Difference between revisions of "Case Report Experiment"

From WikiVet English
Jump to navigation Jump to search
(New page: '''Harvey Saunders''' ==Signalment and Initial Complaint== right|thumb|200px|Harvey Saunders * 13 year old, Anglo-Arab Gelding, weighing 559kg. * He presented with ...)
(17 intermediate revisions by one other user not shown)
Line 7: Line 7:
 
* 13 year old, Anglo-Arab Gelding, weighing 559kg.
 
* 13 year old, Anglo-Arab Gelding, weighing 559kg.
 
* He presented with an intermittent right forelimb lameness of 2 -3 month duration.
 
* 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)
 
 
<font color="white">
 
* Further history
 
* Physical Examination
 
* Gait Analysis
 
* Diagnostic Analgesia
 
* Radiographs or Ultrasounds
 
* 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]]
 

Revision as of 14:14, 6 November 2008

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.