Case 1

Data Base Collection

SIGNALMENT: Canine, mixed breed, MC, 3 years old

HISTORY: Hit by car. Since accident, dog has been unable to bear weight on right pelvic limb. Stands with paw knuckled over. Examination is 24 hours post injury.

PHYSICAL EXAMINATION:	T	101.8	HR	90	RR	30
	CRT	<3.0 secs.	MM	Pink	WT	40 lbs.
See neurological examination.

NEUROLOGICAL EXAMINATION:

A. MENTAL STATUS: Alert and responsive

B. POSTURE: Normal

C. PALPATION: Pain in right distal tibia and crepitus is noted when leg is palpated. Except for dorsal surface of right rear paw, pain perception is normal from all other areas.

D. GAIT: Monoparesis of right pelvic limb. Dog stands with paw knuckled over.

E. POSTURAL REACTIONS:
(0=absent, +1=decreased, +2=normal, +3=increased/exaggerated, NE=not examined)

LEFT
REACTIONS
RIGHT

Proprioceptive Positioning
PL
TL

2 0

2 2

2 Wheelbarrowing 2

Hopping
PL
TL

2 0

2 2

2 Extensor Postural
Thrust 0

NE Hemistand-Hemiwalk NE

2 Tonic Neck 2

Placing, tactile
PL
TL

NE NE

NE NE

Placing, visual
PL
TL

NE NE

NE NE

F. SPINAL REFLEXES:
(0=absent, +1=decreased, +2=normal, +3=increased/exaggerated, +4=clonic, NE=not examined)

LEFT
REFLEX, SPINAL
SEGMENT

RIGHT

2
Quadriceps
(L4-L6)
2

2
Flexion, PL
(L5-S1)
1

2
Flexion, TL
(C6-T1)
2

2
Triceps
(C7-T1)
2

0
Crossed
Extensor
0

2
Perineal
(S1-S2)
2

G. CRANIAL NERVES:
(0=absent, +1=decreased, +2=normal, +3=increased/exaggerated, NE=not examined)

LEFT
(Response/Test)
RIGHT

2
Menace
(CN II & VII)
2

2
Palpebral
(CN V & VII)
2

2 Pupil Size 2

PLR’S
Stimulate left eye
Stimulate right eye
(CN II & III)

2 2

2 2

0 Strabismus 0

0 Nystagmus 0

2
Facial Sensation
(CN V)
2

2
Mastication
(CN V)
2

2
Swallowing/Gag
(CN IX & X)
2

2
Tongue
(CN XII)
2dorsal

H. SENSATION:
(0=absent, +1=decreased, +2=normal, +3=increased/exaggerated, NE=not examined)

Location
Dorsal suface of right rear paw

Hyperesthesia
not present

Superficial pain
0

Deep pain
+1

Assessment of Neurological Findings

ANATOMIC DIAGNOSIS:
(Choose those that apply to the findings in this case):

Generalized LMN

Peripheral nerve

Spinal Cord C1-C5

Spinal Cord C6-T2

Spinal Cord T3-L3

Spinal Cord L4-S3

Cauda equina

Peripheral vestibular

Central vestibular

Brainstem

Cerebral cortex

Cerebellum

Cranial neuropathy

Myopathy

Musculoskeletal
Expert's Anatomic Diagnosis

LESION LOCATION: Where is the lesion located?
	Right
	Left
	Bilateral
	Expert's Lesion Location
REVIEW RADIOGRAPHS:
	Lumbosacral:
	Thoracolumbar:
	Cervical:
	Skull:
	Appendicular
WHICH SET ILLUSTRATES THIS CASE?

LEFT	REFLEX, SPINAL SEGMENT	RIGHT
2	Quadriceps (L4-L6)	2
2	Flexion, PL (L5-S1)	1
2	Flexion, TL (C6-T1)	2
2	Triceps (C7-T1)	2
0	Crossed Extensor	0
2	Perineal (S1-S2)	2

Lumbosacral, Set A	Lumbosacral, Set B	Thoracolumbar, Set C
Thoracolumbar, Set D	Cervical, Set E	Cervical, Set F
Skull, Set G	Skull, Set H	Appendicular, Set I
Appendicular, Set J	Expert's Explanation

LEFT	REACTIONS	RIGHT
	Proprioceptive Positioning PL TL
2		0
2		2
2	Wheelbarrowing	2
	Hopping PL TL
2		0
2		2
2	Extensor Postural Thrust	0
NE	Hemistand-Hemiwalk	NE
2	Tonic Neck	2
	Placing, tactile PL TL
NE		NE
NE		NE
	Placing, visual PL TL
NE		NE
NE		NE

LEFT	(Response/Test)	RIGHT
2	Menace (CN II & VII)	2
2	Palpebral (CN V & VII)	2
2	Pupil Size	2
	PLR’S Stimulate left eye Stimulate right eye (CN II & III)
2		2
2		2

0	Strabismus	0
0	Nystagmus	0
2	Facial Sensation (CN V)	2
2	Mastication (CN V)	2
2	Swallowing/Gag (CN IX & X)	2
2	Tongue (CN XII)	2dorsal

Location	Dorsal suface of right rear paw
Hyperesthesia	not present
Superficial pain	0
Deep pain	+1

Generalized LMN		Peripheral nerve
Spinal Cord C1-C5		Spinal Cord C6-T2
Spinal Cord T3-L3		Spinal Cord L4-S3
Cauda equina		Peripheral vestibular
Central vestibular		Brainstem
Cerebral cortex		Cerebellum
Cranial neuropathy		Myopathy
Musculoskeletal	Expert's Anatomic Diagnosis

Data Base Collection

Assessment of Neurological Findings

ANATOMIC DIAGNOSIS: (Choose those that apply to the findings in this case):

ANATOMIC DIAGNOSIS:
(Choose those that apply to the findings in this case):