EQ MSK Emergencies & Conditions of FL/HL

Question 1

treatment for septic arthritis

Answer 1

synovial irrigation - lavage
regional abx

Question 2

treatment of cellulitis

Answer 2

systemic abx (enrofloxacin)

Question 3

treatment for myositis

Answer 3

systemic abx (anaerobic coverage)
anti-inflam/pain management
surgical fenestration & debride

Question 4

fetlock drops

Answer 4

SDFT

Question 5

fetlock drops
toe flips up

Answer 5

SDFT
DDFT

Question 6

fetlock + everything distal collapses

Answer 6

SDFT, DDFT, suspensory ligament

Question 7

treatment for flexor tendonopathies

Answer 7

casting 6-8 weeks
shoe support (elevate heels or caudal extension)

Question 8

difference between foals and adult septic arthritis/tenosynovitis

Answer 8

foals - hematogenous (FPT or patent urachus), multiple joints, FEBRILE

adults - traumatic or iatrogenic, single joint, not febrile

Question 9

diagnostics for septic arthritis

Answer 9

arthrocentesis (cytology)
culture & Se
radiographs
US
POC analyzers (SAA or lactate)

Question 10

septic synovial fluid characteristics
color?
turbidity?
viscosity?
total protein?
NCC?
WBC?

Answer 10

yellow-orange
turbid, opaque
low viscosity
> 4 g/dL TP
> 30,000 NCC
>90% neutrophils

Question 11

3 common sites for cast sores

Answer 11

proximal dorsal MC/MT3
palmar/plantar fetlock
heel bulbs

Question 12

what are you monitoring casts for? how often?

Answer 12

2x / day
heat, drainage, lameness, flys, unwilling to stand

Question 13

when do change casts in adults? foals?

Answer 13

adults 3-4 weeks
foals 1-2 weeks

Question 14

P1, P2, or distal MC/MT3 fracture

Answer 14

forelimb: dorsal kimzey splint
hindlimb: plantar splint

Question 15

MC3/MT3, carpal fx, tarsal fx, distal radius fx

Answer 15

lateral and caudal/plantar splint

Question 16

radius or tibial fx

Answer 16

forelimb: lateral and caudal splint
hindlimb: lateral splint

Question 17

humeral, scapula or femoral fx

Answer 17

no coaptation
exception olecranon fx

Question 18

olecranon fracture

Answer 18

caudal splint

Question 19

what is ringbone?

Answer 19

osteoarthritis of the interphalangeal joints

Question 20

treatment for ringbone

Answer 20

medically challenged
arthrodesis

Question 21

which joints communicate in the carpus

Answer 21

middle carpal joint
carpometacarpal joint

Question 22

splint bone fractures, more common lateral or medial? proximal or distal?

Answer 22

lateral
distal

Question 23

diagnosis of splint bone fx

Answer 23

rads
US (check suspensory lig)

Question 24

treatment for splint bone fx

Answer 24

conservative (rest, bandage, anti-inflam)
surgical if lame, draining, not weight bearing or instability

Question 25

cause and clinical signs of olecranon fracture?

Answer 25

kick injury dropped elbow

Question 26

diagnosis and treatment for olecranon fracture?

Answer 26

radiographs stabilize with caudal splint internal fixation (tension band plating)

Question 27

ddx for olecranon fx

Answer 27

radial n paralysis humeral fx triceps myopathy

Question 28

a jumping, dressage and western performance horse can commonly have what type of injury

Answer 28

proximal suspensory injury

Question 29

which joints communicate in the tarsus

Answer 29

tarsocrural joint proximal intertarsal joint

Question 29

OCD lesions are most commonly where in the tarsus

Answer 29

DIRT lateral trochlear ridge of talus medial malleolus

Question 30

treatment for OCD lesions in the tarsus? prognosis?

Answer 30

arthroscopic debridement good

Question 31

what are the causes of distal tarsal joint osteoarthritis?

Answer 31

repetitive trauma poor conformation incomplete ossification of cuboidal bones

Question 32

which joints are involved in distal tarsal joint osteoarthritis?

Answer 32

distal intertarsal joint tarsometatarsal joint

Question 33

does distal tarsal joint osteoarthritis occur in mature or juveniles?

Answer 33

mature only

Question 34

most common location of OCD lesions in the stifle?

Answer 34

lateral trochlear ridge of femur

Question 35

treatment for OCD lesions in the stifle? prognosis?

Answer 35

arthroscopic debridement cartilage absorbable pin fixation good

Question 36

do horses with OCD lesions in the stifle have a high or low grade lameness?

Answer 36

low grade lameness