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Lectures 1-3 Case Examples
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8 mo MN Lab that O dropped box on left front foot --> immediately non-weight bearing lame?
Lateral 5, 4, 3 metacarpal bones are fractured
Say you have a 4yo MC Golden, jumped off a 15-foot sea wall, acutely lame left front leg, left carpus is painful on flexion/extension, and has hyperextensions of L carpus (like walking flat on carpus) what is likely condition?
Carpal hyperextension
Say you have a 3 mo MI Great Dane, recent rescued, no known hx, and progressive forelimb lameness. What's going on?
Carpal hyperflexion
= carpal laxity syndrome
Say you have a 7mo MN Irish Wolfhound who has progressive outward angular changes in front legs. They were treated initially with bandages but no improvement. How do we describe the appearance of the carpi?
carpus valgus
"Luger": You have a 6mo MI German Shepard with 2wks hx of L forelimb lameness, no known trauma, stiff & sore when gets up, and after activity elbow is mildly painful on manipulation. What's wrong?
Ununited anconeal process (UAP) is a growth plate
"Heidi": Say you have an 11mo FS Labrador Retriever that has progressive R forelimb lameness for 3 months, stiffness after rest, is sore with activity, and has no known trauma. What could be wrong?
Fragmented medial coronoid process
What are humeral condylar growth plate abnormalities?
Incomplete ossification of the humeral condyle - IOHC (disease shown below in CT's)
Spaniels, Pointers, Rottweilers - condyle fails to fuse, and the lateral and medial sides are separated by a fibrous band (see black arrow in image)
creates weak point on humerus which is major weight bearing bone... in normal dog, separation should not be present.
"Angel": Say you have an 8yo FS Labrador with acute onset R forelimb lameness following landing wrong after playing ball and is very painful on manipulation of R elbow with abnormal range of motion. What might be wrong?
Elbow dislocation!
"Bubba": Say you have a 2yo MN Siamese that got out of the house, came home non weight bearing on forelimb, he can feel his foot but it's not a fracture. What might be wrong?
Brachial plexus avulsion
"Roger": Say you have an 8mo Great Dane with progressive L forelimb lameness, is stiff after rest, sore with activity, has no known trauma, and is painful on extension of L shoulder. What might be wrong?
Osteochondritis dissecans
"Hunter": Say you have a 6yo MN Brittany Spaniel with LF lameness first noted 4-6 weeks ago after hunting, is able to use leg but is not bearing full weight, and swings led around (circumducts) when stepping. What might be the problem?
Infraspinatus contracture
"Buckley": Say you have a 7yo MN Labrador retriever with progressive lameness over 6-8wks that worsens with activity. No improvement with NSAIDs and no know trauma. What might be wrong?
Has biceps tenosynovitis
"Brewster": Say you have a 5yo M German shorthair pointer that is acutely lame after catching foot in a hole while hunting. He is also painful with instability on manipulation of the shoulder. What's wrong?
P has glenohumeral luxation
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