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CAVE Clinical Skills Week

Large Animal Day

Friday 10th February 2017

Equine - Lameness evaluations: the use of perineural and intrasynovial block in lameness diagnosis (6CPD Points)

Lameness investigations in the equine athlete can be challenging and lengthy, particularly in cases with low- grade lameness and lack of localising signs. Clinical examination is essential but can be misleading and the use of diagnostic local anaesthesia is therefore imperative for the localisation of the pain. However, we need to realise that ‘blocking’ can be less specifi than previously thought and that an informed and logical application is required to reach an accurate diagnosis. This half-day course will provide an overview on the current understanding and advances in equine diagnostic local anaesthesia with the aim to improve your decision- making, confidence and skill in lameness investigation.

Detailed program outlined further below.

Production Animals - The Hobby Farmer Vet (6 CPD Points)

This half day workshop will provide participants with an overview of common conditions, diseases and procedures that are commonly encountered by vets who work with hobby farmers. Presentations and discussions will be followed by practical hands-on sessions to ensure a broad range of areas are explored on the day.

Detailed program outlined further below.

Registration

Download and complete the CAVE Clinical Skills Week Registration Form and return to the CAVE Office to secure your place.  Forms can be submitted via fax to +61 8 9360 7283, scanned and emailed* to cave@murdoch.edu.au or posted to CAVE Office, 90 South St, Vet Surgical Centre, Murdoch University, Western Australia 6150.

Outline for the day...

Equine - Lameness evaluations: the use of perineural and intrasynovial block in lameness diagnosis

Lameness investigations in the equine athlete can be challenging and lengthy, particularly in cases with low- grade lameness and lack of localising signs. Clinical examination is essential but can be misleading and the use of diagnostic local anaesthesia is therefore imperative for the localisation of the pain. However, we need to realise that ‘blocking’ can be less specifi than previously thought and that an informed and logical application is required to reach an accurate diagnosis. This half-day course will provide an overview on the current understanding and advances in equine diagnostic local anaesthesia with the aim to improve your decision- making, confidence and skill in lameness investigation.

Use of nerve and joint blocks in lameness localisation

  • What blocks to perform in what order?
  • How to perform perineural blocks including palmar digital, abaxial sesamoid, palmar metacarpal, low 4 point, high metacarpal.
  • How to perform intrasynovial blocks including DIP joint, navicular bursa, PIP joint, digital fl or tendon sheath and fetlock joint.

Perineural blocks in lameness exams – expectations vs reality: are they telling us the truth?

  • Actions of different local anaesthetics.
  • Causes of variable or inconsistent blocking results.
  • Reducing the risk of incorrect interpretation.
  • Current recommendations.
  • Case examples

Cadaver limb wetlab

  1. Application of nerve and joint blocks in a cadaver distal limb followed by dissection
  2. Farrier stant leg holder – live horse simulation to model applying nerve and joint blocks in a horse – standing or leg held.

Equine Presenters

Dr Rachael Smith

BVSc(Dist) PGDipVCS MANZCVS DACVS 

Dr Rachael Smith

Dr Mona Hoerdemann

Dr Med vet MVetClinStud MANZCVS Resident in Equine Surgery (ACVS)

Dr Mona Hoerdemann

Production Animals - The Hobby Farmer Vet

This half day workshop will provide participants with an overview of common conditions, diseases and procedures that are commonly encountered by vets who work with hobby farmers. Presentations and discussions will be followed by practical hands-on sessions to ensure a broad range of areas are explored on the day.

The Hobby Farmer Vet

This talk will address the common conditions, diseases and procedures that vets who consult to hobby farmers encounter in practice. Nutrition, lameness, basic obstetrics and any other burning issues will be discussed.

Useful Field Diagnostics

This practical session will cover some of the common diagnostic procedures that vets can perform to assist them in making informed decisions regarding their ruminant pet patients, young and old.

Tips and Tricks

This practical session will cover some of the common techniques that need to be performed on livestock pets. From foot trimming technique to practical regional anaesthesia, participants will get to refine some long-forgotten skills.

Production Animal Presenters

Dr Michael Laurence

BSc BVMS PhD

Dr Michael Laurence

Dr Dawie Blignaut

BVSc, MMedVet (Medicine: Bovine)

Dr Dawie Blignaut

Contact

If you have any queries, please do not hesitate to contact the CAVE Office on +61 (08) 9360 6342 or email cave@murdoch.edu.au