the foal – Flashcard
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A healthy foal
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Is up and nursing 4-6 times an hour Latches on vigorously and head butts the mare Urinates frequently, clear Is difficult to find feces in stall Is either very friendly or tries to run away and kick you when you go in the stall
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a sick foal
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Only gets up to nurse 1-2 x an hour, or not at all. Roots around under the mare, gets milk sprayed all over the head and doesn't really latch on. Strains to urinate, or urine is dark yellow. Has diarrhea on rump and tail or is straining to poop. Isn't interested in playing with you or beating you up
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TPR A healthy foal (neonate)
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T: 98-101.5F P: 90-120bpm R: 20-40/min MM: pink, moist CRT: <2sec Umbilicus small and dry, no manure on rump, active and ambulating well belly bottom diameter of a number 2 pencil or smaller
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TPR a sick foal ( neonate)
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T: 101.5F P: 120bpm R: 40/min MM: yellow, red, purple CRT: >2sec Diarrhea, lethargic, swollen joints, swollen / dripping umbilicus, etc
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True or False: Foals have a hard time thermoregulating
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true
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Risk factors for a sick foal
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Mare sick or underweight during pregnancy Placentitis Premature lactation or poor colostral quality Abnormal delivery (prolonged, red bag, C-section, dystocia) Delivery in a contaminated environment
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1-2-3 of foaling
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1 hour the foal should be standing -foals will usually start attempting to stand at 20 minutes and should be up within 1 hour and looking for udder 2 hours for the foal should be nursing -if foal hasn't found udder by 90 minute, you can gently guide them there 3 hours placenta should be passed
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Immediately after foal
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pull fetal membranes away from foal nose, but leave the rest alone DO NOT BREAK?CUT UMBILICAL CORD DO NOT PULL ON FETAL MEMBRANES
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true or false: try and let the umbilical cord break naturally?
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true
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Once the umbilical cord breaks, what do you do?
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dip umbilicus in 1:4 chlorhexidine:water
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true or false: 3 to 6 hours foals should be passing meconium
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true
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what is meconium
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brown/black feces
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when to call the vet
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Any dystocia / abnormal delivery Foal not up / nursing within 2-3hrs Placenta not out in 3hrs Foal is straining to defecate or urinate Foal nurses normally for first 6-12hrs, then starts to fade or loose interest. Foal (neonate) has diarrhea
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Routine Newborn Foal Care
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Monitor! Monitor! Monitor! -Watch attitude, nursing, strength, etc Dip Umbilicus
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how do you trip umbilicus
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-1:4 Chlorhexidine q4hr x 24hr then q6hr x 3d
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New goal exam by vet is when? what do they check?
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18-24hrs -IgG levels -Basic physical, exam of umbilicus, joints, etc.
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IgG levels
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Way to tell if a foal is protected by a mothers colostrum is to draw blood and check what
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colostrum Passive Transfer
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The newborn foal has a functional but very naïve immune system Transfer of maternal antibodies via mare's colostrum is critical for a foal's survival Colostral antibodies are absorbed across a foals intestinal tract and into bloodstream during within first 24hrs of life Adequate passive transfer reduces risk of sepsis (infection), but does not provide 100% protection
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Failure or Partial Failure of Passive Transfer (fit/pfpt)
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Inadequate antibody levels in foal blood 18-24hrs of age -Failure to ingest sufficient quantity (not nursing enough) -Poor quality colostrum or premature lactation
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How to test the IgG levels
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snap test
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what is IgG? where do you get it?
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Immunoglobulin G colostrum
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Colostrum is only absorb in the foals body up to
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24 hours of life absorption slows down after 8 hours
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FPT or PFPT
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Foal's antibody (IgG) levels should be checked at about 24hrs of age ->800mg/dl: adequate -400-800mg/dl: partial failure -<400mg/dl: failure of passive transfer Treatment of FPT/PFPT -Veterinarian's discretion, but usually transfusion of plasma (IV) and administration of antibiotics to minimize chances of infection.
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Does a foal with >800mg/dl levels of IgG need antibiotics?
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no
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Does a foal with 400-800mg/dl levels of IgG need treatment
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boost of antibodies, ( blood transfusion) NOT every foal needs
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Does a foal with <400mg/dl levels of IgG need treatment
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yes, risk for infection need antibiotics and transfer of plasma
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Perinatal asphyxia syndrome (PAS) is also known as
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the dummy foal
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Perinatal asphyxia syndrome (PAS) (dummy foal)
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foal was deprive of oxygen before or during birth -Placentitis -Premature placental separation -Red Bag Delivery -Dystocia
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Perinatal asphyxia syndrome (PAS) (dummy foal) clinical signs and treatment
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Foal nurses initially, but then fades and looses ability to nurse in 12-24hrs (dummy or septic) Foal never figures out how to nurse in the first place -Will result in a FPT foal with sepsis unless addressed Bloody diarrhea / colic / aimless wandering / seizures- severe cases Treatment -Colostrum / Plasma, Fluids, IV nutritional support, Anti-inflammatories usually learn to nurse in 2-5 days with supportive care
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Septic Foal
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birth to 10 days not nursing enough or at all signs: lethargic, not getting up to romp or play, weak, fever
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To check a foal to see if they are septic is to check the mare udder for what?
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mares's udder is full or dripping milk meaning a foal is not nursing at all or not enough
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If a septic foal a 911 case?
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yes needs to be evaluated and treated immediately
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Septic foal of source of infection in the neonate
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Ingestion of bacteria when searching for colostrum Infected placenta (en utero infection) Infected umbilicus ( foaling in a contaminated environment)
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diarrheic foals (birth to 2 months)
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Diarrhea shortly after birth = septic foal Diarrhea at 8-14d but foal is otherwise healthy, strong and active = "foal heat diarrhea"
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Foal Heat diarrhea
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Associated with change in foal's intestinal bacterial population from purely milk digesters to handling forage Usually occurs about the time foals start eating mare's manure
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Foal Heat diarrhea true or false:you wouldn't know that the foals are sick because they are bouncing off the walls
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true
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True or False: foals who have diarrhea are diagnose as septic foals until proven otherwise?
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true
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True or false: foals should not have diarrhea
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TRUE
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true or false:Diarrhea at any age that is associated with lethargy, decreased appetite = septic
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true
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What are the most common bacteria in septic foals
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Rotavirus, Clostridium and Salmonella
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The coughing foal [Usually older foals (rarely neonates)]
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Rhodococcus equi Ascarid Migration Herpes Virus Streptococcus zooepidemicus
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coughing foal with Rhodococcus equi
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4wks - 4months of age Bacterial pneumonia / abscessation Often endemic on certain farms
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coughing foal with ascarid migration
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2 months to 2 years
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coughing foal with herpes virus
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usually 3 months to 2 years
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coughing foal with Streptococcus zooepidemicus
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usually >3 months but can be younger
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True or false: lame foals is almost never that the mare stepped on the foal
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true
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lame foals
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Young foals- septic (infected) joint or physis (growth plate) from systemic or umbilical infection 3wk-6mo- rapid growth causing inflammation of the growth plates (physitis), which results in pain, lameness and growth deformities
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foals with swollen joints Septic arthritis
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Painful, fever, other signs of infection Can be one or multiple joints
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true or false: Foals with swollen joints are diagnose as septic arthritis until proven otherwise
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true
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foals with swollen joints non-septic synovitis
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Inflammation of multiple joints, non-septic Usually not lame
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foals with swollen joints developmental orthopedic disease
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Osteochondrosis- defective ossification of cartilage
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Colicky foals
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Neonates -meconium impaction Bladder rupture Impaction Small Intestinal twists/strangulation Gastro-duodenal uclers Ascarid Impactions
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True or false: foals are more common to have Gastro-duodenal uclers
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true
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Bladder rupture in colicky foals usually occur in
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colts that are less than 3 days of age
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what are the three Flexural Limb Deformities
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flexor laxity contracted tendons club foot
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Flexural Limb Deformities Flexor Laxity
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down on pasterns, toes tipped up -controlled exercise and usually resolve
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Flexural limb deformities contracted tendons
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"Over at the knees" -Oxytetracycline, splints, casts
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Flexural limb deformities club foot
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Congenital defect- do not breed
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what are the Angular limb deformities?
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valgus varus
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valgus
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angles out
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varus a
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angles in
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what is the treatment of angular limb deformities
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Corrective trimming Limited exercise Surgery if indicated -Physeal stimulation -Periosteal transection and elevation -Transphyseal bridging
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What are the developmental orthopedic disease
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Nutritional Physitis / Epiphysitis Osteochondrosis Wobblers
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Developmental orthopedic disease Nutritional Physitis / Epiphysitis
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Rapid growth, over feeding, some heritable -Lame foals, usually develop contracted tendons, swollen growth plates
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Developmental orthopedic disease Osteochondrosis
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Failure of normal endochondral ossification -Weak cartilage or cartilage flaps develop in joints -Swollen joints, +/- lameness -Heritable and nutritional component
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Developmental orthopedic disease Wobblers
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Associated with osteochondrosis in vertebrae
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If you breed wobblers to wobblers they can be
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osteochondrosis
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Foal case 1 3d old Arabian Filly Initially stood, nursed, active, IgG >800. No problems with foaling Last 12hrs has been not nursing vigorously and has milk on her face, but is still getting up to nurse Just started with pasty manure. T: 102.4, P: 124, R: 36, MM: dark pink, tacky Watery diarrhea (submitted for testing) Low white blood cell count (infection)
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Septic foal with clostridial diarrhea* Treated aggressively Plasma, IV fluids, Antibiotics, intestinal support Full recovery in 7 days.
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Foal case 2 6hr QH filly Never stood and nursed, seizure-like activity Foaling normal, but foal small and underdeveloped Placenta thin and poor quality
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*** Perinatal Asphyxia Syndrome*** Treatment- fluids, plasma, anti-oxidants, seizure control, nutritional support Full recovery in 5 days
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Foal case 3 Born at 318d gestation Full size, incomplete muscle development Initially lax at fetlocks, contracted at carpi Bones fully developed on radiographs
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Flexural / contractural limb deformities Treated with splints, oxytetracycline, pain medications, physical therapy, etc 90% recovery at last check
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what is the scary window if the horse is born early
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320 days