around the base of the tumour and, using blunt dissection, slowly peeled it away from the underlying tendons and bones. The wound was packed with Flamazine ointment (used for treating burn victims), covered with sterile gauze then bandaged. It is unusual to need skin grafts in dogs and cats as they are pretty good at this type of healing.
Priscilla had some bloods taken and all the biochemistry and haematology results came back normal. She is eating 7-8 times a day, running around following her Mum everywhere she goes and demanding to be allowed on her lap at every opportunity. It was a great result and one where we just had to go with the flow and get on with the surgery and intensive care. On my final tick search, I was running my fingers very tightly down the edges of Molly’s left ear flap and felt a tiny area of swelling and heat approx.
We ran the anti-venom in over 60 minutes and had adrenaline drawn up and ready to inject IV in case of an anaphylactic allergic reaction to it. The owners mentioned they had found some piles of vomit in the yard which I suspect was the dog’s initial response to the snake bite. We were concerned he may have a foreign body in his stomach or intestines or had some kind of blockage in his intestines. Upon opening the abdomen, there was fresh blood lying around and a very nasty looking section of bleeding and dying small intestine. 50cm of his small intestine had slipped through a naturally occurring small hole in some tissue called the mesentery, and then twisted around and cut its own blood supply off. Luckily, there was 1.5cm of normal small intestine to work with before the junction of small and large intestines was involved (where the appendix is). We then wrapped the anastomosis in some tissue called omentum which has great at healing powers and is good at sealing any small leaks.
Each breath he took would result in air from outside his chest being sucked in then pushed out as the lungs inside his chest collapsed and expanded. Other drains that had been placed under the skin where the torn muscles were were removed on day 4. On examining his intestines,  we found a 10cm section of small intestine which was very inflamed, thickened and swollen.
On examination, he had a dislocating kneecap (patella) which continually locked itself in an abnormal position on the inside (medial aspect) of his knee (stifle).
In Hazmat's case, the inside (medial) ridge of this groove had flattened out due to the patella continually dislocating medially and wearing the ridge out. The patella is attached by a tendon on its lower edge to the tibial crest ( a ridge of bone on the top front of the tibia).This is the same tendon the doctors tap on to test your reflexes.
The rectangular block was then replaced into the deepened groove giving a nice ridge to stop the patella from slipping out of the groove.
Dogs, cats and horses are all at risk, although curious dogs are the most frequently affected. Tiger and Brown snakes are also prevalent, especially on Coolangatta Mountain and adjacent flat lands. But don't waste time trying to find it as we stock a multi-snake anti-venom that covers Black, Tiger and Brown snake bites.
If we are at home, have the after hours going to another vet, or are out on a house call, you will be using up what might be precious time - always call first! But treating snake bite is always arduous for the affected pet, as well as for the vet and the nurses. Consequently, it can be expensive, although it may be covered by pet health insurance if you have it. With the rapid heart rate, the heart muscles get thicker and thicker- its a bit like a weight lifter doing extra work.
Less blood in means less blood out of the heart, and reduced blood supply to the body and its vital organs eg kidneys, liver, heart.
In some cats, the high blood pressure from hyperthyroidism is keeping their poorly functioning kidneys going. Should your remaining kidney lose up to 50% of its ability to concentrate urine, you can still appear normal although you may be drinking a bit more and making dilute urine.
A Senior Pet Health Check urine examination looks at the concentrating ability of the kidneys to detect early reduction in kidney function. In other words, the pet makes more urine than normal because the kidneys can't re-absorb the water out of the urine like they did when healthy. We would rather diagnose renal failure before clinical signs or blood tests indicate its presence.
It is very accurate at detecting early kidney problems long before blood tests start to indicate a problem.
It can survive up to 18 months in soil or concrete and needs strong disinfectants to kill it. International travellers and infected or recovering dogs being flown to other countries would infect healthy dogs upon their arrival- either by direct contact with another dog or with their clothing, bedding and foot wear. It is vital all puppies and adult dogs are vaccinated against parvovirus and your vet will advise on the appropriate vaccination schedule.
Referral to a specialist may be an option if the tumour is in just one adrenal galnd and not adhered to any vital structures e.g. They must be fully committed and prepared to put up with regular blood tests and expensive drug bills.
Besides the expected increase in thirst with hot days, exercise or change to a drier food,  any pet showing polydypsia over 2-3 days should be examined by a vet. The pancreas is a special organ that makes many different chemicals such as insulin, acids and alkalis which help digest and process foods. Repeating these tests during the dog's stay in hospital gives the vet an good idea on how the dog is going. Diabetes and all of its associated complications (keto-acidosis) can be a life threatening presenting sign.
It is unlike the traditional form of cardiomyopathy we see in large dog breeds (most of the time). By the time they do have a feel of the heartbeat or pulse, the rhythm may be back to normal as it may have just been a run of several VPC's taking up less than 1-2 seconds of time. A computer runs through the 24hrs of recording in seconds and prints out a report highlighting all the abnormal heartbeats.
The damaged area fires off its own electrical current causing the atrium to contract very rapidly (sometimes as much as 200-300 times a minute). Not every electrical impulse gets through to the ventricle as a number of these extra charges arrive at the ventricle when it is in a "none-responsive" state (refractory period). Once it has passed, the extra electrical signals from the damaged atrium above can trigger off a ventricle contraction.
Any reduction in output means less oxygen for the heart muscles, so they can't pump as well as they would like. There is often evidence of left sided heart failure - coughing, weakness, pale gums, weak thready rapid pulse. They seem to run in families and are characterized by persistent fluid in the middle ear and short-term hearing loss. The fluid produced by the inflammation cannot drain off through the tube and instead collects in the middle ear, where it can allow bacteria and viruses drawn in from the back of the throat to breed. Other risk factors include living in crowded conditions, going to day care, having allergies, and inhaling household cigarette smoke.
Complications include otitis externa (inflammation of the outer ear), damage to the bones in the middle ear, or a matted ball of skin debris which can erode the bone and cause further damage (called a “cholesteatoma”).
A sample of discharge may be taken to identify the organism responsible for the infection, but it is not often done. Some children may not improve after 10 days of antibiotics and may need three or four more weeks of drug treatment. A warm towel or hot water bottle over the sore ear, or an ice pack wrapped in a towel, may ease pain. Warning signs of mastoiditis include: high fever, severe ear pain, pus-like drainage, and redness, swelling, and tenderness behind the ear.
This had happened due to the whiplash effect of internal organs from direct blunt trauma to the body. The oxygen was continued, but the rate of IV fluids was lowered in case it had started to leak out of the damaged lungs. It looked pretty nasty and we were worried it was malignant and may have spread to other parts of her body. At the second bandage change, it looked a lot healthier and the skin defect had filled in with granulation tissue. There were several tough adhesions that had to be cut, and numerous blood vessels had to be clamped and tied off to prevent bleeding. Being a Friday evening, we decided to open her up just to check there were no adhesions or leaking for the stomach wall surgery site. However, when we spun the blood down in our centrifuge, the serum (the watery part of the blood) was tinged red rather than being clear.
It looks like she got just a small amount of venom when bitten and it only affected the local nerves near the bite wound, but the discoloured serum was a warning to more serious things on the way. Using blunt dissection and tying off blood vessels attached to the tumour, it was eventually removed after approx. We placed some sterile saline over the closure to check for leaks which would show up as bubbles. There was a lot of free clear watery fluid in the abdomen, possibly leaking from the swollen intestinal surface. If you feel that tendon, you can see how it is attached to the ridge of bone below your knee- the tibial crest. The constant "pulling" made the patella slide out of its groove and flatten the inside ridge. The chisel was then placed at the top and bottom of the block and the whole section was gently lifted ff the bone.
It was moved approx 3-4mm laterally before it was pinned in its new position using 2 thin orthopaedic pins (K wires).
But it’s always better to keep your pets out of likely snake habitat and avoid the risk. This thickening happens at the expense of the chamber (ventricle) sizes, and is called Hypertrophic Cardiomyopathy (HCM). Dialysis is performed in people with renal failure to filter out the waste products that the kidney normally places in the urine. When we run blood tests on renal failure cases, we see elevated levels of urea (Blood Urea Nitrogen- BUN), Creatinine and Phosphate. More urine going out of the body automatically triggers a chemical release in the brain which makes the pet thirsty. If the kidneys are not working properly, chemicals are released which elevate the blood pressure in an attempt to improve the flow of blood through the kidney and remove waste products that are building up in the body. Because RBC's are responsible for carrying oxygen around the whole body, the pet is quite weak and easily fatigued.
Treatment involves intensive care, fluid therapy, pain relief, blood transfusions and no guarantee of success.
In a very old patient, no treatment may be a more preferable propositon especially if the owners are on a budget. When making the appointment, try to bring along a fresh urine sample as a lot of information can be found by examining it. In other words, we don't normally see elevated kidney tests in chronic renal failure until there is only 25% of healthy tissue left. The kidneys aren't doing their job of "recycling water" by sucking water out of the urine before it goes to the bladder to be voided. This small amount of inflammation results in leakage of acids and alkalis both inside and adjacent to the pancreas. Some older dogs can develop pancreatic cancer which looks just the same as normal pancreatitis. Dogs must go onto an IV drip to correct dehydration and reverse shock and damage to the kidneys.


This is important to provide fluid and nutrition to the cells lining the stomach and intestines.
It is vital that repeat episodes are avoided as too much damage to the pancreas can result in lack of insulin (diabetes) or the inability to digest and absorb foods (pancreatic exocrine insufficiency).
Boxer cardiomyopathy is also known as "Boxer arrhythmogenic right ventricular cardiomyopathy". As a result, even less of the atrial contractions can get through to the ventricle to make them contract. While an ear infection is painful, it is not terribly serious; it is easily treated and there are not usually any long-term complications. Parents may notice a baby or young child suffering cold with thick discharge, irritability, pulling or tugging at the ear, crying in the middle of the night, shaking his head, and exhibiting poor appetite. Adults should not smoke around an infant, since the smoke irritates the lining of the nose and throat. As a precaution, we gave an IV injection of a diuretic to try and shift some of the bloody fluids inside her lungs.
We flushed the abdomen with sterile saline several ties, and placed more antibiotics inside.
On shaving the area very closely, we found 2 tiny snake bite marks surrounded by some bruising. This was due to the snake toxin damaging red blood cells and causing them to leak their contents into the blood stream. Once it slips through, the intestine twists around on itself and cuts its own blood supply off. At stitches out 10 days post-op, he was bouncing up our stairs eager to get his special treat before having his stitches removed. There was also a smaller soft mobile lump just in front of the bigger one, which on examination of a needle biopsy turned out to be fatty in content (lipoma). We opened up the skin wound on his chest to find a large hole looking straight in at his lungs and beating heart.
The incision was closed using a soluble suture in an inverting continuos pattern (Connell Cushing). In other words, the whole patella apparatus was out of alignment with a natural tendency to pull the patella out of its groove in a medial direction.
If they are inactive (hypo-thyroidism), pets are lazy, over weight, have skin problems and greasy coats. In fact, many dogs only survive 2-3 days with this intensive care before dying, leaving pet owners with huge vet bills and no dog. It did not take long before surrounding parks and streets were covered in millions of viruses. This means a dog may appear healthy, but can be excreting virus particles in its faeces and so become a source of infection to other dogs while the disease is brewing in its intestines.
As a result, bile "backs up" in the liver and can cause a yellow staining of the blood, skin and gums (jaundice). Dehydration and shock quickly follow, making the dog thirsty, however each time it drinks, more leakage of the acids and alkalis occurs.
If they are very rapid, the ventricle does not have time to fill up to the top befoire it is "told" to contract. An incision was made in the stomach wall around the attachment’s base and the hole that was left was closed using a double layer of inverting dissolving Monosyn 3-0 sutures. This is very painful, and it is not long before the intestine dies and leaks all the food and bacteria it contains into the abdomen causing sudden death.
One of the nurses did his breathing for him by filling and gently squeezing his breathing bag on the anesthetic machine in time with his own breathing. The area was washed in sterile saline several times then a soluble antibiotic (Cephalexin) was applied to the area. The brain realises it is losing more "water" than it should be from the body, so it activates the "thirst centre" in the brain which makes the pet look for water. Acute secondary kidney failure can occur due to the large amount of fluid loss causing thickening of the blood and decreased blood flow to vital organs.
The incision was covered by omentum (fatty tissue in the abdomen), which provided an extra seal to the wound. More damage to the pancreas means more leakage and it does not take long for massive inflammation and tissue destruction to occur.
I brought him to Your disciples, but they couldna€™t heal him.a€?A  Jesus replied, a€?You unbelieving and rebellious generation! Bring him here to Me.a€? Then Jesus rebuked the demon, and it came out of him, and from that moment the boy was healed. Then the disciples approached Jesus privately and said, a€?Why couldna€™t we drive it out?a€? a€?Because of your little faith,a€? He told them. However, this kind does not come out except by prayer and fasting.a€?This same story is repeated in Mark Chapter 9, vs. I was there for forty days and forty nights, all that time I ate no food and drank no water.
The Lord gave me the two tablets on which God had written with his own finger all the words he had spoken to you from the heart of the fire when you were assembled at the mountain.
At the end of the forty days and nights, the Lord handed me the two stone tablets inscribed with the words of the covenant.Matthew Chapter 4, vs. 1-2 (NLT): Then Jesus was led by the Spirit into the wilderness to be tempted there by the devil. 16-18 (NLT): And when you fast, dona€™t make it obvious, as the hypocrites do, for they try to look miserable and disheveled so people will admire them for their fasting.
Then no one will notice that you are fasting, except your Father, who knows what you do in private.
As you can see above: Demons are cast out, the Holy Spirit speaks, Moses received the Ten Commandments, and Jesus had the strength to overcome Satana€™s temptations.
It can strengthen our faith and get difficult prayers answered.There are different types of fasting. We are trying this for 21 days to achieve some answers from God and help get some desperate and difficult prayers answered.
Fasting, praying, and special giving during the first month of the year sets the tone for the rest of the year. Fasting should be done in combination with things that can increase your faith, wisdom, and hearing from the Lord.
Read a good Christian book, read Goda€™s Word in the Bible, listen with praise and worship to Christian music, and of course pray. Thought for the week:A  For more advice and understanding read a€“ a€?Fastinga€? by Jentezen Franklin. 22-24: The Lord God used the rib of the man to make a woman, and then he brought the woman to the man. And the man said, a€?Now, this is someone whose bones came from my bones, whose body came from my body. 13: If a man has sexual relations with another man as a man does with a woman, these two men have done a hateful sin.
Most are basically good people that give to charities, help with the homeless, do good deeds and are friendly and nice to people.
There are gay celebrities on TV that do wonderful works of mercy and charity for other people. However, if you are gay and dona€™t turn from your present life style and accept Jesus as your Lord and Savior you will go to the pool of fire (Hell).
Yes, there is such a place and it is for eternity.A  If you intend to do it a€?somedaya€™, I hope you dona€™t get hit by a car and die before that happens.
He wrote the rule book (the Bible) and it is expressed in it several times that he feels the punishment for this is death. We are all sinners in one way or another and must try hard to turn from our former self before we knew Jesus as our Lord. To the ones who say it is genetic or upbringing, I offer this: Alcoholism can be passed down through genes and wife-beating can be passed down through upbringing.
God is the highest authority, how do you think he will judge according to the Ten Commandments and his Word in the Bible?
Hook up with a good faith based organization like a€?Food for the Poora€? or a€?World Visiona€? and help these people out. God Bless.====================================================================Pastor Pop-Pop 1-21-2010. We run the risk of becoming weaker when we stay at home, so gradually we wona€™t even notice. Your enemy the devil prowls around like a roaring lion looking for someone to devour.a€? Notice it says he is looking for someone, like a lion does. They need Christian friends and other Christian adults if they are to survive in this world. Persevere in them, because if you do, you will save both yourself and your hearers.a€?7 Because we need the help of good people.
Pastors cannot serve full-time, a building cannot be purchased, missionaries will not be sent out, ministries to the community wona€™t be fulfilled, and the lost wona€™t be saved. And how can they preach unless they are sent?a€?10 Because God says we should go to church regularly. 30-31: And then the sign of the Son of Man will appear in heaven, and all the tribes of the earth will morn, and they will see the Son of Man coming upon the clouds of heaven with power and great glory. And he will send out his angels with a trumpet blast, and they will gather his elect from the four winds, from one end of the heavens to the other.
10: But the day of the Lord will come like a thief, and then the heavens will pass away with a mighty roar and the elements will be dissolved by fire, and the earth and every thing done on it will be found out. 36-43: But of that day and hour no one knows, neither the angels of heaven, nor the Son, but the Father alone. In (those) days before the flood, they were eating and drinking, marrying and giving in marriage, up to the day that Noah entered the ark. Be sure of this: if the master of the house had known the hour of the night when the thief was coming, he would have stayed awake and not let his house be broken into.
So too you also must be prepared, for at an hour you do not expect, the Son of Man will come. Pilots vanish, drivers vanish, wives vanish, neighbors vanish, and it is a world wide supernatural event that happens at the exact same time.
There are no second chances of dropping to your knees and asking for forgiveness because it comes and goes in a blink of an eye.
Wars, Nation against Nation, famines, earthquakes, natural disasters, and a sin loving generation. I always interpreted the a€?He will come like a thief in the nighta€? as have a duel meaning.
Some people know in advance when they will die and they, believe it or not, are the lucky ones. Hint: It is hot, miserable, people are gnashing their teeth and screaming, and your caretaker has horns --------- hhmmmmmm. However, if you have accepted Jesus as your Lord and Savior and turned your life around you will be going somewhere that is truly pure love. If I am wrong, then worms get me just like you but if I am right I live in love and you dona€™t.
I just dona€™t know where people get their ideas from because the Bible tells it like I do. Also, it is also true that before Jesus came to the earth as a man, that all the pagan nations were defeated by Goda€™s people the Israelites. Why ---- because the Israelites worshiped the only God there is and the pagans worshiped false ones.
A PS:A  Hope youa€™re not on one of those planes where the Pilot is a follower of Christ when the Rapture comes. Love never gives up, never loses faith, is always hopeful, and endures through every circumstance.
I was impressed by the many many friends who came to offer condolences and said kind things about her. To go through life with so many people that call themselves your family around you is a tribute to the love that is shown and radiates from you.
Some are acquaintances, some good acquaintances, others are friends and still others are good friends.
I think I need to add a new one that shows love beyond that of the latter a€“ it is family. Thought for the week:A  Happy Valentines Day !!!!!=============================================================================Pastor Pop-Pop 2-22-2010. You see the fire trucks pull up and the fire men run from the trucks, get their ladders, hook up the hoses and then ------- sit down and take a coffee break. Your company is told that there is a mother and two children screaming for help from the third floor and they are close to being consumed by the flames.
You and your men run over to see what instructions he has but he presents all of you with some Coffee and doughnuts. All of us know of people, friends, and family that have not accepted Jesus as their Lord and Savior and are not saved. They are like the family in the house.A  Because of pride, fear, or some other human emotion, we either do not share the Word with them or are not persistent with it to get them saved. The people we know then end up dying either naturally or prematurely in an accident and end up burning in the ever lasting flames of Hell. 18-20: And Jesus came and said to them, a€?All authority on heaven and on earth has been given to me.
Go therefore and make disciples of all nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, teaching them to observe all that I have commanded you. There were actually two letters that I have combined and edited to eliminate the womana€™s identity. It is offered here as another a€?building blocka€? about evangelizing and spreading Goda€™s will. I agree that we are all called to share the gospel with others and that we often fall short of that. The Holy Spirit is the one who draws them, ("No one can come to me unless the Father who sent Me draws him" John 6:44) convicts them and makes them see that they are sinners. People are drawn to God in us when they see something about us that they dona€™t have and they are made thirsty for.
But they all have heard the truth many times and they refuse to acknowledge that they are sinners in need of a rescue. My part is to pray for them, live my life for Jesus (let my light shine) and share the truths of the gospel when there is an opening to do so. It took many years, but I am at peace knowing that if they die without knowing Jesus therefore spending eternity in hell, that it was their choice.
Another interesting fact is that we have different witnessing styles and people respond to different styles of witnessing.
But perfect love casts out fear" 1 John 4:18) To love others more than yourself and to know that without Christ they will spend all eternity separated from Him. When I go on mission trips, I pray for the hearts of the people that God is going to put onto my path and I pray that God would give me His eyes to see them as He sees them and His heart to love them as He loves them, and His words to speak to them.
Although it is debated if they are actually God speaking, they are recognized by most as books that are still good to teach from. Still others like the book of Sirach which is used a lot by the Catholic church brings question into mind that it may have been eliminated by Martin Luther just as a statement to his rebellious nature within that church. He even wanted to eliminate other books including the book of Revelation but, as history records, -- cooler minds prevailed. 60: Then all the people shouted and praised God, who saves those who put their trust in Him. Someone had a dream that as the soldier drew back to hit Christ that he grabbed the soldiers arm. As they talked and discussed, Jesus himself drew near and walked along with them;Mark 16, vs. The doors were locked, but Jesus came and stood among them and said, a€?Pease be with youa€?. A Jesus also appeared to 500 others, Saul (whom later became Paul), and to his disciples again when he rose up and ascended into Heaven. Since Biblical times the tradition that the Roman Emperor Domitian ordered that the Apostle John be executed by throwing him into a cauldron of boiling oil has been widely held.



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