Case Report Experiment

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.

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

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

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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.

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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?

Insert a link to different treatments

What do you feel should be done to treat this case?

This is what actually was done:

- 2 weeks 30 mins in hand walking BID - 2 weeks 40 mins in hand walking BID