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Causes of Erroneous Regional Analgesia Results
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Many diagnostic tests used during the clinical examination of a lame horse are known to produce both false positive and false negative results (e.g. application of the hoof tester, the distal interphalangeal extension test, flexion tests, and pressure applied to the proximal aspect of the suspensory ligament). Diagnostic intrasynovial and regional analgesia is, therefore, an important component of lameness examination if the site of pain causing lameness remains uncertain after the horse undergoes a thorough clinical examination. The results of diagnostic analgesia are usually evaluated subjectively, sometimes with difficulty, and errors in subjective evaluation lead to errors in diagnosis and, therefore, in prognosis and treatment. To evaluate the results of diagnostic analgesia accurately, the clinician should have a thorough knowledge of the nuances of interpretation. Although interpreting the results of diagnostic analgesia is usually straightforward, the clinician should be aware of the many ways in which diagnostic analgesia can be misinterpreted ...
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