LARGE ANIMAL EMERGENCY SERVICE INITIAL ASSESSMENT

This is actually not the first thing you should do (although you will be tempted to look at the laceration immediately). Unless the wound is bleeding profusely, you need to first do a PE.

Assuming that you have done your PE already:

The mare is willing to walk on the right forelimb but is reluctant to bring it forward. The laceration is shaped like an upside down V which extends from the proximal lateral radius up toward the cranial aspect of the elbow, and underneath the axillary region to the caudal extent of the superficial pectoral muscle.

You need to establish whether or not any vital structures have been damaged (i.e. synovial structure). If this wound is near a joint or over a tendon, you need to check if it communicates with the joint capsule or if the tendon sheath is lacerated. You also need to be concerned about scarring that may limit movement and/or cause lameness.

CLICK on the 5 second consult book to learn how to test if a wound has entered the joint capsule or tendon sheath.

CHOOSE another option from the list above after you have read the 5-second consult.

 
Copyright © 2000 - University of Pennsylvania School of Veterinary Medicine
Faculty: Dr. Barbara Dallap
Student: Shari C. Silverman, V'02
Comments to bldallap@vet.upenn.edu
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