EQ MSK Emergencies & Conditions of FL/HL Flashcards
treatment for septic arthritis
synovial irrigation - lavage
regional abx
treatment of cellulitis
systemic abx (enrofloxacin)
treatment for myositis
systemic abx (anaerobic coverage)
anti-inflam/pain management
surgical fenestration & debride
fetlock drops
SDFT
fetlock drops
toe flips up
SDFT
DDFT
fetlock + everything distal collapses
SDFT, DDFT, suspensory ligament
treatment for flexor tendonopathies
casting 6-8 weeks
shoe support (elevate heels or caudal extension)
difference between foals and adult septic arthritis/tenosynovitis
foals - hematogenous (FPT or patent urachus), multiple joints, FEBRILE
adults - traumatic or iatrogenic, single joint, not febrile
diagnostics for septic arthritis
arthrocentesis (cytology)
culture & Se
radiographs
US
POC analyzers (SAA or lactate)
septic synovial fluid characteristics
color?
turbidity?
viscosity?
total protein?
NCC?
WBC?
yellow-orange
turbid, opaque
low viscosity
> 4 g/dL TP
> 30,000 NCC
>90% neutrophils
3 common sites for cast sores
proximal dorsal MC/MT3
palmar/plantar fetlock
heel bulbs
what are you monitoring casts for? how often?
2x / day
heat, drainage, lameness, flys, unwilling to stand
when do change casts in adults? foals?
adults 3-4 weeks
foals 1-2 weeks
P1, P2, or distal MC/MT3 fracture
forelimb: dorsal kimzey splint
hindlimb: plantar splint
MC3/MT3, carpal fx, tarsal fx, distal radius fx
lateral and caudal/plantar splint