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Diseases of the Digit
I
46
Veterinary Medicine
Professional
09/14/2016

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Cards

Term
What are some conditions associated with laminitis?
Definition
-acute laminitis
-sole ulcers
-white line disease
-toe ulcer/abscess
-double sole
-under-run heel
Term
What are some examples of cracks?
Definition
-horizontal fissues
-vertical fissures
-axial wall cracks
Term
Definition: Laminitis
Definition
-inflammaiton of the corium resulting in weakening of the pedal bone support system
Term
What are the three types of laminitis?
Definition
-acute or clinical
-chronic laminitis or founder
-subacutre or subclinical laminitis
Term
What is the major cause of acute laminitis? Clinical signs? Treatment?
Definition
-acute grain overload
-multiple limb lameness: walking on egg shells, crawlwers
-Analgesia, treat grain overload
Term
What is the major cause of chronic laminitis? Other names?
Definition
-unknown cause
-founder, slipper foot
Term
What are the causes of subclinical laminitis? Clinical signs?
Definition
-subacute ruminal acidosis, endotoxin, poor cow comfort, stress, genetics
-usually no clinical signs but can have mild lameness and shifting of weight
Term
What is the clinically observed evidence fo subclinical laminitis?
Definition
-hemorrhage in sole and/or white line
-can also occur from trauma
Term
What si the importance of subclinical laminitis?
Definition
-important predisposing factor for several important diseases: sole ulcer, white line disease, toe ulcer/abscess, double sole, under-run heel
Term
What are the two major effects of subclinical laminitis?
Definition
-impaired structural and functional integrity of claw horn: softening of the white line
-impaired structural and functional integrity of the pedal bone support system: sinking or rotation of the coffin or pedal bone
Term
What are the causes of sole ulcers?
Definition
-subclinical laminitis: sinking of P3, corium becomes pinched b/n flexor process and sole, sole horn is softer than normal
-typical location
-usually in rear lateral claw (primary wt-bearing in rear)
Term
True or False: Sole ulcers is the most common cause of lameness in dairy cows.
Definition
-TRUE
Term
What are the clinical findings of sole ulcers?
Definition
-variable lameness
-usually no swelling (b/c enclosed in hoof capsule
-respod to pressure over heel/sole junction
-sole hemorrhage
-may lead to infection of deeper structures if not treat (deep digital sepsis)
Term
How do we treat a sole ulcer?
Definition
-pare away sole to relieve pressure
-block on opposite claw
-don't need to bandage if uncomplicated
Term
What are the causes of white line disease?
Definition
-subclinical laminitis: reduced horn quality, white line becomes softer and wider, more prone to separation or trauma
-trauma: small stones
Term
What are the clinical findings of white line disease?
Definition
-commonly found during routine hoof trimming
-lameness occurs when abscessation develops
-separation or hemorrhage at white line
-minimal swelling
-may lead to infection of deeper structures
Term
What is the clinical significance of striations in the white line?
Definition
-evidence of widening of the white line
Term
How do we treat white line disease?
Definition
-pare out tracts: ust follow all the way b/c might lead to abscess
-drain abscesses
-remove adjacent hoof wall: to avoid a pocket of accumulation
-block on opposite claw
Term
What are the causes of subsolar abscess?
Definition
-most commonly secondary to sole ulcer or white line disease
-foreign body
-pain caused by pressure
Term
What are the clinical findings seen with subsolar abscess?
Definition
-moderate to severe lameness
-minimal swelling
-may lead to DDS
Term
How do we treat subsolar abscesses?
Definition
-pare away sole to provide drainage
-bandage/antibiotics if corium is involved
-block on opposite claw
-treat DDS if present
Term
What are the causes of toe ulcers/abscesses?
Definition
-subclincal laminits: sinking and rotation of P3
-excessive trimming of toe
-trauma
Term
What are the clinical findings of toe ulcers/abscesses?
Definition
-lameness progresses as lesion progresses
-hemorrhage/abscess in toe
-may lead to osteitis of P3
Term
How do we treat toe ulcers/abscesses?
Definition
-pare away sole
-drain abscess
-block on other claw
-Osteitis: curettage/antibiotics, protect with bandage, claw amputation
Term
What are the causes of double sole?
Definition
-subclinical laminitis
-short-term damage to solar corium: transient interruption of sole horn production
-new sole develops under old one
Term
What are the clinical findings of double sole?
Definition
-usually minimally lameness
-found at routine trimming
-may lead to abscess
Term
How do we treat double sole?
Definition
-pare away extra sole
-must protect new sole: block on opposite claw, leave heel and abaxial wall at heel/sole junction, new sole will harden in a few days
Term
What is the cause of under-run heel? Clinical findings? Treatment?
Definition
-Cause: similar to white line disease
-Clinical findings: variable lameness, abscess formation
-Treatment: similar to double sole
Term
What is the alternate name to horizontal fissures?
Definition
-hardship grooves
Term
What causes of horizontal fissures?
Definition
-nutritional changes (laminitis)
-stress/illness
Term
What is the significance of horizontal fissures?
Definition
-indicate period of significant stress
-Thimble claw
-possible predisposition to vertical fissures
-often result in square toe
-measure from skin to hardship groove
Term
What is the other name for vertical fissures?
Definition
-sand cracks
Term
Are vertical fissures more common in beef cows or dairy cows?
Definition
-beef cows
Term
In which claw are vertical fissures most commonly found?
Definition
-front lateral claws
Term
How do we treat vertical fissures aka sand cracks?
Definition
-none if not painful
-open to provide drainage or relieve pressure on corium
-shorten toe
-stabilize with wire and PMMA
Term
What causes axial wall cracks? What are the clinical findings of axial wall cracks?
Definition
-cause is unknown
-clinical findings: usually along axial groove, movement causes pain, granulation tissue may be present, infection may enter coffin joint
Term
How do we treat axial wall cracks?
Definition
-routine claw trimming
-provide drainage if abscess present
-use care near coffin joint!!
Term
What are the common causes of P3 fractures?
Definition
-trauma
-pathologic fracture
Term
What are the clinical findings of P3 fractrues?
Definition
-significant lameness
-usually from medial claw
-limb abducted, may cross legs
-minimal swelling
-readily visible on radiographs
Term
How do we treat P3 fractures?
Definition
-block on other claw: wire toes together
-cast
Term
What causes corkscrew claw?
Definition
-unknown
-thought to be genetic
Term
What are the clinical findings with corkscrew claw?
Definition
-abnormal hoof growth
-alters biomechanics resulting in damage to sole
Term
How do we treat corkscrew claw?
Definition
-trimming every 3-4 months
-use in terminal breeding
-cull
Term
What causes interdigital fibromas? What is the common name for them?
Definition
-hyperplasia of interdigital skin due to repeated trauma
-corn
Term
What are the clinical findings of interdigital fibromas?
Definition
-variable lameness
-raw or ulcerated skin
Term
What is the treatment of interdigital fibromas?
Definition
-none if not painful
-surgical resection
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