NOOPY

Asbcesses are sometimes really are pain in the ass. What is more annoying is the development of abscesses at the IV site. This actually, can be prevented by aseptic technique, monitoring and changing of the IV site every now and then.

This is noopy and she has an abscessed arm. Abscessation are actually tricky to manage and may or may not require a few days of confinement and monitoring. As for the owners it was ok for them for noopy to stay awhile during the treatment.

Day 1: severe abscessation. The area was flushed with NSS, PenG, Povidone lodine with table sugar and nitrofufazone was added prior to bandaging…

Daily, the wound was cleaned, unfortunately, was not documented…But, there was improvement. We noticed that the area became clearer with granulation tissue formation. There was no noticed foul odor versus the first day and the wound became smaller

Day 7: the wound is clean, smaller and appeared to have healthy granulation tissue. With formation of granulation tissue, flushing of the wound is important. Rubbing the area even with a sterile gauze that can remove the newly formed tissues should be avoided.

Day 8: the wound was left open to dry and fortunately, noopy went home today without the need for bandage.

Noopy visited the clinic for vaccination update (which was again overdue!!! What’s the use of appointment slips and recommendations?!) and the arms that was affected was already clear, with hairs regrown and no evidence of previous abscess formation.

Going back to the case, why did I use sugar in the wound dressing?

Actually, I learned the technique when my father’s bed sores were being treated by his surgeon prior to grafting. He explained that the bacteria present will ferment the sugars first before it will digest the protein of the skin, and with the presence of antibiotics and povidone iodine, the microbes will die. Further research also revealed that sugars tend to promote better granulation tissue formation, decrease edema formation, attraction of macrophages, source of cellular energy and for necrotic slough . What’s more encouraging is that it is readily available and inexpensive. Aside from table sugar, dextrose powder and honey may also be used.

EMBOLISM

This is a ragdoll. A cat if you are not so familiar with the breed.

Anyway, she has an wound problem. Apparently there was an embolus affected one of her hindleg. As you may know, an embolus may be an air, a clot, a fat lobule, hair or any particle that travels within the blood vessel which may cause obstruction of the vessel. This condition is called embolism. If this happens, the affected area loses blood supply and if this happened that area will slowly die. If medical intervention is done then the area may be saved, if not, the body may still try to save itself but usually takes longer and the dying area may be predisposed to infection and gangrene (gangrene is the term to describe the death of a part of a body due to lack of blood supply as a result of several conditions like trauma, embolism, vascular disease or infection) thereby worsening the condition.


Here are some pictures of the case.
IF YOU HAVE A WEAK STOMACH, ITS TIME TO RUN AND SCREAM LIKE CRAZY!!!
if you can handle this one then go on.


Do you want to faint? Ok if you can handle things then i'll go on.







These two pictures were taken after some of the areas affected died leaving an open wound. There are different types of managing an open wound (of which i will not go into more detail) and here, they treated the area as an open wound, applied bandages and cleaned the area on a regular basis such that they slowly tried to close the area when granulation tissue formed and there is enough skin to cover the wound.

















This was taken during one of the many wound cleaning visits of this cat. Bandages were replaced every now and then and the wound is monitored for improvement and healing.






























After some time the wound healed and treatment ended on September 9, 2008, with a little less a bone and tissues.

Now look at the healed leg of this ragdoll, unfortunately she is unable to use this leg but i think she's fine with three legs though.

This was a case in the AI Animal Medical Center and the present condition of this cat was relayed by Dr. Yunuki Toshi.