Scooby had a mishap when he swallowed the head of a baking spatula that had peanut butter on it. We learned the hard way that this doesn’t come out with scoping and had to move to surgery. So thankful for the amazing team at Premier Veterinary Care for taking great care of Scooby and I! He is back to 100% and staying out of trouble (mostly). ❤️🐶 #vetmed#foreignbody#donteatspatulas
"But it looked so delicious!"
Said by every dog that gobbles down a yummy GI Foreign Body! Luckily we were able to induce vomiting 🤢 quickly enough to prevent this mouse from finding a new home in this dogs small intestine. This little cat toy could have been a real problem scurrying it's way along the intestinal tract and may have even required surgery to remove. But all puked out well in the end!! #vcalakeside#foreignbody#veterinarymedicine#veterinaryemergency#apomorphine#rvt
Hudson came in to @animalemergencyhospital because he wasn't feeling well, had vomited multiple times at home. It was decided to take xrays (nothing obvious at the time), give him an anti-nausea medication, barium swallow, return home for further monitoring and come back to us for repeat x-rays the following day. Hudson returned the next day for his x-rays, having vomited again at home. On x-ray the barium had not passed, which was concerning. We took him to surgery and the foreign object was removed. Hudson had eaten a felt chair pad, which was stuck in his small intestine. Hudson recovered well from surgery, spent the day with us in hospital and went home the next day feeling much better.
Fun fact: Hudson was adopted last year from us as part of our fall litter! (formerly known as Frost) *Posted with owner permission
CASE OF THE DAY 🙏🏽 ❌ This pup was due for his second vaccination when his owners noticed he had an abnormally huge abdomen ❌ He was examined and it was confirmed it was a foreign body obstruction causing his issues (also vomiting, lethargic and had a reduced appetite) ❌ His surgery was performed the same day. Scroll through to see the rest of the story 🙂👌 #obstruction#foreignbody#pitbull#emergency#valuevets
5 518 November, 2019
version française dans la section commentaires 👇🏻 It was common to withhold food after surgery, especially after surgeries of the gastrointestinal tract, until quite recently. It is now known that early enteral nutrition supports gastrointestinal mucosal integrity. 💁🏼♀️ Lack of oral intake leads to villous atrophy in as little as 1.5 days of fasting in weaned pigs (experimental study). Starvation adversely affects the intestinal epithelial barrier who’s role is to protect your pet against the invasion of gut-dwelling bacterias. 🦠 Protein levels should be monitored closely, serum albumin concentrations less than 2 g/dL are associated with increased postoperative complications. Enteral feeding should be initiated within 48 hours because this has been shown to reduce mortality in human beings. ⏰ Do you often use feeding tubes in your practice? #bistouri#allthesurgeonladies#foreignbody#softtissuesurgery#anorexia#feedingtubes
Cysts that wriggle? That’s a whole new can of worms! ➡️ watch closely!
This patient presented with a two week history of a red, irritated left eye.
Dr Hann found a sub-conjunctival helminthic cyst in the temporal zone of the left eye… with a mature WORM INSIDE!
Dr Hann surgically removed the cyst and the pathology lab confirmed it had been removed in-tact.
This is a rare occurrence and the patient had no obvious risk factors. The eye healed well.
So, where could this have come from?
After worldwide scientific collaboration, and sequencing of the worm genome, it is thought this is likely a dog heart worm and was probably transmitted by an insect vector from a marsupial reservoir. The microbiologist says that surgery has cured the patient.
2 226 November, 2019
Found a weird case today. Originally thought it was an leaky amalgam filling. Quickly discover that it’s shifts between Xrays. Probe the area and found that it’s a piece of metal lodge in her right cheeks. Symptomatic, but we decided to remove it. #coolcase#dentistry#foreignbody
Linear foreign body in a puppy. This little lad ate a pair of knee-high socks and managed to pass one, but the other got stuck. The intestines plicated up the sock, resulting in an area of intussusception seen in the video. Thankfully we managed to remove the whole thing through one incision with no resection of the intestine required and he’s feeling a lot better now!
Yup it happens to vets too 🤦🏻♀️. If it happens to you (yes, even if “they always pass them”) get to your vet ASAP and they may be able to get your dog to bring it back up before it ends up as a foreign body (which can mean thousands of dollars, surgery, and in some cases really sad endings). Thanks to @florentinegold for hitting this squeaky Aussie’s invisi-veins. #vetlife#aussiesofinstagram#socktheif#emesis#foreignbody@vetgirlontherun@ottawaveterinaryhospital
Briar spent a lovely afternoon sleeping off the excitement. Even Levi the cat spoiled him with some buiscuit making rubs. Now to spend the next few days digging through his poops just in case 🙄😂
11 634 November, 2019
how long should a patient be fasted after a surgery 🙅🏼♀️🍕? Is there a different protocol for a foreign body surgery (gastrotomy, enterotomy or enterectomy)? • combien de temps un patient devrait être gardé à jeûn après une chirurgie 🙅🏼♀️🍕? Est-ce que ce protocole est différent pour les chirurgies de corps étranger (gastrotomie, entérotomie ou entérectomie)? #bistouri#allthesurgeonladies#foreignbody#softtissuesurgery
مريضي كه سكه قورت داده و يك عكس نيم رخ سينه گرفته شده
Lateral chest x ray:
به خوبي جسم سفيد اوپك كه همان سكه است در مري رويت مي شود با يك عكس ساده جهت تشخيص: #foreignbody#جسمخارجي_در مرط
0 173 November, 2019
عكس هاي X ray ساده:
ما متخصصين داخلي و گوارش
وقتي شك مي كنيم مريض مثلا تيغ ماهي يا جسم خارجي قورت داده و براش مشكل ايجاد كرده بلافاصله براي تشخيص دنبال انجام اندوسكوپي نمي ريم
تصوير اول :lateral cervical x ray ساده:
در محل فلش يك جسم اوپك مشاهده مي كنيد كه همان تيغ ماهي است. #foreignbody#جسم_خارجي_مري
#Foreignbody ingestion in pets can be very concerning! 😣 Large objects, fabric, and string are just some of the foreign bodies that can cause obstructions of the stomach or the small intestine.
Read about some of the reasons why your dog likes to eat the wrong things plus ways to prevent it : https://www.vetbabble.com/dogs/questions-dogs/foreign-bodies-i-think-my-pet-ate-something-it-shouldnt/
0 92 November, 2019
N A S A L F O R E I G N B O D Y
After all the hilarious foreign body chat on my stories last night (see story highlights), I wanted to share a really simple trick for the more serious “foreign body in the toddlers nose” situation. Who knows why they decide its a good idea to shove things up there, but if they have a smartie or lego head stuck in their nostril, here’s what you need to do!👇🏻
💋 THE MOTHERS KISS 💋
1. Keep calm! If the child realises your panicking or upset they won’t let you near their nose!
2. Lie them on the floor on their back. Use distractions if needed!
3. Hold the unaffected nostril closed with one finger
4. SHORT, SHARP blow into their mouth 💨 (Reason for capitals - I always seems to find “short, sharp” such a tongue twister, frequently saying “shop shart” to patients 😂).
5.👃🏼 the object should pop out! If it doesn’t, then you may need a trip to A&E I’m afraid!
I have done the mother’s kiss 4 times on my toddler this year (and he still hasn’t learned his lesson) with a 100% success rate!
Have you performed a mother’s kiss? 💋
Betty was rushing to dress for her New Year’s Eve date. She picked up an earring, but her asthma suddenly flared. After rushing to extract her inhaler from a handbag, she deeply inhaled her medicine.
She felt a throat scrape followed by a cough deeper than she usually experiences after medication inhalation. Betty’s cough persisted and became bloody. Her breathing became more difficult.
Her date rushed her to the hospital where a chest x-ray revealed an object blocking her right lung’s airway. Then on to the operating room where surgeons extracted an earring from that right lung.
The earring had fallen into the inhaler as Betty fumbled through her purse. Lesson learned: she never again left the cap off her inhaler.
Our very own Oliver (the hairless cat) had a complete obstruction over the weekend! He vomited numerous times within an hour so we immediately took radiographs. The report came back indicating a foreign body, so we performed a barium study (which pushes white liquid through the intestines) to highlight where the object was stuck. You can see the white fluid accumulate in the intestines where the object was completely blocking it from passing through. We performed emergency surgery on him that same day and removed the tip of a pacifier! Oliver recovered well and is back to being himself! Great example for why diagnostics are so important! #radiographs#bariumseries#foreignbody#surgery#obstruction#sphynx#itcouldhappentoyourbaby#veterinarian#delraybeach#mydelrayvet#ipah
Cats love to play with string, that’s no surprise 🐈 But what happens when there’s a little sharp pointy thing attached to said string⁉️ Well, we see one of our most common kitty foreign bodies: sewing needles❗️ A lot of times, the needle will make it’s way into the GI tract (requiring surgery) but not this time! You’ll have to see this video to believe it! In conclusion, you reap what you SEW. 😼
This is a time-lapse video of the tissue damage that a button battery can cause in 3 hours!
Experimental research has shown that a button battery can complete an electrolyte circuit when lodged in the esophagus, releasing enough electrical energy to burn surrounding tissues immediately and, in addition, the generation of this external electrolytic current might hydrolyze tissue fluids & produce hydroxide at the battery's negative pole. Alkaline burns are characterized by liquefactive necrosis, fat saponification, and inflammatory cell infiltration and they represent the most severe histologic damage caused in surrounding tissues.
Foreign body ingestion in children is a very common problem. It is estimated that 80% of all cases of swallowed foreign bodies occur in children, mainly between six months & three years of age.
Most of them passed through the gastrointestinal tract without any complication; however, certain foreign bodies might cause severe injuries either because of their characteristic features or because of the level they become lodged at. The incidence of button battery ingestion is about ten cases in every million people every year, which is very low.
If they become lodged in esophagus, they might cause damage in surrounding tissue because of direct pressure; batteries containing mercury have been proven to release it, making absorption to the systemic circulation possible and, therefore, risking systemic toxicity; and lastly, alkaline leakage can take place when button batteries are immersed in saline solution. If ingestion is suspected, it is considered a medical emergency!! #MEDspiration
This research was published in the National Library of medicine:
Video found on: @med_students0
A 35-year-old man presented to the emergency department with profuse rectal bleeding, abdominal pain, and an altered mental status. On physical examination, he was found to be intoxicated, with a blood pressure of 70/40 mm Hg, a pulse of 110 beats per minute, and an oxygen saturation of 90%. Abdominal examination revealed a mass and the presence of peritoneal signs. There was no evidence of trauma. A foreign body was found on rectal examination but was not visible. Once the patient was hemodynamically stable, plain-film radiography of the abdomen was performed, and an intact bottle was seen in the rectosigmoid colon. Laparotomy revealed a glass bottle of beer lodged in the sigmoid colon, with multiple associated lacerations in the rectosigmoid colon. The bottle was extracted, and Hartmann's colostomy was performed. The patient was treated with broad-spectrum antibiotics and analgesics and underwent colorectal reanastomosis, after which the recovery was uneventful.
Cr: Roberto Flores-Suarez, M.D. Jorge Reyes-del Valle, M.D., Ph.D. @nejm #er#medicine#hospital#beerbottle#medicalcreations#foreignbody
292 5,04826 April, 2019
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