Difference between revisions of "Case Report Experiment"
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| Line 33: | Line 33: | ||
* Hoof testers: negative | * Hoof testers: negative | ||
| − | ===What | + | ==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=== | ||
| + | <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> | ||
Revision as of 14:37, 6 November 2008
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
- 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
- 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