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      Date:   11 December, 2010  
Focus: Small animals - dogs, cats, hamsters, guinea pigs & rabbits.

Toa Payoh Vets Clinical Research
Making veterinary surgery alive
to a veterinary student studying in Australia
using real case studies and pictures

 
Defensive Medicine
Dr Sing Kong Yuen, BVMS (Glasgow), MRCVS
11 December, 2010
toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129
Vomiting and diarrhoea in dogs may not be a one or two-day cure. Prevention of dehydration using IV saline and treatment with IV antibiotics and drugs are the ideal way to treat such cases. Blood tests were taken in this case. The dog was hospitalised for 3 days. My associate sent the dog home as he had recovered. The next day the distressed owner came back to say that the dog was vomiting. The stools were soft and had white specks (medicine tablets probably). A few spots of blood. So, I got the dog hospitalised and x-rayed. X-ray revealed no big foreign bodies. "Better to hospitalise more than 2 days," I advised my associate vet. "I will bear the responsibility of complaints if the dog dies." Defensive medicine is sometimes necessary.

vomiting and diarrhoea over 3 days. silkie. toapayohvets. recovered after 5 days' hospitalisationAn X-ray would have to be taken if the dog continues vomiting after 2 days.

If the dog dies and x-rays were not taken, there may be a case of negligence or incompetence. We try to save money for the young lady who was cost-conscious, but sometimes, vomiting can be longer than 3 days and sending the dog home to save on costs may be of good intentions. But in a complaint or litigation, it counts for nothing if the dog has had died and no x-rays had been taken. Blood test did reveal a low platelet count and this could be toxaemia.

BE KIND TO OLDER DOGS & CATS --- GET TUMOURS REMOVED EARLY --- WHEN THEY ARE SMALLER.  More case studies, goto:  Cats  or  Dogs

To make an appointment: e-mail judy@toapayohvets.com
tel: +65 9668-6469, 6254-3326

toapayohvets.com 
Be Kind To Pets
Veterinary Education
Project 2010-0129
tpvets_logo.jpg (2726 bytes)Toa Payoh Vets
Clinical Research
 

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