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Caesars Appt. at OSU.

May 01, 2008 06:03PM - 2 comments
Tags:

wobblers



Physical Exam:
  Very Stressed T=104 (usually 101.5-102), P=90bpm, R=? panting, Weight=143.88#, Mucus Memgranes=pink & moist, Cap. Refill Time=<2 seconds.

Ortho Exam:  
Slight lameness on L rear when walking and trotting.  Mild ataxia (inability to coordinate voluntary muscular movements) when at a walk & trot.
Slight muscle atrophy (wasting) on the L rear let.
Grade l/lV medial patellar luxation on the R rear. (inside side of knee is not alaigned right= slight dislocation

Neuro Exam:
Mild ataxia on the rear.
Cranial Nerves all normal
Left and Right: No abnormalities on forelimbs.  Mild hyperreflexia of patellar & canial tibial on rear. (reflexes stronger than they should be on upper part of knee)
Mild hyperpathia at the caudal cervical vertebra when turning head to the left, no other sensory abnormalities noted.
  (disagreeable/painfull in response to a normall innocuous stimulus; condition in which hyperpathia occurs.)  
             MY NOTE:  Just think he did not want to comply any more.

Recommendarions & Instructions:
  Restrict activity to only leash walks for the next 2 wks.  Phone in reports in 2 weeks.  Also use a harness instead of a neck collar to walk in case of a cervical lesion.  Administer w/ food, Dermamaxx 150 mg (1.5 tabs OD) for the next 2 wks for inflammation.  Poss. side effects are: vomiting, diarrhea, & inappetance.  If any occur discontinue use and contact Dr. ____ to be switched to another drug.

Prognosis:  The difinitive diagnosis is unknown at this point but it likely a mild caudal cervical spondylopathy or Wobblre.  This is a type of spinal cord compression that may change with head position and may be from the intervertebral disc or a malformation of the vertebrae.  At this point it is very mild and we do not recommend any imaging or sx.   Conservative maagement may be sufficient to relieve clinical signs. This may progress over time though and require further diagnostics in the furture.

MY NOTE:  We asked about a stomack tack for bloat precaution and they HIGHLY recomend it!
           Hopefully around the 1st week of June we can have this done endoscopically with no outside insicion.

All and all pretty good appt. considering.

Comments
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by peekawho, May 02, 2008 10:33AM
I hope this does the trick and its not Wobblers.  Its hard to walk a Dane with a harness, though!  He'll pull you down the street!

We've considered a stomach tack and decided against it, but that was back a few years ago when it was a pretty big deal surgery.  I had no idea the surgery had changed so much.
Ben is 4 now.  Which is getting up there for a Dane.

Anyway, good news for now!  

by Me967, May 02, 2008 11:10AM
Thanks for the post back.  I don't think a harness will be that big of a deal but, ????.  We are going to petsmart today to get one .  I can actually walk him with my index finger now with his neck collar.  When he was a small pup I teached him not to pull and he was a very quick learner.  I even (LOL) dressed him up for Christmas in a coat and hat and he just ate it up like a kid with a new outfit; he loved it.  

I couldn't believe it about the endo sx. myself.  Cool huh.  The veterinary field is really moving up fast.  They said they highly recomend the tacks because in Danes it kills up to 15% and is higher than most other cause of death so we are going to go threw with the prophylactic gastropexy probably in June.  This new technique will come around next week and we want to see how it fairs for the 1st mo. before we have it done on ours.  Sounds bad maybe on my part but; it's true.  If/when we have it done I'll be sure to let you know.  

As far as the main reason for his visit though,  I think it was fairly good news.  We will be reporting the results to the Dr. in 2 wks then having him checked every 6-12 months, depending on how he does.  Then they said if he's fine once a year would be ok.  I couldn't believe how cheap it was either.  WOW.  Anyhow I was glad to report the good new.  Thanks again for the post back.  :-)

Amy

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