Case Report Experiment

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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.


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)
  • 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