LADIS Case of the Month - October 2018

Submitted by: Drs. Natalie Fogarty and Kate Wulster, Furlong and Associates/New Bolton Center

Signalment & History:

  • 7 year old Thoroughbred gelding
  • Presented for a four day history of intermittent right forelimb lameness.
  • Lameness examination: Grade 4/5 lame on the right forelimb
  • Palpation: Marked soft tissue swelling of pastern and distal interphalangeal joint effusion.
  • Arthrocentesis of the distal interphalangeal joint:
    • Blood-tinged synovial fluid with markedly decreased viscosity
    • WBC: 12,700 cells/uL
    • RBC: 1,370,000 cells/uL
    • TP: 6.4 gm/dL
  • No response to regional limb perfusions nor intra-articular antimicrobial treatment with amikacin

Part 1: Unknown - Download the first PDF below.
Part 2: Complete case with answer - Download second PDF below.