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Case Study: Multiple Issues, Multiple Solutions - Case management with 2 years of objective data

Case Study: Multiple Issues, Multiple Solutions - Case management with 2 years of objective data

By Rhodes Bell Equinosis Certified Pracitioner Rhodes Bell, DVM, MS, DACVS | Updated on | Diagnostic Blocks, Quarter Horse, R Bell

May 2018  Signalment 5-year-old Quarter Horse mare used for barrel racing.  Presenting Complaint Mare was noted to be off for the previous 3 weeks after initiating training for barrels.  Initial physical and moving exam findings:  Upon presentation the horse was bright, alert, and responsive. Her vital parameters were within normal clinical limits. Mild left femoropatellar joint and right forelimb fetlock joint effusion was palpable.  She was not sensitive to application of hoof testers to any foot. A RF lameness was observed and measured (Head VS 29.6 mm). A mild RH impact lameness was also measured (Diff Min Pelvis...

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Case Study: Why Measuring Lameness is Helpful Even in the “Obvious” Cases

Case Study: Why Measuring Lameness is Helpful Even in the “Obvious” Cases

By Laurie Tyrrell-Schroeder Laurie Tyrrell-Schroeder, DVM | Updated on | LT Schroeder, OES Members Only

I know a few veterinarians who reserve their use of The Q for only the difficult cases, thinking “I don’t need the system when the horse is 3/5”.   There are several reasons I encourage those who use it this way to reconsider this mindset. First, by using the system on every case, you will become a much more efficient and proficient user. Like any skill, being able to rapidly interpret and then assimilate the information received from the Q to the clinical picture requires practice.  Understanding and applying the information on the “easy” cases will make the complicated ones easier...

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Case Study: Avoiding a Common Pitfall in the Evaluation of Diagnostic Analgesia in a Mild Lameness Case

Case Study: Avoiding a Common Pitfall in the Evaluation of Diagnostic Analgesia in a Mild Lameness Case

By Kevin Keegan Kevin G. Keegan, DVM, MS, DACVS | Updated on | Diagnostic Blocks, KG Keegan, OES Members Only

Signalment and history A 17-year-old Quarter Horse gelding presented for evaluation of left hindlimb lameness of 8–10-week duration.  He was diagnosed with a keratoma in the left front foot one year ago which does not seem to bother him. Physical Examination The horse stood with the left hindlimb slightly externally rotated. There was sensitivity on palpation of the lateral condyle of the femur in the left hindlimb. No stifle effusion was noted. There was palpable evidence of bone spavin on the dorsal medial surface of the left hock, but the Churchill test was negative. Picking up the left...

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Case Study: Dealing with Diagnostic Blocking Conundrums

Case Study: Dealing with Diagnostic Blocking Conundrums

By Laurie Tyrrell-Schroeder Laurie Tyrrell-Schroeder, DVM | Updated on | Blocking, L Meehan, LT Schroeder

Case contributed by Lucy Meehan, BVSc, MSc, CertAVP(VDI), DipECVDI, MRCVS of Langford Vets University of Bristol This case illustrates two conundrums faced when working up a lameness – partial improvements from diagnostic analgesia (and the decision of when to stop) and when the lameness gets worse before it gets better.  Signalment 5-year-old WB gelding used for eventing.  History Recent LF lameness. Physical Exam and subjective lameness evaluation findings Mild wastage of the left suprascapular muscle.  Upright, boxy front feet (left>right).  2/10 left forelimb lameness on straight line.   3/10 LF lameness lunging to the right.  Baseline Objective Evaluation...

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All

Case Study: Multiple Issues, Multiple Solutions - Case management with 2 years of objective data

Case Study: Why Measuring Lameness is Helpful Even in the “Obvious” Cases

Case Study: Avoiding a Common Pitfall in the Evaluation of Diagnostic Analgesia in a Mild Lameness Case

Case Study: Dealing with Diagnostic Blocking Conundrums

Case Study: Primary and Compensatory Lameness

Case Study: Medial Meniscal Injury in a Saddlebred

Case Study: Multiple Limb Lameness That Could Be Undiagnosed with Subjective Evaluation

Case Study: Subtle, Quadrupedal Lameness Complicating Interpretation of Sequential Diagnostic Blocks.

Case Study: Sorting a Severe Multiple Limb Lameness - Is it Real or Compensatory?

Case Study: Tracking and Reacting to Subtle Changes in Lameness Over 18 Months.

Case Study: Evaluating A Multi-Limb, Multi-Focal Lameness Using the Equinosis® Q

Case Study: Monitoring Therapeutic Response of Stem Cell Therapy for Navicular Disease

Case Study: When Evaluators Disagree... Evaluating a Bilateral Hind Limb Lameness

Case Study: Separating Compensatory from True Multiple Limb Lameness

Case Study: A Pain in the Neck

Case Study: Sorting a Multiple Limb Lameness

Case Study: Evaluating Multiple Limb Lameness in the Horse – Identifying Secondary Lameness

Case Study: Blocking - Is it really better?

Case Study: Understanding Compensatory Lameness Patterns