Warfarin poisoning!!

Cheh....

Yesterday were our ruminant rotation. We went to a goat farm. The farmer complained that a group of goat ate rat poison--warfarin...The story is like that, usually they will lock the goats in a slot..and whenever they see tikus, they will put some warfarin in the goat house. The night before, he left a plastic bag of warfarin in next door ( the slot next to the goat slot)...manatau, the next morning tengok, only few pellet left in the plastic bag..and all the goats were outside...wandering around the house....thus he called the vet. We were so excited because this is the first time we encounter this type of case.

So we were so busy taking history, doing physical examination, see the mucous membrane, the conjunctiva, the vulva...take temperature, heart rate, respiration..there were 9 of them and very jumpy..run here and there. It took us quite a long time to catch them and examine. We found that all the conjunctiva were pinkish..but all the gums were pale with a dark purple demarcation at the gum margin....huh...that make us suspect that could be due to poisoning...thus we reported to doctor...very excited...

Manatau, doc cakap, it's pigmentation..kan goat got pigment mah...at the gum area...so it's normal...aiya...Now only I know..Since it's all normal, doc said leave it lah...

Then we went to see a case of contagious ecthyma...and just before going back, I ask the farmer, how much of the warfarin that gone?? He said the whole plastic empty lah...wah...tha's a lot...So I ask him, got 1 kilo or not?? " eh, mana ada, ah moi...beberapa biji saja mah..." " what??? beberapa biji?? " " Yalah...agak agak 7, 8 biji besar macam ni..." Then he show me the thumb....Wah lau..say early mah....