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There are 6 things that could be done to achieve a full work up.... (highlight to reveal answers)
There are 6 things that could be done to achieve a full work up.... (highlight to reveal answers)
<font color="white">
* Further history
* Further history
* Physical Examination
* Physical Examination
* Lameness Examination
* Gait Analysis
* Nerve and Joint Blocks
* Diagnostic Analgesia
* Radiographs or Ultrasounds
* Radiographs or Ultrasounds
* Scintigraphy
* Scintigraphy
</font>
==Clinical Examination Results==
'''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)
* Hoof testers: negative
==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
* 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>
==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]]