![]() Pratique Vétérinaire Equine
Rédaction Denoix J-M, Audigié F, Jacquet S Keyword(s): Pratique Vétérinaire Equine n° - p. 13-18 The hock presents strong and complex collateral ligaments and tendons that cannot be imaged with radiography. Therefore, the use of ultrasonography to examine this joint may provide useful information that can be essential for the diagnostic and management of many conditions of this joint. The purpose of this paper is to present the ultrasonographic technique to image the different aspects of the hock, to show reference ultrasonographic images and to present the main clinical conditions that can be diagnosed with this technique, used alone or in conjunction with other imaging modalities. Search engine (on Planete-vet) Martens A, Deprez P, Massoni S, Saunders J Keyword(s): Pratique Vétérinaire Equine n° - p. 19-24 Left colonic displacement is an abdominal condition that may be treated via laparotomy. Conservative treatment is equally possible and consists of rolling the horse under general anaesthetic or walking the animal, administration of intravenous fluids and/or liquid paraffin. In addition, an infusion of epinephrine can be given to facilitate repositioning of the colon. The choice of treatment is based on several clinical parameters. Definitive diagnosis by transrectal examination, the level of pain, intestinal distension and the state of the horse's cardiovascular system are the most important parameters for deciding which treatment to undertake. Amongst these, the intensity of pain is the most important parameter to determine whether conservative treatment (possibly in combination with epinephrine infusion) can be attempted instead of rolling the animal. Search engine (on Planete-vet) Deniau V, Delecroix A Keyword(s): Pratique Vétérinaire Equine n° - p. 25-31 A German Standardbred, racing at high level, is presented for evaluation of a recent exercice intolerance and a right cardiac murmur. Echocardiography reveals a membranous ventricular septal defect, with no alteration of the size and contractility of the cardiac cavities. Differential diagnosis, evaluation methods and prognostic features of this congenital cardiac disease are discussed. Search engine (on Planete-vet) Amory-Fantoli H Keyword(s): Pratique Vétérinaire Equine n° - p. 33-39 Diagnosis of acute hepatic insufficiency in horses is not always easy because when apparent, the clinical signs are generally non-specific. Clinical signs often include lethargy, anorexia and signs of hepato-encephalopathy. Ancillary tests are usually necessary to establish or confirm the diagnosis but results are variable. Blood analysis is the easiest test to perform on the farm. Blood parameters that are characteristic of hepatic insufficiency are “hepatic enzymes”, bile salts, and total and conjugated bilirubin. A biopsy will provide the definitive diagnosis for hepato-biliary disorders and is useful to establish the prognosis. The aim of treatment for acute hepatic insufficiency in horses is to support hepatic function and reduce production of toxic metabolites in the gastro-intestinal tract until there is regeneration of hepatic tissue and hepatic function. Search engine (on Planete-vet) D'ablon X Keyword(s): Pratique Vétérinaire Equine n° - p. 41-46 Cushing’s syndrome in horses is nearly always due to pituitary gland dysfunction (hypertrophy, hyperplasia, etc.). It affects aged horses and the symptoms are varied and include hirsutism, recurring chronic laminitis, hyperhidrosis, etc. Definitive clinical diagnosis is often difficult and laboratory tests are necessary. The most useful tests are dynamic endocrine tests. Diabetes mellitus in horses is often associated with Cushing’s syndrome and is non-insulin dependent (characterised by hyperinsulinaemia). Cases of insulinoresistance and intolerance to 'pure' glucose are also described and are now better understood. Contrary to previous hypotheses, hypothyroidism does not appear to be a cause of laminitis associated with obesity. Search engine (on Planete-vet) D'ablon X Keyword(s): Pratique Vétérinaire Equine n° - p. 47-52 By analogy to a condition described in human medicine affecting obese individuals, the phenomena “peripheral Cushing’s” or 'metabolic syndrome” (corticosteroid hyperactivity at tissue level due to increased activity of 11b-hydroxysteroïd deshydrogenase) is suggested to occur in horses. It could be the cause of obesity and laminitis seen in horses that present with several clinical signs indicative of Cushing's syndrome, but with no pituitary dysfunction. Laminitis induces other disorders and recent studies indicate that insulinoresistance plays a central role and which is under the influence of several factors including increased (central or peripheral) corticosteroids, obesity, inflammatory or septic syndromes, stress. New approaches to treatment should be contemplated as a result of these studies. Search engine (on Planete-vet) Betsch J-M, Albert P, Buisson P, Maillard K Keyword(s): Pratique Vétérinaire Equine n° - p. 53-56 Chronic endometritis was confirmed by uterine cytology in thirty one mares that remained barren since the previous season. On day one, they were treated with uterine lavage using normal saline followed by in utero administration of 1 g of ceftiofur sodium (60 ml). In utero administration of 1 g of ceftiofur sodium was repeated once daily for the next seven days. The pregnancy rate obtained after this treatment was 83.8% on an average of 1.48 cycles. Search engine (on Planete-vet) Betsch J-M Troncy E Denoix J-M, Audigié F, Coudry V Keyword(s): Pratique Vétérinaire Equine n° - p. 7-12 The stifle joint presents a lot of soft tissues that cannot be imaged with radiography. Therefore, the use of ultrasonography to examine this joint may provide useful complementary information that can be essential for the diagnosis and management of many stifle conditions. The purpose of this paper is to present the ultrasonographic technique to image the ligaments and tendons of the stifle, to show the reference ultrasonographic images and to present the main clinical conditions that can be diagnosed with this technique, used alone or in conjunction with other imaging modalities. The use of ultrasonography has considerably improved the diagnosis and knowledge of ligament and tendon injuries in the femoropatellar and femorotibial joints. Search engine (on Planete-vet) |