POMA: Examples - Lameness

3 important questions on POMA: Examples - Lameness

What kind of information should I be taking for lameness?

1. Which limb(s)?
2. Improves or worsens with exercise?
3. Duration (acute vs chronic)
4. Development over time
5. Frequency
6. Any other clinical signs
7. Videos of pet walking

What would PE look like for lameness?

1. Full general PE
2. Posture depending on weight bearing tendency
3. Gait in walk and trot
4. Head bob in forelimb lameness
5. Dragging feet
6. Bunny hopping
7. Ataxia
8. Muscle atrophy
9. Joint warmth and instability
10. Crepitus
11. Neurological exam
12. Abnormal ROM (range of movement)

How do we formulate a plan/treatment for lameness?

  1. X-ray, US, CT & MRI
  2. Bloodwork (CBC, biochemistry, lyme)
  3. Urinalysis
  4. Arthrocentesis
  5. Muscle, nerve, bone biopsies

Treatment will be dependent on the results of the diagnostic plan

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