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Laminitis
Dr. Charlotte KinExclusively Equine Veterinary Services, PC.
Dave & MaryAnn CrabtreeCrabtree Farrier Services
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Dr. Charlotte Kin: Credentials
USDF Bronze and SilverMedalist
USDF L Judges ProgramGraduate
USPC HA Graduate USPC National Visiting
Instructor
Former Member of NCAA
National Champion OSUEquestrian Team
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Dr. Charlotte Kin: Credentials
Graduated from OSU Collegeof Vet Med
Internship: Rood & RiddleEquine Hospital Lexington, KY
Residency in Equine Practice:Oakridge Equine HospitalEdmond, OK
Owner of Exclusively EquineVeterinary Services
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Dr. Charlotte Kin: Spare Time
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What is LAMINITIS?
Inflammation that leads todisruption of the blood-flow tothe sensitive & insensitive
lamina
Disruption of the attachmentmechanism between the
sensitive & insensitive lamina
Lamina attach the coffin boneto the hoof capsule.
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Laminitis: Rotation
In the normal positionthe coffin bone sitsparallel to the hoofcapsule
Rotation occurs whenthe coffin bone (P3)
rotates away from thehoof capsule
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Laminitis: Rotation
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Laminitis: Rotation
In severe cases the bone and hoof wallseparate and the coffin bone may bedisplaced downward.
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Laminitis: Sinking
In the most severecases the coffin bonecan sink and penetrate
the bottom of the sole.
This can lead tosloughing of the hoofcapsule.
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What are the signs ofLAMINITIS?
Lameness especially
when turning in circles
Shifting weight back andforth.
Pain in the toe regionwhen hoof testers areapplied.
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What are the signs ofLAMINITIS?
Saw-horse stance
walking on eggshells
Increased digital pulse
Heat in the feet
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What are the signs ofLAMINITIS?
Reluctant or unable torise
Hemorrhage visible onsole
Separation and abscessformation
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What are the signs ofLAMINITIS?
CHRONIC FOUNDER
Chronic lameness
Rings in hoof capsule
Aladdin's shoe
Chronic abscesses
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What are the signs ofLAMINITIS?
CHRONIC FOUNDER
seedy toe-widenedwhite line
Dropped soles or flatfeet
Dished hooves
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What are the causes ofLAMINITIS?
Grass Founder
Grain Overload
Abrupt changes indiet
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What are the causes ofLAMINITIS?
Endotoxemia
High fever or illness
Severe colic or
diarrhea (colitis)
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What are the causes ofLAMINITIS?
Retained placenta
Road founder
Injury to another
limb causingexcessive weightbearing
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What are the causes ofLAMINITIS?
Prolonged use ofsteroids (not that kindof steroids)
Primary foot disease
Black walnut shavings
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What are the causes ofLAMINITIS?
Previous laminitis
Endocrine diseases-CUSHINGS DISEASE.
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What is the treatment forLAMINITIS?
GRAIN OVERLOAD
CALL VET IMMEDIATELY
NG tube-pump stomach &administer charcoal or oil
Anti-inflammatories
Anti-endotoxic drugs
Vasodilators
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What is the treatment forLAMINITIS?
Identify & treatprimary problem
The sooner the better!
Anti-inflammatories
IV fluids +/- DMSO
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What is the treatment forLAMINITIS?
Antibiotics
Vasodilators-acepromazine,isoxiprine
Sand or deep bedding
Pull shoes
Radiographs
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What is the treatment forLAMINITIS?
Open and drainabscesses
Frog support
Coronary grooving
Dietary restrictions
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What is the treatment forLAMINITIS?
Ice legs
COOPERATION BETWEENVET AND FARRIER!!!!
LONG TERMTREATMENTS
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What is the long term prognosis& maintaince for LAMINITIS?
Some horses suffer an acuteepisode and go on to live
normal lives.
Most require maintaincetreatments
Some horses are so severethat they are euthanized forhumane reasons
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What is the long term prognosis& maintaince for LAMINITIS?
Radiographs before shoeingand resetting shoes.
Important to have goodworking relationship with vetand farrier.
Dietary restrictions: little or nograss, low carb high fat grain.
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What is the long term prognosis& maintaince for LAMINITIS?
Good health maintainceprogram to prevent otherdiseases that may inducelaminitis.
Anti-inflammatorymedications-BUTE
Hoof growth supplement
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How do I prevent LAMINITIS?
Keep grain locked up!!
Gradually introduce horses to greenpasture.
Good hoof care
Good preventative health care program
If you suspect laminitis call you vetIMMEDIATELY!
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Any Questions???