A gigantic right submandibular swelling causing dyspnea Part 2
Channel: Dr David Sing
Date: 2014-12-11

A 13-year-old has drooling and great difficulty in breathing. A very big painful submandibular swelling said to be "sudden onset." No anaesthetic is possible as this dog is very ill and old. A high possibility of death from sedation. Later, this dog suffered a heart attack (cyanotic tongue and collapse) but was resuscitated as I massaged the heart vigorously. .

A biopsy punch takes some tissues for histology. Blood test is done.  Leucocyotosis (total white cell 69 compared to normal 17) tand neutrophilia (98% compared to normal 60-70k%) with large absolute numbers,  indicated a severe bacterial infection from this area.