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Monday, January 23

Imaging

Moderator: Ryland Edwards, III
 

1:00 - 1:50 p.m.

Evaluation of the Cervical Spine with Radiographs and UltrasoundNatasha Werpy

Evaluation of the cervical spine has become common place in some practices as a part of purchase examinations, but as importantly, the cervical spine is associated with poor performance and neurologic disease.  It is important to understand the anatomy, proper technique, and positioning to obtain an accurate diagnosis.  Normal reference images and pathologic change in the cervical spine when evaluated with radiographs and ultrasound will be discussed.  

1:50 - 2:40 p.m.

Tips and Tricks for Diagnosis of Musculoskeletal Injury Using UltrasoundNatasha Werpy

Ultrasound examination of the musculoskeletal system is extremely helpful in identifying soft tissue and bony changes when evaluating horses.  Advanced techniques for the more challenging but commonly imaged regions (pastern and proximal suspensory ligaments) examined with ultrasound in horses will be discussed.

2:40 - 3:30 p.m.

Imaging Case DiscussionNatasha Werpy 

Ultrasound examination of the musculoskeletal system is extremely helpful in identifying soft tissue and bony changes when evaluating horses.  Advanced techniques for the more challenging but commonly imaged regions (pastern and proximal suspensory ligaments) examined with ultrasound in horses will be discussed.

3:30 - 4:00 p.m.

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4:00 - 4:50 p.m.

Why Does the Radiologist Ask Me to Do So Many Blocks Prior to an MRI?  Just Image the Horse and Give Me the Answer Natasha Werpy

Based on the correlation between blocking patterns and advanced imaging diagnoses how much blocking should be done prior to advanced imaging; the referring veterinarian wants the diagnosis and the radiologist/imaging facility wants to ensure the proper area is being imaged.  Case examples will be used to demonstrate how blocking can be misleading in certain cases and how combining peri-neural and intraarticular analgesia can allow a more precise localization of lameness prior to selecting regions for advance imaging, especially when general anesthesia is required.

4:50 - 5:40 p.m.

Multimodality Imaging Case Discussion Natasha Werpy

Common and unique clinical cases will be discussed relative to initial radiographic findings and the answers and questions that become apparent when more advanced imaging techniques are used to evaluate the horse.  CT and MRI are becoming more available, but each modality and individual systems have some limitations.  The questions that can be answered will be discussed to serve as a guide to selecting the appropriate modality and understanding limitations among systems that are commonly used.  

5:40 - 6:30 p.m.

Use of Stall Side Diagnostics for Real Time Screening and Monitoring Barn Health - Amy Poulin Braim and Nathan Voris

Infectious disease outbreaks can be as performance limiting as lameness.  Diagnostic modalities that allow you to monitor for infectious disease real time can help you identify and mitigate spread. This discussion will review two studies involving Equine Herpes Virus & Equine Influenza, including disease progression and serial testing results. 


Tuesday, January 24

Ophthalmology & The Business of Equine Practice

Moderator: Ryland Edwards, III
 

7:30 - 9:30 a.m.

Internships, Mentoring Associates, Retaining Equine Practitioners, Developing Associates as Partners: Challenges Facing the Equine Practitioner.  AAEP is Listening and Working to Develop Answers - Jim Zeliff, Amy Grice, and Jackie Christakos

Equine practice owners find it difficult to find and retain associates.  Pressures include salary, after-hours coverage, maintaining or developing boundaries with clients and the practice itself, and developing or finding practitioners that want to become practice owners.  Some well-established practices have sold to corporations.  The AAEP is actively working to understand the pressures and concerns of practice owners and associates to develop suggestions to strengthen the business and wellness of equine practice and the equine practitioner.  Results of AAEP’s research will be presented and active attendee interaction will be encouraged to further the success of equine practice.  
 

9:30 - 10:00 a.m.

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10:00 - 11:00 a.m.

How to Improve Your Ophthalmic Exams and Diagnostic Tests in HorsesBrian C. Gilger

Ophthalmic diseases are very common in equine practice and therefore it is important that the equine practitioner is proficient in field ophthalmic diagnostic and treatment strategies.  We will review instrumentation and diagnostic tests that all equine practitioners need to be able to perform and interpret.  In addition, we will discuss new methods, photography, and advanced imaging of the equine eye.

11:00 a.m. - Noon

Advances in the Treatment of Infectious Corneal Disease Brian C. Gilger

Corneal ulceration and infectious keratitis are the most common diseases of the horse eye and in many areas, the most common cause of blindness.  Fungal keratitis continues to be difficult to treat, but recently new drugs and procedures have been used to greatly improve the outcome of these severe diseases.   We will discuss how to identify corneal infectious disease, when to consider surgery, and new treatments for infectious keratitis.  We will discuss the use of intrastromal injections, photodynamic therapy (including cross linking), drug implants, and minimally invasive surgical procedures. Finally, we will discuss the common and advanced surgical procedures used to help save vision with these challenging diseases.

Noon - 1:00 p.m.

Immune-Mediated Keratitis – Is This an Emerging Disease in Horses?Brian C. Gilger

Immune mediated keratitis is being recognized more frequently in horses – and it remains a challenge to treat in many cases.  Theses nonulcerative chronic corneal opacities have mild to moderate cellular infiltrate and vascularization, without secondary uveitis or severe ocular discomfort, and are not associated with infectious agents. We will review the different types of IMMK, how to recognize them, and both the routine and advanced treatments for this disease. Stem cell therapy, photodynamic therapy, and drug implant procedures will be reviewed


Wednesday, January 25

Rotavirus Update, Ophthalmology Continued

Moderator: Ryland Edwards, III
 

7:30 - 8:30 a.m.

Equine Rotavirus - The Old and the NewEmma Adam

Until 2021 the only group of rotaviruses to infect horses was Rotavirus Group A. In 2021 a novel rotavirus, classified as Equine Rotavirus B, was identified in a widespread outbreak of neonatal foal diarrhea that affected foals in the 2021 and 2022 seasons.  This talk will discuss aspects of equine rotavirus infection, pathophysiology, control, and prevention in the context of Equine Rotavirus A and the newly discovered Equine Rotavirus B.

8:30 - 9:30 a.m.

What Can Be Done About Uveitis and Recurrent Uveitis in Horses? Brian C. Gilger

Equine recurrent uveitis (ERU) is a spontaneous, painful and sight threatening disease affecting up to 5% of equine populations worldwide. This lecture will teach the veterinarian the difference between uveitis and recurrent uveitis and discuss treatment, prognosis, and prevention of these diseases. Advances in treatment, including ocular implants, ocular injections, suprachoroidal therapy, and gene therapy will be discussed. 

9:30 - 10:00 a.m.

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10:00 - 11:00 a.m.

How to Interpret Lens, Vitreous, and Ocular Fundus Lesions During Pre-Purchase Examinations Brian C. Gilger

What the heck is that lesion in the horse ocular lens and fundus?  Does it impair vision?  Will it progress?  What does it mean for the buyer?  This lecture will focus on the meaning and importance of lesions observed during pre-purchase examinations of the eye.  Some diseases are not common but when present they may render the animal devalued, possibly dangerous, and predisposed to self-injury. Ocular lesions such as cataracts, vitreal degeneration, hyalitis, multiple congenital ocular abnormalities (MCOA), colobomas, retinal dysplasia, multifocal retinopathy (bullet hole lesions), retinal detachments, retinal degeneration, and optic nerve lesions will be discussed. 

11:00 a.m. - Noon

Periocular Neoplasia – Modern and Advanced Treatments for Periocular Sarcoids and Squamous Cell CarcinomaBrian C. Gilger

Management of equine periocular neoplasia is challenging because of the need for adjunctive therapy, the adverse effects of therapies, and the frequent recurrence of the lesion(s). This lecture will review the modern treatment strategies for common adnexal neoplasia in horses  

Noon - 1:00 p.m.

Five Articles I Can Incorporate into My PracticeRyland Edwards

It can be challenging for the equine practitioner to follow the current literature and incorporate presented information into practice.  A series of articles will be presented that can be incorporated into practice in a timely manner.