Difference between revisions of "Case Report Experiment"
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==Gait Analysis== | ==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 | * Trot straight line: 2/10 Right Forelimb lame | ||
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* Distal forelimb flexion, right and left: negative | * Distal forelimb flexion, right and left: negative | ||
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==What is your Problem List and Differential List?== | ==What is your Problem List and Differential List?== | ||
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* Scintigraphy | * Scintigraphy | ||
</font> | </font> | ||
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| + | |||
| + | ==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]] | ||
Latest revision as of 22:19, 24 May 2011
Harvey Saunders
Signalment and Initial Complaint
- 13 year old, Anglo-Arab Gelding, weighing 559kg.
- He presented with an intermittent right forelimb lameness of 2 -3 month duration.
What would your work up now consist of?
There are 6 things that could be done to achieve a full work up.... (highlight to reveal answers)
- Further history
- Physical Examination
- Gait Analysis
- Diagnostic Analgesia
- Radiographs or Ultrasounds
- Scintigraphy
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)
- Right Forlimb:
- 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
- Pain on palpation
- Swelling
- Lameness
- Thickening of Suspensory Ligament
Differential List
- ?????????
- ????????
What is your revised action plan?
- Diagnostic Analgesia
- Radiographs and Ultrasound
- Scintigraphy
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: There is a focal hypoechoic area on the dorsal border of the suspensory ligament at its proximal insertion
Radiographs
Put in the actual radiographs and a link on how these radiographs where taken
Q; How would you interpret these radiographs?
A: Small radiolucent area with new bone formation on palmar mid aspect of the MC3 of RF. This has questionable significance.
Scintigraphy
Put in the scintigraphy images and a link
Q: How would you interpret these results?
A: Mild IRU w/in proximal aspect of left MC2. Mild IRU w/in middle aspect of R MC2 - unlikely to be of clinical significance
What is your diagnosis?
- proximal suspensory ligament desmitis of right forelimb
Treatment
Insert a link to different treatments
What do you feel should be done to treat this case?
This is what actually was done:
- 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