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Discussion on Knee injury no lameness but squishy encapsulated swelling
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Member: ddoregon
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Posted on Sunday, Aug 14, 2016 - 10:57 pm:
New three year old horse in for training, the first night in the stall he hated it and was messing about. I believe (who knows but educated guess) he racked his front leg on the stall/stall pipe gate. There are two minor scrapes but did not bleed at all and barely grazed the skin, and doesn't seem to be punctured. Only noticed the scrapes after hosing and it got wet. Cold hosed twice a day and have dmso'd and bute once a day. It doesn't seem to be getting bigger or smaller. Closest vet is an hour away so on the phone he had suggested the above, with low key turnout in a 60x60 area. He will run about, buck, act normal and his knee does not seem to bother him. It might get very slightly like 10-15% bigger after running around but maybe my imagination. The knee is no hotter than the other and does not bug him to touch or press on the lump, although subjectively he hates his legs messed with lol and stomps his foot after any dmso or linament. Here is a photo of it the day it was discovered, it hasn't changed much. Vet said on phone it could take two weeks to go down, and to just hose/dmso unless it gets worse or he's lame. .. but I was reading about infection/cellulitis and want your opinion on if I should take him in anyway. I have 15 smz double strength pills left, would it hurt to do 5 twice daily until I run out? He weighs 750lbs. You would assume a cellulitis/infection would take longer than overnight however, maybe those scrapes were there longer than I thought!
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Member: lsweeney
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Posted on Monday, Aug 15, 2016 - 12:20 am:
My horse had a hematoma that looked like this when they hit a blood vessel on her chest giving regular inoculations. It took quite a while for the body to absorb.
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Moderator: DrO
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Posted on Monday, Aug 15, 2016 - 1:38 pm:
Hello DD, Pocketed up infection is almost always very painful. Edema is possible but seroma or hematoma seem more likely based on appearance and either a tap or ultrasound will help differentiate this. For more on this see, HorseAdvice.com » Diseases of Horses » Skin Diseases, Wounds, and Swellings » Swellings / Localized Infection / Abscesses » Diagnosing and Assessing Swellings in Horses. If doubts remain as to the nature a exam should be done. DrO
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Member: ddoregon
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Posted on Monday, Aug 15, 2016 - 4:50 pm:
Ok, it doesnt bother him to touch, he is running normal temp at 99.7, and runs around. Should he be immobilized/stall rest or do these resolve better with excercise? My vet out here is OK not great, the risk of a tap is maybe not worth the danger of infection? Thanks Dr O
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Moderator: DrO
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Posted on Tuesday, Aug 16, 2016 - 1:22 pm:
Since I don't know exactly what you have there DD I cannot give specific advice. Seromas, hematomas, and active edema are best treated with rest and pressure bandages, passive edema often responds to exercise. The article referenced above discusses the differences. DrO
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