RECOGNITION OF THE DISEASE.—The seat of the disease may be in a muscle, tendon, bone or ligament. The general symptom manifested is lameness or pain. The local symptoms are heat, pain, swelling and bony enlargements. The degree of lameness and the character of the local lesions vary greatly in the different cases. When the animal shows a slight lameness and there is little evidence of any local symptom, it requires the services of a skilled and experienced person to locate the diseased part. When the part shows local lesions of disease and the lameness is characteristic, diagnosis is not difficult.
THE EXAMINATION should be made while the animal is at rest; while standing in the stall and on level ground; when moved at a walk, or a slow trot on soft ground, or a hard roadway; and when moved out after resting a few hours. While examining the animal under the different conditions mentioned, the examiner must be careful and not pass over any part of a limb without determining whether it is normal or not. He should note any abnormal position that the animal may take while standing at rest. Every movement should be watched closely, as the manner of favoring the part may characterize the lameness. Negative symptoms of lameness in a part may at times prove as valuable in forming a diagnosis as positive symptoms.
The resting of either of the front feet, when the horse is standing at ease, indicates that there is some soreness in the rested limb. Pointing or placing one or both feet well in front of the line of support, when the animal is standing, usually indicates a diseased condition of the feet. It is natural for a horse that is standing in a stall to rest the hindfeet alternately. When the hindfoot is rested because of a soreness in some portion of the limb, it may be flexed or extended, the weight rested on the toe, and the foot flexed and bearing practically no weight. In serious inflammation of the front feet, both feet may be placed well in front of the normal position, and the hindfeet well under the body.
WHEN EXAMINING A HORSE, the blanket or harness should be removed. The horse should have on an open bridle or halter, and the attendant should give it as much freedom of the head as possible. The examiner should examine each limb carefully and note any symptom of disease that may be present. The attendant should walk the animal straight away from the person making the examination, toward, and past him, so that the animal's movements can be observed from both sides, from behind and in front. This examination should be repeated with the horse at a slow trot.
The character of the lameness may enable us to locate the seat of the disease. We must first determine in which limb the animal is lame. This part of the diagnosis is not difficult. The pain suffered every time weight is thrown on the diseased limb causes the horse to step quickly and shift as much of the body weight as possible on the well foot. The foot of the lame limb is jerked up rather quickly after weight is thrown on it. This favoring of the part varies in the different diseases. When the foot of the sound limb comes to the ground, more weight than common is placed on it. If the seat of the lameness is in a front limb, there is a decided nodding or movement of the head downward when the weight is placed on the well foot. If both forefeet are diseased, the animal steps shorter and more quickly than common. Lameness in a hind limb is characterized by more or less dropping of the quarter of the well limb when weight is thrown on it, and sometimes by a "hitch" or elevation of the quarter of the diseased limb when it is carried forward.
Unless there are local symptoms of disease present, it may be quite difficult to locate the seat of lameness. Sometimes local symptoms are misleading. After the lameness has been located in a certain limb, its movement must be carefully noted in order to detect the part favored. If the lameness is not characteristic enough to enable the examiner to locate the seat of it, it is then necessary to put the animal through some movement that may emphasize the soreness in the part. The animal may show a certain reluctance to throw weight on the limb when turned to the right or left. Moving the horse in a small circle with the lame limb on the outside may cause the animal to use the muscles of the shoulder more freely, and emphasize any soreness that may be present. If the lame limb is on the inside, soreness anywhere in the foot may be increased, because of the extra weight thrown on this portion of the limb. Moving the animal over a hard driveway may increase the pain resulting from an inflammation of the feet. Causing the animal to trot on soft ground, step over high objects, flexing, extending, abducting and adducting the part may enable the examiner to locate the exact group of shoulder or arm muscles involved by the disease.
IN EXAMINING THE FEET it may be necessary to remove the shoes and practise percussion and pressure over the region of the sole. In some forms of lameness it may be necessary to destroy the sensation in the foot by injecting cocaine along the course of the nerves that supply the foot before arriving at a definite diagnosis.
QUESTIONS
1. Define the term unsoundness and give an example.
2. Define the term blemish and give an example.