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Diseases of the Digit
II
40
Veterinary Medicine
Professional
09/14/2016

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Cards

Term
What are the primary infectious conditions of the bovine digit?
Definition
-foot rot
-interdigital dermatitis
-heel horn erosion
-digital dermatitis
Term
What is deep digital sepsis (DDS?
Definition
-secondary condiiton that occurs hwen deeper structures get infected
Term
What are the other names of foot rot?
Definition
-interdigital phlegmon
-interdigital necrobacillosis
-foul in the foot IN europe
-lure
Term
What is the most common cause of lameness in beef cattle?
Definition
-FOOT ROT
Term
What are the causes of foot rot?
Definition
-FUSOBACTERIUM NECROPHORUM
-Bacteroides melaninogenicus
-Dichelobacter (BActeroides) nodosus in sheep
Term
Describe the organisms that cause foot rot as a whole?
Definition
-normal intestinal inhabitants
-require alteration in normal skin: trauma, moisture
-may be contagious
Term
Which of the organisms that cause foot rot is most contagious?
Definition
-Dichelobacter nodosus
Term
What are the clinical signs of foot rot?
Definition
-moderate to severe lameness
-diffuse swelling of foot
-necrosis of interdigital skin
-foul odor
-commonly leads to DDS if untreated
Term
How do we treat foot rot?
Definition
-Antibiotics are effective if given early: Penicillin, Oxytetracycline, Ceftiofur, Florfenicol, Tulathromycin
-Debride and bandage with topical antibiotic if severe
Term
What is the common name for interdigital dermatitis? Causes?
Definition
-aka Slurry heel
-Cause: Dichelobacter nodosus and occurs when housed in wet, dirty conditions
Term
What are the clinical findings of interdigital dermatitis?
Definition
-exudate in interdigital space
-no swelling
-minimal lameness
Term
What is the primary importance of interdigital dermatiits? How do we treat it?
Definition
-may lead to heel erosion and subsequent lameness
-Treat: usually not needed, clean area, topical antibiotic
Term
What is the cause of heel horn erosion?
Definition
-thought to occur secondary to interdigital dermatitis
-roel of laminitis unknown
Term
What are the clinical findings of heel horn erosion?
Definition
-minimal lameness
-altered biomechanics
Term
How do we treat heel horn erosion?
Definition
-routine claw trimming
-foot baths: copper sulfate or formalin
-clean environment
Term
What is the most common cause of infectious lameness?
Definition
-digital dermatitis
Term
What are the other names for digital dermatitis?
Definition
-Hairy heel warts
-Strawberry foot rot
-raspberry heel
Term
What are the causes of digital dermatitis?
Definition
-exact pathophysiology unknown
-Treponema spp.
-May occur secondary to interdigital dermatitis/heel horn erosion
-exposure to wet dirty conditions
Term
What are the clinical findings of digital dermatitis?
Definition
-moderate to severe lameness
-red, ulcerative to proliferative lesions in fleft between heel bulbs
-lesions very painful
-minimal swelling
-may be highly contagious
Term
What is the treatment of digital dermatitis?
Definition
-clean affected area
-topical antibiotics: Oxytetracycline
-bandage severe lesions
-relatively high rate of reoccurence
Term
How do we treat the herd as a whole for digital dermatitis?
Definition
-topical spray through garden sprayer: oxytetracyline
-foot baths: may ocntain many different chemicals, difficult to maintain, environmental concerns
Term
Deep digital sepsis is a collective term including what 4 things?
Definition
-periarticular abscess
-septic arthritis (coffin joint)
-osteitis/osteomyelitis
-septic tenosyonvitis
Term
What does deep digital sepsis occur secondary to?
Definition
-sole ulcer, white line disease, subsolar abscess
-foot rot, lacerations, penetrating foreign body
Term
What is the cause of deep digital sepsis?
Definition
-extension of infectious process from superficial to deep structures of the digit
Term
What are the clinical findings seen with deep digital sepsis?
Definition
-severe lameness
-variable swelling depending on structures involed
-draining tracts
-bone destruction on rads
Term
What is a periarticular abscess?
Definition
-significant swelling of caudal aspect of digit
-may involve navicular bone/bursa
Term
How do we diagnose periarticular abscesses?
Definition
-characteristic swelling
-draining tracts
-radiography
Term
How do we treat periarticular abscesses?
Definition
-drainage
-depends on other structures involved
Term
What is septic arthritis of coffin joint?
Definition
-distinct swelling above coronary band
-most pronounced dorsally and laterally
Term
How do we diagnose septic arthritis?
Definition
-chracteristics swelling
-draining tracts
-radiography
-arthrocentesis
Term
How do we treat deep digital sepsis?
Definition
-early cases: thorough lavage
-arthrotomy: incision in joint and then flush
-facilitated ankylosis: joint fusion
-arhtordesis: remove everything and put in implant
-claw amputation: most common
Term
What is osteitis/osteomyelitis? How do we diagnose it? How do we treat it?
Definition
-mild involvement ot severe destruction of P3
-rads and follow draining tracts
-curettage, claw amputation
Term
What is septic tenosynovitis?
Definition
-unilateral or bilateral
-swelling along caudal aspect of lib to level of fetlock
-often secondary to periarticular abscess
Term
How do we diagnose septic tenosynovitis?
Definition
-characteristic swelling
-ultrasonography
-synoviocentesis
Term
How do we treat septic tenosynovitis?
Definition
-drainage
-tendon resection
-claw amputation: common
Term
How do we administer regional antibiotics?
Definition
-IV Florfenicol
Term
WHy would we use claw amputations for deep digital sepsis?
Definition
-often encessary to remove infected tissue
-relative eayse: especially wiht hydraulic hsoot
-prognosis
Term
What 4 factors does the prognosis of claw amputations depend on?
Definition
-severity of infection and how high up infection goes
larger animals tend to not o as well
breeding bulsl do not do well
less ideal for bulls b/c of their size
Term
Which cruciate do we we cut during a claw amputation?
Definition
-proximal cruciate
Term
Describe the care techniques with claw amputation?
Definition
-ligate vessels if needed (loosen turniquet first)
-place pressure bandage
-replace bandage in 5-7 days
-stop bandaging once granulation tissue has covered bone
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