Page 175 - Canine Lameness
P. 175

Disease  Common signalment  Exam findings  Diagnostic test of choice  Treatment  Clinical pearls  Terminology
                Corns   Sight hounds, especially   Well-circumscribed   Biopsy and   Symptomatic or with  90% affect digital pads  Sweet corns:
                        Greyhounds     hyperkeratotic   histopathology  surgical excision if   of digits 3 and 4 of the  “wart-like lesion”
                                       lesions with central     unresponsive  thoracic limbs and   or “Porokeratosis
                                       keratin core                         consider other DD if   plantaris discreta”
                                                                            located in other digits
                Dermatologic  Multiple etiologies.   Visually identifiable   Clinical appearance,   Depending on cause.  Important differential
                conditions   Predisposed breeds for   changes to paw pads,  skin scraping, exudate   Pharmacologic and   for lameness – careful
                causing   specific conditions, any   claws, and nail bed  cytology, FNA, bacterial  surgical treatment   evaluation of the
                lameness  breed and age for infectious   and fungal culture.   (amputation if   paws/pad necessary
                        conditions                 Radiographs to detect   extensive bone   to establish diagnosis
                                                   potential underlying   involvement)
                                                   bone involvement
                Hypertrophic  Any breed or age, older   Limb thickening and  Radiographs of limbs   Treat underlying   Periosteal reaction   Marie’s disease of
                osteopathy  animals more common   pain  and thoracic and   thoracic and/or   and pain in all four   the dog,
                        since most commonly        abdominal imaging  abdominal cause  limbs  hypertrophic
                        associated with thoracic                                        osteoarthropathy/
                        neoplasia                                                       osteopathy
                Digit   Older animals  Swelling or mass   Fine-needle aspirate or  Digit amputation,   Squamous cell
                neoplasia              effect of the   biopsy, and radiographs  partial foot   carcinoma and
                                       digits – third phalanx  (malignant melanoma   amputation; rarely   malignant melanoma
                                       most commonly   frequently does not   requires partial or   most common rarely
                                       affected    cause lytic changes)  full-limb amputation  can affect multiple
                                                                            digits
































        0004507095.INDD   147                                                                12/10/2019   1:23:55 PM
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