Bone lesion in GSD

RE: Bone lesion in GSD

Rob Loxley — Fri, 27 Jul 2018 08:45:41 GMT

[quote user="David Mills"]Malcolm Ness once of this forum[/quote] Not sure he's entirely absent

RE: Bone lesion in GSD

David Mills — Thu, 26 Jul 2018 21:50:41 GMT

As above.

Panosteitis can normally be heavily suspected by the laying on of hands. Palpation of the long bones with some pressure, especially near the joints, often produces a classic repeatable pain response.

That with the signalment normally enough (I rarely rad these any more).

Above was almost all from Malcolm Ness once of this forum.

Codeine and paracetamol only is an odd choice I must say.

RE: Bone lesion in GSD

Marie Kubiak — Thu, 26 Jul 2018 19:24:14 GMT

Thanks all - I had thought panosteitis from the history (I vaguely remember some info from uni days!) but then panicked looking at the xrays! I will feed back to him and side with his reluctance for MRI!

Marie

RE: Bone lesion in GSD

Richard Carter — Thu, 26 Jul 2018 18:49:54 GMT

+1 for panosteitis - trial nsaids for first week, if minimal response, add another aspect eg tramadol, if no response trial preds but also give welpi/ Ca suppl - this dog is growing by the second at the moment as the bone densities are poor at present

RE: Bone lesion in GSD

Joyce Whitehead — Thu, 26 Jul 2018 17:23:59 GMT

I’d second the panosteitis possibility, and it could be shifting between legs which might cause the confusion on site of lameness. I’d go for a couple of weeks of nsaid.

RE: Bone lesion in GSD

Rob Loxley — Thu, 26 Jul 2018 15:46:12 GMT

I'd be thinking panosteitis. Not sure what MRI would add (apart from to the bill); not sure I'd be jumping to biopsy. Where is the dog painful? Consider an NSAID? Referral of xrays to an orthopod is usually a pretty good value step (though obv appreciate you've posted them here).