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Who's up for a diagnosis House-style?

 
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ErinR76
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Joined: 12 Aug 2011
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Location: Austin TX

PostPosted: Fri Oct 28, 2011 9:49 pm    Post subject: Who's up for a diagnosis House-style? Reply with quote

19 year old OTTB mare.

always peeing little amounts all the time.
lost about 100 lbs (by weight tape) last three months.
looks aged, muscle atrophy
lethargic
low appetite
pale gums
belly looks bloated
bump size of half an egg right between the eyes. under bone pushing bone up one month duration

has been wormed with panacure and ivermectin last four months

bloodwork:
monocytes  out of normal very low
mch
mchc both extremely high
albumen very low
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thebundychick
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PostPosted: Fri Oct 28, 2011 11:28 pm    Post subject: Reply with quote

does she have a swollen head?
Swollen Jaws?
Lameness?

Hows are her calcium levels?
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ErinR76
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Location: Austin TX

PostPosted: Sat Oct 29, 2011 1:43 am    Post subject: Reply with quote

yes
no
yes...stumbles sort of like shes weak.
and on the calcium, right in the middle of normal range (I don't have the exact values)

she also groans much more than usual when she defecates.
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Clarissa
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Location: Gympie, SE Qld, Australia

PostPosted: Sun Oct 30, 2011 1:39 pm    Post subject: Reply with quote

Quote:

under bone pushing bone up one month duration


What exactly does that mean? lol

& can you be more plain english regarding the bloodwork results please?

Sounds like cancer results the way it is worded there.  

That lump on her forhead concerns me. Makes me think she sustained a head truma that has got infected inside. Perhaps there's a big splinter in there from a timber rail or similar. Or perhaps she was stabbed by a protruding metal part of her stable or surrounds.



Is she passing dryish manure? Does she drink enough?

Perhaps she’s a bit dehydrated all the time making her a bit dazed, constipated, reluctant, disinterested.

The other thing I thought of is whether she gets oil in her feed. Oil can through everything out of whack if they are fed enough of it. Some people seem to think a cup full or more a day is ok when infact it’s way too much to digest.

It actually causes a sort of dehydration because it uses all the water consumed to process the oil leaving none for the usual bodily processes. One side effect is small overly regular pees.

If the system is overburdened for any reason that can cause general ill thrift.

I hope you find the culprit sooner rather than later Erin.
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Sunny Acres Ranch
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Location: Grandview, WA

PostPosted: Wed Nov 02, 2011 11:26 pm    Post subject: Reply with quote

I would lay off the chemical dewormers for awhile. Has this horse had any other contact with toxins? I had a horse with similar symptoms that ended up with pyrethrin poisoning from the mosquito control spraying the pond in his pasture because of the "possible" threat of West Nile. A horse that is not healthy cannot process toxins out of the liver like it needs to if you are hitting them once a month with a chemical dewormer. Consider doing fecal testing on this horse from now on to determine if she really even needs dewormed.

Just curious..what does the creatinine level look like? My same horse tipped over into kidney failure and it took a lot of detoxing to bring him out of this.
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ErinR76
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PostPosted: Thu Nov 03, 2011 1:28 pm    Post subject: Reply with quote

Still don't have any real answers except the antibiotic has her feeling a whole lot better. So that's about the only update I have, sorry
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ErinR76
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PostPosted: Tue Jan 24, 2012 8:25 pm    Post subject: Reply with quote

Well the mare  is losing weight again and lethargic. here's what I got:

http://www.equisearch.com/uncateg...of-equine-renal-tubular-acidosis/

It fits with the mare's history (she's had bladder trouble in the past) and the fact it keeps coming back and the vet is stumped; i know she hasn't done the blood test for this ailment.)

the owner is going to try the baking soda the next few days till she can take her to the vet (payday).

see attachments:






Click to download file
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Clarissa
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PostPosted: Fri Jan 27, 2012 5:16 am    Post subject: Reply with quote

Erin does that all mean she's got a bladder or utherer infection or worse?

How does the lump on her forehead (if it's still there) fit in with all that?
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Chablis
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Location: Canberra, Australia

PostPosted: Mon Jan 30, 2012 11:41 pm    Post subject: Reply with quote

Clarissa wrote:
Erin does that all mean she's got a bladder or utherer infection or worse?

How does the lump on her forehead (if it's still there) fit in with all that?


Ditto.

Please let us know how she is.
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ErinR76
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PostPosted: Tue Jan 31, 2012 1:35 am    Post subject: Reply with quote

The lump went away.

The vet (a different one) saw her the other day and apparently they think that it is a nutritional problem. They are going to switch feeds and up the total amount fed and see if that fixes it. I don't know. She is an OTTB, 19 years old. It's just strange because she's kept at a very expensive boarding facility with a woman that takes really great care of the horses; I just don't see her underfeeding and causing this sort of problem, but I suppose that some horses just have really high metabolisms......???!!!
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Chablis
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PostPosted: Wed Feb 01, 2012 11:05 pm    Post subject: Reply with quote

Phosporous (sp)/calcium imbalance?
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