Musculoskeletal 2 Flashcards
What are common issues with the rear limbs, that dont involve the feet?
Luxation Physicists/osteomyelitis Fractures Nerve paralysis Patella fixation Cruitate liagment
Common locations of luxations?
Hip Stifle Shoulder Proximal interphalangeal joint (P1-P2) Sacroiliac
A 7 year old Simmental Bull presents for severe “toe touching” with grade 4/5 lameness.
What is the first thing you should do with this bull?
Find purpose of bull — history
PE / palatine
- rectal (lumbrosacral)
- limb palpation
A 7 year old Simmental Bull presents for severe “toe touching” with grade 4/5 lameness.
You do rads and find a smooth honey proliferation of the lateral coffin joint.
How do you treat?
Block on medial claw
Whirlpool boot
Lavage
Surgical ankylosis
Amputation
How can you manage pain in a cow with foot pain?
Flunixin meglumine
Meloxicam
Gabapentin
Salicylic acid
A 2yr old female Hereford presents as a 4.5/5 lame on the rear left limb. The has a history of foot rot in the herd. The cow was bred 4 months ago
The distal limb is swollen and there is a draining tract from the medial claw.
What is your top ddx?
Extreme foot rot (interdigital phlegmon)
A 2yr old female Hereford presents as a 4.5/5 lame on the rear left limb. The has a history of foot rot in the herd. The cow was bred 4 months ago
The distal limb is swollen and there is a draining tract from the medial claw.
You take rads and find a subluxation of the medial distal interphalangeal joint
What treatment would you recommend?
Amputation
Young calf comes in with swelling at the level of the carpus bilaterally.
What is your top ddx?
Physitis
Treatment for physitis?
Tetracycline
Chlorfenicol
Decrease feed (lower carbohydrates)
A cow presents for a rear limb lameness and following physical exam, you believe the cow has a lymphoma impinging on the spinal cord.
How can you improve your confidence in diagnosis prior to necropsy?
BLV test
If neg then there will not be lymphoma
What type of splint can you put on a cow for tibial fractures?
Thomas -Schroeder splint (walker splint)
How many layers should your cast have if your cow is <150kg?
6-8layers
How many layers should be in a cast if the cow is 150-300kgs?
10-12 layers
What type of coaptation would you supply for a distal physis fracture of the radius/ulna?
Full limb
What the of coaptation would you provide for a proximally fracture of the radius/ulna?
Transfixation
Bone plate