Line 19: |
Line 19: |
| * Radiographs or Ultrasounds | | * Radiographs or Ultrasounds |
| * Scintigraphy | | * Scintigraphy |
| + | </font> |
| + | |
| | | |
| | | |
| ==Clinical Examination Results== | | ==Clinical Examination Results== |
| + | '''A link could be put in here to show you have to perform a clinical exam on a horse''' |
| + | |
| + | * Forelimb palpation: |
| + | ** Right Forlimb: |
| + | *** heat and swelling at proximal metacarpal region |
| + | *** mild pain elicited on suspensory ligament palpation |
| + | *** mild thickening of lateral branch of SL (no pain) |
| + | |
| + | * Hoof testers: negative |
| + | |
| + | ==Gait Analysis== |
| + | '''A link could be put in here to show you have to perform gait analysis on a horse''' |
| + | |
| + | * Trot straight line: 2/10 Right Forelimb lame |
| + | |
| + | * Soft lunge: |
| + | ** right rein: 3/10 Right Forelimb lame |
| + | ** left rein: 2/10 Right Forelimb lame |
| + | |
| + | * Hard lunge: |
| + | ** right rein: 2/10 RF lame |
| + | ** left rein: no lameness |
| + | |
| + | * Proximal forelimb flexion, right and left: negative |
| + | |
| + | * Distal forelimb flexion, right and left: negative |
| + | |
| + | ==What is your Problem List and Differential List?== |
| + | |
| + | ===Problem List=== |
| + | <font color="white"> |
| + | * Pain on palpation |
| + | * Swelling |
| + | * Lameness |
| + | * Thickening of Suspensory Ligament |
| + | </font> |
| + | |
| + | ===Differential List=== |
| + | <font color="white"> |
| + | * ????????? |
| + | * ???????? |
| + | </font> |
| + | |
| + | ===What is your revised action plan?=== |
| + | <font color="white"> |
| + | * Diagnostic Analgesia |
| + | * Radiographs and Ultrasound |
| + | * Scintigraphy |
| + | </font> |
| + | |
| + | |
| + | ==Diagnostic Imaging Results== |
| + | |
| + | ===Ultrasonography=== |
| + | '''Could put in the video of the ultrasound in here and also a link on how to perform an ultrasound''' |
| + | |
| + | Q: What do you think is going? |
| + | |
| + | A: <font color="white"> There is a focal hypoechoic area on the dorsal border of the suspensory ligament at its proximal insertion </font> |
| + | |
| + | ===Radiographs=== |
| + | '''Put in the actual radiographs and a link on how these radiographs where taken''' |
| + | |
| + | Q; How would you interpret these radiographs? |
| + | |
| + | A: <font color="white"> Small radiolucent area with new bone formation on palmar mid aspect of the MC3 of RF. This has questionable significance. </font> |
| + | |
| + | ===Scintigraphy=== |
| + | '''Put in the scintigraphy images and a link''' |
| + | |
| + | Q: How would you interpret these results? |
| + | |
| + | A: <font color="white"> Mild IRU w/in proximal aspect of left MC2. Mild IRU w/in middle aspect of R MC2 - unlikely to be of clinical significance </font> |
| + | |
| + | What is your diagnosis? |
| + | <font color="white"> |
| + | * '''proximal suspensory ligament desmitis of right forelimb''' |
| + | </font> |
| + | |
| + | ==Treatment== |
| + | '''Insert a link to different treatments''' |
| + | |
| + | What do you feel should be done to treat this case? |
| + | |
| + | This is what actually was done: |
| + | * <font color="white"> Box rest – 2 weeks 15 mins in hand walking BID |
| + | - 2 weeks 30 mins in hand walking BID |
| + | - 2 weeks 40 mins in hand walking BID |
| + | </font> |
| + | |
| + | |
| + | [[Category:Lost]] |