By Newswriter — PATIENT’S NAME: Maximum Security OWNER: Gary and Mary West Stables Referring Veterinarian: Brunk Trainer/Farm: Ben Glass/Des Ryan
History: Needs complete physical and soundness exam, has won eight of his ten starts over the last fifteen months, is planned to get a break after his last race
DIAGNOSIS: Minor subchondral bruising/inflammation all four limbs, all other parameters are normal Examination: 0/5 Lame on the straight, 1/5 lame both front on the inside limbs on the circles, no increase in fluid in any joint, mildly + to front fetlock flexions, blocked both front distal cannon bones, 1/5 lame both hind limbs on the inside limb on the circles, sound on the straight, blocked both hind distal cannon bones, sound on the straight and on the circles Radiographs of his front feet, all four fetlocks, both carpi, both hocks and both stifles show minor bruising on the distal cannon bones of all four limbs, but all of the other radiographs are normal. The subchondral change is diffuse in the front limbs with minor radiographic demineralization laterally, but the bone scan is actually more active medially. The hind distal cannon bones both have a focal area of subchondral bruising on the lateral condyle, LH>RH, but no indication of fissures or anatomic change.
Lameness Exam Report-Discharge Form L.R. Bramlage DVM MS ROOD AND RIDDLE EQUINE HOSPITAL P.O. Box 12070, Lexington, KY 40580 (859) 233-0371 firstname.lastname@example.org; email@example.com LRB A bone scan of his entire skeleton is normal at all sites with the exception of increased activity in all four fetlock joints. There are no focal hot spots on the bone scan indicating a developing fracture, but diffuse increased activity thoughout the entire fetlock in all four limbs with no asymetry among the limbs.