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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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Case Study: Primary and Compensatory Lameness

Case Study: Primary and Compensatory Lameness

By Clara McShannon Clara McShannon, MRCVS, ECP | Updated on | Blocking, C McShannon, Case Study, Certified Practitioner, Compensatory Lameness, Primary

Signalment: An 8-year-old Welsh-X Gelding mainly used for hunting and fun-rides History: The patient was presented for veterinary evaluation of a LH lameness after a 2-4 week history of progressive lameness. At this point the patient was managed with uncontrolled field turnout. Prior Veterinary/Non-Veterinary Evaluation History Previous examinations were performed by the farrier and two chiropractors/massage therapists. The farrier examination was unremarkable. The two other examinations described the issue to be related to back pain and the pelvis being “out”. This was reportedly corrected, and rest was advised for the residual back pain. Veterinary evaluation revealed a severe...

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

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

By Maarten Oosterlinck Maarten Oosterlinck, DVM, PhD, Dipl. ECVSMR, Dipl. ECVS, ECP, Ghent University | Updated on | Blocking, Case Study, Certified Practitioner, M Oosterlinck, Multiple Limb Lameness

SIGNALMENT: A 6-year-old Warmblood mare intended for use in competitive jumping.  HISTORY: The horse was acquired two years ago and has shown great promise for competitive jumping.  Starting 6 months prior to presentation, however, the rider has been experiencing progressive difficulties getting the horse “on the bit”. Moreover, he reported shortened hind limb strides and lack of hind limb propulsion, both during ridden exercise and lunging. Most recently the horse started jumping at an angle. Resting for several weeks did not change these clinical signs. The owner and rider initially presumed that back problems or poor saddle fit were causing...

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Case Study: Blocking - Is it really better?

Case Study: Blocking - Is it really better?

By Kevin Keegan Kevin G. Keegan, DVM, MS, DACVS | Updated on | Blocking, Case Study, KG Keegan

This case illustrates how using subjective evaluation of diagnostic analgesia alone would have led to prematurely stopping and missing the correct diagnosis Signalment and presenting complaint: Hunter /Jumper with mild but easily seen LH lameness, recent onset of LH fetlock effusion. PE: Severe effusion LH fetlock. Painful to passive flexion of LH fetlock.         Baseline straight evaluation. LH push off lameness noted and repeatable on more than one trial.         Following initial complete evaluation, the LH fetlock was the suspected to be the source of lameness. An intra-articular block of the fetlock was performed....

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Case Study: Dealing with Diagnostic Blocking Conundrums

Case Study: Primary and Compensatory Lameness

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

Case Study: Blocking - Is it really better?