Finals Review Flashcards
Which Perineural nerve block for the equine limb MUST be aseptic?
low 4-point block because might hit tendon sheath
the low 4-point block blocks ______ and _____ nerve; which one is blocked by the more proximal injection?
blocks Lateral and Medial Palmar nerves and Lateral and Medial palmar metacarpal nerves
the Palmar nerves are blocked by the more proximal injection (which is proximal to the proximal sesamoid bone to avoid the flexor manica/tendon sheath
which nerve block blocks the origin of the suspensory ligament?
lateral palmar
surgical treatment option for upward fixation of the patella
medial patellar PARTIAL desmotomy BUT doing hill work to strengthen quads should be tried first with NSAIDs
surrounds tendons that are NOT in a sheath
paratenon
surrounds fascicule and fibril in tendons
endotenon
surrounds tendons that are in a tendon sheath
epitenon
When splinting hindlimb flexor tendon lacerations, what must you remember?
Plant splint WITH FULL LIMB CAST (because of reciprocal apparatus)
Gold standard treatment for flexure tendon lacerations?
Surgery: debride +- tenorrhapy (only if >50% torn)
GS treatment for severe tendon laceration repair
Locking loop suture
Less exposed suture = less adhesion
What to do to minimize the risk of joint infection post arthrodesis?
Inject 125 mg amikacin
Femoropatellar joint communicates with _____ 60-65% of time
Medial femorotibial joint
Rule of thumb for regional limb perfusion if antibiotics
Do NOT exceed daily systemic dose. Rule of thumb- give 1/3 systemic dose
Penicillin is ____ dependent
Time dependent -> CRI
Aminoglycosides/gentamicin is _____ dependent
Concentration dependent -> bolus
How much fluid to use when lavaging septic joints?
5-10 L
Most important component of tendinitis treatment
Rehab!!
Also rest
Tendinitis surgical repair options
- suturing if percutaneous injury
- superior check ligament desmotomy
- annular ligament desmotomy if excessive edema
What to remember for first aid stabilization after hindlimb tendon laceration
Plantar cast with FULL limb cast
Where is there an increased chance of full thickness hoof wall cracks in equine?
Quarters because hoof wall thinner there
Which has better success rate: surgical or conservative treatment of keratoma
Surgical
GS diagnosis of ketatoma
CT or MRI
Thomas schroeder splint is used for…
Stabilization of radius and tibia
Enteroliths are most commonly seen where?
Transverse colon
