Explanation of Facts Ð Case 4, Group 4

Hit by car Ð trauma 3 days ago (some healing)
Non weight bearing lameness Ð bilateral, hindlimbs Ð suggests possible neuro, fractures 
to both
17 months Ð growth plate unaffected?
Doberman Ð susceptible to congenital problems
2 L lactated ringers Ð probably not dehydrated 
prednisilone IV Ð 2 doses Ð removes pain, reduces inflammation
duragesic Ð 25mg/hr Ð fentanyl transdural patch - pain reduction
butorphanol Ð 5 mg IM Ð pain reduction
cephazolin Ð since accident Ð antibiotics Ð reduced likelihood of infection
stable (no worse than when hit) Ð can begin treatment of tramatic injury immediately
healthy previously Ð supports trauma induced lameness
4 cups big red dog food Ð probably not important since the case isnÕt likely congenital
inside/outside dog Ð affects treatment (level of stability, type of bandaging)
weight Ð 67 lbs Ð important for dosing and treatment
superficial and deep pain sensation in both legs and perineum Ð suggests nerves intact
motor function in both hind legs and tail Ð suggests nerves intact
inconsistent reflex responses Ð not repetitive Ð supports possible nerve damage
superficial skin abrasions Ð lateral right leg Ð introduction of infection?
swelling distal to right stifle Ð injury localized below this joint
left hind leg swollen down to toes Ð whole leg involved, not localized
palpable instability of right tibia Ð fracture?
tibia not continuous in mid-shaft area Ð right Ð fracture?
joints of right hind limb normal Ð not injured
left hind limb possible bone incontinuity of upper femur Ð possible fracture
abnormal movements Ð supports fracture
occasional crepitation Ð could involve bone on bone, within muscle
not localized to femur, hip, pelvis
other bones and joints intact with fluid accumulation
no pain/bone distortions palpated along spine Ð spine intact, no neurological problem