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ANVH EP- 103 Femur fracture in small breed dogs

Today, A Niu would like to introduce a case of femur fracture

The femur (thigh bone) is the main weight-bearing bone in your dog’s back leg. When it breaks, strong surrounding thigh muscles pull the bone fragments completely out of alignment.

1. Why Surgery is Necessary (No Casts)
Because the femur sits high up inside thick muscle, a cast or splint cannot hold it in place. Without surgery, the loose ends will constantly grind, causing extreme pain, internal damage, and permanent lameness. Surgery is required to pull the bone ends back together and lock them in position.

2. How the Surgery Works
Realignment: Under full anesthesia, the surgeon accesses the bone through an outer-thigh incision and fits the broken ends back together like puzzle pieces.

Rigid Internal Fixation: The bone is stabilized using:

Bone Plates & Screws: High-grade titanium or stainless steel plates are contoured to the bone and screwed in place to hold it rock-steady.

Intramedullary (IM) Pin: A steel rod placed down the center of the bone, often paired with a plate or orthopedic wire for extra support.

Post-Op X-rays: Taken immediately to confirm ideal alignment and implant placement.

3. The Role of the Implants
Temporary "Scaffolding": The metal plate bears the weight only while the bone produces new bone cells to knit itself back together.

Do they stay in? Yes. Surgical-grade implants are biocompatible and stay inside permanently unless rare complications (like infection or loosening) occur.

4. Expected Outcome
Locking the bone ends stops painful friction right away, providing rapid relief within days. With strict rest during the healing phase, most dogs make a full recovery and return to normal running and playing in 8 to 12 weeks.

If ur dog has a similar problem, please contact ur family vet ASAP.
===========================================
今天阿牛要介紹一個小型犬,股骨斷裂手術修復的case

股骨是大腿最主要的承重骨。當股骨斷裂時,周圍強壯發達的大腿肌肉會強烈收縮,把斷裂的骨頭往兩側拉扯,造成明顯錯位與重疊。

1. 為什麼必須手術?(不能只打石膏)
大腿骨位置太高且包覆在厚實肌肉內,外層的石膏或夾板完全無法固定它。如果不動手術,斷骨會在體內持續摩擦,造成劇痛、肌肉內出血與永久跛行。唯有透過手術,才能將錯位的骨頭拉回原位並徹底固定。

2. 手術是如何進行的?
骨折復位:在全身麻醉與嚴格無菌下,外科醫師在大腿外側劃開切口,避開神經血管,將錯位的骨頭像拼圖一樣對齊拼回。

堅強內固定:使用醫療級金屬植入物鎖住斷骨,常見方式包括:
骨板與骨釘:沿著骨骼弧度貼上鈦合金或不鏽鋼骨板,並鎖入多顆骨釘,牢牢吸收走動時的受力。
骨髓內釘:在骨頭中空的髓腔內穿入鋼釘作為軸心支撐,常搭配骨板或鋼線加強穩定。
術後 X 光檢查:縫合完成後立即拍攝 X 光,確認骨頭對齊與植入物位置完美到位。

3. 鋼板與骨釘的角色
暫時的「結構鷹架」:鋼板的作用是「暫時代替骨頭受力」,提供一個絕對穩定的環境,讓骨頭自己長出新骨細胞(骨痂)重新接合。

以後需要拆除嗎?:不需要。醫療級植入物生物相容性極高,會終身留在體內,除非極少數感染或螺釘鬆脫等特殊狀況才需取出。

4. 預後與復原期
一旦斷骨被鋼板鎖緊不再相互摩擦,狗狗在術後幾天內疼痛就會大幅減輕。只要術後嚴格配合限制活動,絕大多數毛孩都能在 8 至 12 週內完全康復,重新恢復正常跑跳與玩耍。

如果你的狗狗有類似的症狀,請趕快跟你的家庭獸醫聯絡

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#要專業
#來
#要情緒價值
#沒有
#要醫生講自己想聽的話
#也沒有
#這也不要那也不要
#其實你可以去觀落陰
#因為一樣是用猜的
#在那邊雞雞歪歪
#一旦發現
#一定嚴懲不貸
... See MoreSee Less

ANVH EP- 103 Femur fracture in small breed dogs 

Today, A Niu would like to introduce a case of femur fracture 

The femur (thigh bone) is the main weight-bearing bone in your dog’s back leg. When it breaks, strong surrounding thigh muscles pull the bone fragments completely out of alignment.

1. Why Surgery is Necessary (No Casts)
Because the femur sits high up inside thick muscle, a cast or splint cannot hold it in place. Without surgery, the loose ends will constantly grind, causing extreme pain, internal damage, and permanent lameness. Surgery is required to pull the bone ends back together and lock them in position.

2. How the Surgery Works
Realignment: Under full anesthesia, the surgeon accesses the bone through an outer-thigh incision and fits the broken ends back together like puzzle pieces.

Rigid Internal Fixation: The bone is stabilized using:

Bone Plates & Screws: High-grade titanium or stainless steel plates are contoured to the bone and screwed in place to hold it rock-steady.

Intramedullary (IM) Pin: A steel rod placed down the center of the bone, often paired with a plate or orthopedic wire for extra support.

Post-Op X-rays: Taken immediately to confirm ideal alignment and implant placement.

3. The Role of the Implants
Temporary Scaffolding: The metal plate bears the weight only while the bone produces new bone cells to knit itself back together.

Do they stay in? Yes. Surgical-grade implants are biocompatible and stay inside permanently unless rare complications (like infection or loosening) occur.

4. Expected Outcome
Locking the bone ends stops painful friction right away, providing rapid relief within days. With strict rest during the healing phase, most dogs make a full recovery and return to normal running and playing in 8 to 12 weeks.

If ur dog has a similar problem, please contact ur family vet ASAP.
===========================================
今天阿牛要介紹一個小型犬,股骨斷裂手術修復的case

股骨是大腿最主要的承重骨。當股骨斷裂時,周圍強壯發達的大腿肌肉會強烈收縮,把斷裂的骨頭往兩側拉扯,造成明顯錯位與重疊。

1. 為什麼必須手術?(不能只打石膏)
大腿骨位置太高且包覆在厚實肌肉內,外層的石膏或夾板完全無法固定它。如果不動手術,斷骨會在體內持續摩擦,造成劇痛、肌肉內出血與永久跛行。唯有透過手術,才能將錯位的骨頭拉回原位並徹底固定。

2. 手術是如何進行的?
骨折復位:在全身麻醉與嚴格無菌下,外科醫師在大腿外側劃開切口,避開神經血管,將錯位的骨頭像拼圖一樣對齊拼回。

堅強內固定:使用醫療級金屬植入物鎖住斷骨,常見方式包括:
骨板與骨釘:沿著骨骼弧度貼上鈦合金或不鏽鋼骨板,並鎖入多顆骨釘,牢牢吸收走動時的受力。
骨髓內釘:在骨頭中空的髓腔內穿入鋼釘作為軸心支撐,常搭配骨板或鋼線加強穩定。
術後 X 光檢查:縫合完成後立即拍攝 X 光,確認骨頭對齊與植入物位置完美到位。

3. 鋼板與骨釘的角色
暫時的「結構鷹架」:鋼板的作用是「暫時代替骨頭受力」,提供一個絕對穩定的環境,讓骨頭自己長出新骨細胞(骨痂)重新接合。

以後需要拆除嗎?:不需要。醫療級植入物生物相容性極高,會終身留在體內,除非極少數感染或螺釘鬆脫等特殊狀況才需取出。

4. 預後與復原期
一旦斷骨被鋼板鎖緊不再相互摩擦,狗狗在術後幾天內疼痛就會大幅減輕。只要術後嚴格配合限制活動,絕大多數毛孩都能在 8 至 12 週內完全康復,重新恢復正常跑跳與玩耍。

如果你的狗狗有類似的症狀,請趕快跟你的家庭獸醫聯絡

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#要專業
#來
#要情緒價值
#沒有
#要醫生講自己想聽的話
#也沒有
#這也不要那也不要
#其實你可以去觀落陰
#因為一樣是用猜的
#在那邊雞雞歪歪
#一旦發現
#一定嚴懲不貸Image attachmentImage attachment+6Image attachment

ANVH EP- 102.5 Official announcement

OFFICIAL STATEMENT: Addressing Recent Online Allegations
To our valued clients and community,

In response to recent false statements circulated on social media platforms (including RED/Little Red Book and Facebook) regarding our clinic, we issue the following statement:

1. Compliance with Veterinary Standards: All medical care and treatment plans provided by our team strictly adhered to professional veterinary standards. Every diagnosis, recommendation, and communication has been fully documented in the patient’s medical records.

2. Official Investigation in Progress: This matter and the associated disputes are currently being handled by Animal Control and the Royal Canadian Mounted Police (RCMP). Complete medical files and security footage have been provided to assist their investigations.

3. Zero Tolerance & Legal Rights Reserved: We strictly do not tolerate workplace harassment, verbal abuse, or online defamation. All misleading claims have been archived by our legal counsel. We fully reserve all rights to pursue legal action.

In accordance with professional ethics and privacy standards, we will not address specific patient details in public forums. All further matters will be resolved through official channels.

Thank you for your continued trust and support.
The Management Team
A Niu Veterinary Hospital

【本院聲明】關於近期網路不實言論之說明
致關心本院的客戶與廣大社群朋友:

近期有少數個人於社群平台(小紅書、Facebook 等)針對本院發表與事實不符之指控。為維護醫療專業與團隊安全,本院聲明如下:

1. 遵循醫療標準:本院醫療團隊對相關個案之診斷與治療均嚴格遵循獸醫專業標準,所有診斷、處置建議及溝通細節均已完整載明於病歷中。

2. 配合官方調查:本個案及相關爭議已由 動物管制局(Animal Control) 及 皇家加拿大騎警(RCMP) 依法接手處理,本院已提供完整病歷與現場影像協助調查。

3. 抵制霸凌與保留法律追究權:本院絕不接受任何現場暴力、言語騷擾或網路誹謗。相關不實言論均已完成法律保全,並交由律師處理,本院保留一切法律追究權利。

基於專業倫理與隱私規範,本院不再於公開平台回應個案細節,所有後續事宜均交由執法與法律機關處理。感謝大家的信任與支持。

A Niu Veterinary Hospital 管理層 敬上
September 21, 2026
... See MoreSee Less

ANVH EP- 102.5 Official announcement

OFFICIAL STATEMENT: Addressing Recent Online Allegations
To our valued clients and community,

In response to recent false statements circulated on social media platforms (including RED/Little Red Book and Facebook) regarding our clinic, we issue the following statement:

1. Compliance with Veterinary Standards: All medical care and treatment plans provided by our team strictly adhered to professional veterinary standards. Every diagnosis, recommendation, and communication has been fully documented in the patient’s medical records.

2. Official Investigation in Progress: This matter and the associated disputes are currently being handled by Animal Control and the Royal Canadian Mounted Police (RCMP). Complete medical files and security footage have been provided to assist their investigations.

3. Zero Tolerance & Legal Rights Reserved: We strictly do not tolerate workplace harassment, verbal abuse, or online defamation. All misleading claims have been archived by our legal counsel. We fully reserve all rights to pursue legal action.

In accordance with professional ethics and privacy standards, we will not address specific patient details in public forums. All further matters will be resolved through official channels.

Thank you for your continued trust and support.
The Management Team
A Niu Veterinary Hospital

【本院聲明】關於近期網路不實言論之說明
致關心本院的客戶與廣大社群朋友:

近期有少數個人於社群平台(小紅書、Facebook 等)針對本院發表與事實不符之指控。為維護醫療專業與團隊安全,本院聲明如下:

1. 遵循醫療標準:本院醫療團隊對相關個案之診斷與治療均嚴格遵循獸醫專業標準,所有診斷、處置建議及溝通細節均已完整載明於病歷中。

2. 配合官方調查:本個案及相關爭議已由 動物管制局(Animal Control) 及 皇家加拿大騎警(RCMP) 依法接手處理,本院已提供完整病歷與現場影像協助調查。

3. 抵制霸凌與保留法律追究權:本院絕不接受任何現場暴力、言語騷擾或網路誹謗。相關不實言論均已完成法律保全,並交由律師處理,本院保留一切法律追究權利。

基於專業倫理與隱私規範,本院不再於公開平台回應個案細節,所有後續事宜均交由執法與法律機關處理。感謝大家的信任與支持。

A Niu Veterinary Hospital 管理層 敬上
September 21, 2026

ANVH EP- 102 GI tumor in cats 貓咪的胃腸道腫瘤
I just found that the pyometra + mammary gland tumor issue was already published, so the editor redid it as EP-102

🐱 [Pet Health] Frequent Vomiting & Weight Loss in Cats? Watch Out for GI Tumors!

Does your cat vomit often or lose weight mysteriously? Don't dismiss it as just hairballs or a sensitive stomach. Gastrointestinal (GI) tumors—especially Lymphoma— are among the most common cancers in cats.

🚨 4 Warning Signs to Watch For:
1️⃣ Frequent Vomiting: Vomiting more than twice a month.
2️⃣ Weight Loss: Unexplained weight loss or loss of muscle mass.
3️⃣ Appetite Changes: Picky eating or progressive loss of appetite.
4️⃣ Bowel Issues: Chronic diarrhea, soft stools, or dark/tarry stools.

🩺 Diagnosis & Treatment:
Diagnosis involves an abdominal ultrasound to check intestinal wall layers, alongside FNA or biopsy to confirm the exact tumor type.
Many low-grade lymphomas respond very well to oral chemotherapy, while solitary tumors can often be managed with surgical resection!

💡 Vet Tip:
Vomiting is NEVER "normal" for cats. Early diagnosis is key to protecting your feline friend's quality of life! ❤️

#FelineHealth #CatCancer #FelineLymphoma #VeterinaryCare #CatCare #PetHealth

Please contact ur family cat ASAP if ur pet has a similar issue.
===========================================
之前的子宮蓄膿+乳腺瘤原來已經發過了,今天重發-貓咪的胃腸道腫瘤

🐱 【毛孩健康】貓咪頻繁嘔吐、越來越瘦?小心「胃腸道腫瘤」!

你家貓咪常吐毛球?吃得少卻一直變瘦?別以為這只是單純腸胃敏感!在貓咪常見的惡性腫瘤中,胃腸道腫瘤(尤其是淋巴瘤 Lymphoma) 是相當常見的隱形殺手。

🚨 出現以下 4 大警訊請提高警覺:
1️⃣ 頻繁嘔吐: 一個月嘔吐超過 2 次(含食物、胃液或膽汁)。
2️⃣ 體重下滑: 不明原因體重減輕、背脊變明顯。
3️⃣ 食慾改變: 食慾忽好忽壞或漸進式厭食。
4️⃣ 排便異常: 長期下痢、軟便或黑便。

🩺 如何檢查與治療?
透過 腹部超音波 評估腸壁結構,並搭配 細針抽吸(FNA)或切片檢查 確診腫瘤類型。
多數低階淋巴瘤對 口服化療藥物 反應良好;孤立性腫塊也可透過 手術切除 結合後續治療,有效提升生活品質!

💡 獸醫師提醒:
嘔吐絕對不是貓咪的日常!早期診斷、早期介入,才能給毛孩最好的照顧❤️

#貓咪衛教 #貓胃腸道腫瘤 #貓淋巴瘤 #貓咪嘔吐 #毛孩健康 #獸醫日常

這個case是典型的T-cell lymphoma,預後很糟糕,手術切除腫瘤並進行腸吻合後動物暫時的恢復食慾跟精神,但可預期的這會很快的又再長回來

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#定期健康檢查很重要
... See MoreSee Less

ANVH EP- 102 GI tumor in cats 貓咪的胃腸道腫瘤
I just found that the pyometra + mammary gland tumor issue was already published, so the editor redid it as EP-102

🐱 [Pet Health] Frequent Vomiting & Weight Loss in Cats? Watch Out for GI Tumors!

Does your cat vomit often or lose weight mysteriously? Dont dismiss it as just hairballs or a sensitive stomach. Gastrointestinal (GI) tumors—especially Lymphoma— are among the most common cancers in cats.

🚨 4 Warning Signs to Watch For:
1️⃣ Frequent Vomiting: Vomiting more than twice a month.
2️⃣ Weight Loss: Unexplained weight loss or loss of muscle mass.
3️⃣ Appetite Changes: Picky eating or progressive loss of appetite.
4️⃣ Bowel Issues: Chronic diarrhea, soft stools, or dark/tarry stools.

🩺 Diagnosis & Treatment:
Diagnosis involves an abdominal ultrasound to check intestinal wall layers, alongside FNA or biopsy to confirm the exact tumor type.
Many low-grade lymphomas respond very well to oral chemotherapy, while solitary tumors can often be managed with surgical resection!

💡 Vet Tip:
Vomiting is NEVER normal for cats. Early diagnosis is key to protecting your feline friends quality of life! ❤️

#FelineHealth #CatCancer #FelineLymphoma #VeterinaryCare #CatCare #PetHealth

Please contact ur family cat ASAP if ur pet has a similar issue.
===========================================
之前的子宮蓄膿+乳腺瘤原來已經發過了,今天重發-貓咪的胃腸道腫瘤

🐱 【毛孩健康】貓咪頻繁嘔吐、越來越瘦?小心「胃腸道腫瘤」!

你家貓咪常吐毛球?吃得少卻一直變瘦?別以為這只是單純腸胃敏感!在貓咪常見的惡性腫瘤中,胃腸道腫瘤(尤其是淋巴瘤 Lymphoma) 是相當常見的隱形殺手。

🚨 出現以下 4 大警訊請提高警覺:
1️⃣ 頻繁嘔吐: 一個月嘔吐超過 2 次(含食物、胃液或膽汁)。
2️⃣ 體重下滑: 不明原因體重減輕、背脊變明顯。
3️⃣ 食慾改變: 食慾忽好忽壞或漸進式厭食。
4️⃣ 排便異常: 長期下痢、軟便或黑便。

🩺 如何檢查與治療?
透過 腹部超音波 評估腸壁結構,並搭配 細針抽吸(FNA)或切片檢查 確診腫瘤類型。
多數低階淋巴瘤對 口服化療藥物 反應良好;孤立性腫塊也可透過 手術切除 結合後續治療,有效提升生活品質!

💡 獸醫師提醒:
嘔吐絕對不是貓咪的日常!早期診斷、早期介入,才能給毛孩最好的照顧❤️

#貓咪衛教 #貓胃腸道腫瘤 #貓淋巴瘤 #貓咪嘔吐 #毛孩健康 #獸醫日常

這個case是典型的T-cell lymphoma,預後很糟糕,手術切除腫瘤並進行腸吻合後動物暫時的恢復食慾跟精神,但可預期的這會很快的又再長回來

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#定期健康檢查很重要Image attachmentImage attachment+3Image attachment

ANVH EP- 101 C-section in cats 貓的剖腹產

Patient: 3–4 year old female cat.

Chief Complaint: No prior prenatal checks; owner knew she was pregnant and in labor, but she experienced prolonged dystocia (unable to deliver).

Diagnosis: Examination revealed two fetuses—one was still viable, while the other had no detectable heartbeat. Emergency C-section was advised and agreed upon.

Surgery: Emergency C-section was performed smoothly, taking about 10–15 minutes.

Fetal Status: Both kittens showed no signs of breathing or heartbeat (stillborn state) upon extraction.
Resuscitation: The medical team performed continuous CPR for over 20 minutes, successfully bringing one kitten back to life.

Served as a critical learning experience for new team members and interns, allowing them to witness a feline C-section and observe Day 0 newborn status firsthand.

20 minutes of relentless effort to pull a newborn back to life. 🐾

We recently handled an urgent feline C-section case. A 3-to-4-year-old mom-to-be came in with dystocia. She had no prior prenatal exams, and despite showing clear signs of labor, she just couldn't deliver. A quick diagnostic scan showed two kittens—one was still holding on, but the other had already lost its heartbeat.

To save mom and the remaining baby, we immediately rushed into an emergency C-section.

The surgery itself was quick and smooth, taking only about 10 to 15 minutes. However, the moment we brought the two little ones out, our hearts sank—neither kitten had a pulse or breathing.

"Don't give up. Keep resuscitating!"

Our team kept going with continuous CPR. After more than 20 intense minutes, a faint, miraculous gasp finally came through. We managed to pull one of the kittens back from the brink. ❤️

For our clinic, every saved life is a win, but this case was extra special. It gave our new team members and interns their very first look at a live C-section and what a Day 0 newborn truly looks like in the ER.

Nature is tough, but a team that refuses to give up is tougher.
===========================================
3–4 歲未絕育母貓。

主訴:飼主先前未做過產檢,僅知懷孕且已達預產期。貓咪出現分娩動作但持續難產。

診斷:經進一步產檢發現胎兒共兩隻,其中一隻生命征象尚可,另一隻已無心跳。與飼主討論後決定進行緊急剖腹產。

手術過程:剖腹產過程順利,耗時約 10 至 15 分鐘。
胎兒狀況:兩隻胎兒取出時均呈無呼吸心跳(死胎)狀態。
醫療團隊持續進行心肺復甦超過 20 分鐘,最終成功救回其中一隻幼貓。

這個case提供了團隊新進成員與實習生寶貴的臨床經驗,首次實地觀察犬貓剖腹產流程及 Day 0 剛出生胎兒的生理狀態。

【20 分鐘的堅持,搶救剛誕生的新生命 🐾】

這天接到一個緊急的剖腹產病例。

一隻 3 到 4 歲的媽媽,因為先前沒有做過相關產檢,到了預產期雖然出現生產行為,卻一直無法順利產下寶寶。來院經過緊急檢查後發現,肚子裡的兩隻小貓,其中一隻已經失去了心跳。

為了保住媽媽與剩下的寶寶,我們迅速安排了緊急剖腹產。

雖然手術過程非常順利,大約 10 到 15 分鐘就完成,但當兩個小傢伙從子宮出來的那一刻,大家的心都沉了下來——兩隻寶寶當時都沒有呼吸與心跳。

「不要放棄,繼續復甦!」

醫療團隊沒有停下手中的動作,持續進行心肺復甦。經過超過 20 分鐘不間斷的努力,我們終於聽到了那聲微弱卻無比動人的呼吸聲,成功搶救回其中一隻小生命!

先前的剖腹產案例細節大家可以往前翻閱舊文。對我們團隊來說,這個案例除了救回珍貴的生命,也是非常寶貴的臨床教學機會。讓剛加入的新人與實習生們,第一次親眼見證犬貓剖腹產的完整過程,以及 Day 0 剛出生胎兒最真實的模樣。

生命真的很韌性,也謝謝團隊每一個不放棄的瞬間 ❤️

貼心提醒:定期產檢能大大降低難產與胎兒風險,準媽媽們記得按時檢查喔!

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#產檢很重要
#半夜4點想吃牛肉麵不重要
... See MoreSee Less

ANVH EP- 101 C-section in cats 貓的剖腹產

Patient: 3–4 year old female cat.

Chief Complaint: No prior prenatal checks; owner knew she was pregnant and in labor, but she experienced prolonged dystocia (unable to deliver).

Diagnosis: Examination revealed two fetuses—one was still viable, while the other had no detectable heartbeat. Emergency C-section was advised and agreed upon.

Surgery: Emergency C-section was performed smoothly, taking about 10–15 minutes.

Fetal Status: Both kittens showed no signs of breathing or heartbeat (stillborn state) upon extraction.
Resuscitation: The medical team performed continuous CPR for over 20 minutes, successfully bringing one kitten back to life.

Served as a critical learning experience for new team members and interns, allowing them to witness a feline C-section and observe Day 0 newborn status firsthand.

20 minutes of relentless effort to pull a newborn back to life. 🐾

We recently handled an urgent feline C-section case. A 3-to-4-year-old mom-to-be came in with dystocia. She had no prior prenatal exams, and despite showing clear signs of labor, she just couldnt deliver. A quick diagnostic scan showed two kittens—one was still holding on, but the other had already lost its heartbeat.

To save mom and the remaining baby, we immediately rushed into an emergency C-section.

The surgery itself was quick and smooth, taking only about 10 to 15 minutes. However, the moment we brought the two little ones out, our hearts sank—neither kitten had a pulse or breathing.

Dont give up. Keep resuscitating!

Our team kept going with continuous CPR. After more than 20 intense minutes, a faint, miraculous gasp finally came through. We managed to pull one of the kittens back from the brink. ❤️

For our clinic, every saved life is a win, but this case was extra special. It gave our new team members and interns their very first look at a live C-section and what a Day 0 newborn truly looks like in the ER.

Nature is tough, but a team that refuses to give up is tougher.
===========================================
3–4 歲未絕育母貓。

主訴:飼主先前未做過產檢,僅知懷孕且已達預產期。貓咪出現分娩動作但持續難產。

診斷:經進一步產檢發現胎兒共兩隻,其中一隻生命征象尚可,另一隻已無心跳。與飼主討論後決定進行緊急剖腹產。

手術過程:剖腹產過程順利,耗時約 10 至 15 分鐘。
胎兒狀況:兩隻胎兒取出時均呈無呼吸心跳(死胎)狀態。
醫療團隊持續進行心肺復甦超過 20 分鐘,最終成功救回其中一隻幼貓。

這個case提供了團隊新進成員與實習生寶貴的臨床經驗,首次實地觀察犬貓剖腹產流程及 Day 0 剛出生胎兒的生理狀態。

【20 分鐘的堅持,搶救剛誕生的新生命 🐾】

這天接到一個緊急的剖腹產病例。

一隻 3 到 4 歲的媽媽,因為先前沒有做過相關產檢,到了預產期雖然出現生產行為,卻一直無法順利產下寶寶。來院經過緊急檢查後發現,肚子裡的兩隻小貓,其中一隻已經失去了心跳。

為了保住媽媽與剩下的寶寶,我們迅速安排了緊急剖腹產。

雖然手術過程非常順利,大約 10 到 15 分鐘就完成,但當兩個小傢伙從子宮出來的那一刻,大家的心都沉了下來——兩隻寶寶當時都沒有呼吸與心跳。

「不要放棄,繼續復甦!」

醫療團隊沒有停下手中的動作,持續進行心肺復甦。經過超過 20 分鐘不間斷的努力,我們終於聽到了那聲微弱卻無比動人的呼吸聲,成功搶救回其中一隻小生命!

先前的剖腹產案例細節大家可以往前翻閱舊文。對我們團隊來說,這個案例除了救回珍貴的生命,也是非常寶貴的臨床教學機會。讓剛加入的新人與實習生們,第一次親眼見證犬貓剖腹產的完整過程,以及 Day 0 剛出生胎兒最真實的模樣。

生命真的很韌性,也謝謝團隊每一個不放棄的瞬間 ❤️

貼心提醒:定期產檢能大大降低難產與胎兒風險,準媽媽們記得按時檢查喔!

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#產檢很重要
#半夜4點想吃牛肉麵不重要Image attachmentImage attachment+4Image attachment

ANVH EP- 100 GI foreign body in cats

A Niu would like to introduce a case of GI foreign body in cats

GI foreign bodies in cats are true emergencies, especially because cats are uniquely prone to linear foreign bodies (string, thread, yarn) that can rapidly cause intestinal plication and perforation.

What Cats Commonly Swallow - String, yarn, thread, ribbon, tinsel, Hair ties, dental floss, Plastic pieces, toys, socks, jewelry

Cats are at particularly high risk for linear foreign bodies, which can anchor under the tongue or in the stomach and cause the intestines to “accordion” and tear.

🚨 Clinical signs include:
Persistent or intermittent vomiting
Anorexia or decreased appetite
Lethargy, hiding, restlessness
Drooling, gagging, or regurgitation
Abdominal pain or discomfort
Visible string from the mouth or anus
Even early signs may be subtle, so any suspicion warrants same‑day evaluation.

🧪 Diagnosis
Physical exam, including mandatory check under the tongue for anchored string
Abdominal radiographs: segmental intestinal dilation; small intestine >1.2 cm raises suspicion
Exploratory surgery if obstruction is unclear or severe

🛠 Treatment
Endoscopic removal: ideal for stomach foreign bodies or,
Surgery (gastrotomy/enterotomy): required for most obstructions, especially linear FBs
Multiple enterotomies often needed for string cases
Bowel resection if perforation or necrosis

Supportive care: IV fluids, analgesia, anti‑nausea meds, antibiotics if peritonitis

📈 Prognosis
Excellent with early removal
Guarded if perforation, sepsis, or extensive resection
Hospitalization typically 1–3 days for simple cases; 5–7+ days for complicated ones

❌ What Owners Should Not Do
Do not pull visible string
Do not induce vomiting
Do not wait to “see if it passes”
These actions can worsen intestinal tearing.

✔️ Immediate Action
If a cat is vomiting, drooling, painful, or suspected of swallowing string or an object:
Seek veterinary care immediately. Early intervention saves lives.

If you suspect ur cat has similar symptoms, please contact ur family vet ASAP
===========================================
今天阿牛要介紹的是貓咪胃腸道異物的case

胃腸道異物在貓咪是真正的急診!! 醫療要盡早介入!!

貓咪常見吞下的異物種類包括:
線狀物:線、毛線、絲帶、牙線、髮圈
塑膠碎片、玩具、布料、橡皮筋
金屬小物件、飾品
貓特別容易吞食線狀異物,最危險的是造成 腸道摺疊(plication)與穿孔。

🚨 臨床症狀
持續或間歇性 嘔吐/食慾下降、拒食/嗜睡、躲藏/流口水、乾嘔/腹痛、腹部敏感/口腔或肛門可見線頭

🧪 診斷重點
身體檢查:務必檢查 舌下是否有線卡住
X 光:腸段不均一擴張;小腸直徑 >1.2 cm 提高阻塞疑慮
腹部超音波:評估腸道蠕動、異物影像
內視鏡:胃內異物可嘗試取出
探查手術:阻塞明顯或疑似線狀異物時常需進行

🛠 治療方式
內視鏡取出:適用於胃內異物
手術(gastrotomy/enterotomy):多數腸阻塞需要
多段腸切開:線狀異物常需多處 enterotomy
腸切除:若有壞死或穿孔
支持療法:靜脈輸液、止痛、止吐、抗生素(若有腹膜炎)

📈 預後
早期處理:預後佳

❌ 主人不應做的事
不要拉 任何從口或肛門露出的線
不要催吐
不要等待異物自行排出
這些行為可能導致腸道撕裂!!

如果你的貓有類似的症狀,請盡快跟你的家庭獸醫聯絡

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#SlowSummer
#Episode100達成
#轉眼間
#兩年半就過去了
... See MoreSee Less

ANVH EP- 100 GI foreign body in cats

A Niu would like to introduce a case of GI foreign body in cats 

GI foreign bodies in cats are true emergencies, especially because cats are uniquely prone to linear foreign bodies (string, thread, yarn) that can rapidly cause intestinal plication and perforation. 

What Cats Commonly Swallow - String, yarn, thread, ribbon, tinsel, Hair ties, dental floss, Plastic pieces, toys, socks, jewelry

Cats are at particularly high risk for linear foreign bodies, which can anchor under the tongue or in the stomach and cause the intestines to “accordion” and tear. 

🚨 Clinical signs include: 
Persistent or intermittent vomiting
Anorexia or decreased appetite
Lethargy, hiding, restlessness
Drooling, gagging, or regurgitation
Abdominal pain or discomfort
Visible string from the mouth or anus
Even early signs may be subtle, so any suspicion warrants same‑day evaluation. 

🧪 Diagnosis
Physical exam, including mandatory check under the tongue for anchored string
Abdominal radiographs: segmental intestinal dilation; small intestine >1.2 cm raises suspicion
Exploratory surgery if obstruction is unclear or severe

🛠 Treatment
Endoscopic removal: ideal for stomach foreign bodies or,
Surgery (gastrotomy/enterotomy): required for most obstructions, especially linear FBs
Multiple enterotomies often needed for string cases
Bowel resection if perforation or necrosis

Supportive care: IV fluids, analgesia, anti‑nausea meds, antibiotics if peritonitis

📈 Prognosis
Excellent with early removal
Guarded if perforation, sepsis, or extensive resection
Hospitalization typically 1–3 days for simple cases; 5–7+ days for complicated ones

❌ What Owners Should Not Do
Do not pull visible string
Do not induce vomiting
Do not wait to “see if it passes”
These actions can worsen intestinal tearing. 

✔️ Immediate Action
If a cat is vomiting, drooling, painful, or suspected of swallowing string or an object:
Seek veterinary care immediately. Early intervention saves lives.

If you suspect ur cat has similar symptoms, please contact ur family vet ASAP
===========================================
今天阿牛要介紹的是貓咪胃腸道異物的case

胃腸道異物在貓咪是真正的急診!! 醫療要盡早介入!!

貓咪常見吞下的異物種類包括:
線狀物:線、毛線、絲帶、牙線、髮圈
塑膠碎片、玩具、布料、橡皮筋
金屬小物件、飾品
貓特別容易吞食線狀異物,最危險的是造成 腸道摺疊(plication)與穿孔。

🚨 臨床症狀
持續或間歇性 嘔吐/食慾下降、拒食/嗜睡、躲藏/流口水、乾嘔/腹痛、腹部敏感/口腔或肛門可見線頭

🧪 診斷重點
身體檢查:務必檢查 舌下是否有線卡住
X 光:腸段不均一擴張;小腸直徑 >1.2 cm 提高阻塞疑慮
腹部超音波:評估腸道蠕動、異物影像
內視鏡:胃內異物可嘗試取出
探查手術:阻塞明顯或疑似線狀異物時常需進行

🛠 治療方式
內視鏡取出:適用於胃內異物
手術(gastrotomy/enterotomy):多數腸阻塞需要
多段腸切開:線狀異物常需多處 enterotomy
腸切除:若有壞死或穿孔
支持療法:靜脈輸液、止痛、止吐、抗生素(若有腹膜炎)

📈 預後
早期處理:預後佳

❌ 主人不應做的事
不要拉 任何從口或肛門露出的線
不要催吐
不要等待異物自行排出
這些行為可能導致腸道撕裂!!

如果你的貓有類似的症狀,請盡快跟你的家庭獸醫聯絡

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#SlowSummer
#Episode100達成
#轉眼間
#兩年半就過去了Image attachmentImage attachment+5Image attachment

ANVH EP- 99 Pyometra and mammary gland tumor in dogs(Clinical review)

Today, A Niu would like to share a case of pyometra + mammary gland tumor removal(clinical review)
If you have a non-spayed dog that starts drinking a lot, peeing a lot, is lethargic, and you see pus-like discharge coming out from the vagina, then you need to worry about pyometra.

Why Pyometra and Mammary Tumors Often Occur Together
Both diseases are strongly linked to chronic hormonal exposure, especially progesterone, in intact female dogs.

After each estrus, dogs enter diestrus, where progesterone remains elevated for 2–3 months.
Uterus: Progesterone → cystic endometrial hyperplasia (CEH) → bacterial infection → pyometra
Mammary glands: Progesterone → glandular proliferation → increased risk of mammary tumors

Result:
Older intact females have a high likelihood of developing both pyometra and mammary tumors.

Clinical Relationship Between the Two Diseases
High coexistence rate
Studies show:

Over 50% of dogs with mammary tumors also have CEH or uterine abnormalities.
Pyometra is more common in older intact females — the same population at highest risk for mammary tumors.

Estrus cycle influence
Progesterone stimulates mammary tissue → tumor growth
Progesterone also drives uterine changes → CEH → pyometra

Systemic signs: lethargy, PU/PD, vomiting, vaginal discharge → suspect pyometra

Diagnostic Approach When Both Conditions Are Suspected
Essential diagnostics
CBC: leukocytosis, toxic changes
Biochemistry: renal and hepatic parameters
Abdominal ultrasound: enlarged, fluid-filled uterus
Thoracic radiographs: check for metastasis

Key point:
If a dog with mammary tumors shows systemic illness, always rule out pyometra.

Treatment Strategy
⭐ Priority: Treat Pyometra First (Life-threatening)
Emergency ovariohysterectomy (OHE)
Removes infection source and stabilizes the patient
Some mammary masses near the incision may be removed simultaneously

Mammary tumor surgery (second stage)
Performed once the patient is stable
Allows proper staging and surgical planning

Why not treat the mammary tumor first?
Pyometra can rapidly lead to sepsis, renal failure, uterine rupture, death
Mammary tumors are usually chronic, not immediately life-threatening
Anesthetic risk is significantly higher during active pyometra

Mammary tumors
About 50% are malignant
Early removal + OHE reduces recurrence and new tumor formation

OHE is both therapeutic and preventive for both conditions.
===========================================
Pyometra(子宮蓄膿症) 和 Mammary gland tumor(乳腺腫瘤) 在母犬是高度相關的兩大疾病。
臨床上,這兩者常常「一起出現」或「互相影響」,因為它們都與 長期未結紮、反覆受黃體素刺激 有直接關係。

🩺 1. 為什麼 Pyometra 和 Mammary Tumor 常常一起發生?
🔬 共同病因:長期荷爾蒙刺激(Progesterone)
未結紮母犬在每次發情後進入 diestrus,此時:Progesterone 高濃度持續 2–3 個月-->子宮:形成 CEH → Pyometra
乳腺:促進腺體增生 → 乳腺腫瘤風險上升

未結紮母犬年齡越大 → Pyometra + Mammary tumor 的機率越高

🧬 2. 乳腺腫瘤與 Pyometra 的臨床連結
乳腺腫瘤的母犬常常同時有子宮病變
研究顯示:乳腺腫瘤犬中 >50% 有 CEH 或子宮異常
年長未結紮母犬更容易在同一時間出現 乳腺腫瘤 + Pyometra
乳腺腫瘤可能因發情週期惡化: 黃體素刺激乳腺組織 → 腫瘤增長
同時刺激子宮 → CEH → Pyometra

臨床上常見情境
老年未結紮母犬+乳腺腫瘤多年未處理
最近發情後 4–8 週出現 食慾下降、PU/PD、陰門分泌物 → Pyometra

🩻 3. 診斷策略(兩者同時存在時)
必做檢查:
CBC:白血球上升、毒素性變化
Biochem:腎指數、肝指數
Abdominal ultrasound:子宮擴張、液體
Thoracic radiographs:乳腺腫瘤是否轉移
🏥 4. 治療策略(臨床決策重點)
⭐ 若同時有 Pyometra + Mammary tumor → 優先處理 Pyometra(救命)
緊急 OHE(卵巢子宮切除術, 移除感染源同時穩定全身狀況
同時可移除部分乳腺腫瘤(若位置允許)

乳腺腫瘤手術(第二階段)
待病患穩定後再做
若腫瘤小且靠近 OHE 切口,可同時處理

❗ 為什麼不先做乳腺腫瘤?
Pyometra 是 急症,可能敗血症、腎衰竭、子宮破裂
乳腺腫瘤通常是 慢性病,不會立即致命
手術風險在 Pyometra 時更高(麻醉、循環不穩)

📈 5. 預後
Pyometra:
早期手術 → 預後良好
早期切除 + OHE 可降低復發與新腫瘤形成
若已轉移 → 預後差

OHE 是兩者最有效的預防與治療輔助方式

早期發現,早期治療,絕育可以幫主人省下數千塊的醫療費用跟風險

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#唯一不絕育的理由
#就是生產
#其他的都不是理由
#什麼影響骨骼發育
#要有性生活
#通通虎欄
... See MoreSee Less

ANVH EP- 99 Pyometra and mammary gland tumor in dogs(Clinical review) 

Today, A Niu would like to share a case of pyometra + mammary gland tumor removal(clinical review) 
If you have a non-spayed dog that starts drinking a lot, peeing a lot, is lethargic, and you see pus-like discharge coming out from the vagina, then you need to worry about pyometra.  

Why Pyometra and Mammary Tumors Often Occur Together
Both diseases are strongly linked to chronic hormonal exposure, especially progesterone, in intact female dogs.

After each estrus, dogs enter diestrus, where progesterone remains elevated for 2–3 months.
Uterus: Progesterone → cystic endometrial hyperplasia (CEH) → bacterial infection → pyometra
Mammary glands: Progesterone → glandular proliferation → increased risk of mammary tumors

Result:  
Older intact females have a high likelihood of developing both pyometra and mammary tumors.

Clinical Relationship Between the Two Diseases
High coexistence rate
Studies show:

Over 50% of dogs with mammary tumors also have CEH or uterine abnormalities.
Pyometra is more common in older intact females — the same population at highest risk for mammary tumors.

Estrus cycle influence
Progesterone stimulates mammary tissue → tumor growth
Progesterone also drives uterine changes → CEH → pyometra

Systemic signs: lethargy, PU/PD, vomiting, vaginal discharge → suspect pyometra

Diagnostic Approach When Both Conditions Are Suspected
Essential diagnostics
CBC: leukocytosis, toxic changes
Biochemistry: renal and hepatic parameters
Abdominal ultrasound: enlarged, fluid-filled uterus
Thoracic radiographs: check for metastasis

Key point:
If a dog with mammary tumors shows systemic illness, always rule out pyometra.

Treatment Strategy
⭐ Priority: Treat Pyometra First (Life-threatening)
Emergency ovariohysterectomy (OHE)
Removes infection source and stabilizes the patient
Some mammary masses near the incision may be removed simultaneously

Mammary tumor surgery (second stage)
Performed once the patient is stable
Allows proper staging and surgical planning

Why not treat the mammary tumor first?
Pyometra can rapidly lead to sepsis, renal failure, uterine rupture, death
Mammary tumors are usually chronic, not immediately life-threatening
Anesthetic risk is significantly higher during active pyometra

Mammary tumors
About 50% are malignant
Early removal + OHE reduces recurrence and new tumor formation

OHE is both therapeutic and preventive for both conditions.
===========================================
Pyometra(子宮蓄膿症) 和 Mammary gland tumor(乳腺腫瘤) 在母犬是高度相關的兩大疾病。
臨床上,這兩者常常「一起出現」或「互相影響」,因為它們都與 長期未結紮、反覆受黃體素刺激 有直接關係。

🩺 1. 為什麼 Pyometra 和 Mammary Tumor 常常一起發生?
🔬 共同病因:長期荷爾蒙刺激(Progesterone)
未結紮母犬在每次發情後進入 diestrus,此時:Progesterone 高濃度持續 2–3 個月-->子宮:形成 CEH → Pyometra
乳腺:促進腺體增生 → 乳腺腫瘤風險上升

未結紮母犬年齡越大 → Pyometra + Mammary tumor 的機率越高

🧬 2. 乳腺腫瘤與 Pyometra 的臨床連結
乳腺腫瘤的母犬常常同時有子宮病變
研究顯示:乳腺腫瘤犬中 >50% 有 CEH 或子宮異常
年長未結紮母犬更容易在同一時間出現 乳腺腫瘤 + Pyometra
乳腺腫瘤可能因發情週期惡化: 黃體素刺激乳腺組織 → 腫瘤增長
同時刺激子宮 → CEH → Pyometra

臨床上常見情境
老年未結紮母犬+乳腺腫瘤多年未處理
最近發情後 4–8 週出現 食慾下降、PU/PD、陰門分泌物 → Pyometra

🩻 3. 診斷策略(兩者同時存在時)
必做檢查:
CBC:白血球上升、毒素性變化
Biochem:腎指數、肝指數
Abdominal ultrasound:子宮擴張、液體
Thoracic radiographs:乳腺腫瘤是否轉移
🏥 4. 治療策略(臨床決策重點)
⭐ 若同時有 Pyometra + Mammary tumor → 優先處理 Pyometra(救命)
緊急 OHE(卵巢子宮切除術, 移除感染源同時穩定全身狀況
同時可移除部分乳腺腫瘤(若位置允許)

乳腺腫瘤手術(第二階段)
待病患穩定後再做
若腫瘤小且靠近 OHE 切口,可同時處理

❗ 為什麼不先做乳腺腫瘤?
Pyometra 是 急症,可能敗血症、腎衰竭、子宮破裂
乳腺腫瘤通常是 慢性病,不會立即致命
手術風險在 Pyometra 時更高(麻醉、循環不穩)

📈 5. 預後
Pyometra:
早期手術 → 預後良好
早期切除 + OHE 可降低復發與新腫瘤形成
若已轉移 → 預後差

OHE 是兩者最有效的預防與治療輔助方式

早期發現,早期治療,絕育可以幫主人省下數千塊的醫療費用跟風險

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#唯一不絕育的理由
#就是生產
#其他的都不是理由
#什麼影響骨骼發育
#要有性生活
#通通虎欄Image attachmentImage attachment+5Image attachment

ANVH EP- 98 Third Eyelid Gland Prolapse in Cats 貓的第三眼瞼外翻

The third eyelid (nictitating membrane) contains a tear gland responsible for producing about 30–40% of total tear volume.
When the connective tissue anchoring this gland becomes loose or inflamed, the gland protrudes from the inner corner of the eye as a red, rounded mass.

Cherry eye is less common in cats than in dogs, but it does occur—especially in:
Persian and Exotic Shorthair cats
Cats with chronic conjunctivitis
Cats with eyelid or third eyelid laxity
Rarely, cats with third eyelid tumors or foreign body irritation

📌 Clinical signs
Red, round swelling at the inner corner of the eye
Increased tearing or discharge
Conjunctivitis
Ocular irritation or pawing at the eye
Sometimes accompanied by third eyelid elevation or eyelid inflammation

📌 Why the gland should NOT be removed
The third eyelid gland produces a significant portion of tears.
Removing it can lead to keratoconjunctivitis sicca (KCS), which is harder to manage in cats and may cause:
Chronic corneal inflammation
Corneal ulceration
Vision impairment
Lifelong medication

Therefore, preservation and surgical repositioning of the gland is the standard of care.

📌 Treatment
1. Surgical replacement (gold standard)
Techniques include:
Pocket technique
Anchoring technique
Surgery in cats is more delicate than in dogs due to thinner tissues and a smaller third eyelid, but success rates are high.

2. Medical support
Topical antibiotics
Anti‑inflammatory eye medications (as appropriate)
Elizabethan collar to prevent rubbing
Medication alone cannot correct the prolapse.

If your cat has similar symptoms, please contact your family vet ASAP
==========================================
📌 什麼是貓的第三眼瞼外翻?
第三眼瞼(瞬膜)內有一個 淚腺,負責分泌約 30–40% 的淚液。
當固定腺體的結締組織鬆弛或發炎,腺體會 從內側眼角突出,形成紅色腫塊。

在貓較少見,但仍可能發生,尤其:波斯、異國短毛/眼部慢性炎症/結膜炎或瞬膜鬆弛/罕見的腫瘤或異物刺激

📌 臨床表現
內眼角紅色、圓形腫塊/流淚、眼分泌物增加/結膜炎/眼睛不適、搔抓/有時伴隨瞬膜突出或眼瞼炎

📌 為什麼不能切除腺體?(貓更不能切)
第三眼瞼腺提供大量淚液。
切除會導致 乾眼症(KCS),在貓的治療難度更高,且可能造成:
終身點藥/慢性角膜炎/角膜潰瘍跟視力下降

📌 治療原則
1. 手術復位(標準)
Pocket technique(囊袋法)
Anchoring technique(固定法)
貓的組織較薄、瞬膜較小,手術比狗更精細,但成功率仍高。

2. 藥物輔助
抗生素眼藥
抗發炎眼藥(依醫師判斷)
避免揉眼(伊莉莎白圈)

📌 特別注意:貓的鑑別診斷
貓的第三眼瞼腫塊 不一定是腺體外翻,還可能是:
瞬膜淋巴濾泡增生
結膜炎(病毒性、細菌性)
瞬膜腫瘤(罕見但可能)
異物刺激
瞬膜突出(Horner’s syndrome、疼痛、脫水)

因此貓的第三眼瞼腫塊更需要 獸醫檢查確認是否真的是腺體外翻。

📌 預後
手術成功率高
復發率比狗低
若有慢性結膜炎需同步治療
若延遲治療,腺體可能肥厚、發炎,復位難度增加

如果你的貓咪有類似的症狀,請跟你的家庭獸醫聯絡

#ThisIsWhatWeDo
#WhoWeAre
#ANiuVeterinaryHospital
#暑假好慢
#大家都回去了
#為什麼大家都不用上班
#因為只有你需要上班
#上班狗
#舉手
... See MoreSee Less

ANVH EP- 97 Intussusception in cats

Today, A Niu would like to introduce a very rare case - intussusception in cats.

"Little Black" had GI symptoms for over 3 weeks; the cat was extremely dehydrated and lethargic when we first saw it. After several examinations, our diagnosis is intussusception. Discuss with O, then decide to perform exploratory surgery to fix it.

Intussusception in cats is an acute, potentially life‑threatening gastrointestinal obstruction caused by one segment of intestine telescoping into another. It most often affects the jejunum or ileocecocolic junction and is usually secondary to underlying intestinal disease.

Causes: GI inflammation, parasites, infections, foreign bodies, IBD, motility disorders.

Clinical Signs: Vomiting, diarrhea or bloody stool, abdominal pain, lethargy, palpable tubular mass.

Diagnosis: Ultrasound showing “target/bull’s‑eye” sign; radiographs; fecal tests.

Treatment: Surgical reduction or resection, and correct underlying disease.

Prognosis: Good with early surgery; worse if necrotic or perforated.

If your cat has similar GI symptoms, please contact your family vet ASAP.
===========================================
今天,阿牛想和大家分享一個非常罕見的病例——貓咪腸套疊(intussusception)。

「小黑」已經有超過 3 週的腸胃症狀,來院時極度脫水、精神沉鬱。經過多項檢查後,我們診斷為腸套疊,與飼主討論後立即安排剖腹探查手術進行處置。

腸套疊是指腸道的一段「套進」另一段腸道裡,造成急性、可能致命的腸道阻塞。最常發生在空腸或迴盲結腸交界處,通常與腸道發炎或其他腸胃疾病有關。

可能原因:
腸道發炎、寄生蟲、感染、異物、IBD、腸道蠕動異常。

臨床症狀:
嘔吐、腹瀉或血便、腹痛、精神沉重、可觸到管狀腫塊。

診斷方式:
超音波(典型「靶心/同心圓」影像)、X 光、糞便檢查。

治療方式:
手術復位或腸切除,並處理造成腸套疊的原發疾病。

預後:
若及早手術,預後良好;若已壞死或穿孔,風險大幅增加。

如果你的貓咪有類似的腸胃症狀,請盡速聯絡您的家庭獸醫。
===========================================
這個case最困難的地方在於腹腔打開來的時候常到已經壞死且破裂,腸道內容物已經散到腹腔裡;判斷不能整復後即施行截腸跟腸吻合手術

這對貓咪來說是個重大的手術,截掉約20-25%的腸管,吻合後要面臨的是腹膜炎的挑戰;埋了食道胃管,住院住了5天,硬是把這貓從鬼門關裡拉了回來

通常腸套疊發生在狗,而且是年紀較輕的狗,在中年貓咪是非常罕見的,加上手術難度高,再來主人沒有放棄,願意埋食道管+住院,才給這隻貓咪第2次重生的機會

很開心我們團隊有把這個case做好

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#腸吻合
#很難捏
#但我們還是做好了
#謝謝主人的信任
#跟貓咪的配合
#一開始很兇
#後來超乖
#所以我說緬因就是
#勇
... See MoreSee Less

ANVH EP- 97 Intussusception in cats 

Today, A Niu would like to introduce a very rare case - intussusception in cats.

Little Black had GI symptoms for over 3 weeks; the cat was extremely dehydrated and lethargic when we first saw it. After several examinations, our diagnosis is intussusception. Discuss with O, then decide to perform exploratory surgery to fix it. 

Intussusception in cats is an acute, potentially life‑threatening gastrointestinal obstruction caused by one segment of intestine telescoping into another. It most often affects the jejunum or ileocecocolic junction and is usually secondary to underlying intestinal disease.

Causes: GI inflammation, parasites, infections, foreign bodies, IBD, motility disorders.

Clinical Signs: Vomiting, diarrhea or bloody stool, abdominal pain, lethargy, palpable tubular mass.

Diagnosis: Ultrasound showing “target/bull’s‑eye” sign; radiographs; fecal tests.

Treatment: Surgical reduction or resection, and correct underlying disease.

Prognosis: Good with early surgery; worse if necrotic or perforated.

If your cat has similar GI symptoms, please contact your family vet ASAP. 
===========================================
今天,阿牛想和大家分享一個非常罕見的病例——貓咪腸套疊(intussusception)。

「小黑」已經有超過 3 週的腸胃症狀,來院時極度脫水、精神沉鬱。經過多項檢查後,我們診斷為腸套疊,與飼主討論後立即安排剖腹探查手術進行處置。

腸套疊是指腸道的一段「套進」另一段腸道裡,造成急性、可能致命的腸道阻塞。最常發生在空腸或迴盲結腸交界處,通常與腸道發炎或其他腸胃疾病有關。

可能原因:  
腸道發炎、寄生蟲、感染、異物、IBD、腸道蠕動異常。

臨床症狀:  
嘔吐、腹瀉或血便、腹痛、精神沉重、可觸到管狀腫塊。

診斷方式:  
超音波(典型「靶心/同心圓」影像)、X 光、糞便檢查。

治療方式:  
手術復位或腸切除,並處理造成腸套疊的原發疾病。

預後:  
若及早手術,預後良好;若已壞死或穿孔,風險大幅增加。

如果你的貓咪有類似的腸胃症狀,請盡速聯絡您的家庭獸醫。
===========================================
這個case最困難的地方在於腹腔打開來的時候常到已經壞死且破裂,腸道內容物已經散到腹腔裡;判斷不能整復後即施行截腸跟腸吻合手術

這對貓咪來說是個重大的手術,截掉約20-25%的腸管,吻合後要面臨的是腹膜炎的挑戰;埋了食道胃管,住院住了5天,硬是把這貓從鬼門關裡拉了回來

通常腸套疊發生在狗,而且是年紀較輕的狗,在中年貓咪是非常罕見的,加上手術難度高,再來主人沒有放棄,願意埋食道管+住院,才給這隻貓咪第2次重生的機會

很開心我們團隊有把這個case做好

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#腸吻合
#很難捏
#但我們還是做好了
#謝謝主人的信任
#跟貓咪的配合
#一開始很兇
#後來超乖
#所以我說緬因就是
#勇Image attachmentImage attachment+Image attachment

ANVH EP- 96 Spleen tumor in dogs 狗的脾臟腫瘤

Today, A Niu would like to share a case of a spleen tumor in dogs

Splenic tumors in dogs are more common than many owners realize. They can stay hidden until they suddenly bleed, causing weakness, pale gums, or even collapse.

About ⅓ are benign, but ⅔ are malignant, so any splenic mass is an Emergency.

Treatment is usually splenectomy, and dogs recover well from surgery. If your dog shows sudden weakness or abdominal swelling, seek veterinary care right away.
===========================================
狗狗的脾臟腫瘤常常沒有症狀,一旦破裂就可能造成嚴重內出血。
有些腫瘤是良性的,但也有約 三分之二是惡性的血管肉瘤。
影像檢查無法分辨良性或惡性,因此只要發現脾臟腫塊,都需要高度重視。
治療方式通常是 脾臟切除手術,如果是良性腫瘤,狗狗大多恢復良好。
如果你的狗狗突然虛弱、牙齦變白、肚子變大,請立即跟你的家庭獸醫聯絡。
===========================================
我覺得(Dr. Wayne)這個case很難得的地方是,這主人沒有放棄
很多在亞洲可以做的or試試看的case,來到這裡大部分飼主都會放棄(選擇安樂死),但這個主人堅持了下來,還願意幫他的狗做一次輸血

從一開始以為只是常見的出血性胃腸炎急診,到診斷出脾臟腫瘤且已經破裂,緊急手術後+住院輸血,到最後腫瘤切片回來是良性;過程中主人的堅持讓這隻狗又有了更多陪伴的時間

也因為主人的堅持,讓我們團隊有了一次完整的歷經診斷-治療-術後看護照顧的全部流程

#aniuveterinaryhospital
#thisiswhatwedo
#whoweare
#黑拉拉最高
#一直來吃罐頭
#一天炫8罐
#可愛的黑拉
... See MoreSee Less

ANVH EP- 96 Spleen tumor in dogs 狗的脾臟腫瘤 

Today, A Niu would like to share a case of a spleen tumor in dogs 

Splenic tumors in dogs are more common than many owners realize.  They can stay hidden until they suddenly bleed, causing weakness, pale gums, or even collapse.

About ⅓ are benign, but ⅔ are malignant, so any splenic mass is an Emergency.

Treatment is usually splenectomy, and dogs recover well from surgery. If your dog shows sudden weakness or abdominal swelling, seek veterinary care right away.
===========================================
狗狗的脾臟腫瘤常常沒有症狀,一旦破裂就可能造成嚴重內出血。  
有些腫瘤是良性的,但也有約 三分之二是惡性的血管肉瘤。
影像檢查無法分辨良性或惡性,因此只要發現脾臟腫塊,都需要高度重視。
治療方式通常是 脾臟切除手術,如果是良性腫瘤,狗狗大多恢復良好。
如果你的狗狗突然虛弱、牙齦變白、肚子變大,請立即跟你的家庭獸醫聯絡。
===========================================
我覺得(Dr. Wayne)這個case很難得的地方是,這主人沒有放棄
很多在亞洲可以做的or試試看的case,來到這裡大部分飼主都會放棄(選擇安樂死),但這個主人堅持了下來,還願意幫他的狗做一次輸血

從一開始以為只是常見的出血性胃腸炎急診,到診斷出脾臟腫瘤且已經破裂,緊急手術後+住院輸血,到最後腫瘤切片回來是良性;過程中主人的堅持讓這隻狗又有了更多陪伴的時間

也因為主人的堅持,讓我們團隊有了一次完整的歷經診斷-治療-術後看護照顧的全部流程

#ANiuVeterinaryHospital
#ThisIsWhatWedo
#WhoWeAre
#黑拉拉最高
#一直來吃罐頭
#一天炫8罐
#可愛的黑拉Image attachmentImage attachment+7Image attachment

🇨🇦🐶 Canadian Animal Blood Bank Donation Day at A Niu Veterinary Hospital

📅 July 11, 2026 (Saturday)

It is A Niu’s pleasure to cooperate with the Canadian Animal Blood Bank as one of its official donation centres.

❤️ Join us on July 11, 2026, for our Canine Blood Donation Event!

Every blood donation has the power to save lives. One donation can help up to three dogs in need.

🐾 Let your dog become a hero!

🐶❤️ Your Dog Can Save Lives
Canine blood products are vital for treating cancer, anemia, toxin exposure, trauma, immune diseases, and parvovirus.
One donation can help up to 3 dogs.

🐕 Donor Requirements
• 1–8 years old
• Over 55 lbs (25 kg)
• Healthy, calm temperament
• Up-to-date vaccines or valid titers

🎁 Donor Benefits
• Free physical exam & blood tests
• Appreciation gifts with every donation
• Free microchip after the second donation
• Reward points for gifts
• Complimentary blood products if ever needed

🩺 Donation Process
The actual donation takes only 8–10 minutes, followed by rest and treats.

🏡 Aftercare
Provide water and rest; avoid strenuous activity and choke/prong collars for 48 hours.

❤️ Be someone’s hero. Let your dog save another dog’s life.

📍 Canadian Animal Blood Bank Donation Event
A Niu Veterinary Hospital
July 11, 2026

Contact the Canadian Animal Blood Bank to register your canine hero!

⸻

🇨🇦🐶 加拿大動物捐血銀行 × 阿牛動物醫院 捐血活動

📅 2026 年 7 月 11 日(星期六)

阿牛動物醫院很榮幸與加拿大動物捐血銀行合作,成為官方捐血中心之一。

❤️ 2026 年 7 月 11 日,歡迎帶著您的狗狗一起來參加捐血活動!

每一次捐血,都有機會拯救更多生命。
一袋血,可以幫助最多 3 隻需要輸血的狗狗。

🐾 讓您的狗狗成為真正的英雄吧!

🐶❤️ 狗狗捐血,拯救更多生命

犬類血液製品在許多急重症治療中都非常重要,包括:
癌症療程、貧血、中毒、外傷手術、免疫疾病、犬小病毒等。

🐕 捐血犬資格
• 1–8 歲
• 體重超過 55 磅(25 公斤)
• 健康、性情穩定
• 已完成疫苗或提供抗體力價證明

🎁 捐血犬福利
• 免費健康檢查與血液檢測
• 每次捐血都有感謝禮
• 第二次捐血送免費晶片
• 紅利點數可兌換禮品
• 若未來需要輸血,可獲得免費血液製品

🩺 捐血流程
採血僅需 8–10 分鐘,之後安排休息並享用點心。

🏡 捐血後照護
提供充足飲水及休息,48 小時內避免劇烈運動及使用 P 字型項圈。

❤️ 您的狗狗的一次善舉,可能就是另一隻狗狗活下去的希望。

📍 加拿大動物捐血銀行捐血活動
阿牛動物醫院
2026 年 7 月 11 日

歡迎聯絡 Canadian Animal Blood Bank、A Niu Veterinary Hospital, 讓您的狗狗成為拯救生命的小英雄!
... See MoreSee Less

🇨🇦🐶 Canadian Animal Blood Bank Donation Day at A Niu Veterinary Hospital

📅 July 11, 2026 (Saturday)

It is A Niu’s pleasure to cooperate with the Canadian Animal Blood Bank as one of its official donation centres.

❤️ Join us on July 11, 2026, for our Canine Blood Donation Event!

Every blood donation has the power to save lives. One donation can help up to three dogs in need.

🐾 Let your dog become a hero!

🐶❤️ Your Dog Can Save Lives
Canine blood products are vital for treating cancer, anemia, toxin exposure, trauma, immune diseases, and parvovirus.
One donation can help up to 3 dogs.

🐕 Donor Requirements
• 1–8 years old
• Over 55 lbs (25 kg)
• Healthy, calm temperament
• Up-to-date vaccines or valid titers

🎁 Donor Benefits
• Free physical exam & blood tests
• Appreciation gifts with every donation
• Free microchip after the second donation
• Reward points for gifts
• Complimentary blood products if ever needed

🩺 Donation Process
The actual donation takes only 8–10 minutes, followed by rest and treats.

🏡 Aftercare
Provide water and rest; avoid strenuous activity and choke/prong collars for 48 hours.

❤️ Be someone’s hero. Let your dog save another dog’s life.

📍 Canadian Animal Blood Bank Donation Event
A Niu Veterinary Hospital
July 11, 2026

Contact the Canadian Animal Blood Bank to register your canine hero!

⸻

🇨🇦🐶 加拿大動物捐血銀行 × 阿牛動物醫院 捐血活動

📅 2026 年 7 月 11 日(星期六)

阿牛動物醫院很榮幸與加拿大動物捐血銀行合作,成為官方捐血中心之一。

❤️ 2026 年 7 月 11 日,歡迎帶著您的狗狗一起來參加捐血活動!

每一次捐血,都有機會拯救更多生命。
一袋血,可以幫助最多 3 隻需要輸血的狗狗。

🐾 讓您的狗狗成為真正的英雄吧!

🐶❤️ 狗狗捐血,拯救更多生命

犬類血液製品在許多急重症治療中都非常重要,包括:
癌症療程、貧血、中毒、外傷手術、免疫疾病、犬小病毒等。

🐕 捐血犬資格
• 1–8 歲
• 體重超過 55 磅(25 公斤)
• 健康、性情穩定
• 已完成疫苗或提供抗體力價證明

🎁 捐血犬福利
• 免費健康檢查與血液檢測
• 每次捐血都有感謝禮
• 第二次捐血送免費晶片
• 紅利點數可兌換禮品
• 若未來需要輸血,可獲得免費血液製品

🩺 捐血流程
採血僅需 8–10 分鐘,之後安排休息並享用點心。

🏡 捐血後照護
提供充足飲水及休息,48 小時內避免劇烈運動及使用 P 字型項圈。

❤️ 您的狗狗的一次善舉,可能就是另一隻狗狗活下去的希望。

📍 加拿大動物捐血銀行捐血活動
阿牛動物醫院
2026 年 7 月 11 日

歡迎聯絡 Canadian Animal Blood Bank、A Niu Veterinary Hospital, 讓您的狗狗成為拯救生命的小英雄!Image attachment

ANVH EP- 95 Esophagus foreign body in dogs 狗的食道異物

A small dog ate a huge treat. Since then, the dog has started to drool and become restless.

🐶 Esophageal Foreign Body in Dogs — Act Fast!
Dogs may swallow bones, rawhide, toys, or fishhooks that get stuck in the esophagus. This is an emergency.

Common signs:
• Regurgitation
• Gagging/retching
• Drooling
• Pain when swallowing
• Repeated attempts to swallow

What to do:
Seek immediate veterinary care. X‑rays and endoscopy are usually needed to confirm the FB location, then remove the object.

Why it’s urgent:
Delays can cause esophagitis, perforation, infection, or strictures.

Prognosis:
Excellent if removed early.

This is a classic urgent condition, if your dog has simliar issue, please contact your family vet ASAP.
===========================================
一隻小型犬吃下了超大的零食後,開始不停流口水、坐立不安——這可能是食道異物的典型警訊。

🐶 狗狗食道異物 — 請立即就醫!
狗狗可能會吞下過大的零食、骨頭、牛皮、玩具,甚至魚鉤,卡在食道裡。這是一種緊急狀況。

常見症狀:
• 反芻(把食物吐出來)
• 乾嘔、作嘔
• 流口水
• 吞嚥時疼痛
• 不斷嘗試吞嚥

該怎麼辦:
請立刻帶去看獸醫。通常需要 X 光與內視鏡來確認異物位置,並安全取出。

為什麼要緊急處理:
拖延可能導致食道炎、穿孔、感染、狹窄等嚴重併發症。

預後:
若及早處理,通常效果非常好。

如果你的寵物有類似的狀況,請馬上跟你的家庭獸醫聯絡,因為這是典型的急診!!

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#小狗開大車
#愛珠藝
... See MoreSee Less

ANVH EP- 95 Esophagus foreign body in dogs 狗的食道異物

A small dog ate a huge treat. Since then, the dog has started to drool and become restless. 

🐶 Esophageal Foreign Body in Dogs — Act Fast!
Dogs may swallow bones, rawhide, toys, or fishhooks that get stuck in the esophagus. This is an emergency.

Common signs:  
• Regurgitation
• Gagging/retching
• Drooling
• Pain when swallowing
• Repeated attempts to swallow

What to do:  
Seek immediate veterinary care. X‑rays and endoscopy are usually needed to confirm the FB location, then remove the object.

Why it’s urgent:  
Delays can cause esophagitis, perforation, infection, or strictures.

Prognosis:  
Excellent if removed early.

This is a classic urgent condition, if your dog has simliar issue, please contact your family vet ASAP.
===========================================
一隻小型犬吃下了超大的零食後,開始不停流口水、坐立不安——這可能是食道異物的典型警訊。

🐶 狗狗食道異物 — 請立即就醫!
狗狗可能會吞下過大的零食、骨頭、牛皮、玩具,甚至魚鉤,卡在食道裡。這是一種緊急狀況。

常見症狀:  
• 反芻(把食物吐出來)
• 乾嘔、作嘔
• 流口水
• 吞嚥時疼痛
• 不斷嘗試吞嚥

該怎麼辦:  
請立刻帶去看獸醫。通常需要 X 光與內視鏡來確認異物位置,並安全取出。

為什麼要緊急處理:  
拖延可能導致食道炎、穿孔、感染、狹窄等嚴重併發症。

預後:  
若及早處理,通常效果非常好。

如果你的寵物有類似的狀況,請馬上跟你的家庭獸醫聯絡,因為這是典型的急診!!

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#小狗開大車
#愛珠藝Image attachmentImage attachment+1Image attachment

ANVH EP- 94 Hypertrophic CardioMyopathy (HCM) 貓的肥厚性心肌病

Hypertrophic cardiomyopathy (HCM) is the most common cardiac disease in cats, characterized by pathologic thickening of the left ventricular myocardium, leading to diastolic dysfunction, left atrial enlargement, congestive heart failure, and thromboembolism.

A Niu would like to share a case of a sudden faint during grooming, and started to have difficulty breathing.

🫀 What HCM is
HCM = primary myocardial disease with concentric hypertrophy of the LV without identifiable systemic cause.

🐈 Clinical signs
Many cats are asymptomatic until decompensation.

Early/subclinical
Incidental murmur, gallop, or tachycardia
No outward signs

Decompensated disease includes:
CHF: tachypnea, dyspnea, pleural effusion, pulmonary edema
ATE: acute hindlimb paresis/paralysis, pain, cold limbs
Syncope or sudden death

🔍 Diagnosis
1. Echocardiography (gold standard)
2. Rule out secondary causes
Hyperthyroidism
Systemic hypertension
Acromegaly (in older male cats with diabetes)
3. Biomarkers
NT-proBNP (SNAP or quantitative)
Useful for screening or differentiating cardiac vs respiratory distress
4. Thoracic radiographs
Evaluate for CHF, not reliable for diagnosing HCM itself
5. ECG
May show arrhythmias (VPCs, atrial arrhythmias)

💊 Treatment (based on clinical stage)
Need long-term medication to control it

📈 Prognosis
Highly variable:
Asymptomatic: years
CHF: median survival ~6–18 months
ATE: median survival ~2–6 months (if they survive initial event)
Sudden death is possible at any stage

Negative prognostic indicators:
Large LA/CHF at diagnosis/ATE/Hypothermia/High NT-proBNP

If ypur cat has similar symptoms, please contact ur family vet ASAP
===========================================
🫀 貓隻肥厚性心肌病(HCM)
肥厚性心肌病(HCM)是貓最常見的心臟疾病,其特徵為左心室心肌異常增厚,導致舒張功能障礙、左心房擴大,並可能進一步引發鬱血性心衰竭(CHF)或動脈血栓栓塞(ATE)。

A Niu 最近遇到一個病例:一隻貓在美容時突然昏倒,之後開始出現呼吸困難——這是 HCM 急性惡化的典型表現之一。

🫀 什麼是 HCM
HCM 是一種原發性心肌疾病,其特點為左心室向心性肥厚,且無明確的系統性原因可解釋(如高血壓或甲狀腺機能亢進)。

🐈 臨床症狀
許多貓在疾病早期完全沒有症狀,直到突然惡化。
早期 / 亞臨床階段偶然聽到的 心雜音、奔馬律 或 心搏過速
外觀上通常無明顯異常
但當疾病惡化時會出現: 呼吸急促/呼吸困難/胸腔積液/肺水腫/動脈血栓栓塞(ATE)/後肢急性癱瘓或無力/四肢冰冷、疼痛/昏厥(syncope)或猝死

在美容時突然昏倒、隨後呼吸困難,常見於急性 CHF 或心律不整 所引起的 HCM 惡化。

🔍 診斷方式
1. 心臟超音波(黃金標準)
2. 排除次發性原因
甲狀腺機能亢進及全身性高血壓
肢端肥大症(Acromegaly):常見於年長糖尿病公貓
3. 心臟生物標記
NT‑proBNP(快篩或定量)
4. 胸腔 X 光
5. 心電圖(ECG)

💊 治療(依疾病階段)
通常需要長期藥物控制預防症狀發作
預後保守,復發率高
大多數有結構性心臟病變的貓需要長期甚至終身用藥與定期追蹤。

📈 預後
依疾病階段差異極大:
無症狀:可存活 數年
CHF:中位存活 6–18 個月
ATE:中位存活 2–6 個月(若度過急性期)
任何階段皆可能猝死

不良預後指標為左心房明顯擴大/初診即為 CHF/ATE/體溫偏低/NT‑proBNP 升高

如果你懷疑你的貓咪有類似症狀,盡速跟你的家庭獸醫聯絡

#aniuveterinaryhospital
#thisiswhatwedo
#whoweare
#不給殺價就臭臉
#打來問484之前醫生沒有看好
#為什麼你比別人貴
#不留資料
#有沒有什麼方式打一針就好的
#沒有
... See MoreSee Less

ANVH EP- 94 Hypertrophic CardioMyopathy  (HCM) 貓的肥厚性心肌病

Hypertrophic cardiomyopathy (HCM) is the most common cardiac disease in cats, characterized by pathologic thickening of the left ventricular myocardium, leading to diastolic dysfunction, left atrial enlargement, congestive heart failure, and thromboembolism.

A Niu would like to share a case of a sudden faint during grooming, and started to have difficulty breathing.

🫀 What HCM is
HCM = primary myocardial disease with concentric hypertrophy of the LV without identifiable systemic cause.

🐈 Clinical signs
Many cats are asymptomatic until decompensation.

Early/subclinical
Incidental murmur, gallop, or tachycardia
No outward signs

Decompensated disease includes:
CHF: tachypnea, dyspnea, pleural effusion, pulmonary edema
ATE: acute hindlimb paresis/paralysis, pain, cold limbs
Syncope or sudden death

🔍 Diagnosis
1. Echocardiography (gold standard)
2. Rule out secondary causes
Hyperthyroidism
Systemic hypertension
Acromegaly (in older male cats with diabetes)
3. Biomarkers
NT-proBNP (SNAP or quantitative)
Useful for screening or differentiating cardiac vs respiratory distress
4. Thoracic radiographs
Evaluate for CHF, not reliable for diagnosing HCM itself
5. ECG
May show arrhythmias (VPCs, atrial arrhythmias)

💊 Treatment (based on clinical stage)
Need long-term medication to control it 

📈 Prognosis
Highly variable:
Asymptomatic: years
CHF: median survival ~6–18 months
ATE: median survival ~2–6 months (if they survive initial event)
Sudden death is possible at any stage

Negative prognostic indicators:
Large LA/CHF at diagnosis/ATE/Hypothermia/High NT-proBNP

If ypur cat has similar symptoms, please contact ur family vet ASAP 
===========================================
🫀 貓隻肥厚性心肌病(HCM)
肥厚性心肌病(HCM)是貓最常見的心臟疾病,其特徵為左心室心肌異常增厚,導致舒張功能障礙、左心房擴大,並可能進一步引發鬱血性心衰竭(CHF)或動脈血栓栓塞(ATE)。

A Niu 最近遇到一個病例:一隻貓在美容時突然昏倒,之後開始出現呼吸困難——這是 HCM 急性惡化的典型表現之一。

🫀 什麼是 HCM
HCM 是一種原發性心肌疾病,其特點為左心室向心性肥厚,且無明確的系統性原因可解釋(如高血壓或甲狀腺機能亢進)。

🐈 臨床症狀
許多貓在疾病早期完全沒有症狀,直到突然惡化。
早期 / 亞臨床階段偶然聽到的 心雜音、奔馬律 或 心搏過速
外觀上通常無明顯異常
但當疾病惡化時會出現: 呼吸急促/呼吸困難/胸腔積液/肺水腫/動脈血栓栓塞(ATE)/後肢急性癱瘓或無力/四肢冰冷、疼痛/昏厥(syncope)或猝死

在美容時突然昏倒、隨後呼吸困難,常見於急性 CHF 或心律不整 所引起的 HCM 惡化。

🔍 診斷方式
1. 心臟超音波(黃金標準)
2. 排除次發性原因
甲狀腺機能亢進及全身性高血壓
肢端肥大症(Acromegaly):常見於年長糖尿病公貓
3. 心臟生物標記
NT‑proBNP(快篩或定量)
4. 胸腔 X 光
5. 心電圖(ECG)

💊 治療(依疾病階段)
通常需要長期藥物控制預防症狀發作
預後保守,復發率高
大多數有結構性心臟病變的貓需要長期甚至終身用藥與定期追蹤。

📈 預後
依疾病階段差異極大:
無症狀:可存活 數年
CHF:中位存活 6–18 個月
ATE:中位存活 2–6 個月(若度過急性期)
任何階段皆可能猝死

不良預後指標為左心房明顯擴大/初診即為 CHF/ATE/體溫偏低/NT‑proBNP 升高

如果你懷疑你的貓咪有類似症狀,盡速跟你的家庭獸醫聯絡

#ANiuVeterinaryHospital 
#ThisIsWhatWeDo
#WhoWeAre
#不給殺價就臭臉
#打來問484之前醫生沒有看好
#為什麼你比別人貴
#不留資料
#有沒有什麼方式打一針就好的
#沒有Image attachmentImage attachment+2Image attachment

ANVH EP- 93 Foreign body in cat 貓咪吞針

Today A Niu would like to introduce a classic emergency case - a cat swallowed a needle - it is urgent, the vet needs to get involved ASAP condition

A swallowed sewing needle is an emergency. The needle can puncture the stomach or intestines, and the attached thread can cause the intestines to bunch up and tear.

🚨 Possible Signs
Vomiting or gagging/Not eating/Lethargy/Drooling or difficulty swallowing and Abdominal pain
(Some cats show no symptoms at all.)

❌ Do NOT
Do not induce vomiting
Do not pull the thread
Do not wait to “see if it passes”
Do not feed large meals to “push it through”

✔️ What You Should Do
Go to a veterinarian immediately
Tell the vet what the cat may have swallowed and when
Bring the same type of needle/thread if available

🩺 What the Vet Will Do
X‑rays to locate the needle
Ultrasound if a thread is involved
Removal by endoscopy (if in the stomach) or surgery (if in the intestines)
Treatment for complications if perforation has occurred

If you noticed ur cat has a similar problem, please contact ur family vet ASAP
===========================================
貓咪常因為玩線團、線軸、縫線而不小心把 縫衣針連同線一起吞下肚。

這類異物非常危險,因為:
針是尖銳物 → 可能刺穿食道、胃、腸道
線會造成「線性異物」 → 腸道被拉扯、折疊、甚至穿孔
穿孔後可能導致腹膜炎,危及生命

👉 這不是觀察就好的狀況,必須立即就醫。

🚨 可能出現的症狀(但有些貓完全沒症狀!)
嘔吐或乾嘔/食慾下降、不吃飯/腹痛、精神差/流口水、吞嚥困難/排便減少或帶血等,但即使沒有症狀,也不能排除危險。

🩺 為什麼不能等?
針可能在體內移動,越久越容易刺穿腸胃道
線會讓腸子像「手風琴」一樣被拉扯 → 腸壞死、穿孔、敗血症
早期取出成功率高、併發症低
晚期可能需要 腸切除手術,甚至有生命危險

❌ 飼主千萬不要做的事
不要催吐(針可能刺破食道)
不要拉線(會造成腸子撕裂)
不要觀察一兩天再說
不要餵食大量食物想「包住針」(無效且危險)

✔️ 飼主應該立刻做的事
盡快帶去 動物醫院或急診

告知醫師:可能吞下的物品(針、線、長度)以及何時發生
若能安全取得另一端的線或針的樣子,可帶去給醫師參考

🩻 醫院會怎麼處理?
X 光檢查:大多數縫衣針可被看到
超音波:評估線性異物、腸道狀況

治療方式依位置決定:
在胃內 → 可能可用 內視鏡取出
在腸道 → 多數需要 手術取出
若已穿孔 → 可能需 腸切除 + 治療腹膜炎等等

這個case很幸運的針卡在口腔下顎,經鎮靜後取出,沒有造成太大的傷害,但是主人嚇壞了

如果你的貓友有類似的狀況,請第一時間跟你的家庭獸醫聯絡

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#怪奇退休鎮
#就是銀髮版的怪奇物語
#好看捏
... See MoreSee Less

ANVH EP- 93 Foreign body in cat 貓咪吞針

Today A Niu would like to introduce a classic emergency case - a cat swallowed a needle - it is urgent, the vet needs to get involved ASAP condition

A swallowed sewing needle is an emergency. The needle can puncture the stomach or intestines, and the attached thread can cause the intestines to bunch up and tear.

🚨 Possible Signs
Vomiting or gagging/Not eating/Lethargy/Drooling or difficulty swallowing and Abdominal pain
(Some cats show no symptoms at all.)

❌ Do NOT
Do not induce vomiting
Do not pull the thread
Do not wait to “see if it passes”
Do not feed large meals to “push it through”

✔️ What You Should Do
Go to a veterinarian immediately
Tell the vet what the cat may have swallowed and when
Bring the same type of needle/thread if available

🩺 What the Vet Will Do
X‑rays to locate the needle
Ultrasound if a thread is involved
Removal by endoscopy (if in the stomach) or surgery (if in the intestines)
Treatment for complications if perforation has occurred

If you noticed ur cat has a similar problem, please contact ur family vet ASAP 
===========================================
貓咪常因為玩線團、線軸、縫線而不小心把 縫衣針連同線一起吞下肚。

這類異物非常危險,因為:
針是尖銳物 → 可能刺穿食道、胃、腸道
線會造成「線性異物」 → 腸道被拉扯、折疊、甚至穿孔
穿孔後可能導致腹膜炎,危及生命

👉 這不是觀察就好的狀況,必須立即就醫。

🚨 可能出現的症狀(但有些貓完全沒症狀!)
嘔吐或乾嘔/食慾下降、不吃飯/腹痛、精神差/流口水、吞嚥困難/排便減少或帶血等,但即使沒有症狀,也不能排除危險。

🩺 為什麼不能等?
針可能在體內移動,越久越容易刺穿腸胃道
線會讓腸子像「手風琴」一樣被拉扯 → 腸壞死、穿孔、敗血症
早期取出成功率高、併發症低
晚期可能需要 腸切除手術,甚至有生命危險

❌ 飼主千萬不要做的事
不要催吐(針可能刺破食道)
不要拉線(會造成腸子撕裂)
不要觀察一兩天再說
不要餵食大量食物想「包住針」(無效且危險)

✔️ 飼主應該立刻做的事
盡快帶去 動物醫院或急診

告知醫師:可能吞下的物品(針、線、長度)以及何時發生
若能安全取得另一端的線或針的樣子,可帶去給醫師參考

🩻 醫院會怎麼處理?
X 光檢查:大多數縫衣針可被看到
超音波:評估線性異物、腸道狀況

治療方式依位置決定:
在胃內 → 可能可用 內視鏡取出
在腸道 → 多數需要 手術取出
若已穿孔 → 可能需 腸切除 + 治療腹膜炎等等

這個case很幸運的針卡在口腔下顎,經鎮靜後取出,沒有造成太大的傷害,但是主人嚇壞了

如果你的貓友有類似的狀況,請第一時間跟你的家庭獸醫聯絡

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#怪奇退休鎮
#就是銀髮版的怪奇物語
#好看捏Image attachmentImage attachment+2Image attachment

ANVH EP- 92 Mammary Gland Tumor(MGT) in dogs 狗的乳腺腫瘤

The owner found multiple lumps around the nipple area, and seems grow bigger in the past 6 months...

Today A Niu would like to introduce a case of MGT in dogs

🐶 Mammary Tumors in Dogs — What Owners Should Know
Mammary gland tumors are very common in unspayed female dogs.

1. About 50% can be cancerous.
2. Look for small or large lumps along your dog’s belly or nipples.
3. Early check‑ups and early surgery give the best outcome.
4. Spaying before the first heat reduces the risk to almost zero.
5. If you find a lump, don’t wait — book a vet exam ASAP !!

The only reason for not spaying is breeding, if you don't consider breeding, then spay your pets ASAP
===========================================
飼主發現他的狗狗腹部有3-4個團塊,在靠近乳頭的地方,而且在過去的6個月內快速長大

今天阿牛要介紹的病例是狗的乳腺腫瘤

🐶 狗狗乳腺腫瘤|飼主一定要知道的事--乳腺腫瘤是 未結紮母犬最常見的腫瘤之一

1. 大約 一半可能是惡性的(癌症)
2. 常見徵兆:肚子兩側乳房出現硬塊或小結節
3. 早期發現、早期手術,預後最好
4. 第一次發情前結紮,可將乳腺腫瘤風險降到接近零
5. 如果摸到任何腫塊,請盡快帶狗狗給獸醫檢查

唯一不絕育的理由就是要生育,如果不考慮生育,請盡早結紮你的貓狗

#AniuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#好想度假
#楊醫師快回來
#WhatAPeacefulDay
#Everyday
... See MoreSee Less

ANVH EP- 92 Mammary Gland Tumor(MGT) in dogs 狗的乳腺腫瘤

The owner found multiple lumps around the nipple area, and seems grow bigger in the past 6 months...

Today A Niu would like to introduce a case of MGT in dogs 

🐶 Mammary Tumors in Dogs — What Owners Should Know
Mammary gland tumors are very common in unspayed female dogs.

1. About 50% can be cancerous.
2. Look for small or large lumps along your dog’s belly or nipples.
3. Early check‑ups and early surgery give the best outcome.
4. Spaying before the first heat reduces the risk to almost zero.
5. If you find a lump, don’t wait — book a vet exam ASAP !!

The only reason for not spaying is breeding, if you dont consider breeding, then spay your pets ASAP
===========================================
飼主發現他的狗狗腹部有3-4個團塊,在靠近乳頭的地方,而且在過去的6個月內快速長大

今天阿牛要介紹的病例是狗的乳腺腫瘤

🐶 狗狗乳腺腫瘤|飼主一定要知道的事--乳腺腫瘤是 未結紮母犬最常見的腫瘤之一

1. 大約 一半可能是惡性的(癌症)
2. 常見徵兆:肚子兩側乳房出現硬塊或小結節
3. 早期發現、早期手術,預後最好
4. 第一次發情前結紮,可將乳腺腫瘤風險降到接近零
5. 如果摸到任何腫塊,請盡快帶狗狗給獸醫檢查

唯一不絕育的理由就是要生育,如果不考慮生育,請盡早結紮你的貓狗

#AniuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#好想度假
#楊醫師快回來
#WhatAPeacefulDay
#EverydayImage attachmentImage attachment+2Image attachment

ANVH EP- 91 Perianal hernia in dogs - 狗的會陰疝氣

Today A Niu would like to introduce a case of Perianal Hernia in dogs

Perineal hernia in dogs is a condition where the pelvic diaphragm muscles weaken or fail, allowing pelvic or abdominal organs (fat, rectum, bladder, prostate, or intestines) to herniate into the perineal region. It occurs primarily in older, intact male dogs, and often presents with straining, constipation, and a soft swelling beside the anus.

🐕 Who gets it
Middle‑aged to older intact male dogs are overwhelmingly affected.

Breeds with reported predisposition include Corgis, Boston Terriers, Boxers, Collies, Dachshunds, Miniature Poodles, Old English Sheepdogs, and Pekingese.

🔍 Clinical signs
Most dogs show one or more of the following:

Soft, reducible swelling beside the anus (unilateral or bilateral)
Tenesmus (straining to defecate)
Constipation or obstipation
Dyschezia (pain/difficulty defecating)
Stranguria/dysuria if the bladder is involved
Acute collapse if the bladder becomes trapped and obstructed (true emergency)

🧪 Diagnosis
Diagnosis is based on:
Rectal exam → reveals weakness of pelvic diaphragm, rectal deviation, or sacculation
Palpation of herniated structures
Radiographs or ultrasound → identify bladder, prostate, bowel loops, or fat within the hernia

🛠️ Treatment
Stabilization (if emergency)
Definitive treatment: Surgery
Surgery is the gold standard and involves:
Reducing herniated organs
Reconstructing the pelvic diaphragm using:
Internal obturator muscle flap (most common)
Superficial gluteal or semitendinosus flaps in severe cases
Castration at the same time → reduces recurrence risk by ~3×

If you suspect ur dog has a similar issue, please contact rur family vet ASAP
===========================================
今天阿牛要介紹的病例是 - 犬隻的會陰疝氣(Perineal Hernia)

📌 什麼是會陰疝氣?
會陰疝氣是指 骨盆隔肌(levator ani、coccygeus 等)變弱或破裂,導致腹腔或骨盆腔的器官(脂肪、直腸、膀胱、攝護腺、腸道)突出到肛門旁的會陰區域。最常見於 中老年未結紮公犬。
常見品種:柯基、波士頓、拳師、牧羊犬、臘腸、貴賓、北京犬等

🔍 臨床症狀
肛門旁 柔軟、可推回的腫脹(單側或雙側)
排便困難、用力排便(tenesmus)
便祕、糞便變細
排尿困難(若膀胱被捲入)
急性無法排尿 → 生命危急(膀胱被困住)

🧪 診斷方式
直腸指診:可觸到骨盆隔肌薄弱、直腸偏移或囊袋形成
X 光或超音波:確認是否有膀胱、腸道或脂肪突出
血檢、尿檢:評估是否有脫水、腎損傷或尿滯留

🛠️ 治療方式
根本治療:手術修補
手術是唯一有效的治療方式:
將突出器官復位-->修補骨盆隔肌
常用術式:內閉孔肌瓣(internal obturator muscle transposition)
嚴重病例:可用臀肌或半腱肌瓣

👉 同時結紮非常重要,可降低復發率約 3 倍。

如果你的狗狗有類似的狀況,請盡快跟你的家庭獸醫聯絡

#ThisIsWhatWeDo
#WhoWeAre
#ANiuVeterinaryHospital
#屁股一大包
#愛珠藝
... See MoreSee Less

ANVH EP- 91 Perianal hernia in dogs - 狗的會陰疝氣

Today A Niu would like to introduce a case of Perianal Hernia in dogs 

Perineal hernia in dogs is a condition where the pelvic diaphragm muscles weaken or fail, allowing pelvic or abdominal organs (fat, rectum, bladder, prostate, or intestines) to herniate into the perineal region. It occurs primarily in older, intact male dogs, and often presents with straining, constipation, and a soft swelling beside the anus.

🐕 Who gets it
Middle‑aged to older intact male dogs are overwhelmingly affected.

Breeds with reported predisposition include Corgis, Boston Terriers, Boxers, Collies, Dachshunds, Miniature Poodles, Old English Sheepdogs, and Pekingese.

🔍 Clinical signs
Most dogs show one or more of the following:

Soft, reducible swelling beside the anus (unilateral or bilateral)
Tenesmus (straining to defecate)
Constipation or obstipation
Dyschezia (pain/difficulty defecating)
Stranguria/dysuria if the bladder is involved
Acute collapse if the bladder becomes trapped and obstructed (true emergency)

🧪 Diagnosis
Diagnosis is based on:
Rectal exam → reveals weakness of pelvic diaphragm, rectal deviation, or sacculation
Palpation of herniated structures
Radiographs or ultrasound → identify bladder, prostate, bowel loops, or fat within the hernia

🛠️ Treatment
Stabilization (if emergency)
Definitive treatment: Surgery
Surgery is the gold standard and involves:
Reducing herniated organs
Reconstructing the pelvic diaphragm using:
Internal obturator muscle flap (most common)
Superficial gluteal or semitendinosus flaps in severe cases
Castration at the same time → reduces recurrence risk by ~3×

If you suspect ur dog has a similar issue, please contact rur family vet ASAP
===========================================
今天阿牛要介紹的病例是 - 犬隻的會陰疝氣(Perineal Hernia)

📌 什麼是會陰疝氣?
會陰疝氣是指 骨盆隔肌(levator ani、coccygeus 等)變弱或破裂,導致腹腔或骨盆腔的器官(脂肪、直腸、膀胱、攝護腺、腸道)突出到肛門旁的會陰區域。最常見於 中老年未結紮公犬。
常見品種:柯基、波士頓、拳師、牧羊犬、臘腸、貴賓、北京犬等

🔍 臨床症狀
肛門旁 柔軟、可推回的腫脹(單側或雙側)
排便困難、用力排便(tenesmus)
便祕、糞便變細
排尿困難(若膀胱被捲入)
急性無法排尿 → 生命危急(膀胱被困住)

🧪 診斷方式
直腸指診:可觸到骨盆隔肌薄弱、直腸偏移或囊袋形成
X 光或超音波:確認是否有膀胱、腸道或脂肪突出
血檢、尿檢:評估是否有脫水、腎損傷或尿滯留

🛠️ 治療方式
根本治療:手術修補
手術是唯一有效的治療方式:
將突出器官復位-->修補骨盆隔肌
常用術式:內閉孔肌瓣(internal obturator muscle transposition)
嚴重病例:可用臀肌或半腱肌瓣

👉 同時結紮非常重要,可降低復發率約 3 倍。

如果你的狗狗有類似的狀況,請盡快跟你的家庭獸醫聯絡

#ThisIsWhatWeDo
#WhoWeAre
#ANiuVeterinaryHospital
#屁股一大包
#愛珠藝Image attachmentImage attachment+2Image attachment
5 months ago

ANVH EP-89 Open House

一年一度的open house

很榮幸有機會跟台灣商會一起舉辦這次的open house

希望可以幫大家揭開一點點動物醫院的神秘面紗

#thisiswhatwedo
#whoweare
#aniuveterinaryhospital
#tccbc
... See MoreSee Less

ANVH EP-89 Open House 

一年一度的open house

很榮幸有機會跟台灣商會一起舉辦這次的open house 

希望可以幫大家揭開一點點動物醫院的神秘面紗

#ThisIsWhatWeDo
#WhoWeAre
#ANiuVeterinaryHospital
#TCCBCImage attachment

ANVH EP-88 Demodex infection 毛囊蟲感染

Today A Niu would like to share a classical but rare case - Demodex infection

Demodex (demodectic mange) is caused by mites that normally live on a dog’s skin. Most dogs stay healthy — problems happen when the immune system can’t keep the mites in check.

What it looks like
Patchy hair loss (often around eyes, muzzle, legs)
Red, scaly skin
Odor or crusting if infection develops
Usually not very itchy unless there’s a secondary infection

Who gets it
Puppies: small, round bald spots that often clear on their own
Adults: may signal an underlying issue (hormonal disease, cancer, stress, malnutrition)

Is it contagious?
❌ Not contagious to people
❌ Not contagious to other adult dogs
✔️ Puppies get mites only from their mom shortly after birth

Treatment
Modern flea/tick meds (isoxazolines like Simparica, NexGard, Bravecto) are highly effective

Treat secondary infections if present

Avoid immune‑suppressing meds like steroids or Apoquel

Prognosis
Localized cases: excellent
Generalized cases: good with proper treatment
Adult-onset: depends on finding the underlying cause

If ur dog has similar problems, please contact your family vet ASAP
==========================================
毛囊蟲(Demodex) 原本就住在狗狗皮膚裡,當免疫力失衡低下時才會大量增生、造成皮膚問題。

常見症狀有:
局部掉毛(常在眼周、口鼻、前肢)
皮膚發紅、脫屑
有異味或結痂(若有細菌感染)
通常不太癢,除非有併發感染

哪些狗容易得?
幼犬: 小範圍掉毛,多數可自行痊癒
成犬: 可能代表免疫力問題(賀爾蒙疾病、腫瘤、壓力、營養不良等)

會傳染嗎?
❌ 不會傳染給人
❌ 不會傳染給其他成犬
✔️ 幼犬只會在出生後不久從母犬身上獲得蟎蟲

治療方式
新一代跳蚤壁蝨藥(如 Simparica、NexGard、Bravecto)效果非常好,但若有細菌感染需同時治療

避免使用會抑制免疫的藥物(如類固醇、Apoquel)

預後通常非常好,但嚴重的全身感染需要較長時間的治療
成犬發病:需找出背後的免疫或內科疾病

這是一個很經典但是很罕見的皮膚問題,阿牛很幸運的有機會看到毛囊蟲在開班會

如果你的動物有類似的症狀,請趕快跟你的家庭獸醫聯絡

#ThisIsWhatWeDo
#WhoWeAre
#ANiuVeterinaryHospital
#寵物用藥新制直接註銷
#484在鬧
#舒服
#世界怎摸跟得上台灣
... See MoreSee Less

ANVH EP-88 Demodex infection 毛囊蟲感染

Today A Niu would like to share a classical but rare case - Demodex infection 
 
Demodex (demodectic mange) is caused by mites that normally live on a dog’s skin. Most dogs stay healthy — problems happen when the immune system can’t keep the mites in check.

What it looks like 
Patchy hair loss (often around eyes, muzzle, legs)
Red, scaly skin
Odor or crusting if infection develops
Usually not very itchy unless there’s a secondary infection

Who gets it
Puppies: small, round bald spots that often clear on their own
Adults: may signal an underlying issue (hormonal disease, cancer, stress, malnutrition)

Is it contagious?
❌ Not contagious to people
❌ Not contagious to other adult dogs
✔️ Puppies get mites only from their mom shortly after birth

Treatment
Modern flea/tick meds (isoxazolines like Simparica, NexGard, Bravecto) are highly effective

Treat secondary infections if present

Avoid immune‑suppressing meds like steroids or Apoquel

Prognosis
Localized cases: excellent
Generalized cases: good with proper treatment
Adult-onset: depends on finding the underlying cause

If ur dog has similar problems, please contact your family vet ASAP
==========================================
毛囊蟲(Demodex) 原本就住在狗狗皮膚裡,當免疫力失衡低下時才會大量增生、造成皮膚問題。

常見症狀有:
局部掉毛(常在眼周、口鼻、前肢)
皮膚發紅、脫屑
有異味或結痂(若有細菌感染)
通常不太癢,除非有併發感染

哪些狗容易得?
幼犬: 小範圍掉毛,多數可自行痊癒
成犬: 可能代表免疫力問題(賀爾蒙疾病、腫瘤、壓力、營養不良等)

會傳染嗎?
❌ 不會傳染給人
❌ 不會傳染給其他成犬
✔️ 幼犬只會在出生後不久從母犬身上獲得蟎蟲

治療方式
新一代跳蚤壁蝨藥(如 Simparica、NexGard、Bravecto)效果非常好,但若有細菌感染需同時治療

避免使用會抑制免疫的藥物(如類固醇、Apoquel)

預後通常非常好,但嚴重的全身感染需要較長時間的治療
成犬發病:需找出背後的免疫或內科疾病

這是一個很經典但是很罕見的皮膚問題,阿牛很幸運的有機會看到毛囊蟲在開班會

如果你的動物有類似的症狀,請趕快跟你的家庭獸醫聯絡

#ThisIsWhatWeDo
#WhoWeAre
#ANiuVeterinaryHospital
#寵物用藥新制直接註銷
#484在鬧
#舒服
#世界怎摸跟得上台灣Image attachmentImage attachment

ANVH EP-87 Traumatic proptosis in dogs 創傷性眼球出

狗的創傷性眼球突出(Traumatic Proptosis in Dogs)

Traumatic proptosis refers to displacement of the globe beyond the eyelid margins following external trauma. The eyelids become trapped behind the globe, resulting in exposure, vascular compromise, and potential extraocular muscle avulsion. It is considered an ophthalmic emergency requiring immediate intervention.

Common cause include:
• Dog fights or dog–cat altercations
• Motor vehicle trauma, falls, blunt head injury
• Brachycephalic breeds predisposed due to shallow orbits

Clinical sign:
• Globe protrusion with inability to blink
• Corneal desiccation, ulceration, exposure keratopathy
• Marked conjunctival edema or hemorrhage
• Extraocular muscle avulsion (commonly medial rectus)
• Optic nerve stretching or transection

Treatments include:
1. Globe Replacement + Temporary Tarsorrhaphy
Indicated when the globe remains viable, the cornea is intact, and the optic nerve is not severely compromised. Under general anesthesia, the globe is lubricated, repositioned, and protected with temporary tarsorrhaphy.

2. For more severe case, may need to do Enucleation
Recommended when the globe is ruptured, the optic nerve is transected, multiple extraocular muscles are avulsed, or vascular supply is lost. Enucleation prevents chronic pain and infection.

If your pet has a similar issue, please contact your family vet ASAP
===========================================
創傷性眼球突出是指眼球因外力被擠出眼眶,眼瞼卡在眼球後方,導致眼球暴露、血供受損與眼外肌撕裂。這是真正的眼科急診,需立即的醫療介入。

常見原因有:
• 狗咬狗或貓狗衝突
• 車禍、墜落、頭部鈍傷
• 短鼻犬因眼眶淺,輕微外力亦可造成突出

臨床症狀有:
• 眼球明顯突出、無法自行復位
• 角膜乾燥、潰瘍、暴露性角膜病變
• 結膜嚴重水腫或出血
• 眼外肌撕裂(尤其是內直肌)
• 視神經牽拉或斷裂

治療選項
1. 眼球復位與暫時性瞼縫合
適用於眼球仍具血供、角膜完整、視神經未完全損傷者。
在全麻下以潤滑後復位,並以部分瞼縫合保護眼球。

2. 眼球摘除術
若眼球破裂、視神經斷裂、多條眼外肌撕裂或無血供,建議直接摘除以避免疼痛與感染。

這個case在經過治療後,我們保留了這顆眼睛,目前正在逐漸恢復當中
如果你的寵物有類似的問題,請盡快跟你的家庭獸醫聯絡

#aniuveterinaryhospital
#taiwanvetincanada
#這是真正的急診
#盡早就醫預後越好
#我們家也沒有佣人
#但是我擦地用拖把
... See MoreSee Less

ANVH EP-87 Traumatic proptosis in dogs 創傷性眼球出

狗的創傷性眼球突出(Traumatic Proptosis in Dogs)

Traumatic proptosis refers to displacement of the globe beyond the eyelid margins following external trauma. The eyelids become trapped behind the globe, resulting in exposure, vascular compromise, and potential extraocular muscle avulsion. It is considered an ophthalmic emergency requiring immediate intervention.

Common cause include:
• Dog fights or dog–cat altercations
• Motor vehicle trauma, falls, blunt head injury
• Brachycephalic breeds predisposed due to shallow orbits

Clinical sign:
• Globe protrusion with inability to blink
• Corneal desiccation, ulceration, exposure keratopathy
• Marked conjunctival edema or hemorrhage
• Extraocular muscle avulsion (commonly medial rectus)
• Optic nerve stretching or transection

Treatments include:
1. Globe Replacement + Temporary Tarsorrhaphy 
Indicated when the globe remains viable, the cornea is intact, and the optic nerve is not severely compromised. Under general anesthesia, the globe is lubricated, repositioned, and protected with temporary tarsorrhaphy.

2. For more severe case, may need to do Enucleation
Recommended when the globe is ruptured, the optic nerve is transected, multiple extraocular muscles are avulsed, or vascular supply is lost. Enucleation prevents chronic pain and infection.

If your pet has a similar issue, please contact your family vet ASAP
===========================================
創傷性眼球突出是指眼球因外力被擠出眼眶,眼瞼卡在眼球後方,導致眼球暴露、血供受損與眼外肌撕裂。這是真正的眼科急診,需立即的醫療介入。

常見原因有: 
• 狗咬狗或貓狗衝突
• 車禍、墜落、頭部鈍傷
• 短鼻犬因眼眶淺,輕微外力亦可造成突出

臨床症狀有:
• 眼球明顯突出、無法自行復位
• 角膜乾燥、潰瘍、暴露性角膜病變
• 結膜嚴重水腫或出血
• 眼外肌撕裂(尤其是內直肌)
• 視神經牽拉或斷裂

治療選項
1. 眼球復位與暫時性瞼縫合
適用於眼球仍具血供、角膜完整、視神經未完全損傷者。
在全麻下以潤滑後復位,並以部分瞼縫合保護眼球。

2. 眼球摘除術
若眼球破裂、視神經斷裂、多條眼外肌撕裂或無血供,建議直接摘除以避免疼痛與感染。

這個case在經過治療後,我們保留了這顆眼睛,目前正在逐漸恢復當中
如果你的寵物有類似的問題,請盡快跟你的家庭獸醫聯絡

#ANiuVeterinaryHospital
#TaiwanVetInCanada
#這是真正的急診
#盡早就醫預後越好
#我們家也沒有佣人
#但是我擦地用拖把Image attachmentImage attachment+3Image attachment

ANVH EP-86 Aural hematoma in dogs - 狗的耳血腫

Aural(ear) hematoma in a dog is essentially a pool of blood trapped under the skin or within tissue, most often caused by ruptured small blood vessels(scratching or shaking the head).

Common signs
• Soft, fluid‑filled swelling
• Ear looks puffy, warm, or painful
• Often linked to ear infections, allergies, or injury

Will it heal on its own?
• Small ones may absorb
• Ear hematomas rarely heal well alone and can lead to a “cauliflower ear”

What treatment involves
• Draining or surgical stabilization
• Treating the underlying cause (ear infection, allergies, parasites)
• Pain and inflammation control

When to see a vet
• Rapid swelling
• Significant pain or heat
• Bad smell or discharge
• Low energy or worsening symptoms

If your dog has similar symptoms, please contact your family vet ASAP.
===========================================
血腫就是血液在皮下積成一包(皮下血管破裂),最常見在耳朵,通常因為搔抓、甩頭或外傷造成。

常見徵兆
• 柔軟腫塊、像水袋
• 耳朵腫起、變熱、疼痛
• 多與耳炎、過敏、外傷有關

會自己好嗎?
• 小血腫可能吸收
• 耳朵血腫通常不會自己好,還可能變成菜花耳(耳朵皺起來)

需要處理什麼?
• 抽血或手術固定
• 治療耳炎、過敏等根本原因
• 止痛與消炎

什麼時候該看獸醫?
• 腫得快、很痛、變熱
• 有臭味或滲液
• 精神變差

這個case是典型狗狗耳血腫,經過外科治療後目前已經恢復正常
如果你的狗狗有類似的問題,請趕快跟你的家庭獸醫聯絡

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#捉大放小
#給予高度評價
... See MoreSee Less

ANVH EP-86 Aural hematoma in dogs - 狗的耳血腫

Aural(ear) hematoma in a dog is essentially a pool of blood trapped under the skin or within tissue, most often caused by ruptured small blood vessels(scratching or shaking the head).

Common signs
• Soft, fluid‑filled swelling
• Ear looks puffy, warm, or painful
• Often linked to ear infections, allergies, or injury

Will it heal on its own?
• Small ones may absorb
• Ear hematomas rarely heal well alone and can lead to a “cauliflower ear”

What treatment involves
• Draining or surgical stabilization
• Treating the underlying cause (ear infection, allergies, parasites)
• Pain and inflammation control

When to see a vet
• Rapid swelling
• Significant pain or heat
• Bad smell or discharge
• Low energy or worsening symptoms

If your dog has similar symptoms, please contact your family vet ASAP. 
===========================================
血腫就是血液在皮下積成一包(皮下血管破裂),最常見在耳朵,通常因為搔抓、甩頭或外傷造成。

常見徵兆
• 柔軟腫塊、像水袋
• 耳朵腫起、變熱、疼痛
• 多與耳炎、過敏、外傷有關

會自己好嗎?
• 小血腫可能吸收
• 耳朵血腫通常不會自己好,還可能變成菜花耳(耳朵皺起來)

需要處理什麼?
• 抽血或手術固定
• 治療耳炎、過敏等根本原因
• 止痛與消炎

什麼時候該看獸醫?
• 腫得快、很痛、變熱
• 有臭味或滲液
• 精神變差

這個case是典型狗狗耳血腫,經過外科治療後目前已經恢復正常
如果你的狗狗有類似的問題,請趕快跟你的家庭獸醫聯絡

#ANiuVeterinaryHospital
#ThisIsWhatWeDo
#WhoWeAre
#捉大放小
#給予高度評價Image attachmentImage attachment+3Image attachment
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