Luxación coxal cráneo dorsal de fémur derecho en paciente canino macho de 14 años.

Abstract

On August 3, 2022 in the morning, comes to the Veterinary Clinic of Small Animals of the University of Pamplona, dog patient, male, whole, name Mateo, 14 years old, breed mestizo, During the consultation the owner indicates that the patient was run over 3 days ago, that it is very depressed, with a lot of pain, that it has difficulty walking and that the consumption of food and water is very minimal. Physical examination showed a heart rate of 120 BPM and a respiratory rate of 60 RPM, a Tº 38.1 with a C/C of 3.5/5, lymph nodes without apparent alteration, capillary filling time (TLLC) 3", at manipulation of the right hip the patient presents pain and crackling. The required laboratory tests and diagnostic aids were performed, where it could be evidenced that in the hemogram the patient has marked leukocytosis, granulocytosis in both absolute and relative value and lymphopeny, biochemical tests show a moderate increase in ALT when performing ventral/dorsal, lateral/lateral hip radiological projections, abdomen and chest, it is determined that the patient presents a right coxal dislocation dorsal femoral skull and proximal costal fracture in the 8th right rib, analgesic treatment with meloxicam is started at a dose of 0.2 mg/kg IM every 24 hours and tramadol at a dose of 2 mg/kg IM every 12 hours, for economic reasons the surgery is carried out on August 5, 2022 in the morning, performing the surgical procedure called femoral head and neck exeresis, during the process of surgical premedication was carried out the application of a gastric protector, antibiotic and analgesic, at the time of discharge the patient was sent with a medication that cost of antibiotic, analgesic and a topical solution to perform the previous antisepsis of the wound, On August 15 of this year the patient is admitted again to the clinic for control and removal of sutures, the general inspection shows a favorable evolution The laboratory tests and diagnostic aids required were performed, where it could be evidenced that in the hemogram the patient presents a mild lymphopenia accompanied by eosinopenia and granulocytosis compatible with a stress leugram, biochemical tests show a moderate increase in ALT, when performing ventral/dorsal, lateral/lateral radiological projections of the hip and abdomen, it is determined that the patient presents with a right dorsal cranial dislocation of the femur, analgesic treatment with meloxicam is started at a dose of 0.2 mg/kg IM every 24 hours and tramadol at a dose of 2 mg/kg IM every 12 hours, for economic reasons the surgery is carried out on August 5, 2022 in the morning, performing the surgical procedure called femoral head and neck exeresis, during the process of surgical premedication was carried out the application of a gastric protector, antibiotic and analgesic, at the time of discharge the patient was sent with a medication that cost of antibiotic, analgesic and a topical solution to perform the previous antisepsis of the wound, On August 15 of this year the patient is admitted again to the clinic for control and removal of sutures, the general inspection shows a favorable evolution of the patient without signs of pain and claudication grade II.