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Here is a sample question, please visit http://www.ukvet.co.uk for more details.

This case study aims to take the reader through a lameness work up in a step-by-step manner and justify the clinical decisions made at each stage.

Case history

  1. Top of page
  2. Case history
  3. Videos of the patient are shown online
  4. QUESTION

A 14-year-old gelding used for general purpose riding was presented for further investigation of right hindlimb lameness, which had not responded to a course of non-steroidal analgesia and three months of box rest. He had also been undergoing treatment for mud fever of both hindlimbs.

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Fig. 1.   

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Fig. 2.   

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Fig. 3.   

Videos of the patient are shown online

  1. Top of page
  2. Case history
  3. Videos of the patient are shown online
  4. QUESTION

The main findings on dynamic evaluation were:

  • a. 
    Hyper -flexion of the right hind at walk and moderate bilateral hindlimb lameness on a straight line at trot
  • b. 
    Hyperextension of the right hindlimb, moderate right hindlimb lameness at trot in a straight line at trot
  • c. 
    No detectable compromise at the walk other than hyperflexion
  • d. 
    Sound at the walk, mild left hindlimb lameness at the trot

QUESTION

  1. Top of page
  2. Case history
  3. Videos of the patient are shown online
  4. QUESTION

1. The main abnormalities identified on clinical examination were:

  • a. Pelvic asymmetry with associated gluteal muscle atrophy
  • b. Upright hindlimb conformation with increased angles at hock and stifle
  • c. Muscle atrophy over the right hindquarters and hyperflexion of the right metatarsophalangeal (MTP) joint
  • d. Muscle atrophy of the right hindquarters with hyperextension of the right metatarsophalangeal joint.

This Case Study is continued online – visit http://www.ukvet.co.uk to complete this online Case Study. If you are a subscriber you will be able to access this and many more online-only Case Studies as part of your Continuing Professional Development. Visit http://www.ukvet.co.uk, log in and answer the multiple choice questions which lead you through the Case Study. Your answers will then be submitted and marked instantly to achieve a Certificate of Completion which can be printed off and kept as part of your CPD portfolio.