Laminitis

Question 1

Pathophysiology of laminitis

Answer 1

pathological deformation of the lamellar attachement apparatus

Question 2

theories for the cause of laminitis

Answer 2

enzymatic MPP activity
reperfusion injury
endotoxins
insulin
equine metabolic syndrome
cushings
pituitary enlargement

Question 3

diagnosis of laminits

Answer 3

both forelimb are affected
worse lameness on hard ground
digital pulse amplitude increases
LM baseline position of DP within hoof capsule seen on xray

Question 4

treatment for laminitis

Answer 4

treat primary disease
flunixin meglumine, phenylbutazone
cooling
cryotherapy

Question 5

what is chronic laminitis

Answer 5

displacement of distal phalanx within foot
progressive lamellar separation & inspiration of seroma results
radiolucent airline in LM xray

Question 6

deep digital tenotomy

Answer 6

decreases pressure pulling ddft and decreasing shearing stress on lamella

Question 7

laminitis management

Answer 7

removal of shoes or leave in place
monitoring
box rest
decrease weight

Question 8

goal of hoof care

Answer 8

to reduce stress and minimise displacement of distal phalanx and further rotation

Question 9

hoof care

Answer 9

elevate heel
foam to support frog
support palmar aspect of hoof