10.22.2016 Emergency, South Bay, CA

NOTE: Eye-related injury + surgical pictures in this post

Case Count: 15

Holy intensity. Heads up, this was a gory shift. I got a bunch of cases of all different types one right after another. Uncommon problems, too. The first case of the night was a terrier that had darted into the street and got hit by a car. The skin on his chest, neck, and face was peeled back in one large flap and his right eye was proptosed (bulged out of the socket). We put him to sleep right away. One elderly white Shepherd came in breathing abnormally and probably has a fungal infection in his chest and lungs, confirmatory test is pending. A little friendly Yorkie escaped from his house the day before, was purchased by someone who then saw the lost/found signs and returned him (for a profit). When the owner bought his dog back, the poor little guy was severely restless and agitated...tested positive for methamphetamine. A tiny white dog presented with heart failure, and he had no teeth, so his grey/blue tongue lolled out the side while he heaved to catch a breath. That little guy took a while to improve, but did okay. 

Favorite Quotes

  • "No need to apologize, I'm not offended by what you're saying about me, I'm just pointing out that you're incorrect."

Case of the Day

10yo female spayed mixed-breed dog
Proptosis (prop-TOSE-iss), AKA "eye popped out"
     After midnight, a couple returned home from a party to find their terrier with a proptosed right eye and a laceration on the left face, likely the victim of a bite from the powerful jaws of a larger dog that bit hard enough to pop the right eye out. We replaced it and sewed the eyelids shut, a procedure called a temporary tarsorrhaphy. The plan is to leave the sutures in for a week to let the inflammation and possible behind-the-eye blood clot to go down. Sometimes that's all that's needed, other times the tarsorrhaphy gets placed againi for a longer duration, and other times we end up needing to remove the eye anyway. It's uncommon for the eye to function visually after this injury, but it can stay as long as it's in the right place and is nonpainful. Obviously pain meds, antibiotics, and an e-collar until resolved one way or the other.