owner’s/agent info, signalment, medication/treatment history on herd health and individual
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signalment includes
breed, sex, age, color/markings, and repro status
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another part of signalment can include
intended use
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after getting chief complaint, what five things do you need to know?
duration, progression, severity, frequency, and response to previous medications
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what other things should you ask about for herd health history?
what the herd shares, what’s the water source, and hay quality
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when starting a physical you should start…?
by watching respiratory then starting at the head and ending at the tail
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if you see petechial on the mucous membranes, it could indicate what?
clotting disorder
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blue tint gums is called
cyanosis
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brick red coloration of gums indicates?
septic shock
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heart rate for an adult horse is
28-44 bpm
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most common cause of irregular heart rate in horses
second degree AV
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arterial pulses can be palpated where?
facial artery, transverse facial artery, and over proximal sesamoid bones
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adult horse respiratory rate
8-16 bpm
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normal motility sounds of horse abdomen are heard how often?
1-3 motility/bpm
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4 quadrants of abdomen to auscultate
upper left, upper right, lower left, lower right
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reasons to weigh horse
medication/dosage, dietary formula, discover weight loss due to disease
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reasons to measure height of horse
purchase purposes and breed registration
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what routes are commonly used for horses?
IV and IM
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where are the IM injections given on a horse?
neck, semitendinosus/semimembranosus, pectoral, and gluteal
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new additions to horse facility should have a negative what test?
coggins
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how long do you quarantine a new horse?
1 month
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only type of vaccine that can be used in pregnant animals
killed
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vaccine schedules are based on
age, anticipated exposure, and duration of immunity
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initial time between vaccines
4 weeks
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core vaccines
tetanus, rabies, eastern/western equine encephalitis, and west nile
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* persistent viral disease * causes anemia, fever, and weight loss * infected horses are lifetime carriers * quarantined for life * coggins test should be negative for 6-12 months if traveling
equine infectious anemia
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* lockjaw * caused by Clostridium tetani * toxoid - given yearly * antitoxin - give to unvaccinated and will last 2 weeks * give antitoxin first and then toxoid two weeks later
tetanus
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* viral neurological disease * found in nature by birds and animal reservoir * transmitted by biting insects * give vaccine before biting season
EEE/WEE
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* viral, neurological disease * only one dose
rabies
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* caused by flavivirus that infects birds and mosquitoes * give vaccine annually before biting season * give semiannually if you have a mild winter
west nile
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heavy parasite burdens (especially roundworms) can cause
colic
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good deworming program should target
ascarids, small/large strongyles, tapeworms, and bots
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how often do we deworm?
every 8-12 weeks
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what anthelmintics target bots?
moxidectin and ivermectin
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which anthelmintic targets tapeworms?
praziquantel
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what anthelmintics target small strongyles?
moxidectin and fenbendazole
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continuous growth or eruption
hypsodont
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sharp points on upper cheek teeth
hooks
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sharp points on lower cheek teeth
rampsw
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wolf teeth are removed at what age?
12-18 months
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how often do we do dental exams on mature horses?
yearly
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how often do we do dental exams on young horses until permanent teeth come in?
twice yearly
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how much do horses’ hooves grow per month?
one-quarter of an inch
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how often do we trim hooves?
6-8 weeks
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we clean hooves to prevent this
thrush
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what do we use to treat thrush?
copper or iodine-based solution
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main foods needed
quality grass/legume hay, free-choice water, and salt/minerals as needed
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three types of lameness
pain, mechanical, neurologic
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what can be given to anxious or naughty horses during lameness exam?
10-15 mg of acepromazine IV
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lameness not perceptible under any circumstances
grade 0
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lameness is difficult to observe and is not consistent regardless of circumstance
grade 1
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lameness is difficult to observe at walk/trot in straight line but consistently apparent when weight bearing, circling, inclines, etc.
grade 2
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lameness consistent at trot under all circumstances
grade 3
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lameness obvious at walk
grade 4
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lameness produces minimal weight bearing in motion or at rest or inability to move
grade 5
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down on…?
sound
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majority of hindlimb lameness occurs in the
hock or stifle
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lame limb has a hip (what) when in stance
hike
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how long do you flex joints for flexion test?
30-90 seconds
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grade positive response of flexion test as
mild, moderate, or severe
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two types of diagnostic anesthesia
perineural and intrasynovial
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does it matter where you start for intrasynovial?
no
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method for perineural blocks
start at bottom and work up
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what should you do before performing intrasynovial?
sterile prep
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method of choice for soft tissue injury of tendons and ligaments, and bone surface in large muscle groups
ultrasound
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gives the best detail of bone and soft tissue and shows inflammation or fluid accumulation
MRI
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to see far away, a horse will
raise its head
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to see close up, a horse will
lower its head
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do horses have more or less acuity than humans?
less
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horses only have 2 types of cones
blue and green
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repeated inflammation of the uveal tract
equine recurrent uveitis
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assess function of eyes by testing
pupillary light reflex, menace response, and palpebral response
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tearing
epiphora
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squinting
blephorospasm
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motor nerve blocks of eye
auriculopalpebral
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sensory nerve blocks of eye
supraorbital
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how many teeth do mature horses have?
44
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wolf teeth numbers (top left to right and bottom left to right)
105 and 205; 405 and 305
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incisors numbers
01-03
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canine number
04
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premolar numbers
05-08
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molar numbers
09-11
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common dental problems
sharp points, hooks, wave mouth, and fractured teeth
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fractured teeth are more common in
cheek teeth
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dental exam requires sedation, so what drugs are used?
alpha-2 agonist and butorphanol
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shortening point, hooks, and correcting wave mouth is done by
floating
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wolf teeth can interfere with
bit
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most common esophagela abnormality
esophageal obstruction; choke
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why do we use oxytocin when relieving choke?
relaxes striated esophageal muscles
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what do we use with lavage for choke?
water
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risk factors for colic
rapid feed change, abrupt reduction in activity, change in weather, stabling, poor dental care, and stress
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what percent of colic cases respond to basic field treatment?
90%
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* prevent stomach rupture * can be used to treat * pass via ventral meatus of nasal passage * ask horse to swallow * flex horse’s head
nasogastric tube
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how much water do we put in the stomach to reflux it?
2 L
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what pain reliever is given for simple colic?
banamine IV
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collection of the peritoneal fluid for visual inspection and lab analysis
abdomincentesis
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this type of local/regional anesthesia controls pain in hind limbs and prevents straining to defecate
caudal epidural anesthesia
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* rapid onset * less potent * 1-1.5 hr duration * can be irritating
lidocaine
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* more potent than lidocaine but similar onset * 1.5-2 hr * less irritating
mepivacaine
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* slow onset * more potent than mepivacaine * duration 4-6 hr