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Discussion on A New Horse for Michelle - Levi's Owner
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Member:
youngism
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Posted on Wednesday, Sep 30, 2009 - 12:17 pm:
Hi Dr. O,
The owner of the horse I recently had to put down has decided to jump back into the game and purchase another young horse. Of course, as the last one ended up having chronic inflammatory disease (after all the other awful things that went wrong with him -loss of gums and weight loss)she was concerned with the health of her latest choice and has ordered a blood test. I have the results here.
Can we get your take on the new test?
Thanks
Elaine
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Member:
youngism
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Posted on Wednesday, Sep 30, 2009 - 12:35 pm:
A picture of Cielo and Michelle 
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Moderator:
DrO
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Posted on Thursday, Oct 1, 2009 - 10:10 am:
Elaine there is really not much else to be said other than the conclusions of the lab: what does the examining veterinarian say about the possible causes for the chemistry changes? As we often note on these pages abnormal lab results in a healthy horse are of uncertain significance.
DrO
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Member:
youngism
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Posted on Monday, Oct 5, 2009 - 1:33 pm:
What we are perplexed about is the elevated level of Creatine Kinase. 1156 IU/L. Muscle injury, tying-up? The other levels we can account to food.
(low iron, higher potassium)although, the lowered iron may be linked to the muscle issue. I can move this to a different section for discussion if it is better.
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Moderator:
DrO
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Posted on Tuesday, Oct 6, 2009 - 8:09 am:
Though numerically the elevation looks high, CK (also known as CPK) values of up to 4 times normal have been seen from non-disease events, like exercise or prolonged recumbency (sleeping on the ground). By itself it is uncertain it has any meaning and important to note that other muscle enzymes are normal. For more on this see Diseases of Horses » Lameness » Muscle & Tendon Diseases » Rhabdomyolysis: Tying Up, Shivers, PSSM, EPSM.
If the history does not include a event likely to have increased the CK you might consider a repeat in a week to see if this was a "odd" event.
DrO
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