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 25-28 September, 2018 | Singapore
is subjective and relies on a cooperative and trusting patient. However consistent localisation of a focus of pain is one of the most useful findings on orthopaedic exam to identify the site of the problem.
If you have identified possible limitations in joint range of motion during the recumbent exam you should confirm this if the dog is having further diagnostics performed under sedation or general anaesthesia by repeating
the recumbent examination. This is very useful as it allows easy immediate comparison of range of motion and stability of joints although of course removes identification of pain as a localising factor.
Palpate the soft tissue structures. Palpate the muscle groups for defects, abnormal texture, masses and pain. Palpate and stress accessible tendons and ligaments. Be familiar with the location of regional lymph nodes and assess for evidence of enlargement.
Firmly palpate the bone where it is superficial enough to do so. It is abnormal for bone to be painful on palpation.
Repeating the orthopedic examination while the animal is under general anesthesia is often very beneficial
as it allows more detailed examination, particularly of joint structures, than is often possible while the animal
is conscious. This is usually done if further diagnostics such as radiography are to be performed. In animals with a poor temperament examination under sedation or anesthesia may be the only way to perform a physical examination. It is important to remember that reliable pain localisation is lost under heavy sedation or general anesthesia.
4. Further diagnostics.
History, observation and physical examination generally allow localisation of the site of the lameness. In some cases it may also determine the cause of the problem and the appropriate treatment and prognosis. More usually however further diagnostics, most commonly radiographic examination of the affected area, are necessary before an accurate diagnosis and appropriate treatment may be determined.
Other diagnostic aids commonly used in orthopedics include arthrocentesis (joint tap and synovial fluid examination), arthroscopy, arthrotomy, biopsy (of bone, muscle, joint capsule), haematology and biochemistry panel.
Evans R, Horstman C and Conzemius M. Accuracy and optimization of force platform gait analysis in Labradors with cranial cruciate disease evaluated at a walking gait. Veterinary Surgery 34: 445-449, 2005
Arthurs G. Orthopaedic examination of the dog 1. Thoracic Limb. In Practice 33: 126-133, 2011
Arthurs G. Orthopaedic examination of the dog 2. Pelvic Limb. In Practice 33: 172-179, 2011
E. Garcia1
1Simply Done Tech Solutions, CEO- Digital Strategist, Tampa, USA
Making sure your veterinary practice is running smoothly day-to-day is your priority, as it should be. But what about expansion, marketing, return on investment and all of
the elements needed to truly ensure that your veterinary practice isn’t just open for business, but is also thriving like never before?
A surprising amount of veterinary practices are operating with old software/infrastructure in place and are even avoiding the huge array of tools that can help them
to truly maximize their marketing efforts across the board. On the other hand, some veterinary practices
are achieving unprecedented growth and success by utilizing both new marketing techniques and software, while continuing to dedicate their efforts to delivering remarkable service, day in and day out.
The difference is in the effort put forth and the dedication it takes up to keep up with evolving tools and trends when it comes to social media, marketing and digital infrastructure.
While some of the advances and changes can be daunting at first, all it takes is a slight adjustment in thinking to realize that these new tools, whether we’re talking about Survey Responses or Social Media, can help us to get our veterinary practices running in top- gear with a full roster of very happy clients.
Fortunately, for veterinary practices that may have yet to make the transition toward a new world of marketing, there are tried and true techniques that can enhance marketing efforts for all types of practices; whether emergency care, specialty, general practice or other.
When things are moving quickly within your veterinary practice, it’s especially important to make sure that there are techniques already in place to ensure that your clients are satisfied, feeling appreciated and consistently leaving your veterinary practice in full confidence that both their time and money have been well spent. You might be surprised at how many veterinary practices handle a full client load, but forget to capitalize on strategies that could be enhancing their business from the inside out. This might mean that they are missing opportunities to gain new referrals and gain crucial feedback on what may or may not be working when it comes to their veterinary practice. This could also mean

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