31,596
edits
Changes
Jump to navigation
Jump to search
Equine Orthopaedics and Rheumatology Q&A 12 (view source)
Revision as of 11:08, 27 May 2011
, 11:08, 27 May 2011Created page with "{{Template:Manson May}} centre|500px<br> <br /> '''A horse was at pasture with other horses when it was found with a ..."
{{Template:Manson May}}
[[Image:Equine Orthopaedics and Rheumatology Q&A 12.jpg|centre|500px]]<br>
<br />
'''A horse was at pasture with other horses when it was found with a large soft tissue swelling, associated with a small skin wound, over the proximo-lateral aspect of the metacarpus, six weeks previously. A short course of potentiated sulphonamides was prescribed, but the wound failed to heal.'''
<br />
<FlashCard questions="3">
|q1=What is the most likely cause of the persistent discharge, and how would you confirm your diagnosis?
|a1=Infective (septic) osteomyelitis of the fourth metacarpal bone secondary to a contaminated, open fracture of this structure. <br><br>
At this stage, radiography would reveal irregular radiolucent areas surrounding the fracture associated with florid periosteal new bone formation. (A foreign body is a less likely possibility.)
|l1=
|q2=How would you treat this case?
|a2=
Surgical excision of the infected portion of bone in combination with a course of systemic antibiotics, ideally selected on the basis of the sensitivity of organisms cultured from the depths of the wound.
|l2=
|q3=With the benefit of hindsight, could the case have been managed more effectively?
|a3= Yes. Radiographic examination of the region at the time of injury would have revealed damage to the fourth metacarpal bone and the risk of infective osteomyelitis could have been anticipated. <br><br>
Debridement and lavage of the wound with the horse standing, under sedation, and a course of systemic, broad-spectrum antibiotics may have prevented infection becoming established within the bone.
|l3=
</FlashCard>
{{#tag:imagemap|Image:Next Question.png{{!}}center{{!}}200px
rect 0 0 860 850 [[Equine Orthopaedics and Rheumatology Q&A 13|Next question]]
desc none}}
[[Category:Equine Orthopaedics and Rheumatology Q&A]]
[[Image:Equine Orthopaedics and Rheumatology Q&A 12.jpg|centre|500px]]<br>
<br />
'''A horse was at pasture with other horses when it was found with a large soft tissue swelling, associated with a small skin wound, over the proximo-lateral aspect of the metacarpus, six weeks previously. A short course of potentiated sulphonamides was prescribed, but the wound failed to heal.'''
<br />
<FlashCard questions="3">
|q1=What is the most likely cause of the persistent discharge, and how would you confirm your diagnosis?
|a1=Infective (septic) osteomyelitis of the fourth metacarpal bone secondary to a contaminated, open fracture of this structure. <br><br>
At this stage, radiography would reveal irregular radiolucent areas surrounding the fracture associated with florid periosteal new bone formation. (A foreign body is a less likely possibility.)
|l1=
|q2=How would you treat this case?
|a2=
Surgical excision of the infected portion of bone in combination with a course of systemic antibiotics, ideally selected on the basis of the sensitivity of organisms cultured from the depths of the wound.
|l2=
|q3=With the benefit of hindsight, could the case have been managed more effectively?
|a3= Yes. Radiographic examination of the region at the time of injury would have revealed damage to the fourth metacarpal bone and the risk of infective osteomyelitis could have been anticipated. <br><br>
Debridement and lavage of the wound with the horse standing, under sedation, and a course of systemic, broad-spectrum antibiotics may have prevented infection becoming established within the bone.
|l3=
</FlashCard>
{{#tag:imagemap|Image:Next Question.png{{!}}center{{!}}200px
rect 0 0 860 850 [[Equine Orthopaedics and Rheumatology Q&A 13|Next question]]
desc none}}
[[Category:Equine Orthopaedics and Rheumatology Q&A]]