Second Opinion? Paw Injury

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Re: Second Opinion? Paw Injury

Postby Quill Gordon » Sun Sep 28, 2014 8:18 am

I had a bunch of these with my dog over the years and have treated plenty for other folks. 90% of the time just lancing them and flushing them solves it. Here I think you are going to have to have someone lance the top on that. It's too swollen to be residual cellulitis or irritation from licking. It could be that there is retained foreign material or it could just be that the most distal part of the original wound track didn't get adequate drainage and resealed forming a new nidus of infection. We did this with Ava 3 years ago and I wound up taking her to surgery (I had initially just lanced it at home) and opening up a track clean through her foot before I got all the bad out. Many of these foot injuries are anaerobic infections so once they are properly lanced ( in such a way that they can't re-seal prematurely, I actually cut an oval of skin out at the lancing site to make sure the skin heals last) the problem is mostly solved. Antibiotics don't work in dead tissue (clindamycin and metronidazole can in small amounts of devitalized tissue) so this isn't necessarily a resistance issue, but at this point culture won't hurt. A CT could be useful but being a "cut to cure" kinda vet, I might just pack my beastie up and find a board certified surgeon to treat the injury. Really it looks as though it's about to rupture spontaneously but at this point a sedated looksee by a bold and confident surgeon would be a good thing. If you happen to feel like driving to LA bring him by tomorrow night, I love these kinds of injuries (although its slightly less fun surgery when it's my dog :Fade-color ). Keep us posted


That seems like a long drive about twelve to fourteen hours. Not that I wouldn't do it if I thought it would help him...
I really don't want him to go through any more trauma but on the same hand would like to see him get better. Do you know any good Veterinarians in the Salt Lake City area? Or what qualifications in a Vet should I look for?
Last edited by Quill Gordon on Sun Sep 28, 2014 11:49 am, edited 2 times in total.
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Re: Second Opinion? Paw Injury

Postby Coveyrise64 » Sun Sep 28, 2014 10:27 am

This puncture was from last year, same dog. The vet opened it up from the top to make sure there was no foreign body and prescribed Cephalexin. Unfortunately I didn't put a hood on him and he chewed one of the sutures. I have a hood now and used it on the most recent wound (vet performed the same procedure as the earlier one and prescribed Simplicef). In both cases I soaked in warm Epsom salt baths and couldn't get either to drain thus the vet visits.

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Re: Second Opinion? Paw Injury

Postby Quill Gordon » Sun Sep 28, 2014 12:05 pm

Thanks for posting Coveyrise64.
It makes me feel better to know my hound is not the only one...
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Re: Second Opinion? Paw Injury

Postby Coveyrise64 » Sun Sep 28, 2014 3:18 pm

Actually my third puncture wound along with several of these......! :(

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Re: Second Opinion? Paw Injury

Postby lanco » Sun Sep 28, 2014 3:46 pm

:lol: That would be Louisiana not Los Angeles. Ackkkk I would rather become a septic tank diver than live in that city! To dry for a Cajun! If the toe becomes a chronic issue then you could consider a trip to a veterinary surgical specialist. Such an individual would be a Diplomate of the American Colledge of Veterinary Surgeons. From my point of view (I'm just a GP vet who does ER work) thats overkill at this point though. How to sort through GP vets is a tough question. Like any proffession skill and experience vary. Unlike many services consumers are realatives poor judges of the quality of veterinary care so online reviews won't help. Refferal from other motivated working dog owners are more helpful. At any rate how is the foot today?
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Re: Second Opinion? Paw Injury

Postby Quill Gordon » Sun Sep 28, 2014 4:41 pm

Thanks for the advice. I'm glad u feel the same way about Los Angeles as I do. Been there too many times. The Bayou is definitely out of the question drive wise. Swelling is about the same. Yep, reviews online are killing me. Just when u think u found a good vet a bad review comes up & changes my mind. I rec a tip on a Vet in a clinic near my work. He's a birddog man but young, fresh out school. He is Dr. Paul Haderlie. I dunno

http://www.mvac-ut.com/#!midvalley-anim ... staff/c66t

I just found out i can go specialty but they are not cheap $110 just for the exam & they have all the latest and greatest equipment. Might be worth it

http://www.utahveterinarycenter.com/
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Re: Second Opinion? Paw Injury

Postby gwp4me2 » Sun Sep 28, 2014 7:05 pm

The vets I use in Cache valley are country vets. Horses, cows, dogs. Pretty good all around but probably not surgeons
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Re: Second Opinion? Paw Injury

Postby Misskiwi67 » Sun Sep 28, 2014 7:46 pm

Quill Gordon wrote:Thanks for the advice. I'm glad u feel the same way about Los Angeles as I do. Been there too many times. The Bayou is definitely out of the question drive wise. Swelling is about the same. Yep, reviews online are killing me. Just when u think u found a good vet a bad review comes up & changes my mind. I rec a tip on a Vet in a clinic near my work. He's a birddog man but young, fresh out school. He is Dr. Paul Haderlie. I dunno

http://www.mvac-ut.com/#!midvalley-anim ... staff/c66t

I just found out i can go specialty but they are not cheap $110 just for the exam & they have all the latest and greatest equipment. Might be worth it

http://www.utahveterinarycenter.com/


Bad reviews are almost always written by unreasonable people. I'm not sure if this will help at all, but here's my clinic for comparison. I can tell you the other side of the story on just about all of these. https://plus.google.com/105839548338477 ... bout?hl=en
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Re: Second Opinion? Paw Injury

Postby lanco » Sun Sep 28, 2014 8:22 pm

Also we just can't guarantee results the way a baker or a mechanic can. If you put the right ingriedients in the pan at the right temperature bam it's a cake! If you put a new water pump on and leak check it you are good to go. But some days I can do the best surgery anyone could do or prescribe the precise recommended medications and your dog may fail to respond. Granted I may have informed you before hand that the odds were bad but you will still leave frustrated and upset. It's life as a vet.
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Re: Second Opinion? Paw Injury

Postby orhunter » Sun Sep 28, 2014 11:18 pm

I put the Epsom salt solution in a spray bottle so it can be directed at the wound. The jet action helps with the cleaning and washing away of the dead tissue.

I think the toe looks pretty good.

NO LICKING......
SARCASM, one of the many free services I offer
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Re: Second Opinion? Paw Injury

Postby Doc E » Sat Oct 04, 2014 10:25 am

I don't know of any curative effect, but the two best preventions (toughening the pads) would be free roading on gravel roads and the addition of Zinc Gluconate to the diet.
50 mg of Zinc Gluconate (3 times a week for one month -- then 50 mg once a week).

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Re: Second Opinion? Paw Injury

Postby lanco » Tue Oct 07, 2014 12:47 pm

These injuries are not pad issues, something sharp gets jabbed between the toes. What I did find helpful for Ava was to shave all the fur out between her toes (which is approximately enough to stuff a throw pillow). This help keep her feet more compact (pads touching each other) rather than a little splayed out once she got some mud in that foot fur, thus her pads hit the terrain rather than the interdigital skin.

BTW how did that injury do Rusty?
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Re: Second Opinion? Paw Injury

Postby Quill Gordon » Tue Oct 07, 2014 7:32 pm

I'm not Rusty but my hound Creek has been seen by a different vet. I'll post up their site a little later. They also explored the wound, found nothing, took a culture & up'd his dose of clindamycin to 225mg every twelve hrs. Fast forward a week & we see a slight decrease in swelling in the toe with hole still open but pink in the bottom of the paw. Cultured showed three bacteria growing. One was one that can only grow if another bacteria is present. Another is e-coil and another is an aquatic based bacteria, so the vet asked if he was in water of any sort. He was in a high altitude lake, getting a drink on our return. He is now on enrofloxacin that shows in trials to kill all three bacteria.

Me, I'm having anxiety issues over the whole thing. My hound is wondering why we are not out there hunting...
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Re: Second Opinion? Paw Injury

Postby Misskiwi67 » Tue Oct 07, 2014 7:54 pm

You have new information that will direct antibiotic dosing and use. See how the antibiotics work the next two weeks. If its still not better, next step is CT. Hopefully its just an antibiotics problem and your pup will be back in the field in a couple weeks.
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Re: Second Opinion? Paw Injury

Postby Quill Gordon » Tue Oct 07, 2014 8:24 pm

Thank you again Misskiwi for replying. The Clinic where he is being seen at is here http://www.uvhdc.com by Dr Zelnik. I change his bandage daily with Epsom soaks and warm compresses. An e-collar when not supervised. The top yellow spot between the toes is all but healed. The bottom hole is pink and looks like it want"s to heal, if that makes sense. The anti biotic change was made yesterday at 5:30 pm with second dose tonight at the same time. UVHDC do have a CT scan & I inquired but they didn't think it would locate anything... At this point I'm at their mercy. I highly doubt they understand the concern of a one bird dog/companion hound man...

I should of kept him out of the water
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