Interactive Case Tutorial

 Review the history and signalment for the client  Evaluate the radiographs provided  Explore the interactive images and compare the answers given with your own interpretations. When you’ve clicked on the image, click the same spot again to make the label disappear.  Answer the questions regarding a diagnosis and recommendations  Review the radiologist’s findings

 Signalment: 5 month old, MN, Bengal cat  History: bitten by another cat a few weeks ago; swollen tarsus; intermittent lameness  Study: lateral and dorsoplantar views of the right tarsus

Marked intracapsular swelling of tibiotarsal joint Articular erosions of tibia and talus Articular erosions of talus Normal physis

 Provide a diagnosis based on your findings. Submit The findings are consistent with septic arthritis most likely secondary to the bite wound Feedback Continue

 Provide your recommendation for this client. Submit Arthrocentesis of the tibiotarsal joint for cytology and culture/sensitivity Feedback Continue

 Marked intracapsular soft tissue swelling of the right tibiotarsal joint  Articular erosions involving the distal tibia and trochlear ridges (talus)

 The cytology of the joint fluid revealed marked neutrophilic inflammation without organisms seen; however, the kitten had been on antibiotics from the breeder  Antibiotic therapy was continued but no response was noted; because of the possibility of mycoplasma infection the antibiotic therapy was changed to treat mycoplasma and the patient responded well