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Discussion on A New Horse for Michelle - Levi's Owner

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Elaine Young
Member
Username: youngism

Post Number: 21
Registered: 8-2009
Posted on Wednesday, Sep 30, 2009 - 12:17 pm:   Edit PostPrint Post

Hi Dr. O,
The owner of the horse I recently had to put down has decided to jump back into the game and purchase another young horse. Of course, as the last one ended up having chronic inflammatory disease (after all the other awful things that went wrong with him -loss of gums and weight loss)she was concerned with the health of her latest choice and has ordered a blood test. I have the results here.

Cielo

Can we get your take on the new test?

Thanks
Elaine
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Elaine Young
Member
Username: youngism

Post Number: 22
Registered: 8-2009
Posted on Wednesday, Sep 30, 2009 - 12:35 pm:   Edit PostPrint Post

A picture of Cielo and Michelle :-)
Cielo & Michelle
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Robert N. Oglesby DVM
Moderator
Username: dro

Post Number: 23836
Registered: 1-1997
Posted on Thursday, Oct 1, 2009 - 10:10 am:   Edit PostPrint Post

Elaine there is really not much else to be said other than the conclusions of the lab: what does the examining veterinarian say about the possible causes for the chemistry changes? As we often note on these pages abnormal lab results in a healthy horse are of uncertain significance.
DrO
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Elaine Young
Member
Username: youngism

Post Number: 24
Registered: 8-2009
Posted on Monday, Oct 5, 2009 - 1:33 pm:   Edit PostPrint Post

What we are perplexed about is the elevated level of Creatine Kinase. 1156 IU/L. Muscle injury, tying-up? The other levels we can account to food.
(low iron, higher potassium)although, the lowered iron may be linked to the muscle issue. I can move this to a different section for discussion if it is better.
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Robert N. Oglesby DVM
Moderator
Username: dro

Post Number: 23867
Registered: 1-1997
Posted on Tuesday, Oct 6, 2009 - 8:09 am:   Edit PostPrint Post

Though numerically the elevation looks high, CK (also known as CPK) values of up to 4 times normal have been seen from non-disease events, like exercise or prolonged recumbency (sleeping on the ground). By itself it is uncertain it has any meaning and important to note that other muscle enzymes are normal. For more on this see Diseases of Horses » Lameness » Muscle & Tendon Diseases » Rhabdomyolysis: Tying Up, Shivers, PSSM, EPSM.

If the history does not include a event likely to have increased the CK you might consider a repeat in a week to see if this was a "odd" event.
DrO
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