Line 12: |
Line 12: |
| |q1= Describe the investigation which has been undertaken to produce the picture illustrated in the radiograph. | | |q1= Describe the investigation which has been undertaken to produce the picture illustrated in the radiograph. |
| |a1= This is a contrast radiograph. A catheter, introduced into the puncture wound near the heel, has been advanced as far as possible, and a contrast agent injected. This has filled the digital sheath. | | |a1= This is a contrast radiograph. A catheter, introduced into the puncture wound near the heel, has been advanced as far as possible, and a contrast agent injected. This has filled the digital sheath. |
− | |l1= | + | |l1=Contrast Radiography |
| |q2=What is the likely explanation for the deterioration in the horse’s condition? | | |q2=What is the likely explanation for the deterioration in the horse’s condition? |
| |a2=The nail has penetrated and contaminated the digital sheath. The severe lameness was associated with an infective tenosynovitis. | | |a2=The nail has penetrated and contaminated the digital sheath. The severe lameness was associated with an infective tenosynovitis. |
− | |l2= | + | |l2=Tenosynovitis |
| |q3=How could you confirm this? | | |q3=How could you confirm this? |
| |a3= | | |a3= |
| Synoviocentesis: <br> | | Synoviocentesis: <br> |
| The gross appearance might suggest infection. Failing that, and in addition, the sample should be submitted for a total nucleated cell count, measurement of total protein concentration and bacterial culture. | | The gross appearance might suggest infection. Failing that, and in addition, the sample should be submitted for a total nucleated cell count, measurement of total protein concentration and bacterial culture. |
− | |l3= | + | |l3=Tenosynovitis |
| |q4=What treatment would you recommend? | | |q4=What treatment would you recommend? |
| |a4= | | |a4= |
− | *Lavage of the digital sheath with several litres of sterile, balanced electrolyte solution. *Systemic broad-spectrum antibiotic therapy, until this can be modified according to the antibacterial sensitivity of any organisms cultured. | + | *Lavage of the digital sheath with several litres of sterile, balanced electrolyte solution. |
| + | *Systemic broad-spectrum antibiotic therapy, until this can be modified according to the antibacterial sensitivity of any organisms cultured. |
| *Non-steroidal anti-inflammatory drug therapy. | | *Non-steroidal anti-inflammatory drug therapy. |
| *Intrasynovial antibiosis might also be used. <br> | | *Intrasynovial antibiosis might also be used. <br> |
| This case rapidly improved after flushing, and returned to soundness. | | This case rapidly improved after flushing, and returned to soundness. |
− | |l4= | + | |l4=Tenosynovitis |
| </FlashCard> | | </FlashCard> |
| | | |