LA MS 4: Eq Ortho Exam

Question 1

Eq Ortho Exam

Answer 1

Hx, vitals 
Signalment 
Overall assessment 
Palp
Manipulation 
Dx

Question 2

EXAM: hoof testers?

Answer 2

Watch the horse go before and after use hoof testers

Question 3

EXAM: when jog a horse?

Answer 3

Jog in hand before and after flexing a limb

Question 4

Initial Ortho Exam

Answer 4

Triage!

• -distress: pain, blood loss
• -stability

Question 5

Hx

Answer 5

Signalment 
--age, sex, breed
--use prior to and during injury 
Lameness onset 
--swelling? Bleeding? 
--changes since onset?
--last time shod?
--Current exercise?
--Current housing?
Blood tests
--HYPP
--EPM
--Vax

Question 6

Overall Assessment

Answer 6

From a distance 
--how standing?
Compare left to right 
--how are shoes worn?
Conformation faults - note but keep in perspective 
Don't take eyes off horse!

Question 7

Hands On Ortho Exam

Answer 7

Be consistent!!!
Palp: jug, muscle, tendon, bone, jt 
Flex 
Hoof testers - be sure go all the way around the foot!
Walk, jog, lunge, flex 
Rider up

Question 8

Ortho Exam Dx

Answer 8

Lameness exam
Nerve blocks
Jt/sheath/bursa blocks
Synovial fluid analysis

Question 9

Ortho Exam Imaging

Answer 9

US
RADS (contrast)
Bone Scan
MRI 
CT

Question 10

Where should your handler stand?

Answer 10

Same side as you!

Question 11

Why care if the left jug fills?

Answer 11

Under it, RLN - close anatomic proximity. Make sure both veins distend before INJ

Question 12

Palpate distal limb

Answer 12

Deep to superficial: Suspensory, DDF, SDF

Question 13

Foot Exam

Answer 13

Always look at the foot
–note what type of shoe wearing!
–rims? Pads?
Eval health of frog and sulcus

Question 14

Flexions

Answer 14

Pull hard enough so that the horse resists - then hold

Should be hard!

Question 15

EXAM: how do you stand anytime eval back end of a horse?

Answer 15

Stand so that you’re facing the horse’s back end

Question 16

Stifle palp

Answer 16

Find crook in back of leg - go straight forward –> tibial crest –> go up –> patellar ligament

Find middle first because it’s the biggest

Much harder to feel collaterals in the horse

Question 17

Flexions

Answer 17

Let shoulders, back and core take any movement
Horse’s leg should be tucked under body
Can cause false soreness if flex wrong

Wear gloves if holding onto foot

Can have annular ligament injury behind - don’t hold tendon if suspicious

Question 18

Cruciate Tears

Answer 18

Don’t need to do anything to dx
Traumatic event
Joint trashed - start digging hole

Question 19

Other flexions

Answer 19

Don’t forget to check for necks! Should be able to bring nose to shoulder

Question 20

AAEP Lameness Scale 0

Answer 20

Lameness not perceptible

Question 21

AAEP Lameness Scale 1

Answer 21

Lameness difficult to observe

Question 22

Lameness exam in motion

Answer 22

Jog in hand 
--watch how turns, stops and starts 
--flexion tests, wedge tests 
--watch from front, back and sides 
Lunge 
U/S

Question 23

AAEP Lameness Scale 2

Answer 23

Lameness apparent under certain circumstances

–weight carrying, circling, inclines, hard surfaces

Question 24

AAEP Lameness Scale 3

Answer 24

Lameness consistently observable at the trot

Question 25

AAEP Lameness scale 4

Answer 25

Lameness obvious at walk

Question 26

Lameness scale 5

Answer 26

Minimal WB

Question 27

Dx Tests

Answer 27

Blocks - perineural, jt, bursa
RADS - contrast
Bone scan
MRI/CT