Welcome to the all-new Vetlearn

  • Vetlearn is becoming part of NAVC VetFolio.
    Starting in January 2015, Compendium and
    Veterinary Technician articles will be available on
    NAVC VetFolio. VetFolio subscribers will have
    access to not only the journals, but also:
  • Over 500 hours of CE
  • Community forums to discuss tough cases
    and networking with your peers
  • Three years of select NAVC Conference
    Proceedings
  • Free webinars for the entire healthcare team

To access Vetlearn, you must first sign in or register.

registernow

  Sign up now for:
Become a Member

Veterinarian Technician September 2011 (Vol 32, No 9)

Final View: Cupcakes to the Rescue!

by Bridget Kabealo

    An 8-year-old spayed Labrador retriever mix presented for eating eight to 10 pumpkin cupcakes approximately 36 hours earlier. The dog was vomiting, not eating, and approximately 3% dehydrated. Abdominal palpation revealed several large masses. The client consented to radiography. To everyone’s surprise, several large bladder stones were revealed (FIGURES 1 and 2). The client consented to surgical removal of the stones within the next several days. Before being sent home, the patient was treated with 200 mL of subcutaneous fluids, 28 mg of famotidine, and 30 mg of Cerenia (maropitant citrate, Pfizer Animal Health). The patient was sent home with amoxicillin (500 mg) to be administered orally after the vomiting resolved.

    Lateral radiograph showing several large bladder stones.

    Figure 1. Lateral radiograph showing several large bladder stones.

    Ventrodorsal radiograph showing several large bladder stones.

    Figure 2. Ventrodorsal radiograph showing several large bladder stones.

    After several days of rest at home, the patient was admitted to the hospital for a routine cystotomy. Three racquetball- to tennis ball–sized bladder stones were removed (FIGURE 3). Chemical analysis of the stones revealed magnesium ammonium (struvite). The patient spent the night in the hospital and was sent home the next day with tramadol (75 mg q12h PO) and Rimadyl (carprofen, Pfizer Animal Health; 125 mg q24h PO).

    Three racquetball- to tennis ball–sized bladder stones

    Figure 3. Three racquetball- to tennis ball–sized bladder stones were removed.

    Several days after the surgery, the patient presented for not eating. Physical examination revealed a large, bloated abdomen with a palpable fluid wave. An abdominal tap revealed fluid that looked like urine. Exploratory surgery revealed a small area of dehiscence at the mid-bladder incision, which the doctor repaired. The patient was sent to the local emergency service for overnight care.

    The patient made a full recovery, and the client brought us a thank-you gift … pumpkin cupcakes, of course!

    Let's See Your "Final View"
    Do you have a unique, visual case to share through the popular "Final View" series? All you need is a high-resolution, clinical image(s) or video with a 100- to 300-word description, including the patient's treatment and recovery. Email your submission to editor@vettechjournal.com.
    Authors receive $75 per published case!
    NEXT: Nutrition Know-How: Pet Food Labels: Reading Between the Lines

    didyouknow

    Did you know... Although a wide variety of management procedures are touted as preventing gastric distention, only a gastropexy can prevent gastric dilatation-volvulus once distention develops.Read More

    These Care Guides are written to help your clients understand common conditions. They are formatted to print and give to your clients for their information.

    Stay on top of all our latest content — sign up for the Vetlearn newsletters.
    • More
    Subscribe