Difference between revisions of "Case Report Experiment"

Revision as of 14:41, 6 November 2008

Harvey Saunders

Harvey Saunders

13 year old, Anglo-Arab Gelding, weighing 559kg.
He presented with an intermittent right forelimb lameness of 2 -3 month duration.

There are 6 things that could be done to achieve a full work up.... (highlight to reveal answers)

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)

A link could be put in here to show you have to perform gait analysis on a horse

Soft lunge:
- right rein: 3/10 Right Forelimb lame
- left rein: 2/10 Right Forelimb lame

@@ Line 73: / Line 73: @@
 * 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]]