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  Discussion on Prepurchase exam
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Posted on Saturday, May 22, 1999 - 12:33 am:

Hi:
When having a CPE done on a horse who has done some jumping-would it be safe to go in the following order- exam plus flexion-if all four legs flex WNL to then radiograph hocks, knees, fetlocks. Should the radiographs only show arthritic changes normal for age? Should blood work also be drawn. This is a horse who has shown competatively on the national level for arabs. Now for a totally unrealated topic. I work labor and delivery in a hospital setting. I was at a conference the past two days-yes my rear end is still quite numb. Amniotic fluid for the human fetus is composed of urine. Is the same true for horses? What about hellp synDrOme(hemolysis, elevated liver enzymes, low platlets) or DIC(disseminated intravascular coagulation) ever occur in horses? I was just curious if horses could have the same problems too. I know that oxytocin can be used. Anyone have any answers?

Posted on Saturday, May 22, 1999 - 11:58 am:

Hi Miki, I can only answer in my opinion the first part of our question. As a trainer of Rec. trail and entry level showing horses. I have my clients do CPE with blood work and x-rays which my vet feels are appropriate to the stress factor the horse will be used for, if the horse passes this gives us a complete baseline to work from if something changes in the future as previous records are not always available. Hope this helped you.:-)

Posted on Monday, May 24, 1999 - 6:09 am:

I think the order is fine. Radiographic changes correlate poorly with existing or future lameness. I discourage their use for deciding whether a horse might have future lameness problems. We do not recognize a hellp synDrOme though hemolysis is a common problem in newborns (see the article in the Diseases: Foal section on neonatal isoerythrolysis). And yes horses do get DIC also.
My references list amniotic fluid as a mixture of secretions from the skin, amniotic membrane, fetal urine, saliva, and nasopharygeal secretions. The allantoic fluid is listed as primarily fetal urine.
DrO
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