laminitis client ed spring 2009 (1)

8/14/2019 Laminitis Client Ed Spring 2009 (1)

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Laminitis

Dr. Charlotte KinExclusively Equine Veterinary Services, PC.

Dave & MaryAnn CrabtreeCrabtree Farrier Services


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Dr. Charlotte Kin: Credentials

USDF Bronze and SilverMedalist

USDF L Judges ProgramGraduate

USPC HA Graduate USPC National Visiting

Instructor

Former Member of NCAA

National Champion OSUEquestrian Team


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Dr. Charlotte Kin: Credentials

Graduated from OSU Collegeof Vet Med

Internship: Rood & RiddleEquine Hospital Lexington, KY

Residency in Equine Practice:Oakridge Equine HospitalEdmond, OK

Owner of Exclusively EquineVeterinary Services


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Dr. Charlotte Kin: Spare Time


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What is LAMINITIS?

Inflammation that leads todisruption of the blood-flow tothe sensitive & insensitive

lamina

Disruption of the attachmentmechanism between the

sensitive & insensitive lamina

Lamina attach the coffin boneto the hoof capsule.


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Laminitis: Rotation

In the normal positionthe coffin bone sitsparallel to the hoofcapsule

Rotation occurs whenthe coffin bone (P3)

rotates away from thehoof capsule


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Laminitis: Rotation


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Laminitis: Rotation

In severe cases the bone and hoof wallseparate and the coffin bone may bedisplaced downward.


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Laminitis: Sinking

In the most severecases the coffin bonecan sink and penetrate

the bottom of the sole.

This can lead tosloughing of the hoofcapsule.


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What are the signs ofLAMINITIS?

Lameness especially

when turning in circles

Shifting weight back andforth.

Pain in the toe regionwhen hoof testers areapplied.


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Saw-horse stance

walking on eggshells

Increased digital pulse

Heat in the feet


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Reluctant or unable torise

Hemorrhage visible onsole

Separation and abscessformation


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CHRONIC FOUNDER

Chronic lameness

Rings in hoof capsule

Aladdin's shoe

Chronic abscesses


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CHRONIC FOUNDER

seedy toe-widenedwhite line

Dropped soles or flatfeet

Dished hooves


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What are the causes ofLAMINITIS?

Grass Founder

Grain Overload

Abrupt changes indiet


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Endotoxemia

High fever or illness

Severe colic or

diarrhea (colitis)


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Retained placenta

Road founder

Injury to another

limb causingexcessive weightbearing
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Prolonged use ofsteroids (not that kindof steroids)

Primary foot disease

Black walnut shavings


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Previous laminitis

Endocrine diseases-CUSHINGS DISEASE.


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What is the treatment forLAMINITIS?

GRAIN OVERLOAD

CALL VET IMMEDIATELY

NG tube-pump stomach &administer charcoal or oil

Anti-inflammatories

Anti-endotoxic drugs

Vasodilators


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Identify & treatprimary problem

The sooner the better!

Anti-inflammatories

IV fluids +/- DMSO


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Antibiotics

Vasodilators-acepromazine,isoxiprine

Sand or deep bedding

Pull shoes

Radiographs


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Open and drainabscesses

Frog support

Coronary grooving

Dietary restrictions


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Ice legs

COOPERATION BETWEENVET AND FARRIER!!!!

LONG TERMTREATMENTS


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What is the long term prognosis& maintaince for LAMINITIS?

Some horses suffer an acuteepisode and go on to live

normal lives.

Most require maintaincetreatments

Some horses are so severethat they are euthanized forhumane reasons


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Radiographs before shoeingand resetting shoes.

Important to have goodworking relationship with vetand farrier.

Dietary restrictions: little or nograss, low carb high fat grain.


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Good health maintainceprogram to prevent otherdiseases that may inducelaminitis.

Anti-inflammatorymedications-BUTE

Hoof growth supplement


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How do I prevent LAMINITIS?

Keep grain locked up!!

Gradually introduce horses to greenpasture.

Good hoof care

Good preventative health care program

If you suspect laminitis call you vetIMMEDIATELY!


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Any Questions???

laminitis client ed spring 2009 (1)

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