Examination of the Lame Horse

Question 1

Describe how you should use hoof testers

Answer 1

Use systematically serially around the circumference then from and inside/outside heels and across both heels.

Question 2

List 6 things you can look for during a gait evaluation to help you identify lameness

Answer 2

Head nod
Hip hike
Change in the phase of stride length
Flight arc
Flight path
Foot placement

Question 3

List four ways that you can exacerbate lameness during an examination

Answer 3

Tight turns
Backing up (reversing)
Lunging on both reins, soft +/- hard surface
Provocation test (flexion tests, local pressure response tests)

Question 4

List four local anaesthetics that you could use for nerve/joint blocking in the horse

Answer 4

Mepivacaine
Prilocaine
Lidocaine
Bupivicaine

Question 5

List three things that synviocentesis can be used for the diagnosis of

Answer 5

Septic arthritis
Septic tenosynovitis
Septic bursitis

Question 6

What is the normal gross appearance of synovial fluid?

Answer 6

Pale yellow
Clear
Translucent

Question 7

What is the total and differential cell count andtotal protein of normal synovial fluid?

Answer 7

Total and differential cell count <1x10^9 cells/l
Total protein <20g/l

Question 8

Which substance is used for nuclear scintigraphy in the horse?

Answer 8

Technectium 99m