Page 210 - The Veterinary Care of the Horse
P. 210

The  problem  nail  can  be  located  by  applying  hoof  testers  or  gentle  tapping  with  a

        hammer. The horse flinches in pain and withdraws its foot when the painful site is reached.
  VetBooks.ir  needs to be rested or have the foot poulticed for a couple of days to allow the inflammation to
             If the nail is removed, the horse may become sound immediately. Sometimes the horse


        subside and the lameness to resolve.



        NAIL PRICK

        If the nail actually penetrates the sensitive structures, this is known as ‘nail prick’ (Figure
        6.12c). The horse will often jump and pull its foot away as the accident happens. Lameness

        usually occurs immediately. At rest, the horse will often point the foot, paw the ground or
        keep lifting the affected foot.




        Treatment
        •    The offending nail should be removed at once.

        •    There may be a little blood as it is removed from the foot.

                                                                                                                 ®
        •    The hole should be flushed with a diluted antiseptic such as povidone-iodine (Pevidine )
             or chlorhexidine (Hibiscrub), or the foot can be tubbed or poulticed (see pages 76–80).

        •    The horse should be kept in and observed for increased lameness over the next couple of

             days.
        •    If  lameness  develops  or  persists,  the  farrier  or  vet  will  remove  the  shoe  and  open  a

             drainage hole to release any pus.

        •    The injury is now treated as a puncture wound (see pages 72 and 132)
        •    The tetanus vaccination status of the horse must be checked. If there is any uncertainty,

             tetanus antitoxin is administered.



        If the problem is not recognized immediately, the horse is likely to become severely lame as
        an  abscess  develops.  The  infection  can  track  up  the  white  line  and  may  cause  pus  to

        discharge from the coronary band.





        SUPERFICIAL PUNCTURE WOUNDS, PUS IN THE FOOT,

        UNDERRUN SOLE



        Hoof punctures are one of the commonest cause of lameness in the horse. They can lead to
        infection  where  pus  and  gas  build  up  under  pressure  within  the  rigid  hoof,  thus  causing
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