Active and normal on Day 4 after closed pyometra spay - 4/4
Channel: Dr David Sing
Date: 2014-06-29

Case study. Jack Russell, F, 8 years. Lethargy and diarrhea complaint. Uterine palpation and X-rays - uterine distension. Blood test - low serum BUN and creatinine and low red cell count.


Owner reluctant to have her spayed as he wanted to breed her. However she would not accept the male Jack Russell. 

"He did mount her about 2 months ago," the owner finally said when I enquired about estrus which he categorically said there was none. 

He asked his young adult daughter to talk to me as he really did not want to spay. Client illustration  of the pyometra to educate her was done.

"The final decision is yours," I told the owner. The brownish blackish milk from the dog's nipple pressed by me had shot directly into his eye earlier as I examined for false pregnancy and expressed the mammary tissues in MG5 (left, see video, still having the discharge in the nipple on Day 4 after surgery.. 

"Apply the eye drops to clear your eyes," I said. Decision was to operate. Anaesthetic risks explained. The dog was so lethargic. Just isoflurane + O2 gas by mask knocked her done. Surgery by Dr Daniel was quick, around 20 minutes.

"A good chance of recovery," I said to Dr Daniel. He was not so confident. The dog had no fever, no leukocytosis but had anemia and was very lethargic. 

This video on Day 4 showed that the dog has had recovered very well to bark all day long.    As at 7th day on Jul 2, 2014, the dog is barking furiously and well. We are trying to get the owner to take the dog home but he did not turn up yesterday. We don't hospitalise the dog unless it is necessary. The home environment is best for the patient.