|
|
| (13 intermediate revisions by one other user not shown) |
| Line 19: |
Line 19: |
| | * Radiographs or Ultrasounds | | * Radiographs or Ultrasounds |
| | * Scintigraphy | | * Scintigraphy |
| − | </font> | + | <font color="black"> |
| − | | |
| − | | |
| | | | |
| | ==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]]
| |
