Bring Your Pet to Our Emergency Vet Clinic near Doylestown, PA

Gwynedd Veterinary Hospital and Emergency Service offers emergency care. One of the highly trained doctors at our veterinary hospital is always on-site because we understand that emergencies happen at any time, whether it is day or night. When possible, please call and let us know that your pet needs to come in so that we can be ready to help as soon as you arrive. A trained veterinary technician triages all emergency cases.
 

Emergency Tales

 
 
 

Foreign Body Surgery

 
 
Rottweiler - 24 hour emergency vet care Doylestown, PA / animal hospital Doylestown, PA / emergency vet clinic Doylestown, PA
 
Patient : 1.5 year old female spayed Rottweiler.

Presenting Complaint : Dog has not been eating for 2 days, and is vomiting bile and water. Owners report that patient doesn't seem “right” and may be “uncomfortable.”
 
History : The dog chews on “things” even though owners provide rawhide, and eats grocery store-brand dog food and has had no recent change in diet. The dog is up to date on vaccines and receives heartworm preventative, and Frontline is administered for fleas and ticks. She lives mostly indoors and has a fenced-in yard.

Physical Exam : The dog has a normal temperature of 100.8 ° and pulses are normal at 110 beats per minute with panting respiration. The abdomen is tense on palpation and the mucous membranes show that the dog is mildly dehydrated.

Bloodwork : Complete Blood Count, Chemistries and Electrolytes are all normal.
X-Rays
: Multiple foreign objects are visible in the intestines and stomach.
Treatment
: Emergency Surgery was performed to remove the foreign objects. The items removed were from a child's toys – Mrs. Potato Head's ear ring, a shoe from Buzz Light Year, a piece of LEGO, and other assorted plastic pieces.

Patient stayed at Gwynedd Veterinary Hospital & Emergency Service for 2 days post-surgery and received IV fluid therapy, antibiotic injections and pain medications. She was discharged to her owners on a bland diet and stomach protectants to be given for a week.
 
 
 

Permethrin Toxicity

 
Domestic Cat - 24 hour emergency vet care Doylestown, PA / animal hospital Doylestown, PA / emergency vet clinic Doylestown, PA
 
Oreo, a 3 year old male, neutered, indoor and outdoor domestic short hair cat presented to Gwynedd Veterinary Hospital Emergency Service for twitching. The patient was acting normally for the previous 2 hours, until his owners had applied an over-the-counter flea product containing Permethrin as the active ingredient. Later, his owners found Oreo collapsed in the garden, twitching, unable to stand and salivating. They rushed Oreo to GVH Emergency Service; he had a seizure during the 20 minute car-ride.
 
On arriving at the hospital, Oreo was immediately taken into the treatment area and triaged. His body temperature was elevated at 104.5 ° F. He was unable to stand, and was shaking and salivating. His face, whiskers and ears were twitching. His heart rate was elevated at 200 beats per minute, as were his respirations at 48 breaths per minute. The nursing staff started to place an IV catheter into Oreo's foreleg but he had a grand mal seizure while the fur was being clipped from his leg. He was treated with an injection of valium to stop the seizure.

After a review of his history and discussing the case with his owners, Oreo was admitted to the hospital to be treated for Permethrin Toxicity. Immediate treatments included a thorough bathing to wash off any of the residual over-the-counter flea product, an IV injection of robaxin/methocarbimal to treat the tremors, and valium as needed for the seizures. Fluids and prophylactic antibiotics were also started to maintain hydration. Oreo's body temperature, respiratory rate and heart rate all normalized within hours of admission to the hospital. Initial routine blood work was normal.

Oreo was hospitalized for three days to treat his tremors. He did not seizure again after the first night and he started eating on his own the following morning. His nursing care included monitoring for tremors and IV robaxin to keep the tremors low. He was also housed in a darkened cage with minimal stimulation to help decrease the tremors. By the 2 nd evening in the hospital, Oreo was able to stand and use the litter pan on his own. By the 3 rd day of hospitalization, he was walking well and was no longer twitching. He was later discharged to his owners.

A diagnosis of Permethrin Toxicity is made from exposure or change in exposure to permethrins, an absence of other toxic exposure and eliminating the likelihood of other diseases such as liver failure, brain damage or trauma.

Permethrin is a synthetic pyrethroid insecticide used in many common household bug sprays and flea treatments. Toxicity for mammals is generally thought to be low, but Permethrins can affect sodium channels and cause toxicity to the nervous system in dogs, cats, rabbits, cows, horses and goats. Permethrin Toxicity is seen more frequently in cats than dogs, and is also weight dependent: a smaller cat is more likely to be affected than a larger cat. Toxicity is manifested as seizures, twitching, tremors, hyperesthesia (increased sensitivity to stimulation) and hyperthermia (increased body temperature). If twitching and tremors are prolonged and uncontrolled, muscle damage can result. If seizures are constant and uncontrolled, brain edema (swelling) and irreversible brain damage can result. Permethrin Toxicity can be fatal.

There are multiple “over the counter” spot-on type flea and tick products available in grocery stores, pet stores and discount stores which contain permethrins. Many of these products are labeled for use in cats as well as dogs. Cases of toxicity in cats have been reported with one time dosage of a product marketed for cats, a repeat dosing of a product previously used without problems, and more rarely from cats interacting with dogs treated with the product.
 
The individual sensitivity to these products is unpredictable and exposure in some cases has been fatal.

Be sure to purchase appropriate flea and tick products from your Veterinarian to ensure the safety of your pets. If you have questions about new products or products you have seen advertised, please discuss the ingredients with your Veterinarian before you purchase or administer them.
 
Domestic Cat - 24 hour emergency vet care Doylestown, PA / animal hospital Doylestown, PA / emergency vet clinic Doylestown, PA
 

Dystocia Proceeds to Cesarian Section

 
Border Collie - 24 hour emergency vet care Doylestown, PA / animal hospital Doylestown, PA / emergency vet clinic Doylestown, PA
 
“Spotty”, a 12 year old Border Collie mix presented to Gwynedd Veterinary Hospital's Emergency Service late one afternoon for difficulty delivering a puppy. Her owners had witnessed an accidental breeding approximately two months prior, and Spotty had passed one non-viable puppy at home the previous evening. Her regular veterinarian had performed an ultrasound that morning and had concerns for the viability of the remaining puppy. Spotty was referred to GVH for additional testing and possible surgery.
 
Despite her advanced age, Spotty was in good body condition with a visibly distended abdomen and mild vaginal discharge. Routine bloodwork demonstrated a mild anemia consistent with advanced pregnancy, and the other internal chemistries were normal. After discussion with the GVH doctors, her owners elected to have “Spotty” proceed to C-section as she had passed one puppy several hours earlier and was not having active contractions.

In surgery, the cause of the poor progression of Spotty's labor was obvious. She had one non-viable puppy in the birth canal, which was “stuck”. There was also one additional non-viable puppy with a separated placenta, and a last puppy that had a faint heart beat but did not have a separated placenta. Due to the non-healthy nature of Spotty's uterus and her owner's wish to avoid future accidental breeding, Spotty was spayed in a routine manner. Her one living puppy received acute care and CPR to support his heart and respirations.

Within 30 minutes of the surgery, the puppy had a good suckle reflex and was vibrant and moving around. Spotty recovered quickly from anesthesia and was discharged to her family with her new puppy the following morning. They both came back to GVH for re-check three days later. The puppy, now named “Figaro”, was gaining weight, eating well and Spotty was being a good mother.
 
If your female dog is pregnant, call your Veterinarian if:

  • Thirty to sixty minutes of strong contractions occur without a puppy being produced
  • Greater than four hours elapses between pups and you know there are more inside
  • She fails to go into labor of her temperature dropping
  • She is in obvious or extreme pain
  • Greater than seventy days of gestation have passed.
 
Border Collie - 24 hour emergency vet care Doylestown, PA / animal hospital Doylestown, PA / emergency vet clinic Doylestown, PA24 hour emergency vet care Doylestown, PA / animal hospital Doylestown, PA / emergency vet clinic Doylestown, PA
 

Mushroom Toxicity

 
Golden Retriever Puppy - 24 hour emergency vet care Doylestown, PA / animal hospital Doylestown, PA / emergency vet clinic Doylestown, PA
 
"Buddy”, a 3 month old Golden Retriever puppy presented to Gwynedd Veterinary Hospital's Emergency Service with neurological signs. Buddy was acting normally about four hours earlier, running around and playing in his back yard. His owners crated him and left, arriving home again after about 3.5 hours. The owners were initially unaware of any toxins, medications or chemicals to which Buddy could have been exposed.

Buddy's owners came home and found him standing with his head pushed into the corner of his crate. He was barely able to walk, stumbling, and having profuse diarrhea. They took Buddy to his regular veterinarian who noted on exam that Buddy was recumbent and unable to stand, profusely drooling and having difficulty breathing. The veterinarian started intravenous fluids and antibiotics, took x-rays, did bloodwork and referred Buddy to GVH for continued care. The bloodwork results were considered normal, including Buddy's kidney and liver functions. The x-rays revealed a stomach full of material and gas in the colon.
 
 
When admitted to GVH, Buddy was still unable to stand and non-responsive. IV fluids were continued and Buddy received oxygen during triage. Due to the acute nature of the problem and the full stomach on his x-ray, the doctors at GVH performed gastric lavage – commonly know as “pumping the stomach”. Buddy was placed under anesthesia and an endotracheal tube was put into his airway to provide oxygen and protect his lungs. Another tube was placed into his stomach, and dog food and lots of mushroom pieces were removed. Buddy was also given toxiban – a charcoal mixture, to help absorb any residual toxins.

Buddy recovered well from his procedure. He received IV fluids and antibiotics for the night and gradually started to behave more appropriately as the night progressed. He was standing, walking and interested in food by 4 a.m., eight hours after he first arrived at GVH and twelve hours after ingesting the mushrooms. Buddy's owners found mushrooms growing in the wood pile in their yard and believe that's where Buddy discovered them.
 
Golden Retriever Puppy - 24 hour emergency vet care Doylestown, PA / animal hospital Doylestown, PA / emergency vet clinic Doylestown, PA
 
Mushrooms

Certain species of mushrooms are considered to be relatively non-toxic, while other species can be very toxic. Of the toxic species, some can potentially cause liver or kidney damage, while others may produce severe gastrointestinal or even neurological effects. Toxic mushrooms can often be found growing right alongside non-toxic ones. Because of this, identifying each type of mushroom existing on your property can be very difficult. The ASPCA Animal Poison Control Center advises keeping all wild mushrooms out of the reach of pets, and recommends that all wild mushroom ingestion be treated very seriously. If accidental exposure to wild mushrooms occurs, seek immediate veterinary assistance by contacting your veterinarian or the ASPCA Animal Poison Control Center.