Difference between revisions of "Case Report Experiment"

Revision as of 14:37, 6 November 2008

Harvey Saunders

Signalment and Initial Complaint

Harvey Saunders

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

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

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

@@ Line 24: / Line 24: @@
 ==Clinical Examination Results==
-'''A link could be put in here to show you have to perform a clinical exam on a horse'''
 * Forelimb palpation:
@@ Line 35: / Line 34: @@
 ==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
@@ Line 50: / Line 48: @@
 * Distal forelimb flexion, right and left: negative
 ==What is your Problem List and Differential List?==
@@ Line 73: / Line 72: @@
 * 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]]

Difference between revisions of "Case Report Experiment"

Revision as of 14:37, 6 November 2008

Contents

Signalment and Initial Complaint

What would your work up now consist of?

Clinical Examination Results

Gait Analysis

What is your Problem List and Differential List?

Problem List

Differential List

What is your revised action plan?

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