broken front left foot/wrist
- Thread starter tino442
- Start date
Dr O
Veterinarian
Dr O
Veterinarian
I got the rads--
part of the problem with reading them is they took two AP views, and they really should have shot at least one lateral or oblique angle. that's the vet's issue, they should know better. since they were reviewed by a radiologist at Antech, did they offer up a more confirmed opinion?
there's quite a bit of soft tissue swelling in the left foreleg, however I do not see a fracture. the second view has an area on the distal ulna's epiphysis that initially looked like a possible fracture, but the first view refutes that. nor is there any obvious infection in the bone (osteomyelitis). his cortices look good and don't show any evidence of MBD.
that leaves gout/pseudogout as the likeliest scenario, unfortunately. depending on what the crystals are made of, some are visible on rads and some are completely invisible. I think you're in situation #2, or it's just too early for the crystals to be detected by xray (gee whiz fact of the day---you need just about one million cells together to be visible on rads. when metastatic cancer views are taken of the lungs to see if a cancer has spread, we can only see the nodules when they get to that size. 500,000 cancer cells could be forming 50 different nodules, but the rads won't pick them up. thus the better sensitivity and specificity of CT's/MRI's).
if it were my cham I would still run a CBC/Chemistry panel to help confirm the diagnosis, and also hope that it shows something else more treatable.....gout sucks. if it were just that one leg I would pray for an infection/cellulitis, but it sounds like you are beginning to see multiple limb involvement, bringing us back to the gout family. not great news, I'm sorry to say.
until you fill out the health history form, no one here is going to be able to give you an idea of what may have caused this. I suggest you fill it out to the best of your ability for some feedback.
o-
part of the problem with reading them is they took two AP views, and they really should have shot at least one lateral or oblique angle. that's the vet's issue, they should know better. since they were reviewed by a radiologist at Antech, did they offer up a more confirmed opinion?
there's quite a bit of soft tissue swelling in the left foreleg, however I do not see a fracture. the second view has an area on the distal ulna's epiphysis that initially looked like a possible fracture, but the first view refutes that. nor is there any obvious infection in the bone (osteomyelitis). his cortices look good and don't show any evidence of MBD.
that leaves gout/pseudogout as the likeliest scenario, unfortunately. depending on what the crystals are made of, some are visible on rads and some are completely invisible. I think you're in situation #2, or it's just too early for the crystals to be detected by xray (gee whiz fact of the day---you need just about one million cells together to be visible on rads. when metastatic cancer views are taken of the lungs to see if a cancer has spread, we can only see the nodules when they get to that size. 500,000 cancer cells could be forming 50 different nodules, but the rads won't pick them up. thus the better sensitivity and specificity of CT's/MRI's).
if it were my cham I would still run a CBC/Chemistry panel to help confirm the diagnosis, and also hope that it shows something else more treatable.....gout sucks. if it were just that one leg I would pray for an infection/cellulitis, but it sounds like you are beginning to see multiple limb involvement, bringing us back to the gout family. not great news, I'm sorry to say.
until you fill out the health history form, no one here is going to be able to give you an idea of what may have caused this. I suggest you fill it out to the best of your ability for some feedback.
o-
2 year old panther
handle my cham a few times a week. he comes out of cage on his own
cham eats crix, roaches, hornworms, super worms all dusted with repashy.
bugs are fed bug burgers and water
mist king 5 times a day 6 to 8 minutes a time
fecal is usualy firm and dark with white end.
Screen cage 4 ft by 2 ft
basking 75 wat incodesent and exo terra 10.0 change every 6 months
90 bask down to 65-70 at night
umbrella plant with lots of branches
cage is near top of room floor
Live in New Jersey
handle my cham a few times a week. he comes out of cage on his own
cham eats crix, roaches, hornworms, super worms all dusted with repashy.
bugs are fed bug burgers and water
mist king 5 times a day 6 to 8 minutes a time
fecal is usualy firm and dark with white end.
Screen cage 4 ft by 2 ft
basking 75 wat incodesent and exo terra 10.0 change every 6 months
90 bask down to 65-70 at night
umbrella plant with lots of branches
cage is near top of room floor
Live in New Jersey
vet visit gout
just took him back to the vet. they lanced the front leg and tested for uric acid and indeede there were crystals so he has gout. they also gave us meds to give him every day for 30 days. The meds are pink color its called allopurinol 100 mg. we give him 0.1 ml every day. we are also giving him alot of water with a syringe straight to his mouth with them meds.
just took him back to the vet. they lanced the front leg and tested for uric acid and indeede there were crystals so he has gout. they also gave us meds to give him every day for 30 days. The meds are pink color its called allopurinol 100 mg. we give him 0.1 ml every day. we are also giving him alot of water with a syringe straight to his mouth with them meds.
Dr O
Veterinarian
need to know his weight to calculate. a normally hydrated reptile typically drinks between 1-3% of their body weight in water daily, if they're dehydrated or need extra fluids that needs to be taken into consideration as well.
e.g.-a healthy 150g panther needs approx. 2-3 cc's daily (= to ½ tsp)
o-
Dr O
Veterinarian
tino, i'm going to post the radiographs here so that others who may be interested can take a look. any problem w/ that, let me know and i'll take them down.
o-
4 shots, the first 2 were the originals (which look very pixelated for some reason), and the second pair are the post-processed versions to better see the affected areas.
o-
4 shots, the first 2 were the originals (which look very pixelated for some reason), and the second pair are the post-processed versions to better see the affected areas.
my panther hasnt eaten since friday. i took the bandage off his front foot which he can not move . no movement in his toes to touch just dangles. it was moving befor the dr lanced his foot, he is still holding on with other 3 legs.i mixed some calcium in his water syringe. any suggestions. thanks
my panther has not eaten since his leg was lanced 4 days ago. took him back to vet he took more gout out of foot. he lost all mobility in his foot even to touch he does not move it. he was given a food injection and liquid injection today.he is now resting.the gout in his rear leg is getting better. i dont want to lose him any suggestions . thanks
