2. Mule with strangles
• Presented on the 25/11 with a
days inappetance, some
coughing and a swelling of the
ventral neck/jaw.
• T = 37.8, P = 44, R = 20 with
abdominal effort and a noisy
trachea.
3. • Presentation typical of strangles (Streptococcus equi
equi).
• Isolation controls, penicillin 20mg/kg BID, hot
compress QID.
5. Rectal Prolapse
• Adult mare presented on 3/12
with rectal prolapse (since
previous evening) and
lameness.
• Rectum replaced under
epidural (xylazine and
lidocaine), and Bunna suture
placed.
• Forefeet radiographed,
trimmed and pads placed.
9. Anterior Uveitis
• Young adult, male, horse.
• Presented on 8/12 with a
closed eye and overflowing
tears following probable trauma
when rubbing face on a branch
three days ago.
• Examination facilitated by
auriculopalpebral (motor) and
supraorbital (sensory) nerve
blocks.
10. • Findings: blepharospasm, enophthalmos, epiphora, miosis,
aqueous flare and hyphaema in ventral anterior chamber, and
neovascularisation ventrally.
• Treatment: flunixin 1.1mg/kg BID IV, atropine eye drops BID/to
effect, dexamethasone eye drops TID (sub palpebral lavage).
• Response: eye lids quickly opened, pupil partially dilated with no
synchea formed, and anterior chamber beginning to clear.
• Plan: continue decreasing anti-inflammatory program while waiting
for chamber to resorb debris. Ideally maintain treatment for one
month after clinical signs resolved.
12. Presentation
• Presented on 27th having been weak and shaking since
bought on 23rd.
• Appeared ataxic/weak at walk, easily pulled by tail and slow
placement responses.
• Odd style of eating, chomping at hay rather than chewing
properly.
• T = 38.1, P = 80-100 fluctuating, R = 20, gut sounds normal.
• MM pale and slightly blue.
13. Diagnostics
27/11/14 28/11/14 am 28/11/14 pm
Haematology
HCT 44%
mild neutrophilia
TP 7g/dl
HCT 42%
neutrophila
increased
TP 7g/dl
PCV 40-42%
TP 6.3 g/dl
Biochemistry
mild low BUN
mild low CREA
mild high GGT
mild high AST
mild high BIL
14. Treatment
• Cetiofur TID, gentamicin SID started 27/11.
• 0.9% NaCl IV fluid therapy started 28/11 running
fast to replace estimated 8% dehydration (based on
high HCT not clinical signs).
15. Case Progression
• Heart rate remained high but fluctuating.
• MM became pink from 2000 27/11 until 1200 28/11 but then
became pale and blue again.
• Seen head pressing 1700 27/11 and developed dull demeanour.
• Weakness increased until recumbent and unable to rise or shift
self along the floor approx. midday 28/11/14
• Exhalation grunt, nystagmus and rapid heart rate developed from
1200-1500.
• Euthanised 1540.
16. Post Mortem Findings
• Displaced SI between body
wall and spleen.
• Enlarged spleen speckled with
congestion.
• Exceedingly firm nutmeg liver,
rounded edges.
• No abnormalities detected in
the heart, lung or kidney.
