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69 Cards in this Set

  • Front
  • Back

What are the common causes of POOR PERFORMANCE in horses?

1. Musculoskeletal


2. Resp. (biggest limiting factor on performance)


3. Poor Fitness


4. Unrealistic Expectations


5. Inappropriate Training


6. Cardiac


7. Other

What are the CARDIAC CAUSES of POOR PERFORMANCE?

1. ARRHYTHMIAS (A. fib #1)


2. MURMURS


3. MYOCARDIAL Dz


4. PERICARDIAL Dz


5. VESSEL Dzs

What APPROACH would you take to ASSESSING CARDIAC FXN in the horse?

1. Get WORK Hx.


-clues (PP @ max. exertion)




2. Look at WHOLE HORSE




3. PERIPHERAL PULSES


-palpate (rate, rhythm)


-Sys v. Dia BP


-MAP


-area under curve




4. AUSCULTATE


-rate, rhythm, sounds (intensities? hear S3?)


-over MV

By what factor does the Qt of a horse increase from resp to exercise?

10X




35L/min-->350L/min

Briefly discuss CARDIAC MURMURS.

What APPROACH should you take to assessing CARDIAC MURMURS?

What are the SYSTOLIC MURMURS heard on the LEFT side?

What are the SYSTOLIC MURMURS heard on the RIGHT side?

What are the DIASTOLIC MURMURS?

What are the important PURPOSES of a PRE-PURCHASE EXAM?

Discuss the TIMING of MURMURS (and sounds heard)

Discuss the AETIOPATHOGENESIS of MITRAL REGURGITATION.

What are the CAUSES of MITRAL REGURGITATION?

Discuss how RACE TRAINING causes MR.

Discuss how RUPTURE of one or more CHORDAE TENDINAE causes MR.

Discuss how INFECTIVE ENDOCARDITIS causes MR. (RARE)

Discuss DIAGNOSIS of MR in horses.*

Discuss TREATMENT of MR in horses*

Discuss PROGNOSIS of MR in horses.*

Discuss the PPE for a horse with MR.

How do you differentiate between TRICUSPID REGURGITATION and VSD in RIGHT SIDED MURMURS?

-quality


-radiation--VSD--cranial and ventral to sternum

Briefly discuss the AETIOPATHOGENESIS of TRICUSPID REGURGITATION.

What are the SIGNS of TR?

How do you DIAGNOSE TR?

How do you TREAT TR?

What is the PROGNOSIS for TR?

Discuss a PPE for a horse with TR.

Discuss the AETIOPATHOGENESIS of AORTIC REGURGITAION/INSUFFICIENCY.

What are the SIGNS of AORTIC INSUFFICIENCY?

How do you DIAGNOSE AORTIC INSUFFICIENCY?

How do you TREAT AORTIC INSUFFICIENCY?

What's the PROGNOSIS for a horse with AORTIC INSUFFICIENCY?

Discuss the PPE for a horse with AORTIC INSUFFICIENCY.

Discuss the AETIOPATHOGENESIS of VSD.

What are the SIGNS of VSD?

How do you DIAGNOSE VSD?

How do you TREAT VSD?

What is the PROGNOSIS for a horse with a VSD?

Discuss the PPE for a horse with a VSD.

What are the 'NORMAL ARRYTHMIAS'?

-2nd degree AV block


-Sinus Block/Sinus Arrest

What is the MOST COMMON CARDIAC CAUSE of POOR PERFORMANCE?

Atrial Fibrillation

Discuss the DIAGNOSIS of ARRYTHMIAS.

ECG REQUIRED!!!

Discuss the AETIOPATHOGENESIS of ATRIAL FIBRILLATION.

What are the SIGNS of A-FIB?

How do you DIAGNOSE A-FIB?




What does the ECG look like?

How do you TREAT A-FIB?

Which horses are MORE PREDISPOSED to A-FIB?

Large Breeds, Athletes (big hearts)

How do you DIFFERENTIATE between A-FIB and 2nd DEGREE AV BLOCK?

AF


-IRREGULARLY irregular rhythm


-S4 inaudible




2nd Degree AVB


-REGULARLY irregular rhythm


-S4 audible

What is the PROGNOSIS for a horse with A-FIB?

Discuss TRANSVENOUS ELECTROCONVERSION (TVEC)

Discuss QUINIDINE SULPHATE

not licensed in the UK


-lots of bad side effects



Discuss PREMATURE SYSTOLES/CONTRACTIONS.

1. APCs


2. VPCs




PP only if produce excessive HR




Aetiology difficult to ID


-hypoxia


-myocardial dz


-electrolyte/metabolic disturbance


-incr. sympathetic tone


-pyrexia


-toxemia

Discuss the AETIOPATHOGENESIS of ATRIAL PREMATURE CONTRACTIONS.

What are the SIGNS of APCs?

How do you DIAGNOSE APCs?




What does the ECG look like?

How do you TREAT APCs?

What is the PROGNOSIS for a horse with APCs?

Discuss the AETIOPATHOGENESIS of VENTRICULAR PREMATURE CONTRACTIONS.

What are the SIGNS of VPCs?

How do you DIAGNOSE VPCs?




What does the ECG look like?

How do you TREAT VPCs?

What is the PROGNOSIS for a horse with VPCs?

Discuss the PPE for a horse with APCs or VPCs.

Discuss the AETIOPATHOGENESIS of BRADYARRHYTHMIAS.

What are the SIGNS of BRADYARRHYTHMIAS?

How do you DIAGNOSE BRADYARRHYTHMIAS?




What do the ECGs look like

How do you TREAT BRADYARRHYTHMIAS (Sinus Block and 2nd Degree AVB)?

How do you TREAT 3rd DEGREE AVBs?

What is the PROGNOSIS for BRADYARRYTHMIAS?