$1000. latter (not to mention unsaid quanity of tears)...
"On physical exanimation, Hewey is QAR. The skin is peeling in areas along back. Several 1cm raised bumps are present bilaterally along thorax and abdomen, corresponding to sites of SQ fluid injections, per owner. There is marked general weakness in the limbs, more so in the hind limbs. The lizard ambulates partially by using tha abdomen. The abdomen is tense and difficult to palpate.
CBC reveals anemia (19%). Chemistry reveals hyperglobulinemia (5.7g/dl), and elevated creatine kinase (937 IU/1).
Abdominal ultrasound reveals that the liver is of normal echogencity, but there is free scant fluid in the abdomen. A sample of the fluid was taken and it shows high protein (5.3 g/dl) and nucleated cells (4200/ul).
Differential diagnosis include underlying primary disease (gastrointestinal impaction or parasitism/ ulceration, viral infection, bacterial infection, liver or kidney disease), with possible secondary metronidazole (Flagyl) sensitivity and/ or heptic lipidosis. The final diagnosis remains open at this time."
Home care will involve the following:
1. Injections of Ceftazidime (Fortaz) injected every 72 hours (intromuscular).
2. Lactulose given 1ml orally, every 24 hours for liver disease and constipation.
3. Carpefen given .5ml orally, every 48 hours for pain and inflamation.
4. Lactated Ringer's solution given 35ml SQ every 24 hours for 14 days.
5. Warm water soaks in 90-90f every 12 hours for 20 min.
Exercise every 12 hours, perferable outside in direct sunlight.
6. Gavage feeding of Hill's AD diet every 48 hours.
Ideally, monitor lizards the size and age of Hewey should be fed 1-4 mice twice a week. Feeding monitors too much will lead to obesity which can lead to heptic lipidosis or kidney disease. Feeding monitors too frequently can lead to gastrointestinal impaction with fur and bones witch have not had time to be digested. Do not use Heweys feeding responce to determine how much he eats. Adjust how much he is fed based on his activity level and weight gain. We will help you determine the ideal feeding pattern after Hewey is well."
I am confused, because on his paperwork they wrote him to be 18 months old. Hewey is less than 10 months of age. I told the vet this, and she said "Oh dear, hes HUGE!". I dont think they realised that he is still very much a baby. A GROWING baby!
There is still a long road ahead of us all...
-Michelle




Michelle