Cystic calculi in a mare
 Poor performance in a four year...
 A special thanks to Dr. Brad Newmand...
 A view from the chair ...

Group Title: MEDS quarterly
Title: MEDS quarterly. Vol. 1. Iss. 1
Full Citation
Permanent Link: http://ufdc.ufl.edu/UF00078184/00001
 Material Information
Title: MEDS quarterly. Vol. 1. Iss. 1
Series Title: MEDS quarterly
Physical Description: Serial
Language: English
Creator: Mobile Equine Diagnostic Service, College of Veterinary Medicine, University of Florida
Affiliation: University of Florida -- College of Veterinary Medicine
Publisher: Mobile Equine Diagnostic Service, College of Veterinary Medicine, University of Florida
Publication Date: 2005
Subject: University of Florida.   ( lcsh )
Spatial Coverage: North America -- United States of America -- Florida
 Record Information
Bibliographic ID: UF00078184
Volume ID: VID00001
Source Institution: University of Florida
Holding Location: University of Florida
Rights Management: All rights reserved, Board of Trustees of the University of Florida


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Table of Contents
    Cystic calculi in a mare
        Page 1
    Poor performance in a four year old quarter horse gelding
        Page 2
    A special thanks to Dr. Brad Newmand and his associates in Cocoa Beach, Florida
        Page 3
    A view from the chair ...
        Page 4
Full Text

Message from Porter...

I am very proud to introduce the
first of many MEDS quarterly
newsletters. These newsletters
are designed to share with you
some of the cases that we have
seen through the eyes of the
students. In addition, I hope to
recognize many of the referring
veterinarians in north-central
Florida that have contributed to
the early success of the MEDS
program. Dr. Michael Porter


Cystic Calculi in a Mare

Student Case Study #1
By: Emily Bille, Class of 2005

Urolithiasis is rare in horses, with cystic calculus being the most common
form of urolithiasis. In horses, these are mostly rough calcium carbonate
stones. Horses often present with signs of pain on urination (dysuria),
frequent urination (pollakiuria), and blood in the urine hematuriaa). One
such case seen on the MEDS service was "Molly", a 21-year-old Saddlebred
mare, that presented with signs of restlessness, dysuria, pollakiuria,
hematuria, and signs of incontinence. On physical exam, urine scalding
was noted on the perineal area. Diagnosis of cystic calculi was made by
rectal palpation and trans-rectal ultrasound, where a large firm mass was
seen and palpated within the urinary bladder. A urinalysis performed
showed a large amount of blood in the urine, but no infection present.
An endoscopic exam of the urethra and urinary bladder was performed
to evaluate size, shape and number of calculi present in the bladder, as
well as to evaluate the integrity of the bladder mucosa. After the initial
evaluation, trans-urethra removal was elected and the procedure was
performed at the farm the subsequent week. Molly was sedated and
epidural anesthesia was maintained. The urethra was manually dilated
and a lithotrite was introduced into the urinary bladder. The lithotrite was
used to break the calculus into smaller pieces to aid removal. Once the
fragments were removed with forceps, the bladder was lavaged with large
amounts of saline. Post-operatively, Molly was treated with antibiotics and
anti-inflammatories. The mare recovered without incident and continues
to do well eight months after the procedure.

The evaluation of equine patient- for
poor performance is becoming more
and more common for the NIEDS
program. Depending on the clinical
complaint nIED offers the following
for on-site evaluations:

E\tensi\-e physical e\am
Lameness e\amn
Cardiac e\ aluation
24-h Holter Mlonitor
Trans--thoracic ultrasound
Terbutaline skin test for anhidrosis
Blood \\ork (Chemistr-, CBC'
Enidoscopv (upper, lCo\-er airl'\\-a
Bronchoal eolar la\ age (B.-\L)
Transtracheal \\-asli (TT\V

Poor Performance in a Four Year Old

Quarter Horse Gelding

Student Case Study #2
By: Rena Borucki, Class of 2006

A 4-year-old American Quarter Horse gelding presented to the MEDS
service for evaluation of prolonged respiratory recovery after exercise
and suspect anhidrosis. The horse recently began barrel race training
and the owner had noticed a decline in performance. The horse was
requiring extensive time to recover after exercise. In addition, the
owner reported sweating of the neck, shoulders, and underneath tack,
but never on the flank or haunches. A thorough physical examination,
including rebreathing bag auscultation of the lungs, was performed.
Auscultation of the thorax during the rebreathing exam noted a mild
increase in bronchovesicular sounds and the remainders of vital
signs were normal. Temperature, pulse, and respiratory rate were
documented before and after 10 minutes of round pen work and the
respiratory rate remained elevated for an inappropriate amount of time.
Based on these findings a terbutaline sweat test, an upper respiratory
tract endoscopy and a bronchoalveolar lavage (BAL) were performed.
Results from the terbutaline sweat test indicated partial anhidrosis.
Interestingly, the endoscopy revealed an aryepiglottic entrapment
and the BAL cytology was consistent with very mild inflammatory
airway disease. The horse was referred to the University for surgical
correction of the aryepiglottic entrapment. Following surgery the
gelding improved significantly and did not need treatment for the
mild inflammatory airway disease. Inflammatory airway disease
(IAD) often causes decreased performance and increased recovery
time in young horses. Nasal discharge, coughing, and abnormal lung
sounds may also present. Low-grade small airway inflammation, with
possible tracheobronchial mucus, is characteristic of this condition.
Diagnosis with BAL and cytology is the gold standard and treatment
often includes either systemic or inhaled corticosteroids combined
with bronchodilators.

Post Surgery Epiglottis

Pre-Surgery Epiglottis

A special thanks to Dr. Brad

Newman and his associates in

Cocoa Beach, Florida

Dr. Newman and I first met several years ago over the phone while I
was in my medicine residency at the University of Florida. During my
last year as a resident, I informed Dr. Newman of the university's plans
to put together a mobile diagnostic service and he expressed great
interest in the concept. That June, I traveled to his clinic and spoke to
his clients regarding MEDS at an annual event Dr. Newman provides
for his clientele. Although the MEDS program was four to five months
away from being on the road, I recall meeting several clients that were
interested in having the MEDS truck visit Newman Equine Veterinary
Services. No sooner did I have the keys to the MEDS truck than Dr.
Newman called for a MEDS consultation. Over the past year, MEDS
has traveled to Newman's practice nearly once a month. The clinic is
well equipped with eight stalls, stocks, several paddocks, breeding
phantom, and a fully equipped laboratory. Dr. Newman is even kind
enough to allow me to plug the MEDS truck into his RV hookup when we
visit. Without a doubt, MEDS has benefited greatly from the consistent
support provided by Dr. Newman and his associates (especially Dr.
Mari Good). We look forward to a long future working together with
Newman Equine Veterinary Services.

Newman Equine Veterinary Service
Bradley W. Newman DVM
David Schroepfer DVM
Mari J. Good DVM
Practice Limited
to Horses
P.O. Box 560947
Rockledge, FL 32956

Mission Statement:

The UFVMC's Mobile Equine Diagnostic Service is committed to
providing high quality referral services in a farm setting. By bringing
specialist clinicians and state-of-the-art diagnostic equipment into the
community, the University of Florida College of Veterinary Medicine
will strengthen contacts with its referral base of horse owners and
veterinarians. This program will also provide key clinical training
for veterinary students pursuing a career in high quality ambulatory
equine medicine and surgery.

Mobile Equine Diagnostic Service
Veterinary Medical Center
P.O. Box 100136
Gainesville, FL 32610-0136
(352) 392-4700 ext. 4036

U FC Dr. Eleanor M. Green, DVM, DACVIM, DABVP
Professor and Chair, Chief of Staff
UIllj,.it. of 1 0.:ca V.rTmr. r.cr". l .c nteLL r Large Animal Clinical Sciences

It is already November 2005, exactly one year from the date MEDS began full operation. Why did
we at the University of Florida conceive of the MEDS program and invest the time and resources
necessary for launch? The answer is simple, to better serve our constituents, our valued referring
veterinarians, to benefit our students, the veterinarians of tomorrow, and, of course, to provide
the highest quality care for the equine patient. There are horses which perhaps should be referred
to a specialist, but which for some reason will not or cannot be referred or transported. Those
scenarios formed the foundation for MEDS. Now an animal can be referred, while not moving
from the practice or the farm. Now a board certified specialist and high tech diagnostic equipment
can be dispatched from the Alec P. And Louise H. Courtelis Equine Hospital, while maintaining
satellite contact with its cadre of specialists in the UF Veterinary Medical Center.

There is another reason for MEDS. When we saw the end of Dr. Michael Porter's residency in
Large Animal Medicine fast approaching, we realized that we did not want to lose him. Dr. Porter
was recognized for his exceptional devotion to patients, his high standards of patient care, and
his communications skills. During brain-storming sessions on how to keep Dr. Porter, the idea
of MEDS was born. While Dr. Porter became the workhorse to build his own program, many
contributed, a few of whom are Dr. Rob MacKay, Chief of Large Animal Medicine and Mr. John
Haven, our hospital director. Today MEDS is a success. Many veterinarians who have invited Dr.
Porter to their practices have shared comments of praise for him and for this valuable service. We
hope that the unique, easily recognizable MEDS truck serves as a reminder that the University of
Florida is trying to better serve Florida's veterinarians, their clients, and their equine patients.
To make an appointment with MEDS please call (352) 392-4700 ext. 4036 or
contact Dr. Michael Porter via e-mail at PorterMi@mail.vetmed.ufl.edu

Edited by Kate Vinzant

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