Changes

|q2=What is the likely explanation for the deterioration in the horse’s condition?

|q2=What is the likely explanation for the deterioration in the horse’s condition?

|a2=The nail has penetrated and contaminated the digital sheath. The severe lameness was associated with an infective tenosynovitis.

|a2=The nail has penetrated and contaminated the digital sheath. The severe lameness was associated with an infective tenosynovitis.

|l2=

|l2=Tenosynovitis

|q3=How could you confirm this?

|q3=How could you confirm this?

|a3=  

|a3=  

|q4=What treatment would you recommend?

|q4=What treatment would you recommend?

|a4=  

|a4=  

*Lavage of the digital sheath with several litres of sterile, balanced electrolyte solution. *Systemic broad-spectrum antibiotic therapy, until this can be modified according to the antibacterial sensitivity of any organisms cultured.  

*Lavage of the digital sheath with several litres of sterile, balanced electrolyte solution.  

*Systemic broad-spectrum antibiotic therapy, until this can be modified according to the antibacterial sensitivity of any organisms cultured.  

*Non-steroidal anti-inflammatory drug therapy.  

*Non-steroidal anti-inflammatory drug therapy.  

*Intrasynovial antibiosis might also be used. <br>

*Intrasynovial antibiosis might also be used. <br>

This case rapidly improved after flushing, and returned to soundness.

This case rapidly improved after flushing, and returned to soundness.

|l4=

|l4=Bacteriology Sample Collection

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