Today’s Diary Entry is sponsored by Spikes World Wildlife Foods
I know I am being really bad at keeping my daily diary post at the moment, I’ve got a ton that I’ve started and not finished, and some weeks I’ve just been too busy with work and study that I’ve simply not had time to start. I am now realising why vet school is so tough and though I’ve started my exams I still have a fair few to go. I have however also managed to get onto a couple of clinics to get a chance to turn my theoretical knowledge into something more practical. At the moment it is the equine service and so far I’ve used what I know about wound healing, and today anatomy came into play in a big way in the equine operating room.
Now this morning started with a wound check for a thoroughbred patient that had kicked something with a back foot taking a lot of the skin off. This was a primary closure (closed with surgical stitches) and some nice granulation tissue has started to form here. So after cleaning and rebandaging this we moved onto the next patient…
Now this case came in over the weekend sometime and proved to be very interesting for me as I got to see how a farrier works with the hoofs to tidy them up. The main presenting problem however was nasal discharge and a endoscopic examination had been scheduled for the nasal and respiratory passages. I found this fascinating as its ok seeing something in anatomy class, however when its actually inside an animal where it belongs things start to fall into place and I managed to keep up on where inside the head the scope was!
In this case it was a early stage infection within the guttural pouch, and a sample of purulent fluid was collected for microbiological sensitivity testing to determine the best antibiotics to use to treat it. Then a lavage (wash) was carried out with the infected area being washed with an antiseptic solution and then this being suctioned out for both sides.
Final case today was another foot injury which needed a flap of the skin cutting away to give a flat surface. I think the big lesson to learn is to make sure that horses have as little as possible to kick at! Equine wounds like this can take months to heal, and often are extremely painful for the horse as well.