Client education

From the radiographs and joint tap, we think the underlying problem here is septic 
arthritis.  Septic arthritis is a serious condition that requires immediate action.  It can 
happen through a variety of mechanisms, though in this foal it is most likely due to 
traumatic injury from being stepped on by the mare.  A minor cut could have predisposed 
the foal to bacterial contamination from the environment.  Because the other joints are 
not yet affected, the septic arthritis does not seem to have spread, which bodes well for 
the foalÕs prognosis.  We will need to administer systemic antibiotics for at least for two 
weeks, and then we will do another joint tap and culture at that time to check for bacteria 
and the presence of inflammation.  We will also administer pain medication as needed to 
help the foal.  The foal is going to require prolonged rest from exercise to allow healing 
of the damaged soft tissues and articular cartilage.  Therefore, we should keep the foal 
confined here in the hospital for a few days to monitor closely for further problems and 
administer medication as needed.