CPE Equine Station 3 Lameness

CPE Equine Station 3 Lameness

1. 1.-History 5%

   • Signalment, including breed
   • Presenting complaint
   • Duration of presenting complaint
   • Previous treatment(s); response to those treatments
   • Intended use of affected animal

2. 2.- Characterization of Lameness Based on Walk/Trot 5%

   • Signs of Lameness in Horses http://www.youtube.com/watch?v=c9Mn9RP39lE
   • Parts of stride
     • Landing
     • Length
     • Sound
     • Symmetry
     • Normal
     • Abnormal
   • Head or hip position in relation to stride
     • Hind limb
     • Fore Limb
   • Reasons for diagnosing the lameness in a specific limb

3. 3.-Lameness Examination 65%

   • Equine Techniques: Diagnosing Lameness in the Horse http://www.youtube.com/watch?v=srdTgPc91nQ Lameness Exam Part 1 http://www.youtube.com/watch?v=zH4YySG1D_w&list=PLSS-sRPp2WZ478wYekQYPdIfwLtmFdZRn Lameness Exam Part 2 http://www.youtube.com/watch?v=n4B8yNJUn-U&list=PLSS-sRPp2WZ478wYekQYPdIfwLtmFdZRn
   • Characterization of digital pulses
   • Foot
     • Picking up
       • The Safe and Smart Way to Pick Up Your Horse's Back Feet http://www.youtube.com/watch?v=vW1PvMRo2PU The Safe and Smart Way to Pick Up Your Horse's Front Feet http://www.youtube.com/watch?v=CoBrmRoJ2BE&list=PLfYc1fRT-ZniZBwklix42SFrjmeIVhBHF
       • Examining
         • Anatomy of the Horse's Hoof http://www.youtube.com/watch?v=s2NkJY5vZqU Anatomy of the Horse's Hoof, part 2 http://www.youtube.com/watch?v=1pigvgNB0kI
       • Applying hoof testers
         • Equine Techniques: Hoof Testing http://www.youtube.com/watch?v=T7zZxEVRKpY
   • Palpation of the limb
     • identification of
       • swellings
       • Heat
       • Pain
   • Manipulation of joints
   • Flexion test or justification for not performing any
   • Describing how to do nerve blocks
     • Palmar/Plantar
       • Palmar Digital Block.mov http://www.youtube.com/watch?v=GiZu9fVLKQw&list=PLSS-sRPp2WZ478wYekQYPdIfwLtmFdZRn&index=53
     • Abaxial Sesmoid
     • Low and High volar
     • Identification of landmarks , how to prepare the site, injection technique, appropriate drugs, and area desensitized by each nerve block
   • Requesting appropriate nerve/joint blocks, or justification for not requesting
   • Requesting imaging studies, or justification for not requesting
   • Identification of correct affected anatomical region
   • Communicating prognosis for return to use.
     • short
     • long-term

4. Palpation 15%

   • Lower Limbs
     • Bones
       • The Horse's Skeleton: Forelimbs http://www.youtube.com/watch?v=CnbvCwlIOTI
       • Cannon bone (MC III) Splint bones ( MC II / IV) Accessory carpal bone
     • Joins
       • http://www.equioxx.com/SiteCollectionImages/joint-tool-swfs/HorseDemo_v6.swf
       • Fetlock joint pouches (metacarpal-phalangeal joint)
     • Ligaments / Tendons
       • Suspensory ligament Superficial digital flexor/deep digital flexor tendon
     • sulcus of the frog
   • Hips
     • Coxofemoraljoint n. Greater trochanter Tuber ischii q. Tuber sacrale r. Tuber coxae
   • Hind Limbs
     • Patella l. Medial patellar ligament
     • Semitendinosus and semimembranosus muscles
     • Calcaneus, Carpus
   • Front Limbs
     • Point of shoulder
     • Scapulohumeral joint
     • Olecranon, Tarsus